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ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) TYPE OF INSURANCE 10/10/2024 THIS CERTIFICATE IS ISSUED ASA 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ins) must 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). PRODUCER CONTACT NAME: Jana Hinkle Leavitt Pacific Insurance Brokers, Inc PHONE (408) 288-6262 FAX AIC, No)(400)299-7635 License #OD79679 AD13RESS:7ana-hinkle@leavitt.com 1570 The Alameda, Suite 101 DAMAGE TO RENTED P 50,000 P.EMISES (CTS arrurronco INSURER S) AFFORDING COVERAGE NAIC # San Jose CA 95126 INSURERA:Landmark American Insurance Company 33138 INSURERB:West American Insurance Company 44393 INSURED George Bianchi Construction, Inc. INSURERC:RSUI Indemnity Company 22314 775-A Mabury Road INSURER D: Insurance Company of the West 27847 INSURER E: Westchester Surplus Lines 10172 San Jose CA 95133 INSURER F:StarStone Specialty Insurance Company 44776 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DDlYYYY) POLICY EXP (MMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY � CLAIMS -MADE 1 I OCCUR X Y LRA114830 10/9/2024 10/4/2025MED EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED P 50,000 P.EMISES (CTS arrurronco EXP (Any one person) S NONE PERSONAL 8 ADV INJURY S 1,000,000 AGGREGATE LIMITAPPLIES PER: POLICY a] JE Q 7 LOC GENERAL AGGREGATE S 2,000,000 GEN'L PRODUCTS - COMP/OPAGG S 2,000,000 OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea acodent 1,000,000 B X ANYAUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED AUTOS AUTOS Y BAW56320903 10/9/2024 10/4/2025 BODILY INJURY (Per accident) S X HIREDAUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident S X 5500 Comp Ded X 5500 Coll Ded Umnsurod motonsl combined single S 1,000,000 C UMBRELLA LIAB XCESS LIAB X OCCUR CLAIMS•MADE EACH OCCURRENCE S 51000,000 4,10 AGGREGATE S 5,000,000 ED RETENTION S $ NHA602725 10/4/2024 10/4/2025 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes. describe under N / A y WPL506754002 10/4/2024 10/4/2025 PER OTH- X STATUTE ER E L EACH ACCIDENT $ 1,000.000 EL DISEASE - EA EMPLOYEE S 1,000,000 E L DISEASE - POL!CY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below E I F Pollution Insurance Excess Liabilty 674352029003 85092A244ALI (2nd Layer) 11/9/2024 10/4/2024 11/9/2025 10/4/2025 S2,500 Deductible $1M Occ/$2M Agg $4M Occ/$4M Agg DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Pleasanton, its officers, employees, and agents are included as Additional Insured per attached GL endorsement. GL/AUTO/WC Waiver of Subrogation applies and attached. CERTIFICATE HOLDER CANCELLATION City of Pleasanton P.O. Box 520 Pleasanton, CA 94566 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 red Stafford/MIDATO © 1988-2014 ACORD ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) r RATIr)N All rinhfo rnan...e 4