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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 />INSURER(S) AFFORDING COVERAGE
<br />INSURER F :
<br />INSURER E :
<br />INSURER D :
<br />INSURER C :
<br />INSURER B :
<br />INSURER A :
<br />NAIC #
<br />NAME:CONTACT
<br />(A/C, No):FAX
<br />E-MAILADDRESS:
<br />PRODUCER
<br />(A/C, No, Ext):PHONE
<br />INSURED
<br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
<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 />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 />OTHER:
<br />(Per accident)
<br />(Ea accident)
<br />$
<br />$
<br />N / A
<br />SUBR
<br />WVD
<br />ADDL
<br />INSD
<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 />$
<br />$
<br />$
<br />$PROPERTY DAMAGE
<br />BODILY INJURY (Per accident)
<br />BODILY INJURY (Per person)
<br />COMBINED SINGLE LIMIT
<br />AUTOS ONLY
<br />AUTOSAUTOS ONLY
<br />NON-OWNED
<br />SCHEDULEDOWNED
<br />ANY AUTO
<br />AUTOMOBILE LIABILITY
<br />Y / N
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />DESCRIPTION OF OPERATIONS below
<br />If yes, describe under
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />$
<br />$
<br />$
<br />E.L. DISEASE - POLICY LIMIT
<br />E.L. DISEASE - EA EMPLOYEE
<br />E.L. EACH ACCIDENT
<br />EROTH-STATUTEPER
<br />LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />EXCESS LIAB
<br />UMBRELLA LIAB $EACH OCCURRENCE
<br />$AGGREGATE
<br />$
<br />OCCUR
<br />CLAIMS-MADE
<br />DED RETENTION $
<br />$PRODUCTS - COMP/OP AGG
<br />$GENERAL AGGREGATE
<br />$PERSONAL & ADV INJURY
<br />$MED EXP (Any one person)
<br />$EACH OCCURRENCE
<br />DAMAGE TO RENTED $PREMISES (Ea occurrence)
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS-MADE OCCUR
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY PRO-JECT LOC
<br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
<br />CANCELLATION
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03)
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />CERTIFICATE HOLDER
<br />The ACORD name and logo are registered marks of ACORD
<br />HIRED
<br />AUTOS ONLY
<br />9/25/2025
<br />Cavignac
<br />451 A Street,Suite 1800
<br />San Diego CA 92101
<br />Certificate Department
<br />619-234-6848 619-234-8601
<br />certificates@cavignac.com
<br />Transportation Insurance Co.20494
<br />WOODROD-01 National Fire Insurance CO.of Hartford 20478WoodRodgers,Inc.
<br />3301 C Street,Bldg 100B
<br />Sacramento,CA 95816
<br />Continental Insurance Company 35289
<br />Twin City Fire Insurance Co 29459
<br />XL Specialty Company 37885
<br />1096277274
<br />A X 1,000,000
<br />X 1,000,000
<br />X Contractual Liab 15,000
<br />X Sev of interest 1,000,000
<br />2,000,000
<br />X
<br />Y Y 8033675515 10/1/2025 10/1/2026
<br />2,000,000
<br />B 1,000,000
<br />X
<br />Y Y 8033680861 10/1/2025 10/1/2026
<br />C X X 5,000,000803368103810/1/2025 10/1/2026
<br />5,000,000
<br />X 0
<br />C
<br />C XY8033675045
<br />8033674865
<br />10/1/2025
<br />10/1/2025
<br />10/1/2026
<br />10/1/2026 1,000,000
<br />1,000,000
<br />1,000,000
<br />D
<br />E
<br />Cyber Liability
<br />Professional Liability 72MB068143625
<br />DPR5047808
<br />10/1/2025
<br />10/1/2025
<br />10/1/2026
<br />10/1/2026
<br />Limit
<br />Each Claim
<br />Aggregate
<br />$2,000,000
<br />$5,000,000
<br />$7,000,000
<br />Drone/Aircraft Liability:Policy Number:UA05051540;Limit:$2,000,000;Effective 10/1/2025 to 10/1/2026;
<br />Carrier:ACE American Insurance Company 50%(NAIC #:22667)/National Liability &Fire Insurance Company 50%(NAIC #:20052)
<br />RE:All Operations of the Named Insured.The City of Pleasanton,its officers,employees and agents are named as additional insureds as respects to General
<br />Liability and Automobile Liability per policy form.Primary and Non-Contributory coverage applies to General Liability and Automobile Liability per policy form.
<br />Waiver of subrogation applies to General Liability,Automobile Liability,and Workers Compensation per policy form.Excess/Umbrella policy follows form over
<br />underlying policies:General Liability,Auto Liability &Employers Liability (additional insured and waiver of subrogation apply when afforded on underlying
<br />policies).Professional Liability -Claims made form,defense costs included within limit.If the insurance company elects to cancel or non-renew coverage for
<br />any reason other than nonpayment of premium,they will provide 30 days’notice of such cancellation or nonrenewal.
<br />City of Pleasanton
<br />123 Main Street
<br />P.O.Box 520
<br />Pleasanton,CA 94566
<br />Docusign Envelope ID: 33B4ACC0-3646-40D2-BA44-6F400D3AEE3F
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