Laserfiche WebLink
Page 1 of 2 <br /> ACCORD) CERTIFICATE OF LIABILITY INSURANCE DATE(M <br /> 12/088/202/202 Y) <br /> 5 <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 WTW Certificate Center <br /> NAME:. <br /> Willis Towers Watson Northeast, Inc. -- - -- ----- <br /> c/o 26 Century Blvd <br /> IA/C. Est): 1-877-945-7378 (A/C,No): 1-888-467-2378 <br /> P.O. Box 305191 ADDRESS: certificates@wtwco.com <br /> Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA; Nautilus Insurance Company 1 17370 <br /> INSURED INSURERB: Starr Indemnity & Liability Company 38318 <br /> Duke's Root Control, Inc. -- I -- <br /> 400 Airport Rd, Unit E INSURER C: <br /> Elgin, IL 60123 INSURER D <br /> i <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:W42091355 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 /> INSRT- ADDLTSUBR';____.- _--,----- POLICY _...------- <br /> EFF POUCY EXP <br /> LTR! TYPE OF INSURANCE INSD'WVD POLICY NUMBER I(MMfDD/YYYY) (MM!DD/YYYY)I UMITS <br /> X;COMMERCIAL GENERAL LIABILITY <br /> i 1 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X!! OCCUR PREMISES(Ea occurrence) S p A�1,000,000 <br /> • <br /> A MED EXP(Any one person) $ 25,000 <br /> Y ; Y ECP2039143-13 ,12/08/2025 12/08/2026 1,000,000 <br /> PERSONAL&ADV INJURY $ <br /> EJECT GENERAL AGGREGATE 2,000 000 <br /> LOC I <br /> GEM_AGGREGATE LIMIT APPLIES PER: <br /> I POLICY, X', PRO- I 1 I PRODUCTS•COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> COMBINED SINGLE LIMIT <br /> AUTOMOBILE UABIUTY <br /> _ (Ea accident) $ 2,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ Included <br /> B OWNED SCHEDULED Y Y I 1000679525251 '12/08/2025 12/08/2026 BODILY INJURY(Per accident) $ Included <br /> AUTOS ONLY „ AUTOS <br /> HIRED NON-OWNED ' I PROPERTY DAMAGE $ Included <br /> AUTOS ONLY _ AUTOS ONLY kPer accidents__ <br /> • $ <br /> 1 <br /> A <br /> X1 UMBRELLA LIA6 X I OCCUR j EACH OCCURRENCE $ 5,000,000 <br /> DED <br /> UAB RETENTIONS$ CLAIMS-MADE Y Y rrx2039144-13 12/06/2025 12/08/2026 5,000,000 <br /> AGGREGATE $ <br /> $ <br /> WORKERS COMPENSATION I X PER STATUTE IERH <br /> AND EMPLOYERS LIABILITY <br /> B ;ANYPROPRIETOR!PARTNER/EXECUTIVE Y N E.L.EACH ACCIDENT$ 1,000,000 <br /> OFFICER!MEMBEREXCLUDED. 100 0005190 12/08/2025 12/08/2026�- -- ------------ t --- - - - <br /> � No NIA Y <br /> (Mandatory in NH) 1 E.L.DISEASE-EA EMPLOYEE$ 1,000,000 <br /> !II yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ <br /> A Pollution Liability . ECP2039143-13 112/08/2025 12/08/2026IEach Condition $1,000,000 <br /> Deductible $25,000 <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> PROJECT NAME/NUMBER: COP, ICE On-Call Services/ Project No. 119075 <br /> SEE ATTACHED <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 /> Attn: City Manager AUTHORIZED REPRESENTATIVE <br /> PO Box 520 I w <br /> "' <br /> Pleasanton, CA 94566 /( Y <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> SR ID: 28991454 BATCH: 4233566 <br /> 375: 2 * of 8 <br />