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. . <br /> LAWCX <br /> Local Agency Workers' Compensation Excess <br /> Joint Powers Authority <br /> A California Public Agency <br /> Certificate of Coverage - 2016/17 Program Year <br /> Covered Member: City of Pleasanton <br /> 200 Old Bernal Ave; P.O. Box 520 <br /> Pleasanton, CA 94566 <br /> This certificate is issued as a matter of information only and confers no right upon the Certificate <br /> Holder. This certificate does not amend, extend, or alter the coverage afforded by the coverage below. <br /> The coverage provided is subject to all terms, exclusions and conditions of such coverage. Limits <br /> shown below may have been reduced by paid claims. <br /> TYPE OF COVERAGE COVERAGE LIMITS OF <br /> COVERAGE NUMBER PERIOD COVERAGE <br /> EMPLOYER'S 2016/17 LAWCX MOC 7/1/2016 - 7/1/2017 <br /> LIABILITY $5,000,000 <br /> WORKERS' 2016/17 LAWCX MOC 7/1/2016 - 7/1/2017 $5,000,000 <br /> COMPENSATION <br /> WORKERS' POLICY # 7/1/2016 - 7/1/2017 $45,000,000 <br /> COMPENSATION EIA-PE 16 EWC-32 <br /> WORKERS' POLICY # <br /> COMPENSATION EW7-641-444785- 7/1/2016 - 7/1/2017 STATUTORY <br /> 016 <br /> Description of Operations/Locations Covered; Special Items of Restrictions: <br /> PROOF OF EXCESS WORKERS' COMPENSATION COVERAGE <br /> for the City of Pleasanton and its employees. <br /> PREPARED FOR: Should the above described coverage be cancelled before <br /> County of Alameda the expiration date thereof, LAWCX will mail 30 days <br /> written notice of the certificate holder named to the left, but <br /> Attn: Kelly Thiemann, HCD Manager failure to mail such a notice shall impose no obligation or <br /> 224 W. Winton Ave., Rm 108 liability of any kind upon LAWCX, its agents, or its <br /> Hayward, CA 94544 representatives. <br /> AUTHORIZED REPRESENTATIVE: <br /> Re: Alameda Cty is granting City Federal , <br /> Funds for asst low income persons.and <br /> families with housing needs. From 7/1/16 <br /> through 6/30/2020 <br />