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MAININC-04 BRODRIGUEZI
<br /> '4�Ro TE(MM/DDIYYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE DA 7/31/2026
<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 License#0757776 CONTACT Ella Chen
<br /> NAME:
<br /> HUB International Insurance Services Inc. Palo,Ext):(626)612-0060 I FAX )231-2572
<br /> 600 Corporate Pointe Suite 600 (A/c,No):(951
<br /> Culver City,CA 90230 ADDRESS:cal.cpu@hubinternationa{.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Federal Insurance Company 20281
<br /> INSURED INSURER Et:Allmerica Financial Benefit Insurance Company 41840
<br /> Maintstar,Inc. INSURER C:Underwriters at Lloyd's London 15792
<br /> 1278 Glenneyre St.Ste.405 INSURER D:
<br /> Laguna Beach,CA 92651
<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 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER /YY9POLICY EFF POLICY EXP LIMBS
<br /> LTR, INSD WVD _IMM/DDYI (MM/DD/YYYYI 2,000,000
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
<br /> CLAIMS-MADE X OCCUR x x 35790788 8/15/2026 8/15/2027 pREMlSESO(EaEoccu encel $ 2,000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1'000'000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000
<br /> X POLICY JECT I 1 LOC PRODUCTS-COMP/OP AGO_ $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY i Ea accodeDtSINGLE LIMIT $ 1,000,000
<br /> ANY AUTO X 73517904 8/15/2026 8/15/2027 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X. AUTOS ONLY x AUTOS ONLYY PROPERTY DAMAGE $
<br /> (Per accident)
<br /> $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE _ $ 2,000,000
<br /> EXCESS LIAB CLAIMS-MADE 5671-75-09 8/22/2026 8/22/2027 AGGREGATE $ 2,000,000
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATION X PER
<br /> EOTH
<br /> AND EMPLOYERS'LIABILITY W23J165213 10/1/2025 10/1/2026 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YY N/A E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1'000'000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C E&O/Ded:$2,500 ESO0140855067 6/26/2026 6/26/2027 ,Ea Clm/Agg 5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Pleasanton is Additional Insured with regard to the General Liability policy,when required by written contract,per the attached endorsement form
<br /> 80-02-2367 05/07,Primary&Non-Contributory included.Waiver of Subrogation applies to the General Liability policy,when required by written contract,per
<br /> the attached endorsement form 80-02-2000 04/01.Additional Insured applies with regard to the Auto Liability policy,when required by written contract,per the
<br /> attached endorsement form CA2048 10/13.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> The Cityof Pleasanton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> PO Box 520
<br /> Pleasanton,CA 94566-0802
<br /> AUTHORIZED REPRESENTATIVE
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<br /> I
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
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