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Page 1 of 2 <br />ACUKU CERTIFICATE OF LIABILITY INSURANCE <br />D06/13/2024ATE Y) <br />��- <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN <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(les) 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 <br />CONTACT WTw Certificate Center <br />Willie Towers Watson Northeast, Inc. <br />NAME_ <br />— — <br />FAX <br />c/o 26 Century Blvd <br />(0. CNN.,Ext1: 1-877-945-7378 (AC.No,: 1-888-467-2378 <br />ADDIESS: certificates@wtwco.com <br />P.O, Box 305191 <br />Nashville, TN 372305191 DSA <br />INSURE (T AFFORDING COVERAGE _ NAIC* <br />GENERAL AGGREGATE $ 2,000,000 <br />INSURERA: Allied world Assurance Company US Inc 19489 <br />INSURED <br />INSURERS: Zurich American Insurance Company 16535 <br />GHD Inc. <br />--- --- <br />4747 N. 22nd Street, Suite 200 <br />INSURERC_Beazley Insurance Company Inc 37540 <br />Phoenix, AZ 85016 <br />INSURER D: <br />INSURER E: <br />COMBINED SINGLE LIMIT <br />{E3:kCddenll__ $ 1,000,000 <br />-BODILY <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: w33881118 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 <br />REDUCED BY PAID CLAIMS. <br />INS TYPE OF INSURANCE ADOL SUB <br />LTR INSD VIVID PO Y <br />- POLICY EFF POLICY ,YEXP <br />(MMIDD/YYYYI MMLODYYY LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS -MADE OCCUR <br />L'A <br />PREGIISES IEn ocgirrorq)_ $ 1,000,000 <br />A <br />MED EXP (Any one person) $ 25,000 <br />y Y 0310-4497 <br />12/01/2023 12/01/2024 PERSONAL &ADV INJURY $ 1,000,000 <br />GEN1 AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />7 POLICY X jEC7 ❑ <br />LOC <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />OTHER: <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />{E3:kCddenll__ $ 1,000,000 <br />-BODILY <br />X' ANYAUTO <br />INJURY (Per person) '$ <br />I <br />B <br />-OWNED SCHEDULED BAP 3757423-09 <br />AUTOS ONLY AUTOS <br />07/01/2024 07/01/2025 BODILY INJURY (Per accident) $ <br />X <br />PROPERTY DAMAGE $ <br />t� 9a�Lszss <br />cAoi� `sotHxxx <br />(Per <br />X <br />Hired Physical Damago$ 100,000.00 <br />�( UMBRELLA LIAB X OCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />EXCESS LIAR CLAIMS -MADE <br />Y Y 0310-4498 <br />12/01/2023 <br />12/01/2024 AGGREGATE $ 1,000,000 <br />DED X, RETENTIONS 10,000 <br />$ <br />WORKERS COMPENSATION <br />X <br />AND EMPLOYERS' LIABILITY Y N <br />STATUTE R <br />B ANYPROPRIETOR/PARTNERIEXECUTIVE <br />No NIA <br />E.L. EACH ACCIDENT $ 1,000,000 <br />OFFICER/MEMBEREXCLUDED? WC 0380936-09 <br />(Mandatory In NH) <br />07/01/2024 <br />07/01/2025' <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />Ues, describe under <br />SCnIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 <br />C Professional Liability V29594230501 <br />12/01/202312/01/2024 Each Claim: $2,000,000 <br />Aggregate: $2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) <br />GHD Project no.: 12559354 <br />Project Name: Workflow Consultant for Computerized Maintenance <br />Management System - RFP OSD 2021-001 <br />Umbrella/Excess Liability follows form over General Liability, <br />Auto Liability and Employer's Liability. <br />a,r.n I IrIVM I Q nvLur-M k;ANk;tLLA I IUIV <br />City of Pleasanton <br />PO Box 520 <br />CA 94566 <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 />Mlz� <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SR ID: 26008438 BATCH: 3501447 <br />3437: 2 ' of 4 <br />