Dear HomeGuard Customer,
Thank You for choosing HomeGuard Incorporated to inspect your home. Enclosed
is your inspection report, which includes our ndings, recommendations, and repair
prices. Please review the enclosed report and repair proposals and feel free to call
me with any comments or questions.
Sincerely Yours,
Curtis Reese
Vice President
General Manager
Contact the HomeGuard Repair Team at 855-331-1900 or
email us [email protected]
Schedule your repairs today...
We get the work done
when you need it!
We will expedite all
required paperwork!
HomeGuard stands
behind its repairs!
2623 Anywhere Street, Hometown
February 20, 2019
John Doe
2623 Anywhere Street
Inspected by:
Ordered by:
Walter Backeroff
Roof Inspection Report
HomeGuard
Incorporated
Hometown, CA 99999
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
Page 1 of 4
(855) 331-1900
The roof of the dwelling at the above property has been inspected by a qualified inspector employed by HomeGuard
Incorporated. The professional opinion of the inspector contained in this report is solely an opinion and does not
constitute a warranty or guarantee. The inspector has inspected all exterior roof components and documented in
general terms the type of roof, its intended life and overall condition at the time of this inspection. Where accessible,
HomeGuard Incorporated has noted all conditions that may compromise any inspected roof component’s ability to shed
water and/or realize its intended life. Verification of actual roof performance and/or troubleshooting of existing
conditions, such as water testing, are NOT included in the scope of our inspection unless specifically requested and
mentioned in our report. This inspection should not be considered a guarantee of actual roof performance, as
performance is contingent upon the condition of internal system components not accessible to our inspector. This roof
was not inspected for conformance to local building codes. The inspector has not inspected the attic area nor did the
inspector perform a visual interior inspection looking for past or present roof performance issues. All present and prior
disclosures along with other inspection reports should be reviewed and addressed prior to the close of escrow.
GENERAL DESCRIPTION:
Unless specifically mentioned in this report, the following are NOT included in this report: decks, balconies, detached
structures, patio covers, out buildings, sheds and bonus rooms. The structure is a one story single family residence.
The roof is a concrete tile, installed over spaced sheathing with no felt membrane. Although not allowable by today's
building codes, this roof system was installed within acceptable standards at the time of original construction. Due to
the lack of felt underlayment water penetration at the underside of the tiles is possible during conditions of excessive
wind and rain. A roof system of this type requires periodic repair and maintenance work. Repair work is what we deem
necessary and is not intended to correct all material and/or application flaws. The pitch of the roof appears to be 5:12.
The typical life expectancy of this roofing material is 40 to 50 years. The estimated remaining serviceable life of the
roof is 10 years. The overall condition of the roof is fair.
SCOPE OF THE INSPECTION:
FINDINGS:
Debris was noted to be collecting in the gutter system. The owner is advised to contact a sheet metal
contractor, or someone in this line of work, to inspect the gutter system and make recommendations
and/or repairs deemed necessary. (See Photo 1)
1.
Roof overview: (See Photo 2)2.
The rake to ridgeline intersection is lacking a proper seal and appears vulnerable to leakage. (See
Photo 3) (See Photo 4) (See Photo 5)
3.
RECOMMENDATION:
Seal the rake to ridgeline intersection where necessary.
Debris is impeding water travel at the valley. (See Photo 6)4.
RECOMMENDATION:
Remove debris from the valley.
During the course of this inspection we noted cracked and broken field tile(s). (See Photo 7) (See
Photo 8) (See Photo 9)
5.
RECOMMENDATION:
Repair and/or replace cracked and broken field tile(s) where we deem necessary.
Debris has collected behind the chimney and may cause to water to backup into the structure. Poor
drainage can cause premature wear and tear and subsequent leakage. (See Photo 10)
6.
RECOMMENDATION:
Clear chimney of debris, where needed to ensure proper drainage.
During the course of this inspection we noted unsecured field tile(s). (See Photo 11)7.
RECOMMENDATION:
Repair and/or replace unsecure field tile(s) where we deem necessary.
2623 Anywhere Street, Hometown Report No. 480101
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
Page 2 of 4
(855) 331-1900
The plumbing jack flashing are not adequately sealed at the collars. (See Photo 12)8.
RECOMMENDATION:
Seal all plumbing vent collars where needed to ensure a watertight condition.
Finding numbers 3, 4, 5, 6, 7 and 8 listed above must be corrected to ensure a watertight condition. The cost to repair
these items is $1,120.00. This bid is for the conditions listed, which existed on the date of our inspection. If any
contractor performs repairs on the eave, rafters or fascia or if work is performed on the structure which causes damage
to the roof covering a supplemental bid will be issued upon request.
SUMMARY:
2623 Anywhere Street, Hometown Report No. 480101
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
Page 3 of 4
(855) 331-1900
Report Photographs
The photographs in this report do not necessarily illustrate all of the damage in any particular finding. Also, not all
problem areas will be supported by photographs. Please contact HomeGuard if you have any questions.
Photo 1 Photo 2
Photo 3 Photo 4
Photo 5 Photo 6
2623 Anywhere Street, Hometown Report No. 480101
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
Page 4 of 4
(855) 331-1900
Photo 7 Photo 8
Photo 9 Photo 10
Photo 11 Photo 12
2623 Anywhere Street, Hometown Report No. 480101
hgre[email protected]om
(925) 294-1818
(855) 331-1900
email: Fax: Direct:
HOME IMPROVEMENT CONTRACT
AUTHORIZATION AGREEMENT
Contractors License No. 729266
To schedule work, email or fax this signed Authorization Agreement, or call directly:
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
This contract carries commercial general liability insurance written by Accord Insurance. You may call the
insurance company at 925-244-7700 to check the contractor's insurance coverage.
Not to hold HomeGuard Incorporated responsible for any acts of God.
HOMEGUARD INCORPORATED AGREES:
1.
2.
3.
To perform all repairs in a workmanlike manner. We assume no responsibility for work performed by others.
To be bound to perform this work for the price quoted above for a period of 30 days.
To use reasonable care in the performance of our work but to assume no responsibility for damage to any
hidden pipes, wiring, or other facilities or to any plants or other life.
OWNER OR OWNER'S AGENT AGREE:
1.
2.
3.
To pay for services rendered including any additional services requested, upon completion of work.
To grant HomeGuard Incorporated a security interest in the above described real property to secure payment of
the sum for work and/or inspection(s) completed.
BOTH PARTIES AGREE:
1.
2.
If any additional work is deemed necessary by the local building inspector, said work will not be performed
without authorization from the owner or owner's agent.
HomeGuard Incorporated is authorized to proceed with the work outlined in the
recommendations of the roof report no. 480101 for the property located at 2623 Anywhere
Street, Hometown.
If additional damage is discovered by HomeGuard Incorporated during the performance of work, the company
agrees to notify the owner or owner's agent of the amount of the damage and the cost to perform the additional
work. This work will be performed upon written authorization.
4.
4.
5.
HomeGuard Incorporated carries workers' compensation insurance for all employees.
To pay a service charge of 1.5% per month or portion of any month beyond 30 days after completion.
The work to be performed under this contract shall be commenced on approximately
_______________ (work start date), The project shall be completed by approximately
_______________ (work completion date), subject to permissible delays as defined in this
contract, or by weather conditions.
You are entitled to a completely filled in copy of this agreement, signed by both you and the
contractor before any work may be started.
Owner shall pay HomeGuard, Incorporated the fixed sum of $______________ (the “contract
price”) for the work to be performed under this contract, subject to additions and
deductions pursuant to change orders agreed upon in writing by the parties, and subject to
allowances as provided in the below paragraphs.
CONTRACT PRICE
APPROXIMATE START AND COMPLETION DATE
Reference the attached report for a description of the project and the materials to be used.
DESCRIPTION OF THE PROJECT AND THE DESCRIPTION OF THE SIGNIGICANT
MATERIALS TO BE USED AND EQUIPMENT TO BE INSTALLED
2623 Anywhere Street, Hometown
Page 1 of 6
Initials__________ __________
hgre[email protected]om
(925) 294-1818
(855) 331-1900
email: Fax: Direct:
HOME IMPROVEMENT CONTRACT
AUTHORIZATION AGREEMENT
Contractors License No. 729266
To schedule work, email or fax this signed Authorization Agreement, or call directly:
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
NOTICE OF THREE-DAY RIGHT TO CANCEL
You, the buyer, have the right to cancel this contract within 3 business days. You may cancel by emailing, mailing,
faxing or delivering a written notice to the HomeGuard Incorporated at 58 Wright Brothers Avenue, Livermore, CA
94551 by midnight of the third business day after you received a signed and dated copy of the contract that includes this
notice. Include your name, your address, and the date you receive a signed copy of the contract and this notice.
