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ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE: <br />RICHBRA-01 <br />1 1 <br />Cavignac Wilsey Ham,Inc.dba WHB Engineers <br />3130 La Selva Street,Suite 100 <br />San Mateo,CA 94403 <br />25 CERTIFICATE OF LIABILITY INSURANCE <br />Leased/Rented Equipment;Policy No.6609T795381;Effective 07/01/2025 to 07/01/2026;Limit $25,000;Carrier:Travelers Property Casualty Company of <br />America.NAIC #25674. <br />Employee Practices Liability:Policy #82611214;Effective 07/01/2025 to 07/01/2026;Each Claim/Aggregate $1,000,000/$1,000,000;Federal Insurance <br />Company.NAIC #20281. <br />Re:On-Call Engineering Service for the City of Pleasanton,RFQ PWD 26.701.Additional Insured coverage applies to General Liability and Automobile Liability <br />for City of Pleasanton,its officers,employees and agents per policy form.Primary and Non-Contributory coverage applies to General Liability per policy form. <br />Waiver of subrogation applies to General Liability and Workers Compensation per policy form.Excess/Umbrella policy follows form over underlying policies: <br />General Liability,Auto Liability &Employers Liability (additional insured and waiver of subrogation apply when afforded on underlying policies).Professional <br />Liability -Claims made form,defense costs included within limit.If the insurance company elects to cancel or non-renew coverage for any reason other than <br />nonpayment of premium Cavignac will provide 30 days notice of such cancellation or nonrenewal.Property -Special form,replacement cost. <br />Docusign Envelope ID: 3106A646-2722-8468-80AD-700E514FF485