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MAININC-04 SGONZALEZ <br /> ACORO" <br /> �� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDmyY) <br /> 9/30/2024 <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(S),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 policy,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 License#0757776 CONTACT Ella Chen <br /> HUB International Insurance Services Inc. PHONE., <br /> (626)612-0060 ac,No):(951)231-2572 <br /> 600 Corporate Pointe Suite 600 E-MAIL <br /> Culver City,CA 90230 -ADDRESS:cal.cpu@hubinternational.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Federal Insurance Company 20281 <br /> INSURED INSURER B:Allmerica Financial Benefit Insurance Company 41840 <br /> Maintstar,Inc. INSURER C:Beazley Insurance Company 37540 <br /> 1278 Glenneyre St.Ste.405 INSURER D: <br /> Laguna Beach,CA 92651 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 /> WSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR I D WVD M/DD MM DD <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 210009000 <br /> CLAIMS-MADE ❑X OCCUR X X 3579-07-88 WUC 8/15/2024 8/15/2025 DAMAI ETERENTED occurrence) $ 2,000,000 <br /> MED EXP(Any oneperson) 10,000 <br /> PERSONAL&ADV INJURY 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2'000,000 <br /> X POLICY❑jpa F-1 LOC PRODUCTS-COMP/OP AGG 2,000,000 <br /> OTHER: <br /> A COMBINED SINGLE LIMIT 1,000,000 <br /> AUTOMOBILE LIABILITY rent $ <br /> ANY AUTO X 73517904 8/15/2024 8/15/2025 BODILY INJURY Per n $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUUTryOSSyyN BODILY INJURY Per accident) <br /> X AUTOS ONLY X AUTOS ONL� �O P AMAGE <br /> $ <br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2'000'000 <br /> EXCESSLWB CLAIMS-MADE 5671-75-09 8/22/2024 8/22/2025 AGGREGATE $ 2'000,000 <br /> DED I I RETENTION$ $ <br /> B WORKERS COMPENSATION X PER DTH- <br /> AND EMPLOYERS'LIABILITY YIN <br /> 23J165213 10/1/2024 1011/2025 TATUTE ER 1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C E&O Including Cyber VICOEB240901 6/26/2024 6/26/2025 Each Occurrence 5,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES ACORD 107,Additional Remarks Schedule,may be attached if more space Is required) <br /> City of Pleasanton Administration Analyst is Additional Insured with regard to the General Liability policy when required by written contract per attached <br /> endorsement 80-02-2367(Rev.5-07),Primary&Non-Contributory included.Waiver of Subrogation applies with regard to the General Liability policy per the <br /> attached endorsement 80-02-2000(Rev.4-01).Additional Insured with regard to the Auto Liability policy when required by written contract per attached <br /> endorsement CA2048 10/13. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Ci of Pleasanton Administratin Analyst THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 520 <br /> Pleasanton,CA 94566-0802 <br /> AUTHORIZED REEPPRESENTATIV E <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />