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ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) <br />~ 03/06/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER CUNlACT Scarlett Marina Rojas NAME : <br />Dunne Insurance Services Inc. PHONE 408-740-3025 I rffc No): 408-448-0396 ,,.,,. .,.,, S:vt\• <br />16600 Monterey Road #2378 E-MAIL scarlett@dunneinsurance.com ADDRESS: <br />Morgan Hill, CA 95038 INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURERA: CNA 20443 <br />INSURED INSURERS: PROGRESSIVE 11770 <br />Villalobos & Associates Inc. INSURERC: EVANSTON INSURANCE COMPANY 35378 <br />4885 Bucknall Rd INSURERD : <br />San Jose, CA 95130 INSURERE: <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: 00001159-191250 REVISION NUMBER: 6 <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 />INSR TYPE OF INSURA.NCE ADDL SUBR POUCYEFF POLICY EXP LIMITS LTR IMi:1.n wvn POLICY NUMBER IMM/DD/YYYY) IMM/DD/YYYY) <br />A _x COMMERCIAL GENERAL LIABILITY y y C6983279541 09/20/2023 09/20/2024 EACH OCCURRENCE $ 2,000,000 <br />~ CLAIMS-MADE [j] OCCUR <br />DAMAGE TO RENTED <br />$ 100,000 ..--PREMISES (Ea occurrence\ -MED EXP (Any one person) $ 5.000 <br />PERSONAL & ADV INJURY $ 2,00 0 ,000 -GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,00 0 <br />Fl POLICY 1K] mg: D Loc PRODUCTS • COMP/OP AGG $ 4.00 0 .000 <br />OTHER: $ <br />B AUTOMOBILE LIABILITY y y 05786422-6 01/22/2024 01/22/2025 COMBINED SINGLE LIMIT $ 2.000.000 /Ea accident\ x ANY AUTO BODILY INJURY (Per person) $ --OWNED SCHEDULED BODILY INJURY (Per accident) $ -AUTOS ON LY -AUTOS <br />HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) -- <br />$ <br />C _x UMBRELLA LIAB ~ OCCUR y RN-7-0501925 10/03/2023 09/20/2024 EACH OCCURRENCE $ 3,000 ,000 <br />EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 <br />DED I I RETENTION $ $ <br />WORKERS COMPENSATION I PER I I OTH- <br />AND EMPLOYERS' LIABILITY STATUTE ER <br />YIN <br />ANY PROPRIETOR/_ PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) E.L. DISEASE • EA EMPLOYEE $ <br />g~st~ftfi8~ ~~~PERATIONS below E.L. DISEASE • POLICY LIMIT $ <br />C Pollution Coverage y CPLMOL 11 6579 04/14/2023 04/14/2024 $1,000 ,0 00 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached If more space la required) <br />A TIN : Public Works Department <br />City of Pleasanton, Pleasanton Unified School District and Hacienda MD (5050 Hopyard Road) are <br />listed as certificate holder. <br />Project: Annual Curb & Gutter for Street Resurfacing Project CIP: 24509 <br />CERTIFICATE HOLDER <br />City of Pleasanton <br />P.O. Box 520 <br />Pleasanton CA 94566 <br />ACORD 25 (2016/03) <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SMR <br />ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD Printed by SMR on 01/19/2024 at 03 :45PM <br />DocuSign Envelope ID: DA631F0B-3C25-4585-9688-3F2684907C15