Laserfiche WebLink
kr....----- <br /> C OR[�►� <br /> ADATE(MMMDD <br /> CERTIFICATE OF LIABILITY INSURANCE VYYY) <br /> 3/23/2026 <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 CONTACT <br /> NAME: Sara DOrrisey <br /> Edgewood Partners Insurance Center PHONE FAX <br /> 1390 Willow Pass Rd, Ste 800 rAIC.No.Exti: 925-822-9009 <br /> Concord CA 94520 <br /> E-MAIL <br /> sara.dornsey@epicbrokers.com UVC,No):925-887-6815 <br /> INSURER(S)AFFORDING COVERAGE NAIC I# <br /> License*0B29370 INSURER A:National Union Fire ins Co of Pittsburg 1 19445 <br /> STFRANC3 <br /> INeuRED INSURER e:Allied World National Assurance Company 10890 <br /> St. Francis Electric, LLC <br /> 975 Carden Street INSURER C:New Hampshire Insurance Company 23841 <br /> San Leandro, CA 94577 INSURERD: <br /> INSURER E <br /> INSURER F: f <br /> COVERAGES CERTIFICATE NUMBER:79393985B REVISION NUMBER: <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 /> .......7 POLICY EFF`' ..._POLICY EXP .__......_...,.._,,,_-_.e.....__Y...... <br /> LTR TYPE OF INSURANCE Jjato win POLICY NUMBER i(MM/DD/YYYY)i(MM'DD/YYYY)I UTATS <br /> A X COMMERCIALGENERALLIAEIUTY Y Y GL5342018 4/1/2026 4/1/2027 'EACH OCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> ' I CLAIMS-MADE X OCCUR PREMI$ES(Eassafrence) $500,000_ _ <br /> I MED EXP(Any one person) $25,000 <br /> PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: 1 GENERAL AGGREGATE m$4,000p000 <br /> X I 1 <br /> POLICY I LOC PRODUCTS COMP/OP AGG $4,000,040 <br /> PRO- <br /> OTHER: <br /> A AUTOMOBILE UABILITY Y Y CA4773676 i 4/1/2026 4/1/2027 cOMBINEDSINGLE LIMIT $2,000,000 <br /> Ea accident <br /> --5(1ANY AUTO BODILY INJURY(Par person) $ <br /> ANY <br /> ! 1 SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY .AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY (Per_gcddent) <br /> $ <br /> 8 1 UMBRELLA LIAB X OUR 03102673 4/1/2026 4/1/2027 EACH OCCURRENCE _$10,000,000 <br /> X E EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> 1 DEC 1 RETENTION$ I _ $ <br /> C WORKERS COMPENSATION Y WC072113167 4/1/2026 4/1/2027 X I STATUTE OTH- <br /> ER <br /> i AND EMPLOYERS'UABILITY y/N <br /> 1 ANYPROPRIETOR/PARTNER/EXECUTIVE 'y N/A E.L.EACH ACCIDENT $2;000,000 <br /> !I OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $2,000,000 <br /> If yes describe under E.L.DISEASE-POLICY LIMIT I$2,000,000 <br /> 1 DESCRIPTION OF OPERATIONS below I <br /> I I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE: SFE Job#25-0591,Traffic Signal Maintenance&Emergency Repair Services. <br /> Additional Insured(s):City of Pleasanton,its officers,employees and agents. <br /> When required by written contract,Additional Insured status with Primary&Non-Contributory coverage applies to General Liability and Auto Liability and Waiver <br /> of Subrogation applies to General Liability,Auto Liability and Workers Compensation,all as per the attached endorsements. <br /> 30 days notice of cancellation,as per the attached endorsements. <br /> Excess Liability underlying policies include General Liability,Automobile Liability and Employers Liability. <br /> CERTIFICATE HOLDER CANCELLATION <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 /> City of Pleasanton <br /> 200 Old Bernal Ave. AUTHORIZED REPRESENTATIVE <br /> Pleasanton, CA 94566 -� -. _---- <br /> ` <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 648: 2 ' of 22 <br />