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AFRO' CERTIFICATE OF LIABILITY INSURANCE , ,Re $ �lo(MAD oia 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:N the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the tam..and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder hi lieu of such endorsementis). PRODUCER Lockton Insurance Brokers,LLC `;!}r.CT 725 S.Figueroa Street,35th Fl. rrL''t, Ears: I bet,No): CA License#0F15767 Los Angeles fo 90017 ' ae; (213)689-0065 6 INSURER(B)AFFORDING COVERAGE HNC* INSURER A: Alaska National Insurance Company 38733 INSURED CIeanSSeet,Inc. INSURER B: 1025936 dba: California Street Maintenance INSURER C: 1937 W 169th Street Gardena,CA 90247 INSURER D• INSURER E• INSURFR F• COVERAGES CLEANO1 CERTIFICATE NUMBER: I}165542 REVISION NUMBER: XXXXXXX 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, IMP AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. QTR TYPE OF INSURANCE pGp yryp POLICY NUMBER arigrn LIMITS COMMERCIAL GENERAL LABILITY EACH OCCURRENCE S XXXXXXX CLAIMS-MADE n OCCUR NOT APPLICABLE ;PiEMI E5 YE0.NTEDD ncel S XXXXXXX 1 MED EXP Any one person) s XXXXXXX PERSONAL&ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S XXXXXXX POLICYn 78.7 fl LOC PRODUCTS-COMP,OP AGO $ XXXXXXX OTHER s AUTOMOBILE LIABILITY COMBNEDD?INGLE LIMIT S XXXXXXX ANY AUTO NOT APPLICABLE }BODILY INJURY(Per person) $ XXXXXXX - ALLOWNED SCj5 ULLIED BODILY INJURY(Pere Iden($ XXXXXXX HIRED AUTOS _AUUOIN'0OS ED 'PROPERTY DAMAGE $ XXXXXXX_ !P dmN $ UMBRELLA UAB _OCCUR EACH OCCURRENCE S XXXXXXX EXCESS LIAR CLAIMS.MADE NOT APPLICABLE AGGREGATE _$ XXXXXXX DED I I RETENTIONS S A AND EMPPLLOYYERS'LABILITY Y/N Y I4D WS 08875 4/1/2014 4/1/2015 XISTATVTE I IGFR ANY PROPRIETOR/PARTNER/EXECUTIVE S 1,000,000 OFFICER/MEMBER MY in M EXCLUDED? © N/A El EACH ACCIDENT nerd.mrr r,MP El.=EASE-EA EMPLOYEE f 1,000,000 n aMme.0 OEeQi1TION OF F O PEM710N9 below Ii DISEASE-POLICY 4Mn s 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS r VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached If mom apace M required) Waiver of Subrogation applies per attached endorsement(s)or policy language. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13165542 AUTHORIZED REPRESENTATIVE City of Pleasanton 21X)Old Bemal Avenue Pleasanton CA 94566 ACORD 25(2014/01) el 8-201 C D C RPOO RATION.All rights reserved The ACORD name and logo are registered marks of ACORD