Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />12/20/2023 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER Phone: (530) 677-4745 Fax: (530) 677-4757 CONTACT <br />NAME:CRAIG CHESTER <br />P I A, INC./CHESTER & ASSOCIATES INS SVCS <br />P.O. BOX 2119 <br />CAMERON PARK CA 95682-7999 <br />PHONE <br />(A/C, No, Ext):530-677-4745 FAX <br />(A/C, No):530-677-4757 <br />E-MAIL <br />ADDRESS:chestpia@pacbell.net <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Agency Lic#: 0467457 INSURER A :LIBERTY MUTUAL Ohio Security Ins Co 24082 <br />INSURED <br />SUN RIDGE SYSTEMS, INC. <br />P O BOX 5071 <br />EL DORADO HILLS CA 95762-0002 <br />INSURER B :LIBERTY MUTUAL Ohio Security Ins Co 24082 <br />LIBERTY MUTUAL American Fire & Casualty Co 24066INSURER C : <br />Admiral Ins Co 24856INSURER D: <br />INSURER E : <br />COVERAGES CERTIFICATE NUMBER:6362 <br />INSURER F : <br />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 <br />LTR TYPE OF INSURANCE ADD'L <br />INSR <br />SUBR <br />WVD POLICY NUMBER POLICY EFF <br />(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY)LIMITS <br />A GENERAL LIABILITY BKS55951904 05/23/23 05/23/24 EACH OCCURRENCE $1,000,000 <br />X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES (Ea occurence)$500,000 <br />X OCCUR MED. EXP (Any one person)$15,000CLAIMS-MADE <br />PERSONAL & ADV INJURY $1,000,000 <br />GENERAL AGGREGATE $2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS - COMP/OP AGG $2,000,000 <br />X POLICY PRO- <br />JECT LOC $ <br />B AUTOMOBILE LIABILITY BAS55951904 05/23/23 05/23/24 COMBINED SINGLE LIMIT <br />(Ea accident)1,000,000 <br />ANY AUTO BODILY INJURY (Per person)$ <br />$ <br />ALL OWNED <br />AUTOS <br />SCHEDULED <br />AUTOS BODILY INJURY (Per accident)$ <br />X HIRED AUTOS X NON-OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />(per accident)$ <br />$ <br />C UMBRELLA LIAB X OCCUR ESA55951904 05/23/23 05/23/24 EACH OCCURRENCE $2,000,000 <br />CLAIMS-MADE AGGREGATE $2,000,000 <br />DED <br />EXCESS LIAB <br />RETENTION $$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />WC STATU- <br />TORY LIMITS <br />OTH <br />ER <br />Y / N E.L. EACH ACCIDENT $ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED?N / A E.L. DISEASE-EA EMPLOYEE $(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $ <br />D PROFESSIONAL E&O / CYBER LIABILTY N N EO000049119-05 05/01/23 05/01/24 PER OCCURRENCE $ 1,000,000 <br />DED: $10,000 RETRO DATES 5-1-19 & 6-6-19 AGGREGATE $ 2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION <br />CERTIFICATE HOLDER CANCELLATION <br /> CITY OF PLEASANTON <br /> 123 Main Street <br /> Pleasanton, CA 94566 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Attention: <br />Craig S. Chester <br />ACORD 25 (2010/05) <br />The ACORD name and logo are registered marks of ACORD <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />DocuSign Envelope ID: 84EBD142-B0C6-4060-8A8C-7614F992B2EA