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A�d CERTIFICATE OF LIABILITY INSURANCE DATE(MMDONYTY) 10/20/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. — IMPORTANT: H the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the tams and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marron Insurance Services HONE 310-514-8425 I ire 310-5148688 1891 N.Gaffey Street,Suite 236 ADDRESS: becky@marronins.com San Pedro, CA 90731 INSURERS)AFFORDING COVERAGE /WC 0 INSURER A:United States Fire Insurance Company 21113 INSURED INSURER B: CleanStreet, Inc. INSURER C: DBA:California Street Maintenance INSURERD: 1937 W 169th Street • INamERE: Gardena,CA 90247 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AWL OF INSURANCE AWL SUB POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER ,(MM/DD/YYYYI IMMOD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY X 506-8763082 04/01/14 04/01/15 EACH OCCURRENCE $ 1,000,000 _ CLAIMS-MADE X OCCUR DAMAGETO RENTED 1,000,000 PREMISES(Ea occurrence) S MED EXP(Any one person) $ 10,000 PERSONAL BADV INJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X jECT I I LOC PRODUCTS-COMP/OP AGO 3 2,000,000 OTHER $ A AUTOMOBILE LIABILITY 506-8763082 04/01/14 04/14/15 COMBINEDdaml SINGLELIMIT $ 1,000,000 fEeam I X ANY AUTO BODILY INJURY(Per person) $—1,_ Aa OrNE0 _ SCHEDULED BODILY INJURY(Per accident) 3 X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accMoml I 3 A X UMBRELLA LAB X OCCUR 523-7088399 04/01/14 04/01/15 EACH OCCURRENCE s 5,000,000 EXCESS LIAO CLAIMS-MADE AGGREGATE S 5,000,000 LIED I RETENTION$ $ YORKERS COMPENSATION PLR OTH- AND EMPLOYERS LJABILJTY Y/N STATUTE ER ANY PROPRIETOR/PARTNER,EXECL/TIVE E.L.EACH ACCIDENT S OFF/CERA/EMBER EXCLUDED? I NIA (Mandatory M NH) E.L.DISEASE-EA EMPLOYEE S If yes,desvme Mbar DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addwonsl RmMrks Schedule,may be attached N more space Is rpulred) City of Pleasanton, its Officers, Employees and Agents are named as Additional Insured per attached endorsements. **10 Day notice will apply for non payment of premium.** CERTIFICATE HOLDER CANCELLATION City of Pleasanton ANY Old Bernal Avenue THE UL EXPIRATION DATE OVE THEREOF,DESCRIBED NOTICE POLICIES WILL CBE CDELIVERED IN Pleasanton, CA 94566 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (ea ziot I ©1988-2013 ACORD CORPORATION. All rights reserved. ACORD 25(2013/04) The ACORD name and logo are registered marks of ACORD