Laserfiche WebLink
SEQUECO-CL GMORG <br />,4�O�RL7 CERTIFICATE OF LIABILITY INSURANCE F <br />DATE(MM/DD/YYYY) <br />7/1 /2025 <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 endorsementlsl_ <br />PRODUCER "' .wl1av fr V0u11z1F/ <br />George Petersen Insurance Agency, Inc. <br />P.O. Box 3539 <br />Santa Rosa, CA 95402 <br />IINSURED <br />Sequoia Ecological Consulting, Inc. <br />1342 Creekside Drive <br />Walnut Creek, CA 94596 <br />454-6454 <br />-_. (A/C, No):(415) 444-0986 <br />Ans.com <br />L INSURES AFFORDING COVERAGE NAIC # <br />- -- -- <br />INSURER.A:Nautilus Insurance Company_. ..17370 <br />k suRER B: California Automobile Insurance Company_ 38342 _ <br />_NsURER c : Great Divide Insurance COmQany <br />-- --- <br />INSURER D : _ <br />INSURER E: <br />INSURER F: <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 CONDITION.-, OF RI ICN and IciFc i IRAITC C4nIAMI .1— —1- <br />INSR <br />IN D NA/D'----- <br />SUB. <br />LTR TYPE OF INSURANCE POLICY NUMBER <br />LI <br />POLIO <br />A X COMMERCIAL GENERAL LIABILIY <br />MM/DD/YYY YYYY LIMITS <br />' CLAIMS -MADE_ OC <br />X CUR ECP2047324-10 <br />X X <br />EACH OCCURRENCE $_ <br />- - ------ <br />6/18/2025 6118/2026 DAMAGE TO RENTED <br />2,000,000 <br />_ <br />100,000 <br />_ <br />_PREMISES tEa occurrence) $--_ <br />- — - <br />- -._- <br />i <br />5,000 <br />— <br />PERSONAL & ADV INJURY _ $ - <br />2,000,000 <br />GEN' <br />-_ <br />POLICYEGX EPII LIMIT POECR: <br />ENERALAGGREGATE <br />G - -- $- - <br />. - - <br />2,000,000 <br />--4000,000 - - <br />-__ JECT <br />1 PRODUCTS - COMP/OP AGG $ <br />2,000,000 <br />OTHER: <br />_- -- <br />B$ <br />AUTOMOBILE LIABILITY <br />-- <br />COMBINED SINGLE LIMIT <br />!(Ea <br />1,000,000 <br />! <br />' accident) '. $ <br />ANY AUTO BA040000078201 <br />OWNED SCHEDULED <br />1/18/2025 1/18/2026 gODILYINJURYLPerper -son) <br />AUTOS ONLY _I AUTOS <br />BODILY IN (Per accident) <br />HIRED NON-0WNED-- <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />_J1Peraccidentl__ $ <br />-- -- - --- <br />_- <br />A r UMBRELLA LIAB X''OCCUR <br />EACH OCCURRENCE <br />4,000,000 <br />X SS LI CLAIMS -MADE, <br />X ae FFX2047326-10 <br />0 <br />$ <br />6/18/2025 6/18/2026 AGGREGATE $ <br />-- <br />4,000,000 <br />DED RETENTION $ <br />C WORKERS COMPENSATION <br />$ <br />PER OTH- <br />AND EMPLOYERS' LIABILITY y / N 'WCA2O47325 " 10 <br />PROPRIETOR/PARTNER/EXECUTIVE — <br />ANFICER/MEMBER <br />_. STATUTE_ I ER__ <br />6/18/2025 1/16/2026 X <br />1,000,000 <br />EXCLUDED? N /AIX <br />.I EACH ACCIDENT''I <br />$ <br />(Mandatory m NH) ---, <br />If yes, describe under � <br />- - - <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />- <br />1,000,000 <br />_ ___ __ <br />DESCRIPTION f)F OPERATIONS below' <br />- E L DISEASE - POLICY LIMIT 1 $ <br />1,000,000 <br />A Professional Liabili ',.ECP_ 20 77324-10 <br />6/18/2025 6/18/2026 Each Claim/AGG <br />2,000,000 <br />A !,Pollution !ECP2047324-10 <br />6/18/2025 1 6/18/2026 'Each Claim/AGG <br />2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Work performed by the Named Insured on behalf of the Certificate Holder <br />City of Pleasanton, its officers, employees and agents are named as Additional Insured with respects to General Liability per ECP 1246 01 21 including <br />Primary Wording. Waiver of Subrogation applies per, ECP 1260 01 21. Worker's Compensation Waiver of Subrogation applies per, WC 04 03 06 04 84. All forms <br />and/or endorsements are attached. <br />City of Pleasanton <br />PO Box 520 <br />Pleasanton, CA 94566 <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 />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />