GEORGE BANCHI CONSTRUCTION, INC. (#2025045)

ACOREY' CERTIFICATE OF LIABILITY INSURANCE DATE (MMID D/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 10/10/2024 THIS CERTIFICATE IS ISSUED ASA 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 AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Jana Hinkle Leavitt Pacific Insurance Brokers, Inc. License #OD79674 PHONEx (408)288-6262 FAX A1C, NO. (908)298-7635 E-MAIL ADDRESS: ana-hinkle@leavitt.com 1570 The Alameda, Suite 101 INSURER(S) AFFORDING COVERAGE NAIC # San Jose CA 95126 INSURER A: Landmark American Insurance Company 33138 INSURERB:West American Insurance Company 44393 INSURED George Bianchi Construction, Inc. INSURERC:RSUI Indemnity Company 22314 775-A Mabury Road INSURER D: Insurance Company of the West 27847 INSURER E: Westchester Surplus Lines 10172 San Jose CA 95133 INSURER F:StarStone Specialty Insurance Company 44776 COVERAGES CERTIFICATE NUMBER:24/25 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCEJNAILwa ADDL SUBR POLICY NUMBER POLICY EFF fMMIDDtYYYY1 POLICY EXP fMMIDDffYYYILIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR EACHOCCURRENCE $ 1,000,000 DAMA E RENTED 50,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ NONE X Y LHA114830 10/4/2024 10/4/2025 _ PERSONAL &ADV INJURY S 1,000,000 GENI AGGREGATE LIMIT APPLIES PER: POLICY a jEI- ❑ LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OPAGG S 2,000,000 S OTHFR I AUTOMOBILE LIABILITY COMBINED SINGLE UMIT Ea jcc-de�n S 1,000,000 B X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BAW56320903 10/4/2024 10/4/2025 BODILY INJURY (Per person) S BODILY INJURY Per accident ( ) S X NON -OWNED AUTOS HIRED AUTOS LXX PROPERTY DAMAGE Per accidont S X 5500 CompDad $500 Coll Dad Uninsured moterlNt —hired s,nglc S 1,000,000 UMBRELLA LIASX OCCUR EACH OCCURRENCE 5 5,000,000 C X EXCESS LIAB CLAIMS -MADE AGGREGATE S 5,000,000 DED I I RETENTION S S NKA602725 10/4/2024 10/4/2025 D WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) II'ves describe under / A y WPL506754002 10/4/2024 10/4/2025 OTH• XI STATUTE ER E L. EACH ACCIDENT S 1.000 , 000 EL. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 ESCRIPTION OF OPERATIONS below E Pollution Insurance 674352029003 11/9/2024 11/9/2025 S2,500 Deductible $1M Occ/$2M Agg F Excess Liabilty 85092A244ALI (2nd Layer) 10/4/2024 10/4/2025 $41A Occ/$4M Agg DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: Sound wall repair, paver repair and installation. The City of Pleasanton its officers, employees and agents are named as additional insureds per attached GL forms. Primary Wording, GL/WC Waivers of Subrogation apply and attached. CERTIFICATE HOLDER CANCELLATION City of Pleasanton P.O. Box 520 Pleasanton, CA 94566 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 Fred Stafford/MIDATO 19RR-901d OCf)Rrl (:CIRPCIRATlr)M All rink*. or.—A ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)