PUMP REPAIR SERVICE COMPANY, INC.

A TLJjQ f, REP -o1 TWAN CERTIFICATE OF LIABILITY INSURANCE /=) DATE (MM/DD/YYYY) -- • •• _ ,J iaautu 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT: If rho the must have AD NSURE If SUBROGATION IS WAIVED, subject toithe terms an theof helpolicy) certain pol c esmaOyNAL requirre SURED an en orrsement. or be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License IF 01,36661 Alliant Insurance Services, Inc. CONTACT Shel NAME ia WQSt 560 Mission St 6th FI PHONE __ —---- San Francisco, CA 94105 F (A/C, No, Ext): (817) 529-1053 FAx - .. _ — I (A/C. N.W. nt.com INSURED —------- -- — -- -- -- INSURER e • American Casualty Company Of Pump Repair Service Co., Inc. P.O. Box 34327 INSURER C : Cypress Insurance Com; San Francisco, CA 94134 _INSURER D: Indian Harhnr Inc„--__ , -10855 UVtKAGES -----— CERTIFICATE NUMBER: iBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AOVE 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 OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID SUBRCLAIMS. R TYPE OF INSURANCE ADDL I--- _ POLICY EFF POLIPOLI p POLICYNUMBER ----- _ X COMMERCIAL GENERAL LIABILITY LIMITS L__j_I CLAIMS -MADE I�X� OCCUR 1 EACH OCCURRENCE _ 1,000,000 1 X 17015423239 1 6/21/2024 1 ' DAMAGE TO RENTED - $ X PD Ded: $1,000 6/21/2025 �PREMI ES (Ea occurcencel 1$ 100,000 ___ __ _ _ MED EXP (Arn one pe _I $ 15,000 J PERSONAL & ADV INJURY 1 000 000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY 1 X j ECT —i1 LOC GEN GGREGATE$ 2'000'0 I AUTOMOBILE LIABILITY CISL AGGREGATE $ 1,000,( X ANY AUTO f � OWNED i SCHEDULED 17015423242 COMBINED SINGLE LIMIT jEa accidents — --_- $ 6/21/2024 6/21/2025 1 --� 1 000 11000 - ------ L! AUTOS ONLY _ AUTOS X j HIRED BODILY INJURY Ler erso�� $— 1 X NON -OWNED----— -- AUTOS ONLY AUTOS ONLY I I I BODILY INJURY (Per accident $ PROPERTY DAMAGE -tP er accident —--------- i Z.------ $ UMBRELLA LIAB �X ! OCCUR r� — I I X 1 EXCESS LIAB CLAI — MS -MA J L DEI DED I X RETENTION $ 01 17015456650 $ 1 6/21/2024 6/21/2025 EACH OC _- -L$ 101000,0 WORKERS COMPENSATION F AGGREGATE $ —+— ------- 10,000,01 AND EMPLOYERS' LIABILITY $ jANY PROPRIETOR/PARTNER/EXECUTIVE fY /NII FFICER/MEMB ER EXCLUDED? (Mandato In I N / A ry NH) PUWC642 930ATUTE_I_— X PTR OTH- ER 4/1/ ----1--- 2025 j 4/1/2026 -- B es, describe under I DESCRIPTION OF OPERATIONS E L. EACH ACCIDENT $ I r -----�-------- 1,000,01 below 1 Pollut)on Liability E.L. DISEASE - EA EMP EI $ — 1,01 I IPEC002376317 E . DISEASE -POLICY LIMIT c 1.000.0c DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Regarding: All Locations The City, its officers, employees, and agents are additional insureds, as respects to general liability (3-22) attached P g per endorsements CNA75079XX A f1f% n City of Pleasanton Attn: Daniel Smith Utilities Superintendent P.O. Box 520 Pleasanton, CA 94566-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 8-2016 The ACORD name and logo are registered marks oCORD CORPORATION. All rights reserved. f ACORD