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L771 I PLEASUNI 1 24/25 Super Pool P&L Higher Limits I Robyn Tryon 1 4/17/2025 3:13:00 PM (PDT) I Page 1 of 3 <br />Northern California ReL[EF CERTIFICATE OF COVERAGE Issue Data <br />4/17/2025 <br />ADMINISTRATOR: LICENSE # 0451271 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY <br />Keenan & Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />1111 Broadway, Suite 20 00 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />Oakland, CA 94607 AFFORDED BY THE COVERAGE DOCUMENTS BELOW. <br />Robn T on License No.01­117655 510-986-6761 x8177 ENTITIES AFFORDING COVERAGE: <br />rtry�n@ QV <br />COVERED PARTY: ENTITYA: Northern California ReLiEF <br />Pleasanton Unified School District ENTITY B: <br />East Bay Schools Ins Group ENTITY C: <br />5758 W. Las Positas Boulevard <br />Pleasanton CA 94588 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 CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE COVERAGE <br />AFFORDED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. <br />ENT MEMBER <br />LTR TYP=COVERAGE COVERAGE EFFECTIVE/ RETAINED LIMIT <br />DOCUMENTS EXPIRATION DATE / DEDUCTIBLE LIMITS <br />A GENERAL LIABILITY <br />,f <br />[ V GENERAL LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />1�CLAIMSMADE [OCCURRENCE <br />NCR00107-38 7/1/2024 $ 50,000 $ 5,000,000 <br />[ GOVERNMENT CODES <br />[ ERRORS & OMISSIONS <br />7/1 /2025 <br />[ SEXUAL ABUSE AND MOLESTATION <br />A AUTOMOBILE LIABILITY <br />[ ANY AUTO <br />[ HIRED AUTO <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />NCR 00107-38 7/1/2024 $ 1,000,000 <br />$ 50 <br />[ NON -OWNED AUTO <br />,000 <br />7/1/2025 <br />[ GARAGE LIABILITY <br />[ AUTO PHYSICAL DAMAGE <br />NCR 00107-38 7/1/2024 $ 25,000 $ 500,250,000 <br />& FLOOD <br />I:::::_ <br />7/1/2025UAKE EACH OCCURRENCE <br />A STUDENT PROFESSIONAL LIABILITY <br />NCR 00107-38 7/1/2024 $ 50,000 $ Included <br />7/1/2025 EACH OCCURRENCE <br />WORKERS COMPENSATION <br />[ j EMPLOYERS' LIABILITY <br />[ ] W C STATUTORY LIMITS [ ] OTHER <br />E.L. EACH ACCIDENT <br />EXCESS WORKERS COMPENSATION <br />[ ] EMPLOYERS' LIABILITY <br />$ <br />$ <br />E.L. DISEASE - EACH EMPLOYEE <br />E.L. DISEASE - POLICY LIMITS <br />OTHER <br />$ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL PROVISIONS: <br />As respects to the agreement between the City of Pleasanton and Pleasanton Unified School District fbr use of facilities <br />located at the Dolores Aquatic Center by Donlon Elementary <br />School on 5/22/2025, by Hearst and Fairlands Elementary Schools on 5/27/2025, <br />by Alisal and Mohr Elementary Schools on 5/28/2025, by Valley View and Vintage Hills Elementary Schools <br />Walnut Grove <br />Elementary School on 5/30/2025. <br />on 5/29/2025 and by <br />CERTIFICATE HOLDER: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Pleasanton <br />123 Main Street <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Pleasanton CA 94566 <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />John Stephens <br />www.eCertsOnline corn <br />AUTHORIZED REPRESENTATIVE <br />L771 I PLEASUNI 1 24/25 Super Pool P&L Higher Limits I Robyn Tryon 1 4/17/2025 3:13:00 PM (PDT) I Page 1 of 3 <br />