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�·· CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 05/09/2024 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. <br />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). <br />PRODUCER <br />JOHN EKNO (97-55-316 ) 210 W. Birch St. #205 Brea, CA 92821 <br />INSURED CROSSROADS SOFTWARE INC <br />407 W IMPERIAL HWY SUITE H #378 BREA, CA 92821-4832 <br />COVERAGES CERTIFICATE NUMBER: <br />CONTACT NAME: <br />�:J���O. EXT): (877) 472-2517 I FAX (A/C, NO): <br />E-MAIL ADDREssjekno@farmersagent.com <br />INSU RER(S) AFFORDING COVERAGE INSURER A: Truck Insurance Exchange INSURER B: Farmers Insurance Exchange INSURER C: Mid Century Insurance Company INSURER D: INSURER E: INSURER F: REVISION NUMBER: <br />714-257-2522 <br />NAIC# 21709 21652 21687 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDTL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br />X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 -□ CLAIMS-MADE I X I OCCUR DAMAGE TO RENTED $100,000 PREMISES (Ea Occurrence) - <br />� � <br />MED EXP (Any one person) $5,000 604395845 08/27/2023 08/27/2024 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br />� POLICY □ PROJECT □ LOC PRODUCTS -COMP/OP AGG $2,000,000 OTHER: $ <br />COMBINED SINGLE LIMIT $ncluded AUTOMOBILE LIABILITY (Ea accident) <br />ANY AUTO BODILY INJURY (Per person) $ -OWNED AUTOS � SCHEDULED @] ONLY AUTOS □ □ 604395845 08/27/2023 08/27/2024 BODILY INJURY (Per accident) $ -� HIRED AUTOS NON-OWNED PROPERTY DAMAGE -ONLY X AUTOS ONLY (Per accident) $ � $ <br />UMBRELLA LIAB OCCUR EACH OCCURRENCE $ -� □ □□ EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br />DED I I RETENTION$ $ WORKERS COMPENSATION I PER I AND EMPLOYERS' LIABILITY STATUTE I OTHER $ <br />ANY PROPRIETOR/PARTNER/ Y/N E.L. EACH ACCIDENT $ C C N/A □ EXECUTIVE OFFICER/MEMBER E.L. DISEASE EA EMPLOYEE $ EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF E.L. DISEASE POLICY LIMIT $ OPERATIONS below <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule, may be attached if more space is required) 545 VIA CODO, FULLERTON, CA, 92835 <br />CERTIFICATE HOLDER CITY OF PLEASANTON CITY MANAGER PO BOX520 <br />PLEASANTON CA 945660802 <br />ACORD25 {2016/03) 31-1 769 11 -15 <br />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. AUTHORIZED REPRESENTATIVE <br />©1988-2015 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD <br />A09465956 08/13/2023 08/13/2024 <br />X <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />Professional E&O Coverage Policy #: UDC-4733564-EO-24 Effective Date: 02/10/2024 to 02/10/2025 Limit Each Claim: $1,000,000 Aggregate Limit: $1,000,000 <br />City of Pleasanton, its officers, employees, and agents are listed as additional insureds. <br />John Ekno <br />Cyber Liability Insurance & Breach <br />Response Coverage 604395845 08/27/2023 08/27/2024 Coverage Limit: $1,000,000 <br />Y <br />John Ekno <br />DocuSign Envelope ID: 82AAA32D-5103-4DDB-A27A-6CBCCB293000