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Client#: 1722483 RAFTEFIN <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br />06/2025 <br />FECTIFICATRE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />FIATE DOES NOT AFFIRMATIVELYOR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />W. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDSENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.of <br />TANT: 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 se <br />this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).on <br />PRODUCER CONTACT <br />USI Insurance Svc Charlotte CL NAME: Brad Christensen <br />6100 Fairview Road, Suite 1400 PHONE A/C FAX <br />A/C Ext : A/C, No : <br />Charlotte, NC 28210-3293 ADDRESS: E-MAILIL brad.christensen@usi.com <br />704 543-0258 INSURERS) AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Federal Insurance Company 20281 <br />Raftelis Financial Consultants, Inc. INSURER B: Chubb National Insurance Company 10052 <br />227 West Trade Street, Ste. 1400 INSURER C: ACE American Insurance Company 22667 <br />Charlotte, NC 28202 INSURER D : Hanover Insurance Company 492019 <br />COVERAGES1NSDRER F <br />CERTIFICATE NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEENREVISION ISSUED TO THE INSURED NAMED ABOVE 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 />TR TYPE OF INSURANCE ADDL SUBR <br />INSR WVD POLICY NUMER MM/DD MM/DD LIMITS <br />POLICY EFF POLICY EXP <br />B <br />A X COMMERCIAL GENERAL LIABILITY X X 36083016 <br />1/21/2025 01/21/202 EACH OCCURRENCE $1 <br />CLAIMS -MADE � OCCUR I DAMAr;F Tn PrK17 n <br />$1 <br />$1 <br />$1 <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />000 <br />000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />COMBINED Ea accident)SINGLE LIMIT <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />PRO - <br />POLICY n F] <br />$ <br />PROPERTY DAMAGE <br />---- <br />Per accident <br />JECT <br />JECT LOC <br />EACH OCCURRPNCF <br />x6 Ann Ann <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY X <br />X 73648269 <br />1/21/2025 01/2' <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />HIRED <br />X AUTOS ONLY <br />X <br />NON -OWNED <br />AUTOS ONLY <br />A <br />UMBRELLA LIAB <br />X <br />OCCUR X <br />X 56726414 <br />1/21/2025 01/21 <br />X EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION $0 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />/ N <br />X 71839613 <br />1/21/2025 01/21 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE nY <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) EN] N / A <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />C <br />Professional <br />D02819028 <br />1/21/2025 01/211 <br />D <br />Excess Prof. <br />LH6J94293500 <br />1/21/2025 01/21/ <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />000 <br />000 <br />E.L. EACH ACCIDENT $1 <br />E.L. DISEASE - EA EMPLOYEE $1 <br />E.L. DISEASE - POLICY LIMIT $1 <br />$5,000,000 <br />$5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Forms are available upon request. <br />General Liability: <br />80-02-2000 Blanket Additional Insured <br />80-02-2305 Blanket Additional Insured Includes Ongoing Operations <br />(See Attached Descriptions) <br />000 <br />City of Pleasanton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />PO Box 520 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Pleasanton, CA 94566-0000 ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of A ORD 13-2015 ACORD CORPORATION. All rights reserved. <br />#S48051175/M48044789 <br />RAKZR <br />COMBINED Ea accident)SINGLE LIMIT <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />---- <br />Per accident <br />$ <br />EACH OCCURRPNCF <br />x6 Ann Ann <br />E.L. EACH ACCIDENT $1 <br />E.L. DISEASE - EA EMPLOYEE $1 <br />E.L. DISEASE - POLICY LIMIT $1 <br />$5,000,000 <br />$5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Forms are available upon request. <br />General Liability: <br />80-02-2000 Blanket Additional Insured <br />80-02-2305 Blanket Additional Insured Includes Ongoing Operations <br />(See Attached Descriptions) <br />000 <br />City of Pleasanton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />PO Box 520 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Pleasanton, CA 94566-0000 ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of A ORD 13-2015 ACORD CORPORATION. All rights reserved. <br />#S48051175/M48044789 <br />RAKZR <br />