If you cancel, HomeGuard Incorporated must return to you anything you paid within 10 days of receiving the notice
of cancelation. For your part, you must make available to HomeGuard Incorporated at your residence, in substantially
as good condition as you received it, any goods delivered to you under this contract or sale. Or, you may, if you wish,
comply with HomeGuard Incorporated's instructions on how to return the goods at the contractor's expense and risk. If
you do make the goods available to HomeGuard Incorporated and HomeGuard Incorporated does not pick them up
within 20 days of the date of your notice of cancelation, you may keep them without any further obligation. If you fail to
make the goods available to HomeGuard Incorporated, or if you agree to return the goods to the HomeGuard
Incorporated or fail to do so, then you remain liable for performance of all obligations under the contract.
Signature: ____________________________ Date:__________________________
The following notices are included in the attachment:
LIST OF DOCUMENTS TO BE INCORPORATED INTO THE CONTRACT
• Commercial general liability insurance.
• Workers' compensation insurance.
• Performance of extra or change order work notice.
• Mechanic's lien warning.
• Contractor's Board notice.
• Cancellation notice.
• Notice of Three-day right to Cancel.
By initialling the owner acknowledges receipt of attached documents. Initials ______ ______
2623 Anywhere Street, Hometown
Page 2 of 6
Initials__________ __________
hgre[email protected]om
(925) 294-1818
(855) 331-1900
email: Fax: Direct:
HOME IMPROVEMENT CONTRACT
AUTHORIZATION AGREEMENT
Contractors License No. 729266
To schedule work, email or fax this signed Authorization Agreement, or call directly:
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
Remember if you do nothing, you risk having a lien placed on your home. This can mean that you may have to
pay twice, or face the for sale of your home to pay what you owe.
CSLB is the State Consumer Protection Agency that licenses and regulates construction contractors. Contact CSLB for
information about the license contractor you are considering, including information about disclosable complaints,
disciplinary actions and civil judgments that are reported to CSLB. Use only licensed contractors. If you file a complaint
against a licensed contractor within the legal deadline (usually 4 years), CSLB has authority to investigate the
complaint. Licensed contractors are regulated by laws designed to protect the public. If you use an unlicensed
contractor, CSLB may not be able to help you resolve your complaint. Your only remedy may be in a civil court, and
you may be liable for damages arising out of any injuries to the unlicensed contractor or the unlicensed contractor's
employees.
For more information; Visit CSLB's web site at www.cslb.ca.gov, or call 1-800-321-2752, or write at PO Box 26000,
Sacramento, CA 95826
INFORMATION ABOUT CONTRACTOR'S STATE LICENSE BOARD (CSLB)
NOTICE TO OWNER - MECHANICS LIEN
Anyone who helps improve your property, but who is not paid, may record what is called a mechanic's lien on your
property. A mechanic's lien is a claim, like a mortgage or home equity loan, made against your property and recorded
with the County Recorder. Even if you pay your contractor in full, unpaid subcontractors, suppliers, and laborers who
help to improve your property may record mechanic's liens and sue you in court to foreclose the lien. If the court finds
the lien valid, you could be forced to pay twice or have a court officer sell your home to pay the lien. Liens can also
affect your credit.
To preserve their right to record a lien, each subcontractor and material supplier must provide you with a document
called a "20-day Preliminary Notice". This notice is not a lien. The purposes of the notice is to let you know that a
person who sends you the notice has the right to record a lien on your property if he or she is not paid.
BE CAREFUL. The preliminary notice can be sent up to 20 days after the subcontractor starts work or the supplier
provides material. This can be a big problem if you pay your contractor before you have received the preliminary
notices. You will not get preliminary notices from your prime contractor or from laborers who work on your project. The
law assumes that you already know that they are improving your property.
PROTECT YOURSELF FROM LIENS. You can protect yourself from liens by getting a list from your contractor of all
these subcontractors and material suppliers that work on your project. Find out from your contractor when these
subcontractors started work and when these suppliers delivered goods and materials. Then wait 20 days, paying
attention to the preliminary notices you receive.
