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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 />3/5/2026
<br />(WC)Heffernan Insurance Brokers
<br />1350 Carlback Avenue
<br />Walnut Creek CA 94596
<br />Walnut Creek AMS Team
<br />925-934-8500 925-934-8278
<br />WalnutCreekAMS@heffins.com
<br />License#:0564249 Hanover American Insurance Company 36064
<br />RAEL&LE-01 Lloyd's of LondonRael&Letson
<br />160 Bovet Rd.,Suite #203
<br />San Mateo CA 94402
<br />United Specialty Insurance Company 12537
<br />Indian Harbor Insurance Company 36940
<br />Republic Indemnity Company of America 22179
<br />Great American Spirit Insurance Company 33723
<br />724652554
<br />A X 1,000,000
<br />X 1,000,000
<br />10,000
<br />1,000,000
<br />2,000,000
<br />X
<br />Y Z2F 9695995 15 3/1/2026 3/1/2027
<br />5,000,000
<br />A 1,000,000
<br />X X
<br />Z2F 9695995 15 3/1/2026 3/1/2027
<br />A X X 5,000,000Z2F9695995153/1/2026 3/1/2027
<br />5,000,000
<br />X 0
<br />E
<br />F XY25056111
<br />424069910
<br />3/1/2026
<br />3/1/2026
<br />3/1/2027
<br />3/1/2027 1,000,000
<br />1,000,000
<br />1,000,000
<br />B
<br />C
<br />D
<br />CM Cyber[Continuity Date 3/4/16]
<br />CM Professional[Retro 7/1/1983]
<br />CM Excess Profess[Retro 7/1/1983]
<br />ESO1040716228
<br />GCT-1639439-01
<br />EKI3595355
<br />3/4/2026
<br />10/30/2025
<br />10/30/2025
<br />3/4/2027
<br />10/30/2026
<br />10/30/2026
<br />PerClaim/Agg-$10K SIR
<br />PerClaim/Agg-$50K SIR
<br />PerClaim/Agg
<br />$5,000,000
<br />$5,000,000
<br />$5,000,000
<br />Re:As Per Contract or Agreement on File with Insured.City of Pleasanton,its officers,employees and agents are included as additional insureds (and primary)
<br />on the General Liability Policy as per attached endorsements,if required.Waiver of Subrogation is included on Workers Compensation policy,if required.The
<br />Waiver endorsement has been requested for the Workers Compensation policy from the insurance company and if approved will be forwarded when received.
<br />The Cancellation notice endorsement has been requested for the General Liability policy from the insurance company and if approved will be forwarded when
<br />received.This Certificate replaces and supersedes all previously issued certificates.
<br />City of Pleasanton
<br />P.O.Box 520
<br />Pleasanton,CA 94566-0802
<br />Docusign Envelope ID: CBBDDDD1-569D-43D7-A1DA-FAD8F962C4B1
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