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SEQUECO-CL EOROPEZA <br /> ACORO <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)11/18/2024 <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 License#0603247 CONTACT <br /> George Petersen Insurance Agency,Inc. PHONE 415 454-6454 FAX,No):(415 444-0986 <br /> (A/c,No,Ext):( ) (A/C <br /> P.O.Box 3539 ) <br /> Santa Rosa,CA 95402 ADDRESS:Info@gpinS.COm <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Lloyds of London 120098 <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 INSURER D: <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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE <br /> M /YYYYI (MM/DDNYYYI <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAMA <br /> 2,000,000 <br /> CLAIMS-MADE X OCCUR X X CSIELOO995-00 11/30/2023 1/16/2025 PREMIREMIETORENTED 100,000 <br /> PSES(Ea occurrence) $ <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 2'000'000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2'000'000 <br /> X POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> JECT <br /> OTHER: $ <br /> COMBINED SINGLE LIMIT 1,000,000 <br /> B AUTOMOBILE LIABILITY (Ea accident) $ <br /> X ANY AUTO BA040000078201 1/18/2024 1/18/2025 BODILY INJURY(Per person) _ $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) $ <br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4'000'000 <br /> X EXCESS LIAB CLAIMS-MADE CSIXEL00092-01 11/30/2023 1/16/2025 AGGREGATE $ 4'000'000 <br /> DED X RETENTION$ 0 $ <br /> C WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER _ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X 9224624-24 1/16/2024 1/16/2025 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A 1,000,000 <br /> (Mandatory in NH) _ E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Professional Liabili CSIELOO995-00 11/30/2023 1/16/2025 Each Claim/AGG 2,000,000 <br /> A Pollution Liability CSIELOO995-00 11/30/2023 1/16/2025 Each Claim/AGG 2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE:Work performed by the Named Insured on behalf of the Certificate Holder <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 /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Pleasanton 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 />