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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
Creation date
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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A/:I/IZIL CERTIFICATE OF INSURANCE = DATE(MM/DD/YY) <br /> 06/28/10 <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 0 BOX 6300 COMPANIES AFFORDING COVERAGE <br /> SAN JOSE CA 95150 COMPANY <br /> A BURLINGTON INSURANCE CO <br /> INSURED <br /> COMPANY <br /> LIFETIME TENNIS B <br /> 21111 STEVENS CREEK BLVD. COMPANY <br /> CUPERTINO, CA 95014 C <br /> COMPANY <br /> 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 POUCY 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 LIMITS <br /> LTA DATEMM/DD <br /> ( /YY) DATE(MM/DD/YY) <br /> A GENERAL LIABIUTY GENERAL AGGREGATE 5 2, 000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS•COMP/OP AGG 5 1, 000, 000 <br /> CLAIMS MADE X OCCUR 190B009443 07/01/10 07/01/11 PERSONAL&ADV INJURY S 1, 000, 000 <br /> OWNERS&CONTRACTORS PROT EACH OCCURRENCE $ 1, 000,000 <br /> FIRE DAMAGE(Arty one Ne) S 100, 000 <br /> MED EXP(Any one person) $ EXCLUDED <br /> AUTOMOBILE UABIUTY <br /> ANY AUTO COMBINED SINGLE UMIT $ <br /> ALL OWNED AUTOS — <br /> SCHEDULED AUTOS perILYsonson) $ <br /> (Perper ) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE S <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ _ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> • <br /> EACH ACCIDENT S <br /> AGGREGATE S <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> UMBRELLA FORM <br /> AGGREGATE S <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br /> EMPLOYERS'LIABILITY <br /> EACH ACCIDENT S <br /> THE PROPRIETOR/ INCL <br /> PARTNERS/EXECUTIVE DISEASE-POUCY LIMIT $ <br /> OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE S <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 /> CERTIFICATEHOLDER- CANCELLATION <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 52 0 30 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 UABILITY <br /> OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED R ENTATIVE DENISE 2 <br /> 1 <br /> ACORO 258(3/93) 0 ACORD CORPORATION 1993- <br />
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