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CERTIFICATE OF LIABILITY INSURANCE Acct#: 3090978 <br />DATE (MM/DD/YYYY) <br />05/22/2025 <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 BELOW. <br />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 have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />LOCKTON AFFINITY, LLC <br />P.O. BOX 879610 <br />KANSAS CITY, MO 64187-9610 <br /> <br />CONTACT <br />NAME: LOCKTON AFFINITY, LLC <br />PHONE <br />(A/C, No, Ext): <br />FAX <br />(A/C, No): 913-652-7599 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A : Arch Insurance Company 11150 <br /> INSURED <br />AUTOMATIC DOOR SYSTEMS INC <br />982 TERMINAL WAY <br />SAN CARLOS, CA 94070 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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, TH E 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 <br />LTR TYPE OF INSURANCE ADDL <br />INSD <br />SUBR <br />WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS- <br />MADE <br /> <br />OCCUR <br /> OCCUR DAMAGE TO RENTED <br />PREMISES (Ea occurrence) $ <br /> MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY PRO- <br />JECT <br /> LOC PRODUCTS - COMP/OP AGG $ <br /> OTHER: <br /> $ <br /> A AUTOMOBILE LIABILITY X X LAAUT0110801 04/01/2025 04/01/2026 COMBINED SINGLE LIMIT <br />(Ea accident) $ 1,000,000 <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />X SCHEDULED <br />AUTOS NON-OWNED <br />AUTOS ONLY <br />BODILY INJURY (Per accident) $ <br />X X PROPERTY DAMAGE <br />(Per accident) $ <br /> $ <br /> UMBRELLA LIAB <br />EXCESS LIAB <br /> OCCUR <br />CLAIMS-MADE <br /> EACH OCCURRENCE $ <br /> AGGREGATE $ <br /> DED RETENTION $ $ <br /> <br />WORKERS COMPENSATION <br />AND EMPLOYERS’ LIABILITY Y/N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br /> <br /> <br /> <br /> <br /> <br />N / A <br /> PER STATUTE OTH- ER <br />E.L. EACH ACCIDENT $ <br /> E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br /> <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GPBR: 1XL1 <br />POLICY PROVIDES PROTECTION FOR ANY AND ALL OPERATIONS/JOBS PERFORMED BY THE NAMED INSURED WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER IS AN ADDITIONAL INSURED <br />WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION INCLUDED BY WRITTEN CONTRACT. INSURANCE IS PRIMARY AND NON-CONTRIBUTORY. <br />Work Site: City of Pleasanton, 5353 Sunol Blvd, Pleasanton, CA 94566 Project: 25-5108 <br /> <br /> <br />CERTIFICATE HOLDER CANCELLATION <br /> <br />City of Pleasanton <br />5353 Sunol Blvd <br />Pleasanton, CA 94566 <br /> <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 /> © 1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br /> <br />Docusign Envelope ID: 78C55661-B07C-4B6F-B4F4-1EE3C7F041CE