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'nom RDI, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 9/20/202 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR <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. <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 CONTACT <br /> Woodruff-Sawyer&Co. PHONE Chris KelleyFAX <br /> 50 California Street, Floor 12 evC N Ext),415 402-6521 A/c Nc:415-989-9923 <br /> San Francisco CA 94111 ADDAE-MRESS: ckelley@woodruffsawyer.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Zurich American Insurance Company 16535 <br /> INSURED WESNAL-61 INSURER B <br /> West Valley Construction Company, Inc. <br /> 603 Campbell Technology Pkwy INSURERC: <br /> Campbell, CA 95008 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1110757640 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 REDUCED BY PAID CLAIMS. <br /> INSR ADDLSUBR <br /> LTR TYPE OF INSURANCE N POLICY NUMBER MMIDDY EFF MM DDY EXP LIMITS <br /> A X COMMERCIAL GENERAL LIABILITYY Y GL0883784702 10/1/2024 10/1/2025 EACH OCCURRENCE $2,000,000 <br /> MAGE <br /> DATO RENTED <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence $100,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $2,000,000 <br /> GEN-L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> POLICY JECOT- ] LOC PRODUCTS-COMP/OP AGG $4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY BAP883784902 10/1/2024 10/1/2025 Ea aBINEDtSINGLE LIMIT s2,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED Ix <br /> NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I RETENTION$ $ <br /> ERJOA AND EMPLOYERS'LIABILITY Y/N WORKERS CMPENSATN WC883784302 10/112024 10/1/2025 X �STATUTE EERH <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE N E.L.EACH ACCIDENT 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? ❑ N/AI $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under —._ <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> F � 7 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Re:Poly Replacement. City of Pleasanton,its officers,officials,employees and volunteers are additional insured per attached endorsements.Coverage is <br /> Primary and Non-Contributory. Waiver of Subrogation applies per attached endorsements.Policies contain a 30 day notice of cancellation and a 10 day notice <br /> of cancellation for non-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Pleasanton ACCORDANCE WITH THE POLICY PROVISIONS. <br /> PO Box 520 AUTHORIZED REPRESENTATIVE <br /> Pleasanton CA 94566 � <br /> 4x- <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />