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08
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2014
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090214
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08
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8/25/2015 4:56:04 PM
Creation date
8/27/2014 4:43:40 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
9/2/2014
DESTRUCT DATE
15Y
DOCUMENT NO
8
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Client#:8372 RMCWATERE <br /> ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE( O "" <br /> a <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Dealey,Renton&Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P.O.Box 12675 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Oakland,CA 94604-2675 <br /> 510 4654090 David C.Eckman INSURERS AFFORDING COVERAGE <br /> INSURED INSURER A: Travelers Indemnity Co.of Conn <br /> RMC Water and Environment INSURER B: Travelers Property Casualty Co <br /> 2175 North California,Suite 315 INSURER C: ACE American Insurance Company <br /> Walnut Creek,CA 94596 <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 1NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR DATE IMM/DDM') DATE IMM/DDIYY) <br /> A GENERAL LIABILITY 68054271_498 10/14/13 10/14/14 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(My one fire) $300,000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) 55.000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIM IT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 <br /> 5T <br /> I n IPRO- n we <br /> B AUTOMOBILEUABIUTY BA5427L23A 10/14/13 10/14/14 COMBINED SINGLE LIMIT 51,000,000 <br /> X ANY AUTO (Ea acadent) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE 5 <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> B EXCESS LIABILITY CUP7371Y987 10/14/13 10/14/14 EACH OCCURRENCE $4,000,000 <br /> X OCCUR CLAIMS MADE AGGREGATE $4,000,000 <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> B WORKERS COMPENSATION AND UB3916T448 07/01/14 07/01/15 X WOA 0H. <br /> EMPLOYERS'LIABILITY <br /> E.L.EACH ACCIDENT $1,000,000 <br /> E.L.DISEASE-EA EMPLOYEE 61,000,000 <br /> E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> C OTHER Professional EONG21657372010 10/14/13 10/14/14 $2,000,000 per Claim <br /> &Contractor's $2,000,000 Annl Aggr. <br /> Pollution Uab. <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> General Liability policy excludes claims arising out of Professional Services. <br /> REF: Design of Recycled Water Distribution System City of Pleasanton. <br /> GENERAL LIABILITY/AUTOMOBILE LIABILITY ADDITIONAL INSURED:City of Pleasanton,its officers,employees and <br /> agents.Insurance is primary and noncontributory per policy form.Waiver of Subrogation applies to <br /> Commercial General Liability,Automobile Liability and Workers Compensation. <br /> CERTIFICATE HOLDER I ADDRIONAL INSURED;INSURER LEITER: CANCELLATION <br /> SHOULD ANYOFTHE ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Pleasanton DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN <br /> Attn: Dave Requa NOTICE TOTHE CERTIFICATE HOLD ER NAM ED TOTHE LEFT,BUTFNLURE TO DO SOSH ALL <br /> P.O.Box 520 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Pleasanton,CA 94566 REPRESENTATIVES. <br /> AUT`HnnORD REPRESENTATIVE <br /> RRESENTATIVE <br /> ACORD 25-S(7/97)1 of 1 #S1070660/M1009154 DAC 0 ACORD CORPORATION 1988 <br />
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