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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />03/28/2024 <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 BELOW. <br />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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CA Contractors Insurance Services, Inc. <br />9848 Business Park Dr <br />Suite H <br />Sacramento, CA 95827 <br />CONTACT <br />NAME:James Drake INSURER D: <br />PHONE <br />(A/C, No., Ext):(916) 363-2663 FAX <br />(A/C, No):(916) 363-2662 <br />E-MAIL <br />ADDRESS:certificates@ccisbonds.com <br />PRODUCER <br />CUSTOMER ID#: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED <br />WILSON GENERAL CONTRACTING INC <br />15923 Madrid Court <br />Tracy CA 95304 <br />INSURER A:Continental Casualty Company <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />20443 <br />COVERAGES CERTIFICATE NUMBER: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, EXCLUSIONS <br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR LTR TYPE OF INSURANCE ADD''L INSRD SUBR WVD POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS <br />A <br />GENERAL LIABILITY <br />X <br />COMMERICAL GENERAL LIABILITY <br />CLAIMS MADE <br />X <br />OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X <br />POLICY PROJECT LOC <br />C6985958690 3/28/2024 3/28/2025 <br />EACH OCCURANCE $1, 000, 000 <br />DAMAGE TO RENTEDPREMISES (Ea occurence)100,000.00 <br />MED EXP (Any one person)5,000.00 <br />PERSONAL & ADV INJURY 1,000,000.00 <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS = COMP/OP-AGG $2,000,000 <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />SCHEDULED <br />AUTOS <br />HIRED AUTOS NON-OWNED <br />AUTOS <br />COMBINED SINGLE LIMIT(Ea accident)$ <br />BODILY INJURY (Per person)$ <br />BODILY INJURY (Per accident)$ <br />PROPERTY DAMAGE(Per accident)$ <br />UMBRELLA LIAB OCCUR <br />EXCESS LIAB CLAIMS-MADE <br />DED RETENSION $ <br />EACH OCCURANCE <br />AGGREGATE <br />WORKERS COMPENSATION <br />AND EMPLOYER'S LIABILITY Y/N <br />ANY <br />PROPRIETOR/PARTNER/EXECUTIVE <br />(Mandatory in N/H) <br />If yes, describe under <br />DESCRIPTON OF OPERATIONS below) <br />N/A WC STATU-TORY LIMITS OTH-ER <br />E. L. EACH ACCIDENT <br />E. L. DISEASE-EA EMPLOYEE <br />E. L. DISEASE-POLICY LIMIT <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br />CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE <br />WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY <br />PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03)© 1998-2016 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />B <br />X AN1313128 5/8/2024 3/28/2025 <br />$1,000,000 <br />$1,000,000 <br />Nautilus Insurance Company 17370 <br />City of Pleasanton <br />3333 Bush Rd. <br />Pleasanton CA, 94566 <br />Park Division <br />DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City of Pleasanton, its officers, agents and empoloyees, are named as additional insured on the General Liability policy, per attached endorsements. The <br />coverage is subject to the policy's limits, exclusions, and limitations. Insurance is primary and noncontributory. Waiver of subrogation included for the General <br />Liability. 30-Day written notice of cancellation. 10-Day notice of nonpayment of premium. Umbrella policy to follow form. <br />License# 798732 <br />X <br />DocuSign Envelope ID: A09C14EB-53DE-46B6-BC81-69B61C978439