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<br />9/3/2026
<br />352'8&(5
<br />Edgewood Partners Insurance Center5909 Peachtree Dunwoody Road, Suite 800, Atlanta, GA 30328678-324-3300 (Phone), 678-324-3303 (Fax)
<br />
<br />HDI Global Specialty SE 16131USA Swimming, Inc.1 Olympic PlazaColorado Springs CO 80909
<br />$;2
<br />;
<br />;
<br />;1-RSL-CO-17-01538639-01 1/01/2026 1/01/2027 2
<br />;3DUWLFLSDQW/HJDO Liability (;&/8'('
<br />2
<br />4,
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<br />B US2166905
<br />1/01/2026
<br />1/01/2027
<br />50,000
<br />
<br />City Of Pleasanton, its officials, officers, employees and
<br />volunteers
<br />123 Main Street
<br />Pleasanton CA 94566
<br />'(6&5,37,212)23(5$7,216/2&$7,2169(+,&/(6 $&25'$GGLWLRQDO5HPDUNV6FKHGXOHPD\EHDWWDFKHGLIPRUHVSDFHLVUHTXLUHG
<br />Certificate holder is additional insured as required by written contract as per CG2026 (12-19) Additional Insured - Designated Person or Organization. Verification of General Liability and Excess
<br />Liability coverage for COVERED ACTIVITIES (see attached). 30 Day Notice of cancellation applies per policy provisions.
<br />Other Insureds include the following: USA Swimming individual members (including but not limited to member athletes, coaches, officials, and other members), group members (including member clubs and organizational members), and volunteers; but only while such parties are acting in their capacity as such with respect to events and related activities organized, operated, sanctioned, or approved by USA Swimming, Inc. or any of its Local Swimming Committees (LSCs)
<br />Event Information: Swim practice (1/1/2026 - 1/1/2027)
<br />Excess Medical $
<br />Pleasanton Seahawks
<br />PO Box 1675
<br />Pleasanton CA 94566-0167
<br />;
<br />;
<br />X
<br />Accredited Surety and Casualty Company, Inc 26379
<br />1/01/2026
<br />1/01/2027
<br />Excess Liability
<br />1-RSL-CO-17-01538640-01$
<br />352'8&76&20323$**2,
<br />$1 Per Occ / $1,000,000 Agg
<br /> United States Fire Insurance Company 21113
<br />Excess Liability
<br />Participant Accident
<br />C
<br />C
<br />1/01/2026
<br />1/01/2026
<br />1/01/2027
<br />1/01/2027
<br />HDHX003701646
<br />HDHX003701647
<br />3
<br />$1 Per Occ / $1,000,000 Agg
<br />Docusign Envelope ID: F1ECF4B0-1C01-85FB-820C-DBBF58A21113
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