PLEASANTON COMMUNITY CONCERT BAND

DATE (MMIODIYYYV) ACORO® CERTIFICATE OF LIABILITY INSURANCE ~ I 6/6/2024 THIS CERTIFICATE IS ISSUED AS A 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(ies) 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 NAME7v , Noah Whitfield Cook, Disharoon &Greathouse, Inc. ~(510)437-1900 Irffc.Nol: (51.0)437-1.979 16 Bryson Drive . ld@cdginsurance.com INSURER(S) AFFORDING COVERAGE NA1C# Sutter Creek CA 95685 INSURER A : Nonprofits Insurance Alliance INSURED INSURERB: Pleasanton Community Concert Band INSURERC: P.O. Box 135 INSURERD: INSURERE: Pleasanton CA 94566 INSURERF: COVERAGES CERTIFICATE NUMBER'CL246617765 REVISION NUMBER' 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 CONTRACT OR 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 TYPE OF INSURANCE I~:~I: 11:~'5~ 1I:O~~~\ LIMITSLTR POLICY NUMBER X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 r--p CLAIMS-MADE ~~~~~~::~~encelA OCCUR $ 500,000 c- X 202430661NPO 6/23/2024 6/23/2025 MED EXP (Any one person) $ 20,000 - PERSONAL & ADV INJURY $ 1,000,000 - GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ~POLICY D ~~T D LOC PRODUCTS -COMPIOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY fr:~~~7d~~t~INGLE LIMIT $ r- ANY AUTO BODilY INJURY (Per pelSOn) $ -ALL OWNED ,SCHEDULED BODILY INJURY (Per accident) $AUmS AUTOS-!-NON·OWNEO rp~~~~J;i;,RAMAGEHIRED AUTOS AUTOS $ -!- $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ - EXCESS LlAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION $ $ WORKERS COMPENSATION I ~ifTUTE I 10TH• AND EMPLOYERS' LIABILITY ER YIN ANY PROPRIETORIPARTNERlEXECUTIVE 0 N/A E.l. EACH ACCIDENT $ OFFICE RIM EMBER EXCLUDED? (Mandatory In NH) E.L DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE· POLlCY LIMIT $ A LIQUOR LIABILITY 202430661NPO 6/2312024 6/2312025 EACH COMMON CAUSE $1,000,000 AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIClIES (ACORD 101, Additional Remarks Schedule. may be attached if mom space Is mqulmd) RE: Firehouse Arts Center Facility Rental CERTIFICATE HOLDER CANCELLATION City of Pleasanton 400 Old Bernal Ave 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, I AUTHORIZED REPRESENTATIVE Noah Whitfield!NW 4£4-.- © 1988·2014 ACORD CORPORATION, All rights reserved, ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) Docusign Envelope ID: E90C08BC-18C9-4C96-8F06-BFAC7B0171AF