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8579 <br />Northern California ReLiEF <br />CERTIFICATE OF COVERAGE Issue Date <br />6/16/2025 <br />ADMINISTRATOR: <br />Keenan & Associates <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />LICENSE # 07x8177 <br />1111 Broadway, Suite 2000 <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />Oakland, CA 94607 <br />AFFORDED BY THE COVERAGE DOCUMENTS BELOW. <br />Rob n on License No. OH17655 <br />rtry�rl�{tYeenan.com <br />510-986-676ENTITIES AFFORDING COVERAGE: <br />COVERED PARTY: <br />ENTITY A: Northern California ReLiEF <br />Pleasanton Unified School District <br />ENTITY B: <br />East Bay Schools Ins Group <br />ENTITY <br />5758 W. Las Positas Boulevard <br />C: <br />Pleasanton CA 94588 <br />ENTITY D: <br />ENTITY E: <br />THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />AFFORDED HEREIN <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE COVERAGE <br />IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. <br />ENT <br />LTR TYPE OF COVERAGE <br />MBER <br />COVERAGE EFFECTIVE/ LIMIT <br />LRETAINED <br />DOCUMENTS EXPIRATION DATE CTIBLE LIMITS <br />A <br />GENERAL LIABILITY <br />[ GENERAL LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />[ CLAIMS MADE [OCCURRENCE <br />NCR 00107-39 <br />7/1/2025 <br />$ 50,000 <br />$ 1,000,000 <br />[ GOVERNMENT CODES <br />[ ERRORS & OMISSIONS <br />7/1 /20,26 <br />[ SEXUAL ABUSE AND MOLESTATION <br />[ I <br />A <br />AUTOMOBILE LIABILITY <br />[ ANY AUTO <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />[ HIRED AUTO <br />NCR 00107-39 <br />7/1/2025 <br />$ 50,000 <br />$ 1,000,000 <br />[ NON -OWNED AUTO <br />7/1/2026 <br />[ GARAGE LIABILITY <br />[ AUTO PHYSICAL DAMAGE <br />A <br />PROPERTY <br />NCR 00107-39 <br />7/1/2025 <br />$ 25,000 <br />$ 500,250,000 <br />[ ALL RISK <br />[ EXCLUDES EARTHQUAKE & FLOOD <br />7/1/2026 <br />EACH OCCURRENCE <br />[ ] BUILDER'S RISK <br />A <br />STUDENT PROFESSIONAL LIABILITY <br />NCR 00107-39 <br />7/1/2025 <br />$ 50,000 <br />$ Included <br />7/1/2026 <br />EACH OCCURRENCE <br />WORKERS COMPENSATION <br />[ ] EMPLOYERS' LIABILITY <br />[ ] WC STATUTORY LIMITS [ i OTHER <br />E.L. EACH ACCIDENT <br />$ <br />EXCESS WORKERS COMPENSATION <br />[ ] EMPLOYERS' LIABILITY <br />$ <br />E.L. DISEASE - EACH EMPLOYEE <br />E.L. DISEASE - POLICY LIMITS <br />OTHER <br />$ <br />$ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL PROVISIONS: <br />Use of Pleasanton Amador Theatre located at 1155 <br />Santa Rita Road, Pleasanton, CA during the coverage expiration date. <br />CERTIFICATE HOLDER: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Ci of Pleasanton <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />P. O. BOX 520 <br />Pleasanton CA 94566 <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />John Stephens <br />u,..eem:o�e�e.�om <br />AUTHORIZED REPRESENTATIVE <br />6926 1 PLEASUNI 25/26 Super Pool PSL I Robyn Tryon <br />1 6/16/2025 1:00:50 PM (PDT) I Page 1 of 2 <br />