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""1 MAAINtNC-04 NVAZQUEZ <br /> AA/CC-MEP' CERTIFICATE OF LIABILITY INSURANCE i DATE(MM/DDIYYYY) <br /> 9/21/2026 <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. (A/CNNo,Ext):(877)825-2681 FAX <br /> 600 Corporate Pointe Suite 600 (ac,Nr,):(951)231-2572 <br /> Culver City,CA 90230 E-MAIL cal.cpu@hubinternational.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Federal Insurance Company 20281 <br /> INSURED INSURER a: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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD ,(MM/DDNYYYI (MM/DD/WYb_ <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE X OCCUR X X 35790788 8/15/2026 8/15/2027 PREM SE$((EaEoccu ence1 $ 2,000,000 <br /> MED EXP(Any one person) $ 10'000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY PRO- LOC 2,000,000 <br /> PRO- <br /> JECT PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> (Ea accident) $ <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 HIRED X NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (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 11 RETENTION$ $ <br /> B WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN W23J165213 10/1/2026 10/1/2027 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1'000'000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1'000'000 <br /> C E&O/Ded:$2,500 ES00140855067 6/26/2026 6/26/2027 Ea CIm/Agg 5,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Pleasanton Administration Analyst is Additional Insured with regard to the General Liability policy,when required by written contract,per the attached <br /> endorsement form 80-02-2367 05/07,Primary&Non-Contributory included.Waiver of Subrogation applies to the General Liability policy,when required by <br /> written contract,per the attached endorsement form 80-02-2000 04/01.Additional Insured applies with regard to the Auto Liability policy,when required by <br /> written contract,per the attached endorsement form CA2048 10/13. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Pleasanton Administratin Analyst 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 <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />