DUDEK - FOURTH AMENDMENT (#2023515)

A4CC>RCERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 8/28/2026 08/26/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies, LLC DBA Lockton Insurance Brokers, LLC in CA CA license #OF15767 444 W. 47th St., Ste. 900 Kansas City MO 64112-1906 (816)960-9000 kcasu(a)lockton_com INSURED DUDEK 1529523605 THIRD STREET ENCINITAS CA 92024 A: Zurich American Insurance C: 16535 COVERAGES CFRTIFICOTF NI IMRFR• 717019117 r��rl.�lvla Iwmlocrc: nM/�/l/Vl THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUBS POLICY EFF I POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MWDDrNfM LIMITS A X COMMERCIAL GENERAL LIABILITY GL00146311 08/28/202 08/28/202E OCCUR CLAIMS -MADE XI EACH OCCURRENCE $ 2 OOO OOO DAMAGE TO RENTE $ 100,000 PREMISE (Fig 9ccurrence) MED EXP (Any oneperson) $ 10,000 Y Y PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 JERCOT- LOC OTHER: $ A AUTOMOBILE LIABILITY BAP0146329 08/28/202 08/28/202 Ea aocidentSINGLE LIMIT $ 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ XXXXXXX OWNED SCHEDULED Y BODILY INJURY (Per accident) $ XXXXXXX N AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ XXXXXXX $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ WORKERS COMPENSATION_ p _ A AND EMPLOYERS' LIABILITY Y / N WC0146330 08/28/202 08/28/202 R PROPRIETOR/ R/EXECUTIVE I ANY EXCLUDED? OFFICER/MEMBER EXCLUDED? N / A Y E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, descnbe under E.L. DISEASE -POLICY LIMIT $ 1 000 000 B DESCRIPTION OF OPERATIONS below PROFESSIONAL EEH591932835 INCL POLL 08/28/202 08/28/202 $2M PER CLAIM / $2M AGGREGATE LIABILITY N Y DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THE CITY OF PLEASANTON, ITS OFFICERS, EMPLOYEES, AND AGENTS ARE ADDITIONAL INSURED ON GENERAL AND AUTO LIABILITY, ON A PRIMARY, NON-CONTRIBUTORY BASIS, AS REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES ON GENERAL, AUTO, PROFESSIONAL, AND WORKERS COMPENSATION, AS REQUIRED BY WRITTEN CONTRACT AND WHERE ALLOWED BY LAW. 30 DAY WRITTEN NOTICE OF CANCELLATION APPLIES, 10 DAYS FOR NON-PAYMENT OF PREMIUM, AS REQUIRED BY WRITTEN CONTRACT. COVERAGE IS SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. 21201207 CITY OF PLEASANTON 200 OLD BERNAL PLEASANTON CA 94566 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE a h'.Utw co tcu-lo/us) I ne Ak;UKU name and logo are registered marks of ACORD