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Northern California ReLiEF <br />ADMINISTRATOR: <br />Keenan & Associates <br />1111 Broadway, Suite 2000 <br />Oakland, CA 94607 <br />Rob n T on License No.01­117655 <br />rtry <br />X Veenan.com <br />COVERED PARTY: <br />Pleasanton Unified School District <br />East Bay Schools Ins Group <br />5758 W. Las Positas Boulevard <br />Pleasanton CA 94588 <br />CERTIFICATE OF CC <br />LICENSE # 0451271 1 <br />C <br />A <br />510-986-6761 X8177 <br />THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVE <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPI <br />AFFORDED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE D <br />*I! <br />COVERAGE <br />PE OF COVERAGE EFFEi <br />DOCUMENTS EXPIRAT <br />LIABILITY <br />L LIABILITYMADE [OCCURRENCE NCR00107-38 7/1/ <br />MENT CODES7/1/ <br />& OMISSIONSABUSE AND MOLESTATION <br />A I AUTOMOBILE LIABILITY <br />[ O NCR 00107-38 7/1/, <br />[ HIRED <br />AUTO [ NON -OWNED AUTO 7/1/, <br />[ GARAGE LIABILITY <br />[ AUTO PHYSICAL DAMAGE <br />A PROPERTY NCR 00107-38 <br />7/1 /A' <br />[ ALL RISK <br />[ EXCLUDES EARTHQUAKE &FLOOD <br />,7/1 <br />[ ]BUILDER'S RISK <br />ND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />A STUDENT PROFESSIONAL LIABILITY <br />FFORDED BY THE COVERAGE DOCUMENTS BELOW. <br />NCR 00107-38 <br />7/1/2 <br />ENTITY B: <br />7/1/2 <br />WORKERS COMPENSATION <br />ENTITY E: <br />[ ] EMPLOYERS' LIABILITY <br />)CUMENTS. THE COVERAGE <br />EXCESS WORKERS COMPENSATION <br />[ ] EMPLOYERS' LIABILITY <br />OTHER <br />VERAGE <br />Issue Date <br />4/17/2025 <br />HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />ND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />ERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />FFORDED BY THE COVERAGE DOCUMENTS BELOW. <br />ENTITIES AFFORDING COVERAGE: <br />ENTITYA: Northern California ReLiEF <br />ENTITY B: <br />ENTITY C: <br />ENTITY D: <br />ENTITY E: <br />RED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY <br />CT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. <br />)CUMENTS. THE COVERAGE <br />MEMBER <br />:TIVE/ <br />RETAINED LIMIT <br />ON DATE <br />/ DEDUCTIBLE <br />LIMITS <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />?024 <br />$ 50,000 <br />$ 5,000,000 <br />2025 <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />1024 $ 50,000 $ 1,000,000 <br />!025 <br />024 $ 25,000 $ 500,250,000 <br />025 EACH OCCURRENCE <br />D24 $ 50,000 $ Included <br />D25 EACH OCCURRENCE <br />[ ] WC STATUTORY LIMITS [ ] OTHER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EACH EMPLOYEE <br />E.L. DISEASE - POLICY LIMITS <br />I I I$ I <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL PROVISIONS $ <br />As respects to the agreement between the City of Pleasanton and Pleasanton Unified School District for use of facilities <br />located at the Dolores Aquatic Center by Donlon Elementary 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 on 5/29/2025 and by <br />Walnut Grove Elementary School on 5/30/2025. <br />CERTIFICATE HOLDER: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Pleasanton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />123 Main Street <br />Pleasanton CA 94566 fACCORoDhANCE WITH THE POLICY PROVISIONS <br />n Stephens <br />www.eCensOnline.com AUTHORIZED REPRESENTATIVE <br />89881771 1 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 />