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<br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />06/26/2025 <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 BELOW. THIS <br />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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms <br />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). <br />PRODUCER <br />Glow Insurance Services <br />548 Market St. <br />San Francisco, CA, 94104-5401 <br />CONTACT Samad Wahedi NAME: <br />PHONE (844) 500-4569 (A/C, No, Ext): <br />FAX <br />(A/C, No): <br />E-MAIL ops@glow.co ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A : Security National Insurance Company 19879 <br />INSURED <br />OVIAWE , UYIOSA FELIX (An Individual) <br />Murgreen Environmental Company <br />66 Franklin St STE 300 <br />Oakland, CA, 94607 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: SWC1555652-16149 REVISION NUMBER: <br /> <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 />INSR <br />LTR <br />TYPE OF INSURANCE ADDL <br />INSR <br />SUBR <br />WVD POLICY NUMBER POLICY EFF <br />(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY) <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES (Ea occurrence) $ <br /> CLAIMS-MADE OCCUR MED EXP (Any one person) $ <br /> _____________________ <br /> _____________________ <br />PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> POLICY PRO- <br />JECT <br /> LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />(Ea accident) $ <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> ALL OWNED <br />AUTOS <br />HIRED AUTOS <br /> SCHEDULED <br />AUTOS <br />NON-OWNED <br />AUTOS <br />BODILY INJURY (Per accident) $ <br /> PROPERTY DAMAGE <br />(Per accident) $ <br /> $ <br /> UMBRELLA LIAB <br />EXCESS LIAB <br /> OCCUR <br /> <br />CLAIMS-MADE <br /> EACH OCCURRENCE $ <br /> AGGREGATE $ <br /> DED RETENTION $ $ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? Y <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A Y SWC1555652 04/02/2025 04/02/2026 <br />X WC STATU- <br />TORY LIMITS <br /> OTH- <br />ER <br /> <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />This workers' comp policy contains a blanket waiver of subrogation. <br /> <br /> <br />CERTIFICATE HOLDER CANCELLATION <br /> <br />City of Pleasanton <br />Attn: City Manager <br />PO Box 520 <br />Pleasanton, CA 94566 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE <br />WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br /> <br />ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Docusign Envelope ID: 2506206F-E345-4DD4-95FA-F9789F713AEF