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DocuSign Envelope ID:9D75147C-A6EF-4E54-94F5-57200035C54F <br /> DATE(MM/DD/YYYY) <br /> � CERTIFICATE OF INSURANCE 02/13/2024 <br /> NOTE: THIS CERTIFICATE OF INSURANCE IS INTENDED FOR INFORMATIONAL PURPOSES ONLY TO CERTIFY THAT INSURANCE COVERAGE AS SUMMARIZED <br /> BELOW HAVE BEEN ORDERED WITH THE INSURER(S)NAMED.THIS CERTIFICATE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. FURTHER,THIS CERTIFICATE GRANTS NO RIGHTS UPON THE CERTIFICATE HOLDER. IF THE <br /> CERTIFICATE HOLDER REQUESTS STATUS AS AN ADDITIONAL INSURED OR WAIVER OF SUBROGATION,SUBJECT TO THE TERMS AND CONDITIONS OF THE <br /> POLICY,THE POLICY MAY REQUIRE ENDORSEMENT FROM THE INSURER TO AFFECT SUCH STATUS OR WAIVER. THIS CERTIFICATE DOES NOT GRANT ANY <br /> RIGHTS,STATUS OR WAIVER IN LIEU OF SUCH ENDORSEMENT(S)AS REQUIRED BY THE INSURER. THE INFORMATION CONTAINED HEREIN IS AS OF THE DATE <br /> THIS DOCUMENT WAS ISSUED;ASSURTRAK SHALL BE UNDER NO OBLIGATION TO UPDATE SUCH INFORMATION. <br /> PRODUCER NAMED INSURED(S) <br /> Assurtrak Insurance Brokers, LLC <br /> 1927 S.Tryon St., Ste.205 Jones Hall, A Professional Law Corporation <br /> 475 Sansome Street, Suite 1700 <br /> Charlotte, NC 28203-4688 San Francisco, CA 94111 <br /> (704)771-1294 info@assurtrak.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: QBE Insurance Corporation 39217 <br /> INSURERB: Ascot Specialty Insurance Company 45055 <br /> INSURER C: <br /> INSURER D: <br /> COVERAGES <br /> The coverage afforded by the policies described herein is subject to all terms,conditions and exclusions of the actual policy form(s)and all applicable endorsement(s). <br /> The limits of liability shown below may have been reduced by payment of claims or expenses. <br /> INSURER <br /> LETTER TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UMIT(S)OF LIABILITY(USD) <br /> Lawyers Professional PER CLAIM: $ 5,000,000 <br /> A Liability LAW-12642-00 02/25/2023 02/25/2024 <br /> AGGREGATE: $ 5,000,000 <br /> B Excess Lawyers LPXS2310000825-01 02/25/2023 02/25/2024 EXCESS PER CLAIM: $5,000,000 <br /> Professional Liability EXCESS AGGREGATE: $5,000,000 <br /> $ <br /> OTHER <br /> Is <br /> Is <br /> ADDMONAL INFORMATION/NOTES <br /> Total Limit of Liability: $10,000,000 Per Claim / $10,000,000 Aggregate <br /> Deductible: $100,000 Per Claim <br /> CERTIFICATE HOLDER CANCELLATION <br /> IN THE EVENT OF CANCELLATION OF ANY OF THE ABOVE DESCRIBED INSURANCE <br /> POLICIES,NOTICE SHALL BE PROVIDED IN ACCORDANCE WITH THE PROVISIONS OF <br /> SUCH POLICY. <br /> City of Pleasanton <br /> PO Box 520 AUTHORIZED REPRESENTATIVE <br /> Pleasanton, CA 94566 <br /> This certificate does not amend or alter the coverage described herein in anyway. Full payment of premium by the insured(s)is a condition precedent to any potential <br /> coverage. This document is intended for the internal informational use of the named insured(s)listed above as well as any parties authorized by the named insured(s) <br /> for their internal use,provided that no additions or modifications are made. Any other use,reproduction or distribution of this document without the written consent <br /> of Assurtrak Insurance Brokers, LLC is prohibited. Assurtrak Insurance Brokers, LLC nor the Insurer(s) listed herein accept responsibility for any additions or <br /> modifications hereon without written permission from Assurtrak Insurance Brokers,LLC and/or that are not on record with the insurer(s). The actual policy or policies <br /> summarized by this certificate dictate terms and conditions of coverage;in the event of any differences the policy prevails. <br /> AIB-PLCOI-062019-Assurtrak Insurance Brokers,LLC Page 1 of 1 dAssurtrak <br />