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16
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2022
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041922
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16
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Last modified
4/13/2022 2:31:24 PM
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4/13/2022 2:31:05 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
4/19/2022
EXPIRATION DATE
4/19/2022
DESTRUCT DATE
PERMANENT
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AC OIsDD. CERTIFICATE OF INSURANCE :, . 06;(28 0 A <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> BLISS & GLENNON, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> C/O BARLOCKER INS SERVS-SAN JOSE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P O BOX 6300 COMPANIES AFFORDING COVERAGE <br /> SAN JOSE CA 95150 COMPANY <br /> A BURLINGTON INSURANCE CO <br /> INSURED <br /> LIFETIME TENNIS COMPANY <br /> B <br /> 21111 STEVENS CREEK BLVD. <br /> COANY <br /> CUPERTINO, CA 95014 C <br /> COMPANY <br /> I D <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR DATE MWDp LIMITS <br /> ( /YY) DATE(MM/DD/YY) <br /> A GENERAL LIABILITY GENERAL AGGREGATE 5 2, 0 0 0,0 0 0 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $ 1, 000, 000 <br /> CLAIMS MADE X OCCUR 190B009443 07/01/10 07/01/11 PERSONAL&ADV INJURY $ 1, 000, 000 <br /> OWNERS&CONTRACTORS PROT EACH OCCURRENCE $ 1, 000, 000 <br /> FIRE DAMAGE(Any one fire) $ 100, 000 <br /> MED EXP(Any one person) S EXCLUDED <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO COMBINED SINGLE UMIT $ <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS B(Per persperson) <br /> on) <br /> HIRED AUTOS <br /> NON-OWNED AUTOS BODILY IN <br /> (Per eccldeURY nt) <br /> PROPERTY DAMAGE S <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br /> EMPLOYERS'LIABILITY <br /> EACH ACCIDENT S <br /> THE PROPRIETOR/ INCL <br /> PARTNERS/EXECUTNE DISEASE-POLICY UMIT S <br /> OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> CERTIFICATE HOLDER NAMED ADD'L INSURED PER FORM CG2011 (01/96) . <br /> LOCATION: 5801 VALLEY AVE. , PLEASANTON, CA. **TEN DAYS NOC FOR <br /> NONPAYMENT OF PREMIUM. ** , <br /> CERTIFICATE HOLDER CANCELLATION n,• <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> CITY OF PLEASANTON EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> PO BOX 520 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> PLEASANTON, CA 94566-0802 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATNES. <br /> AUTHORIZED R NTATIVE DENISE 2 <br /> ACORD 25-S(3193) o ACORD CORPORATION 1993 <br />
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