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ISSUE DATE YYYY/MM/DD <br />Company <br />A <br />Company <br />B <br />BROKER <br />Company <br />C <br />Company <br />D <br />INSURED©S FULL NAME AND MAILING ADDRESS <br />Company <br />E <br />COVERAGES <br />TYPE OF INSURANCE CO <br />LTR <br />LIMITS OF LIABILITY <br />(Canadian dollars unless indicated otherwise) <br />COMMERCIAL GENERAL LIABILITY <br />AUTOMOBILE LIABILITY <br />EXCESS LIABILITY <br />OTHER (SPECIFY) <br />CERTIFICATE HOLDER CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />Per:_______________________________________ <br />CLAIMS MADE <br />OCCURRENCE <br />PRODUCTS AND/OR <br />COMPLETED OPERATIONS <br />PERSONAL INJURY <br />EMPLOYER'S LIABILITY <br />TENANT'S LEGAL LIABILITY <br />NON-OWNED AUTOMOBILE <br /> HIRED AUTOMOBILE <br />DESCRIBED AUTOMOBILES <br />ALL OWNED AUTOMOBILES <br />LEASED AUTOMOBILES ** <br />GARAGE LIABILITY <br />UMBRELLA FORM <br /> OTHER THAN UMBRELLA FORM <br />EACH OCCURRENCE $ <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OP <br />AGGREGATE $ <br />PERSONAL INJURY $ <br />EMPLOYER'S LIABILITY $ <br />TENANT'S LEGAL LIABILITY $ <br />NON-OWNED AUTOMOBILE $ <br />HIRED AUTOMOBILE $ <br />BODILY INJURY <br />PROPERTY DAMAGE <br />COMBINED <br />$ <br />BODILY INJURY <br />(Per person)$ <br />BODILY INJURY <br />(Per accident)$ <br />PROPERTY DAMAGE <br />$ <br />EACH OCCURRENCE <br />AGGREGATE <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /≯·- ½»®¬·º·½¿¬» ·- ·--«»¼ ¿- ¿ ³¿¬¬»® ±º ·²º±®³¿¬·±² ±²´§ ¿²¼ ½±²º»®- ²± ®·¹¸¬- <br />«°±² ¬¸» ½»®¬·º·½¿¬» ¸±´¼»® ¿²¼ ·³°±-»- ²± ´·¿¾·´·¬§ ±² ¬¸» ·²-«®»®ò ̸·- <br />½»®¬·º·½¿¬» ¼±»- ²±¬ ¿³»²¼ô »¨¬»²¼ ±® ¿´¬»® ¬¸» ½±ª»®¿¹» ¿ºº±®¼»¼ ¾§ ¬¸» <br />°±´·½·»- ¾»´±©ò <br /≯·- ·- ¬± ½»®¬·º§ ¬¸¿¬ ¬¸» °±´·½·»- ±º ·²-«®¿²½» ´·-¬»¼ ¾»´±© ¸¿ª» ¾»»² ·--«»¼ ¬± ¬¸» ·²-«®»¼ ²¿³»¼ ¿¾±ª» º±® ¬¸» °±´·½§ °»®·±¼ ·²¼·½¿¬»¼ ²±¬©·¬¸-¬¿²¼·²¹ ¿²§ ®»¯«·®»³»²¬-ô ¬»®³- <br />±® ½±²¼·¬·±²- ±º ¿²§ ½±²¬®¿½¬ ±® ±¬¸»® ¼±½«³»²¬ ©·¬¸ ®»-°»½¬ ¬± ©¸·½¸ ¬¸·- ½»®¬·º·½¿¬» ³¿§ ¾» ·--«»¼ ±® ³¿§ °»®¬¿·²ò ̸» ·²-«®¿²½» ¿ºº±®¼»¼ ¾§ ¬¸» °±´·½·»- ¼»-½®·¾»¼ ¸»®»·² ·- <br />-«¾¶»½¬ ¬± ¿´´ ¬»®³-ô »¨½´«-·±²- ¿²¼ ½±²¼·¬·±²- ±º -«½¸ °±´·½·»-ò Ô×Ó×ÌÍ ÍØÑÉÒ ÓßÇ ØßÊÛ ÞÛÛÒ ÎÛÜËÝÛÜ ÞÇ Ðß×Ü ÝÔß×ÓÍ <br />öö ßÔÔ ßËÌÑÓÑÞ×ÔÛÍ ÔÛßÍÛÜ ×Ò ÛÈÝÛÍÍ ÑÚ <br />íð ÜßÇÍ ÉØÛÎÛ ÌØÛ ×ÒÍËÎÛÜ ×Í ÎÛÏË×ÎÛÜ <br />ÌÑ ÐÎÑÊ×ÜÛ ×ÒÍËÎßÒÝÛ <br />ÝÛÎÌ×Ú×ÝßÌÛ ÑÚ Ô×ßÞ×Ô×ÌÇ ×ÒÍËÎßÒÝÛ <br />ÐÑÔ×ÝÇ ÒËÓÞÛÎ ÛÚÚÛÝÌ×ÊÛ ÜßÌÛ <br />ÇÇÇÇñÓÓñÜÜ <br />ÛÈÐ×ÎÇ ÜßÌÛ <br />ÇÇÇÇñÓÓñÜÜ <br />ÜÛÍÝÎ×ÐÌ×ÑÒ ÑÚ ÑÐÛÎßÌ×ÑÒÍñÔÑÝßÌ×ÑÒÍñßËÌÑÓÑÞ×ÔÛÍñÍÐÛÝ×ßÔ ×ÌÛÓÍ ÌÑ ÉØ×ÝØ ÌØ×Í ÝÛÎÌ×Ú×ÝßÌÛ ßÐÐÔ×ÛÍ ø¾«¬ ±²´§ ©·¬¸ ®»-°»½¬ ¬± ¬¸» ±°»®¿¬·±²- ±º ¬¸» Ò¿³»¼ ײ-«®»¼÷ <br />2025/04/17 <br />HUB International Insurance Brokers <br />400-4350 Still Creek Drive <br />Burnaby, BC V5C 0G5 <br />PHONE: 604-269-1000 <br />InTime Services Inc <br />2140 - 745 Thurlow Street <br />Vancouver, BC V6E 0C5 <br />Insured Operations: Development, Sales & Service of Time Management, Staff Scheduling Software & Applications. USA and Worldwide Operations <br />Included. <br />Limits of Liability are in USD <br />City of Pleasanton is added as an Additional Insured on the Commercial General Liability (including Products and/or Completed Operations) policy but only <br />with respect to liability arising from the operations of the Named Insured. <br />Coverage will be primary and non-contributory <br />DEDUCTIBLES: <br />(continued next page) <br />City of Pleasanton <br />P.O. Box 520 <br />Pleasanton, CA 94566 <br />Certain Lloyd's U/W as arranged by CFC Underwriting Ltd. <br />FYAGRAGR <br />A ESN0240248096 <br />ESN0240248096 <br />ESN0240248096 <br />2025/02/28 2026/02/28 5,000,000 <br />Errors & Omissions Liability <br />Cyber Liability <br />Limit of Liability - Per Claim <br />Should any of the above described policies be cancelled before the expiration date <br />thereof, the issuing company will endeavor to mail 0 days written notice to the certificate <br />holder named to the left, but failure to mail such notice shall impose no obligation or <br />liability of any kind upon the company, its agents or representatives. <br />Aggregate <br />Network Security & Privacy <br />Cyber Incident Response <br />Legal & Regulatory Costs <br />5,000,000 <br />5,000,000 <br />5,000,000 <br />5,000,000 <br />500,000 <br />5,000,000 <br />75,000 <br />A 2025/02/28 2026/02/28 <br />5,000,000 <br />5,000,000 <br />5,000,000 <br />5,000,000 <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />Page 1 of 2 <br />Docusign Envelope ID: 2C28DE70-6E07-4A01-BD32-F3CE0E07B6CF