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DATE (MMIDDIYYYY) <br /> ACORV' CERTIFICATE OF LIABILITY INSURANCE <br /> 11/18/2024 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER Phone: (925)734-0530 Fax: (925)249-7342 CONTACT Herzog insurance Agency Inc. <br /> HERZOG INSURANCE AGENCY INC. PHONE 925 734-0530 FAX (925)249-7342 <br /> 235 MAIN STREET ac No Ext: ( ) vc No: <br /> E-MAIL Certs@herzogins.com <br /> PLEASANTON CA 94566 AD DRESS: <br /> INSURER(S) AFFORDING COVERAGE NAIC# <br /> Agency Lie#:0167785 INSURERA : Associated Industries Insurance Company 33431 <br /> INSURED <br /> S.D.ELECTRIC,INC. INSURERS Truck Insurance Exchange 21709 <br /> 1852 W.11TH ST. STE 327 INSURER Oak River Insurance Company 34630 <br /> TRACY CA 95376 ;NSURER D <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 160863 REVISION NUMBER:1 SUPERCEDES PREVIOUS REVISIONS <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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP <br /> LTR INSD WV POLICY NUMBER / LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY AES1209789413 11118124 11118/25 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE 1:X1 OCCUR DAMAGE TO RENTED $ 100,000 <br /> PREMISES(Ea occurence) <br /> MED.EXP(Any one person) $ 5,000 <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> PRO- <br /> POLICY X�JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: I $ <br /> B AUTOMOBILE LIABILITY 606636900 11118/24 11/18/25 COMBINED SINGLE LIMIT 1,000,000 <br /> (Ea accident) $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED <br /> AUTOS X AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ( r accident) $ <br /> A X UMBRELLA LIAB X OCCUR EXA1213926-3 11/18/24 11/18/25 EACH OCCURRENCE $ 4,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I RETENTION$ $ <br /> C WORKERSCOMPENSATION SDWC565917 11118/24 11/18/25 X STATUTE OTERH — - <br /> AND EMPLOYERS' LIABILITY <br /> Al- PROPRIETOR.'PARTNERlEXECUTIVE Y�- E.L.EACH ACCIDENT $ 1,000,000 <br /> o(Mandatory <br /> NH) EXCLUDED? Y N/p E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> (Mandatory in NH) <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1�OQQ�000 <br /> A Contractors Equipment Scheduled 606636900 11/18/24 11/18/25 <br /> $39,933 $1000 DED <br /> A Contents-Blanket I 606636900 11/18/24 11/18/25 $200,000 $1000 DED <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Blanket Waiver of Subrogation,Additional insured,and Primary and Non-Contributory endorsements apply to the auto policy <br /> RE:All jobs for the City of Pleasanton <br /> Location: Pleasanton,CA <br /> CERTIFICATE HOLDER CANCELLATION <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE CX6 <br /> Attention: Robert C Herzog Jr <br /> ACORD 25(2014/01) Certificate# 160863 Revision# 1 ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />