BAY CITIES PAVING & GRADING, INC

ACS D® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1 `----- 9!30/2025a. 1.x THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. T NAC*, CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIC Y�+ BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI2 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 CONTACT NAME: Rose Amoroso Woodruff-Sawyer&Co. PHONE FAX 50 California Street, Floor 12 (A/c.No,Ext):415-391-2141 (A/C,No): San Francisco CA 94111 ADDRess: ramoroso@woodruffsawyer.com INSURER(S)AFFORDING COVERAGE NAIC# License#:0329598 INSURER A:Travelers Prop Casualty Co of America 25674 INSURED BAYCITI-01 INSURER B:Travelers Indemnity Company of CT 25682 Bay Cities Paving&Grading, Inc. 1450 Civic B Ct. Building 400 INSURERC: Concord CA 94520 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1325364068 REVISION NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INsD WWV� POLICY NUMBER (MM/DD/YYYY)IMM/DD/YYYYL, A X COMMERCIAL GENERAL LIABILITY Y VTC2JC03K990915TIL25 10/1/2025 10/1/2026 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X jET LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ _ B AUTOMOBILE LIABILITY VTC2ECAP3K990927TCT25 10/1/2025 10/1/2026 COMBINED SINGLE LIMIT $2,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION UB8Y09354A2525D 10/1/2025 10/1/2026 X AND EMPLOYERS'LIABILITY STATUTE OTH- ER _ YIN ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Encroachment Permit!Caltrans Contract No.04-0Q30U4I Electronic Tolling System(ETS)on HWY 680 Work Location:West Las Positas Blvd.to Olive Drive City of Pleasanton included as additional insured as respects General Liability to the extent provided in the attached form.Waiver of Subrogation applies as respects General Liability to the extent provided in the attached form and as permitted by law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Pleasanton PO Box 520 AUTHORIZED REPRESENTATIVE Pleasanton CA 94566 4c- UJ / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD