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Client#: 1548786 DHRCON
<br /> ACORD_ CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY)
<br /> 10/02/202,
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS y.'•+-
<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 any rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER NAMEACT Priscilla Moore
<br /> USI Insurance Services, LLC PHO E#):916 589-8000 GFAX
<br /> r/C No), 610 537 2346
<br /> Lic#OG11911 E-MAIL
<br /> 10940 White Rock Rd 2nd FI priscilia.moore@usi.com
<br /> ADDRESS: P
<br /> —
<br /> INSURER(S)AFFORDING COVERAGE NAIC X
<br /> Rancho Cordova,CA 95670 INSURER A:Travelers Indemnity Company of CT 25682
<br /> INSURED INSURER B:Travelers Property Cas.Co.of America 25674
<br /> 860 Green Island Road
<br /> D.H.R. Construction Inc. INSURER C:Technology Insurance Company,Inc. 42376
<br /> American Canyon, CA 94503 INSURER D:Evanston Insurance Company 35378
<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 CONTRACTOR 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 /> LTR TYPE OF INSURANCE ,gRL WVD _POLICY NUMBER MM/DDY EFF MM/DDY YYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY C07Y714952 10/01/2024 10101/2025 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X OCCUR p AGE T RENTED
<br /> PREMISES Ea occurrence $100 000
<br /> X BI/PD Ded:5,000 MED EXP(Any one person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> PRO-
<br /> POLICY 7X ECT —_J LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 8107Y71720A 0/01/2024 10/01/2025
<br /> Per EOMaBBI
<br /> OWNED INED SINGLE LIMIT $110001090
<br /> Ixx ANY BODILY INJURY
<br /> nvT05 pNLY SCHEDVLF�p ( person) $
<br /> AUTos BODILY INJURY(Per accident) $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Peraccident $
<br /> B X UMBRELLA LIAB X I OCCUR CUP7Y733641 10/01/2024 10/01/2025 EACH OCCURRENCE s4,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE s4,000,000
<br /> DED I I RETENTION$ $
<br /> C WORKERS COMPENSATION TWC4509627 0/01/2024 1010112025 X ISPTEART,Tr OTH-
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N E.L.EACH ACCIDENT $1,000,000
<br /> OFFICERIMEMBER EXCLUDED? y N/A E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> (Mandatory in NH)
<br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $1 000,000
<br /> _ DESCRIPTION PF OPERATIONS below _
<br /> D Pollution CPLMOL122499 03/08/2024 03/08/202 $1,000,000 Occurence
<br /> $2,000,000 Aggregate
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS[VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> **Workers Comp Information**
<br /> Proprietors/Partners/Executive Officers/Members Excluded:
<br /> Joy Ramos,Vice President
<br /> Daniel Ramos, President
<br /> (See Attached Descriptions)
<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 /> Attn: City Manager ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> P.O. Box 520
<br /> AUTHORIZED REPRESENTATIVE
<br /> Pleasanton, CA 94566
<br /> " © 8-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD VAPZP
<br /> #S46518755/M46497724
<br />
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