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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/DD/YYYY) <br />~ 12/07/2023 <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 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 CSR Bral NAME: <br />Capital Providers Insurance PHONE (818) 676-0016 IA/C No Ext\: I FAX <br />(A/C No): (818) 676-0015 <br />License #0H52316 E-MAIL <br />ADDRESS: <br />20750 Ventura Blvd ., Ste 305 INSURER($) AFFORDING COVERAGE NAIC# <br />Woodland Hills CA 91364 INSURER A: Technology Insurance Company <br />INSURED INSURER B: <br />American Wholesale Lighting Inc INSURERC : <br />1725 Rutan DR INSURER D: <br />INSURER E: <br />Livermore CA 94551 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 23-24 WC Master 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 COND ITION S OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br />INSR TYPE OF INSURANCE <br />POLICYEFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYYl (MM/DD/YYYY) <br />COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br />_J CLAIMS-MADE □ OCCUR <br />DAMAl,:;t: TO Kt:N I t:U <br />$ -PREMISES /Ea occurrence\ <br />MED EXP (Any one person) $ - <br />PERSONAL & ADV INJURY $ - <br />GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br />~ □PRO-DLoc PRODUCTS -COMP/OP AGG $ POLICY JECT <br />OTHER: $ <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ /Ea accident) - <br />AN Y AUTO BODILY INJURY (Per person) $ --OWNED SCHEDULED BODILY INJU RY (Per accident) $ -AUTOS ONLY -AUTOS <br />HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY /Pe r accident) -- <br />$ <br />UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ -EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br />DED I I RETENTION $ $ <br />WORKERS COMPENSATION X:I PER I I OTH- <br />AND EMPLOYERS' LIABILITY STATUTE ER <br />Y/N 1,000 ,000 <br />A ANY PROPR IETOR/PARTNER/EXECUTIVE 0 N/A TWC4281074 06/08/2023 06/08/2024 E.L. EACH ACC IDEN T $ <br />OFFICER/MEMBER EXCLUDED? 1,000 ,000 (Mandatory i n NH) E.L. DISEASE -EA EMPLOYEE $ <br />If yes , describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <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 />City of Pleasanton -Library ACCORDANCE WITH THE POLICY PROVISIONS. <br />400 Old Bernal Ave . <br />AUTHORIZED REPRESENTATIVE <br />Pleasanton CA 94566 ~~ 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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