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.ACORd CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/OD/YYY'\')
<br />~ 01/16/2026
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO 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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 l.n lieu of such endorsement(s).
<br />PRODUCER McGann Insurance Agency ~~:i~cT Mlchael McGann
<br />1141 Catalina Drive Suite 220 f.~~N~n "~"· (925) 200•0498 I FAX
<br />Livermore CA 94550 IA/C Nol :
<br />!t'D~~ss: mike@mcganninsurance.com
<br />INSURER/SI AFFORDING COVERAGE NAIC#
<br />1NsuRER A : Continental Casualty Co. 20443
<br />INSURED American Cemetery Maintenance Burial, LLC INSURER 8 , Technology Insurance Company, Inc. 39701
<br />2150 Portola Ave. D-160
<br />.-™.fil!fil?~ c : Nautilus Insurance Company 17370 Livermore CA 94551
<br />.1~~URERD :
<br />INSURER E : ---·-
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 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 PER IOD
<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 TYPE OF INSURANCE ADDLSUBR POLICY EFF 7>oLicYEXP LIMITS LTR , .. ~ ... ,.,., ... POLICY NUMBER IMMIDD/YYYYl fMM/DDIYYYYI
<br />II' COMMERCIAL GENERAL LIABILITY II' I II' I EACH OCCURRENCE $1,000 ,000
<br />1 CLAIMS.MADE 0 OCCUR ib7iJiilllGE TCJRtITTED $ 100,000 j'..B_l;_MISES (l;_a occurrence \
<br />A MED EXP (Ar,v one person) $ 5,000 -C698 1772294 01/1 3/2026 01/1 3/2027 PERSONAL & ADV INJURY $1,000,000 -
<br />GEN'L AGGREGATE LIMIT APPLIES PER : I GENERALAGGREGATE $2,000,000
<br />4 POLICY □ m?r □LOC PRODUCTS -COMP/OP AGG $2,000,~--
<br />OTHER: I $
<br />AUTOMOBILE LIABILITY I j~~~~~tr'INGLE LIMI I $ -ANY AUTO BOD ILY INJURY (Per pe rso n) $ -OWNED -SCHEDULED BODILY INJURY (Per accid ent) $ -AUTOS ONLY -AUTOS
<br />~-~PROPERTY Di\AMAGE HIRED NO N-OWNED $ AUTOS ONLY AUTOS ONLY Per accident --I $
<br />II' UMBRELLA LIAS l--1 0CCUR II' I EACH OCCURRENCE $1,000,000
<br />C -AN 1373124 01/1 3/2026 01 /13/2027 $1,000,000 II' EXCESS LIAS CLAIMS.MADE AGGREGATE
<br />OED I I RETENTION s
<br />I
<br />j $
<br />WORKERS COMPENSATION l.!:J
<br />\2131/2025
<br />U JPER I 10TH-
<br />AND EMPLOYERS' LIABILITY STATUTE ER Y/N s 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE □ N/A
<br />~
<br />EACH ACCIDENT -B OFF ICER/ME MBERE XCLUOEO? TS P4704766 12/31 /2026 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH)
<br />If ~s. describe under I ·$1 ,000,0~ -
<br />D SCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LI MIT
<br />□l o
<br />1,1 I
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached If more space Is requ ired)
<br />Location: Pleasanton Pioneer Cemetery, 5780 Sunol Blvd., Pleasanton, CA.
<br />City of Pleasanton, its officers, employees and agents are named as additional insured per attached endorsement for named insured's work
<br />at above location.
<br />General liability policy is primary & non-contributory.
<br />The insurers waive all rights of subrogation against the City, its officers, employees and agents.
<br />30 day notification of cancellation applies.
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Pleasanton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Attn : Ania Pawlak THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN
<br />PO Box520 ACCORDANCE WITH THE POLICY PROVISIONS .
<br />Pleasanton, CA 94566
<br />AUTHORIZED REPRESENTATIVE
<br />I
<br />-~~y~~~ Michael McGann
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />Docusign Envelope ID: B1A2B84F-219F-40B7-B41B-2FF5FEF8647B
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