PAY WITH JOINT CHECKS. One way to protect yourself is to pay with a joint check. When your subcontractor tells you
it is time to pay for the work of a subcontractor or supplier who has provided you with a preliminary notice, write a joint
check payable to both the contractor and the subcontractor or material supplier. For other ways to prevent liens, visit
CSLB's web site at www.cslb.ca.gov or call CSLB at 1-800-321-2752.
If a Home Inspection has been or will be performed by HomeGuard Incorporated on this property, the following
consumer disclosure applies:
(A) The same company that performs the roof inspection and roof repairs will perform the home inspection on the same
property.
(B) Any repairs that are authorized by the consumer are for the repairs identified in the roofing contractor’s roof
inspection report
NOTICE TO OWNER - HOME INSPECTION
2623 Anywhere Street, Hometown
Page 3 of 6
Initials__________ __________
hgre[email protected]om
(925) 294-1818
(855) 331-1900
email: Fax: Direct:
HOME IMPROVEMENT CONTRACT
AUTHORIZATION AGREEMENT
Contractors License No. 729266
To schedule work, email or fax this signed Authorization Agreement, or call directly:
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
The minimum service charge for any work is $295. HomeGuard Incorporated will certify the roof to be leak-
free for a period of 1 year after the corrective repairs noted below have been performed by HomeGuard.
HomeGuard warrants roof components, designed as such, to be free of readily apparent defects. If leakage
should occur due to a readily apparent defect, HomeGuard Incorporated will repair the covered roof components
at no charge within thirty (30) days of notification. The exceptions and exclusions from the terms of this warranty
are as follows:
1. HomeGuard Incorporated is not responsible for any interior or exterior damage caused by any leak that may
develop.
2. HomeGuard Incorporated is not responsible for removal of standing water after roof work has been completed.
3. HomeGuard Incorporated is not responsible for leaks caused by vandalism, work performed by others, or acts
of God.
4. HomeGuard Incorporated is not responsible for leaks caused by accumulated debris on the roof.
5. HomeGuard Incorporated is not responsible for leaks in gutter systems, sidewalls or roof area under solar
systems unless specifically warranted in the repair contract.
6. HomeGuard Incorporated is not responsible for leaks that are the result of inadequate protection caused by
the original manufacturer's specifications.
At no time does HomeGuard Incorporated warrant the performance and/or condition of the following: proprietary
roofing systems, metal/metallic roofing systems, deck coatings, corrugated roof covers, patio covers, patio decks,
internal roof components, tar and gravel roofs, exterior structural components, or roof slopes under 2:12.
Claims under this warranty must be reported to HomeGuard Incorporated within three (3) days of the discovery of
the leak.
NOTICE TO OWNER - LEAK-FREE WARRANTY
Corrective items:
$1,120.00
Items 3, 4, 5, 6, 7, 8
2623 Anywhere Street, Hometown
Page 4 of 6
Initials__________ __________
hgre[email protected]om
(925) 294-1818
(855) 331-1900
email: Fax: Direct:
HOME IMPROVEMENT CONTRACT
AUTHORIZATION AGREEMENT
Contractors License No. 729266
To schedule work, email or fax this signed Authorization Agreement, or call directly:
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
ESCROW CO/NO:________________________________
X_____________________DATE___________
Name of person providing access ___________________________ Phone Number ___________________________
X_____________________DATE___________
BY:______________________, HomeGuard IncorporatedOWNER OR OWNERS AGENT
PLEASE BE SURE TO SIGN AND SEND ALL PAGES
DATE:__________________________________________
Any dispute, claim, or controversy arising out of or relating to this agreement or the breach, termination,
enforcement, interpretation, or validity thereof including the determination of the scope or applicability of this
agreement to arbitrate, shall be determined by arbitration in the county of the property mentioned in this contract
before one arbitrator. The arbitration shall be administered by JAMS pursuant to its comprehensive arbitration rules
and procedures. Judgement on the award may be entered in any court having jurisdiction. This clause shall not
preclude parties from seeking provisional remedies in aid of arbitration from a court of appropriate jurisdiction. The
parties agree that the arbitrator shall be a retired judge from the county in which the arbitration takes place.
