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DocuSign Envelope ID: 893FD7B4-43FD-4679-97D8-5E800F326D50
<br />�1
<br />ACOR& CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />10/31/2023
<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 />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
<br />Heffernan Insurance Brokers
<br />CONTACT
<br />NAME: Maria Hill
<br />101 Second Street, Suite 120
<br />PHCNNagas 707-789-3069 (AI�C,Noll: 707-781-0800
<br />EonREss: MariaH@hefrins.com
<br />Petaluma CA 94952
<br />INSURER(S) AFFORDING COVERAGE NAIC N
<br />INSURER A: Travelers Property Casualty Company of America 25674
<br />INSURER B: The Travelers Indemnity Company of Connecticut 25682
<br />INSURED CALIDIE-02
<br />Got Power, Inc.
<br />dba: California Diesel and Power; dba: CD & Power
<br />ItrSUIRERC:
<br />150 Nardi Lane
<br />INSURER D:
<br />Martinez CA 94553
<br />-
<br />_
<br />GENERAL AGGREGATE $ 2,000,000
<br />INSURER E:
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY JECT LOC
<br />INSURER F:
<br />COVERAGES CERTIFICATE NIIMRFR• 1aFQ731g3A ps=vtclnNl K!"IU1011=13-
<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 />/NSR TYPE OF INSURANCE ADDL SUBRj - POLICY EFFF POLICY EXP '
<br />LTR I POLICY NUMBER MM/DD I(MMIDDIYYM LIMITS
<br />B
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE u OCCUR
<br />Y
<br />Y
<br />P-630-579OC67A-TCT-23
<br />11/1/2023
<br />1111/2024
<br />EACH OCCURRENCE $1,000,000
<br />AMACETb7ENTE�—
<br />PREMISES Ea occurrence) $ 300,000
<br />MED EXP (Any one person) $ 5,000
<br />_
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />_
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY JECT LOC
<br />PRODUCTS - COMPIOP A00 $ 2,000,000
<br />X OTHER: $0 Deductible
<br />_
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />810 -7N349896 -23-43-G
<br />11/1/2023
<br />11/1/2024
<br />COMBINEDtSINGLE LIMIT $1,000,000
<br />(Ea acciden
<br />X
<br />ANY AUTO
<br />BODILY INJURY (Per person) $
<br />r
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Pi $
<br />(Per accident)
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />per accident $
<br />A
<br />I X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />CUP-OK91553A-2313
<br />11/112023
<br />11/1/2024
<br />EACH OCCURRENCE $5,000,000
<br />AGGREGATE $5,000,000
<br />EXCESS LIAR
<br />I
<br />ICLAIMS-MADE
<br />DED X RETENTIONSn
<br />XS over GL. AL, EL $
<br />A AND EMPLOYERS WORKERS N ABIILmITY YIN N ON
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBEREXCLUDED7
<br />N / A
<br />UB -8K461791 -23-14-G
<br />8/5/2023
<br />8/5/2024
<br />X STATUT ETH-
<br />E L, EACH ACCIDENT 31,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />(Mandatory In NH)
<br />If yyes, desaibe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT S1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AddMonal Remarks Schedule, may be attached If more apace Is required)
<br />Re: As Per Contract or Agreement on File with Insured. City of Pleasanton, its officers, employees and agents are included as an additional insured (primary
<br />and non-contributory) includes completed operations on General Liability policy per the attached endorsements, if required. Waiver of Subrogation is included
<br />on General Liability policy per the attached endorsement, if required. This Certificate replaces and supersedes all previously issued certificates.
<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 />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Pleasanton
<br />P.O. Box 520
<br />Pleasanton, CA 94566 AUTHORIZED REPRESENTATIVE
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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