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MAININC-AA Ct_AK17AI C7 <br />,d►CORO' CERTIFICATE OF LIABILITY INSURANCE <br />DATE8/5/2 D/YYYY) <br />8/5/2025 <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 <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 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 on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License # 0757776 <br />CONTACT Ella Chen <br />HUB International Insurance Services Inc. <br />600 Corporate Pointe Suite 600 <br />Culver City, CA 90230 <br />PHONE FAX <br />A/C, No, Et): (626) 612-0060 A/c, No : (951) 231-2572 <br />ADE DRE s: cal.cpu@hubinternational.com <br />INSURERS AFFORDING COVERAGE NAIC # <br />3579-07-88WUC <br />INSURER A: Federal Insurance Company 20281 <br />8%15/2026 <br />INSURED <br />INSURER B :Allmerica Financial Benefit Insurance Company 41840 <br />INSURER c: Underwriters at Lloyd's London 15792 <br />Maintstar, Inc. <br />INSURER D : <br />1278 Glenneyre St. Ste. 405 <br />Laguna Beach, CA 92651 <br />INSURER E <br />INSURER F: <br />EMPLOYEE BENEFI $ 1,000,000 <br />COVERAGES CERTIFICATE NUMRFR- RFVI_CIAN NIIMRFR- <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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMD <br />POLICY EXP <br />M DD <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />X <br />X <br />3579-07-88WUC <br />8!1512025 <br />8%15/2026 <br />EACH OCCURRENCE $ 2,000,000 <br />DAMAGE TO RENTED 2,000,000 <br />PREMI ES Ea occurrence $ <br />MED EXP (Any oneperson) $ 10'000 <br />PERSONAL & ADV INJURY 11000'000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY FI JEe F-1 LOC <br />OTHER. <br />GENERAL AGGREGATE $ 2'000'000 <br />PRODUCTS - COMP/OP AGG 2'000'000 <br />EMPLOYEE BENEFI $ 1,000,000 <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUTOS ONLY X AUT WNED <br />ONLY <br />X <br />73517904 <br />8/15/2025 <br />8/15/2026 <br />EOMBII ED SINGLE LIMIT $ 1,000,000 <br />BODILY INJURY Per on <br />BODILY INJURY Per accident $ <br />ROPERTY DAMAGE <br />Per acadent <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAR <br />I X <br />17 <br />OCCUR <br />CLAIMS -MADE <br />5671-75-09 <br />8/22/2025 <br />8/22/2026 <br />EACH OCCURRENCE $ 2'000'000 <br />AGGREGATE $ 2'000'000 <br />DED I I RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y� <br />WFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N /A <br />W23J165213 <br />10/1/2024 <br />10/112025 <br />X PTAT TE ERS <br />E.L. EACH ACCIDENT $ 1'000'000 <br />E.L. DISEASE - EA EMPLOYE $ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />C <br />E&O Including Cyber <br />ESNO040381847 <br />6/26/2025 <br />6/26/2026 <br />Ded:$2.5K 1E.clm/Agg 5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mores ace is required) <br />The City of Pleasanton is Additional Insured with regard to the General Liability policy, when required by written contract, per the attached endorsement form <br />80-02-2367 05/07, Primary & Non -Contributory included. Waiver of Subrogation applies to the General Liability policy, when required by written contract, per <br />the attached endorsement form 80-02-2000 04101. Additional Insured applies with regard to the Auto Liability policy, when required by written contract, per the <br />attached endorsement form CA204810113. <br />The City of Pleasanton <br />PO Box 520 <br />Pleasanton, CA 94566-0802 <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 />ACORD 25 (2016/03) (9 1935-ZU15 AGUKLI cUKFUKA I IUN. Au rignts reservea. <br />The ACORD name and logo are registered marks of ACORD <br />