NOTE ABOUT EXTRA WORK AND CHANGE ORDERS
The charges listed in this contract are due upon completion of the work, however HomeGuard Incorporated can
accommodate the escrow process and bill directly to escrow if so desired. The fee structure for escrow billing is as
follows: total work under $500.00 is $65.00; total work between $500.00 and $2000.00 is $95.00; total work above
$2000.00 is $135.00.
ESCROW ACCOMODATION FEE
Extra work and change orders become part of the contract once the order is prepared in writing and signed by the
parties prior to commencement of any work covered by the new change order. The order must describe the scope of
the extra work or change, the cost to be added or subtracted from the contact, and the effect the order will have on
the schedule of progress payments.
The amount due will be payable upon completion of work. It is understood that the
contract price does not include the charge of the inspection report or re-inspection fees.
Inspection number 480101 is attached hereto and incorporated herein:
ESCROW OFFICER:______________________________
Print Name_______________________________
Print Name_______________________________
ESCROW PHONE NO:____________________________
BINDING ARBITRATION PROVISION
2623 Anywhere Street, Hometown
Page 5 of 6
hgre[email protected]om
(925) 294-1818
(855) 331-1900
email: Fax: Direct:
HOME IMPROVEMENT CONTRACT
AUTHORIZATION AGREEMENT
Contractors License No. 729266
To schedule work, email or fax this signed Authorization Agreement, or call directly:
HomeGuard Incorporated
58 Wright Brothers Avenue, Livermore, CA 94551
NOTICE OF CANCELLATION
__________________________________________
(ENTER DATE OF TRANSACTION)
You may cancel this transaction, without any penalty or obligation, within 3 business days from the above date.
If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable
instrument executed by you will be returned within 10 days following receipt by the seller of your cancellation notice,
and any security interest arising out of the transaction will be cancelled.
If you cancel, you must make available to the seller at your residence, in substantially as good condition as when
received, any goods delivered to you under this contract or sale, or you may, if you wish, comply with the instructions
of the seller regarding the return shipment of the goods at the seller's expense and risk.
If you do make the goods available to the seller and the seller does not pick them up within 20 days of the date of your
notice of cancellation, you may retain or dispose of the goods without any further obligation.
If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so,
then you remain liable for performance of all obligations under the contract.
To cancel this transaction, mail, emailing, faxing or deliver a signed and dated copy of this cancellation notice, or any
other written notice to: HomeGuard Incorporated, 58 Wright Brothers Avenue, Livermore, CA 94551 not later than
midnight of ______________ (date).
I hereby cancel this transaction __________________ (date)
___________________________________________
(Owners Signature)
2623 Anywhere Street, Hometown
Page 6 of 6
Initials__________ __________
Other:
Complete
Report No.
480101
Invoice Date:
2/21/2019
Inspection:
2/20/2019
Notice of Completion:
$0.00
$0.00
$0.00
Address:
2623 Anywhere Street
Hometown CA, 99999
Escrow No.
John Doe
2623 Anywhere Street
Hometown, CA 99999
Invoice
Total Due:
$0.00
Property Information:
Bill To:
Billing Information:
Invoice No:
LIV662361R
DUE UPON RECEIPT - Please remit to: 510 Madera Ave., San Jose, CA 95112
There is a $25 fee for all returned checks.
HomeGuard
Incorporated
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$
$
$
$
PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBER
TYPE OF INSURANCE
LTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB
$EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$
PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT
LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
CYPRESS INS CO
5,000
3,000,000
NEW YORK MARINE & GEN INS CO
11/06/2018
P. O. Box 5003
1,000,000
[San Ramon - Branch ID 14394]
Edgewood Partners Insurance Centers (EPIC)
10/01/18
PK201800008495
925-244-7700
10/01/19
eleles-src
10/01/19
925-901-0671
1,000,000
510 Madera Avenue
X
* EVIDENCE OF COVERAGE *
BI/PD DED: $1,000
Homeguard, Inc.
1,000,000
X
Proof of Insurance
10/01/18HOWC910855B
CA LIC 0B29370
X
1-925-244-7700
Certificates Department
100,000
X
54537457
54537457
3,000,000
10855
16608
X
San Ramon, CA 94583
1,000,000
San Jose, CA 95112
A
1,000,000
