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—� SEQUECO-CL EOROPEZA
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<br /> FDATE / Y)CERTIFICATE OF LIABILITY INSURANCE ' 11/18/2024
<br /> ETHI S 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 License#0603247 CONTACT
<br /> NAME:
<br /> George Petersen Insurance Agency, Inc. PHONE FAX
<br /> P.O. Box 3539 (A/C,No,Ext):(415)454-6454 (A/C,No):(415)444-0986
<br /> E-MAIL
<br /> Santa Rosa,CA 95402 ADDRESS:info@gpins.com
<br /> _ INSURER(S)AFFORDING COVERAGE _ NAIC N
<br /> INSURER A:Lloyds of London _ _11198
<br /> INSURED INSURER B:California Automobile Insurance Company 38342
<br /> Sequoia Ecological Consulting,Inc. INSURER C:State Compensation Insurance Fund 35076
<br /> 1342 Creekside Drive INSURERD:
<br /> Walnut Creek,CA 94596 -
<br /> INSURER E.
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUB
<br /> POLICY NUMBER POU
<br /> EFF POUCY EXP LIMITS
<br /> INSO LTR
<br /> WVD MM/DD/YYYY MM/ rM,
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ _ _$_ 2'000,000
<br /> CLAIMS-MADE X OCCURCSIEL00995-00 11/30/2023 1/16/2025 DAMAGE TO RENTED 100,000
<br /> X X PREMIE J_Eaoc-currence)--_$-
<br /> MEDEXP(MYoneQer A.-_$ - 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'��'���
<br /> X POLICY jpeT LOC PRODUCTS-COMP/OP AGG T$ 2,000+000
<br /> OTHER: ___ $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Ea accident)- - - ._$
<br /> X ANY AUTO BA040000078201 1/18/2024 1/18/2025 BODILY INJURY_CPer persony _$
<br /> OWNED SCHEDULED
<br /> AURTOpS ONLY AUTOSBODILYBODILY INJURY LPer accident)_$
<br /> HIRED ONLY AOTOS ONL� PROPERTY DAMAGE
<br /> accident- - -$- - - - - - - -
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4'000'000
<br /> X EXCESS LAB CLAIMS-MADE CSIXEL00092-01 11/3012023 1/16/2025 AGGREGATE $ 4,000,000
<br /> DED X RETENTION$ 0 $
<br /> C WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STS_, ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X 9224624-24 1/16/2024 1/16/2025 1,000,000
<br /> (M
<br /> pFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $----
<br /> _
<br /> andatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $
<br /> A Professional Liabili CSIEL00995-00 11/30/2023 1/16/2025 Each Claim/AGG 2,000,000
<br /> A Pollution Liability CSIEL00995-00 11/30/2023 1/16/2025 Each Claim/AGG 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE:Augustin Bernal Community Park Fuels Reduction Project
<br /> City of Pleasanton,its officers,employees and agents are named as additional insured with respects to General Liability per CG 20 10 07 04.Coverage is
<br /> Primary&Noncontributory per CG 20 01 04 13.Waiver of Subrogation applies per CG 24 04 10 93.Workers'Compensation Waiver of Subrogation applies per
<br /> WC 2572.All forms and/or endorsements are attached.
<br /> Maritime Employer's Liability Coverage 12/1/2023—12/1/2024
<br /> Policy No.OMH419949101 -Limit Per Occurrence: $1,000,000
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> i
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Pleasanton; Department of Public Works THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> PO Box 520
<br /> Pleasanton,CA 94566
<br /> AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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