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SEQUECO-CL EOROPEZA
<br />4*. v�xc� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (M/2025YY)
<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 />1/21/2025
<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(les) 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 endomement(s).
<br />PRODUCER License 111 0603247 CONTACT S dehnd
<br />NAME:
<br />George Petersen Insurance Agency, Inc. PHONE
<br />P.O. Box 3539 (A/C, No, Ext): (415 454-6454 FAX No): (415) 444-0986
<br />-) )
<br />-
<br />E-MAIL - _ - -_ -- - -
<br />Santa Rosa, CA 95402 ADDRESS: Info@gpins.com
<br />INSURERS) AFFORDING COVERAGE - NAIC #
<br />_
<br />- --N, SURER A: Certain Underwriters at LIo�/d'S, London 100% 132727
<br />INSURED INSURER B : California Automobile Insurance Company 1`0342 _
<br />Sequoia Ecological Consulting, Inc. INSURER c-: Lloyds of London 120098
<br />_ - -
<br />1342tCreek, CA 94596 Drive
<br />de
<br />Walnut Creek, INSURER D: State Compensation Insurance Fund J,35076
<br />- --
<br />INSURER E_:
<br />INSURER F :
<br />COVERAGES CFRTIFICOTF Nl IMRFR- ncvicinu w I M=n
<br />r.vr.r ULK:
<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 CONTRACTOR 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' rypE OF INSURANCE ADDLISUBR. POLICY EFF POLICY EXP
<br />LTR IN D POLICY NUMBER M/DD MM/ LIMITS
<br />--
<br />A X COMMERCIAL GENERAL LIABILITY
<br />2,000,000
<br />- --- EACH OCCURRENCE $
<br />CLAIMS -MADE X OCCUR X X CSIELOO995-01 1/16/2025 1/16/2026 DAMAGE TO RENTED
<br />100,000
<br />PREMISES /Ea occurrence)$
<br />MED EXP (Anyone person -- : $
<br />10,000
<br />PERSONAL & ADV INJURY
<br />2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
<br />2,000,000
<br />X li POLICY ECT LOC
<br />2,000,000
<br />PRODUCTS -COMP/OP AGG $
<br />OTHER:
<br />$
<br />B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br />1,000,000
<br />_tEaaceident)- -- _ $X
<br />ANY TO BA040000078201 1/16/2025 1/16/2026 BODILY INJURY erson) $
<br />Per
<br />OWNEDSCHEDULED
<br />AUTOS ONLY AUTOS BODILY INJURY Per accident) $ -
<br />HIRED
<br />p
<br />NON- WNED
<br />S Or PERT accidentDAMAGE $
<br />AUTOS ONLY AUTO ONLY
<br />$
<br />C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $
<br />4,000 000
<br />X EXCESS LIAB CLAIMS -MADE' CSIXEL00092-02 1/16/2025 1/16/2026
<br />$
<br />4 000000
<br />,
<br />- _AGGREGATE-
<br />DED X RETENTION $ 0
<br />D WORKERS COMPENSATION PER OTH
<br />X I
<br />STATUTE ER
<br />Y / N 9224624-25
<br />RTTIUEREXECUTIVE X 1/16/2025 '', 1/16/2026
<br />1,000,000
<br />E.LLITY.
<br />EACH ACCIDENT $OFFICER/ME_
<br />'.ANYPROPRI TOR/E N/A
<br />(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE
<br />1,000,000
<br />If yes, describe under _$
<br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
<br />1,000,000
<br />A ',Professional Liabili CSIELOO995-01 1/16/2025 1/16/2026 Each Claim/AGG
<br />2,000,000
<br />A ,Pollution Liab. CSIEL00995-01 1/16/2025 1/16/2026 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 CG 20 10 07 04. Primary
<br />Wording
<br />applies per, CG 20 0104 13. Waiver of Subrogation applies per, CG 24 04 10 93. Worker's Compensation Waiver of Subrogation applies per, 2572. All forms
<br />and/or endorsements are attached.
<br />A /+A�rl Ar
<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 />I v 19SS-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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