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Docusign Envelope ID A�ORO 31630204-995B-4DCC-A316-0219109A1493 BAYAREA-24 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1E(MMID /YY 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 have ADDITIONAL INSURED provisions or 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 License # 0757776 CONTACT Saengdao Vongpanya NAME: HUB International Insurance Services Inc. PHO,NIJ , Ext): (805) 361-1018 FAX, No):(805) 832-6581 PO Box 3310 E-MAIL CAL-CC-CertRe s hubinternational.com Santa Barbara, CA 93130-3310 ADDRESS: Q INSURED Bay Area Tree Specialists 541 West Capitol Expressway PMB #287 San Jose, CA 95136 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSD WVD MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X X NPC100714001 4/7/2024 4/7/2025 DAMAGETORENTED PREMISES Ea occurrence 300,000 $ X MED EXP (Any oneperson) $ 5,000 PD Ded: $2000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ] PE0 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ X BODILY INJURY Perperson) $ ANY AUTO NBA100713901 4/7/2024 4/7/2025 BODILY INJURY Per accident OWNED SCHEDULED AUTOS ONLY AUTOS $ X PeOPERTYDAMAGE HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE NEC600725001 4/7/2024 4/7/2025 DED I X I RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ FMand tory in NH) EXCLUDED? N / A E.L. EACH ACCIDENT $ $ E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below 1 $ E.L. DISEASE - POLICY LIMIT B Excess Liability UX00000077901 4/7/2024 4/7/2025 Limit/Aggregate 5,000,000 C Pollution G70962457006 4/7/2024 4/7/2025 Agg/Each Condition 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Pleasanton, its officers, employees, and agents are included as Additional Insureds under the General Liability policy, additional insured coverage applies when required by written contract per the attached form #CG 20 10 12 19. This insurance is considered Primary and Non -Contributory under the General Liability policy per attached form #CG 20 01 12 19. Waiver of Subrogation under the General Liability policy applies per attached form #XIL 436 1208. Umbrella Liability is following form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Pleasanton Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 520 Pleasanton, CA 94566 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD