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AMERICAN WHOLESALE LIGHTING
City of Pleasanton
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AMERICAN WHOLESALE LIGHTING
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Last modified
7/26/2024 11:00:06 AM
Creation date
2/14/2024 10:06:25 AM
Metadata
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Template:
CONTRACTS
Description Type
Subdivision Improvement Agreement
Contract Type
New
NAME
AMERICAN WHOLESALE LIGHTING
Contract Record Series
704-05
Munis Contract #
2024456
Contract Expiration
12/31/2024
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ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYYY) <br />~ 01/25/2024 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT Cathy Burkhardt NAME: <br />ISU/San Francisco rt8NJio Ext\: (619) 837-2218 I FAX <br />(A/C No): (415) 248-3534 <br />CA License #0778092 E-MAIL cburkhardt@isusf.com ADDRESS : <br />PO Box 512965 INSURER($) AFFORDING COVERAGE NAIC# <br />Los Angeles CA 90051-2965 INSURER A : Travelers Property Casualty Company of America <br />INSURED INSURERS : <br />American Wholesale Lighting, Inc. INSURERC: <br />1725 Ru tan Drive INSURERD: <br />INSURER E: <br />Livermore CA 94551 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 23-24 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 "' POLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER /MM/DDIYYYY) /MM/DD/YYYYl LIMITS <br />X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br />I CLAIMS-MADE [81 OCCUR <br />W\MAC3t:: I U Kt::N I t::U <br />$ 300,000 PREMISES (Ea occurrence) <br />MED EXP (An y one person) $ 5,000 -A y Y-630-7R289284-TIL-23 12/08/2023 12/08/2024 PERSONAL & ADV INJURY $ 1,000 ,000 - <br />GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 ,000 ,000 <br />~ [81 PRO-DLoc PRODUCTS -COMP/OP AGG $ 2,000 ,000 POLICY JECT <br />OTHER: Employee Benefits $ 1,000 ,000 <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000 ,000 (Ea accident\ <br />~ ANY AUTO BODILY INJURY (Per person) $ -A OWNED SCHEDULED y BA-7R289038-23-14-G 12/08/2023 12/08/2024 BODILY IN JURY (Per accident) $ AU TOS ONLY AU TOS ~ HIRED x NON-OWN ED PROPERTY DAMAGE $ AUTOS ON LY AUTOS ONLY <Per accident\ <br />X Coll: $1 ,000 X Comp: $1,000 Medical payments $ 5,000 <br />X UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE $ 5,000 ,000 <br />A EXCESS LIAB CLAIMS -M ADE CUP-7R28939A-23-14 12/08/2023 12/08/2024 AGGREGATE $ 5,000,000 <br />OED I I RETENTION $ $ <br />WORKERS COMPENSATION I ~ffTuTE I I OTH - <br />AND EMPLOYERS' LIABILITY ER <br />Y/N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ <br />If yes , describe under <br />DES CRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ <br />Unlisted Items Limit $50 ,000 <br />A <br />Contractors Equipment <br />Y-630-7R289284-TIL-23 12/08/2023 12/08/2024 Total Limit $50,000 <br />Deductible $1 ,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Addltlonal Remarks Schedule , may be attached If more space Is required) <br />The City, its officers , offic ials , employees and volunteers are included as Add itional Insured as respects to Liability as required by written contract only as <br />pertains to the lnsured's operations as per Form CG D458 . Coverage is Primary & Non-Contributory. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Pleasanton Public Library, City of Pleasanton ACCORDANCE WITH THE POLICY PROVISIONS. <br />400 Old Bernal Ave <br />AUTHORIZED REPRESENTATIVE <br />Pleasanton CA 94566 ~~I!\ <br />I <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />DocuSign Envelope ID: FCF872D7-0EBA-4C32-9641-6C083031D73D
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