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ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 3/26/2024 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ~2~1~CT Maria Mantineo R. C. Fischer & Co . rA~~Ntfn Eril: 925-627 -54 72 I FAX P. 0. Box 8101 (A/C Nol: 925-932-0962 Walnut Creek CA 94596 i~lri~ss: mmantineo@rcfischer.com INSURER($) AFFORDING COVERAGE NAIC# INSURER A: National Union Fire Insurance Company of Pittsburg 19445 INSURED JMBCONS-01 INSURER B : New Hampshire Insurance Company 23841 JMB Construction Inc INSURER C : Starr Indemnity & Liability Company 38318 132 South Maple Ave South San Francisco CA 94080 INSURER D: Indian Harbor Insurance Company 36940 INSURER E : Naviaators Specialty Insurance Company 36056 INSURER F : COVERAGES CERTIFICATE NUMBER: 1696841962 REVISION NUMBER: THIS IS TO CERT IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED . NOTW ITHSTANDING 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 SUBJ ECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . INSR TYPE OF INSURANCE ADDL SUBR ,:~hlg'fv~Vv1 POLICY EXP LTR It.ten W\/n POLICY NUMBER (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY y GL5342033 4/1/2024 4/1/2025 EAC H OCCURR ENCE $2,000 ,000 -~ CLAIM S-MAD E 0 OCC UR DAMAGE TO RENTE D -PRE MI SES /Ea occurrence\ $500 ,000 MED EXP (Any one person) $25 ,000 - X Incl XCU PERSONAL & ADV INJURY $2,000 ,000 - GEN 'L AGGREGATE LIM IT APP LI ES PER : GEN ER A L AGGR EGATE $4,000 ,000 Fl 0 PRO-D Lo c PR ODUCTS -COMP/OP AGG $4 ,000 ,000 PO LI CY JECT OTH ER: $ A AUTOMOBILE LIABILITY y CA 3786647 4/1/2024 4/1/2025 COMB INED SINGLE LIMI T $2,000 ,000 /Ea ac cident) -X AN Y AUTO BODI LY INJ URY (P er person) $ -OWNED -SC HEDU LED AUTOS ON LY A UTOS BODILY INJU RY (Per accident ) $ -HIR ED -NON-OWN ED PROPERTY DAMAG E X AUTOS ONLY X AUTOS ONLY /P er acci dent\ $ --$ C UMBRELLA LIAB ~ OCCU R 1000586959241 4/1/2024 4/1/2025 EACH OCCURR ENC E $5,000 ,000 E -SF24EXCZ04W92IC 4/1/2024 4/1 /2025 X EXCESS LIAB CLAIMS-MAD E AG G REGAT E $5,000 ,000 OED I X I RETENTIO N $ () 1ST LAYER $10 ,000 ,000 B WORKERS COMPENSATION y WC 25893658 4/1/2024 4/1/2025 X I PER I I OTH- STATUTE ER AND EMPLOYERS' LIABILITY Y /N ANYPROPR IETOR/PARTNER/EXECU TIVE □ E.L. EACH ACCIDENT $2,000 ,000 OF FICE R/MEMBER EXC LUD ED? N /A (Mandatory In NH) E.L. DISEASE -EA EMP LOYEE $2,000 ,000 ~~it~~;fri~ onloPERATIONS bel ow E.L. DISEASE -PO LI CY LIMIT $2,000 ,000 D POLLUTION LIAB ILITY PEC006307801 4/1/2024 4/1/2025 EAOCC/AG G $5M /$5M DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 , Addit ional Remarks Schedule , may be attached If more space Is requ ired ) *Pollution Po licy includes Non-Owned Disposal Site Coverage . RE : Near Term Wa ter Improvements , CIP No . 24171 & 24173 -$7 ,852 ,150 .00 . Attention : Publ ic Works , Eng ineering . City of Pleasanton and Zone 7, its officers , offi ci als , employees and volunteers a re named additional insureds per CG20101219 , CG20371219 & 87950 1005 . Insurance is primary and noncontributory per CG20011219 & 744451099 . Per proj ect aggregate appl ies per 866810904 . Wa iver of Subrogation applies per WC0403611190 . Separation of insureds applies per CG00010413 . 30 days notice of cancellation applies per 107414031 1. CERTIFICATE HOLDER City of Pleasanton P.O. Box 520 Pleasanton CA 94566 ACORD 25 (2016/03) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 7FAA54C3-9A1A-4C50-9AAD-7467E7B73787