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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 />INSURER(S) AFFORDING COVERAGE <br />INSURER F : <br />INSURER E : <br />INSURER D : <br />INSURER C : <br />INSURER B : <br />INSURER A : <br />NAIC # <br />NAME: <br />CONTACT <br />(A/C, No): <br />FAX <br />E-MAIL <br />ADDRESS: <br />PRODUCER <br />(A/C, No, Ext): <br />PHONE <br />INSURED <br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 />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 />OTHER: <br />(Per accident) <br />(Ea accident) <br />$ <br />$ <br />N / A <br />SUBR <br />WVD <br />ADDL <br />INSD <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 REDUCED BY PAID CLAIMS. <br />$ <br />$ <br />$ <br />$PROPERTY DAMAGE <br />BODILY INJURY (Per accident) <br />BODILY INJURY (Per person) <br />COMBINED SINGLE LIMIT <br />AUTOS ONLY <br />AUTOSAUTOS ONLY <br />NON-OWNED <br />SCHEDULEDOWNED <br />ANY AUTO <br />AUTOMOBILE LIABILITY <br />Y / N <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />DESCRIPTION OF OPERATIONS below <br />If yes, describe under <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />$ <br />$ <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. EACH ACCIDENT <br />ER <br />OTH- <br />STATUTE <br />PER <br />LIMITS(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY) <br />POLICY EFF <br />POLICY NUMBERTYPE OF INSURANCELTR <br />INSR <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />EXCESS LIAB <br />UMBRELLA LIAB $EACH OCCURRENCE <br />$AGGREGATE <br />$ <br />OCCUR <br />CLAIMS-MADE <br />DED RETENTION $ <br />$PRODUCTS - COMP/OP AGG <br />$GENERAL AGGREGATE <br />$PERSONAL & ADV INJURY <br />$MED EXP (Any one person) <br />$EACH OCCURRENCE <br />DAMAGE TO RENTED <br />$PREMISES (Ea occurrence) <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT LOC <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />CERTIFICATE HOLDER <br />The ACORD name and logo are registered marks of ACORD <br />HIRED <br />AUTOS ONLY <br />2,000,000 <br />750318538 <br />750318538 <br />PO Box 2057 <br />City of Pleasanton <br />X <br />X <br />sara.dorrisey@epicbrokers.com <br />500,000 <br />23841 <br />19445 <br />2,000,000 <br />10690 <br />10,000,000 <br />RE: Traffic Signal Maintenance Services Pleasanton CA. <br />X <br />1-925-798-3334 <br />X <br />When required by written contract, Additional Insured status with Primary & Non-Contributory coverage applies to <br />Additional Insured(s): City of Pleasanton, its officers, employees and agents. <br />Compensation, all as per the attached endorsements. <br />General Liability and Auto Liability and Waiver of Subrogation applies to General Liability, Auto Liability and Workers <br />Excess Liability underlying policies include General Liability, Automobile Liability and Employers Liability. <br />04/01/25 <br />30 days notice of cancellation, as per the attached endorsements. <br />USA <br />X <br />04/01/25 <br />St. Francis Electric, LLC <br />03102673 <br />WC022298334 <br />04/01/24 <br />X <br />925-887-6815 <br />2,000,000 <br />04/01/25X <br />X <br />DorriseyS <br />X <br />X <br />04/01/24 <br />4,000,000 <br />X <br />Pleasanton, CA 94566 <br />P.O. Box 5668 <br />25,000 <br />ALLIED WORLD NATL ASSUR CO <br />NATIONAL UNION FIRE INS CO OF PITTS <br />4,000,000 <br />NEW HAMPSHIRE INS CO <br />2,000,000 <br />04/01/24 <br />CA4773676 04/01/24 <br />San Leandro, CA 94577 USA <br />Y <br />Sara Dorrisey <br />C <br />B <br />925-822-9009 <br />A GL5342018 <br />2,000,000A <br />03/28/2024 <br />X <br />X <br />10,000,000 <br />2,000,000 <br />CA LIC 0B29370 <br />P.O. Box 520 <br />Concord, CA 94524 USA <br />04/01/25 <br />[Concord - Branch ID 15469] DIV# 401/406 <br />Edgewood Partners Insurance Center (EPIC) <br />X <br />DocuSign Envelope ID: 54DD5724-2CAB-4092-8CE2-CBE2FBB10210