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Form_SCTNID_CTGRY.XX0316ACORD25_ACORD <br /><docindex><index>ACORD</index></docindex> BDF_PCA <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />PRODUCER CONTACT <br />NAME: <br />PHONE <br />(A/C, No, Ext): <br />FAX <br />(A/C, No): <br />E-MAIL ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A : <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />INSR <br />LTR <br />ADDL <br />INSD <br />SUBR <br />WVDTYPE OF INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY <br />OTHER: <br />PRO- <br />JECT LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED AUTOS ONLY <br />HIRED AUTOS ONLY <br />SCHEDULED AUTOS <br />NON-OWNED AUTOS ONLY <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-MADE <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />Y/N <br />N / A <br />POLICY NUMBER POLICY EFF POLICY EXP <br />(MM/DD/YYYY)(MM/DD/YYYY)LIMITS <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />PREMISES (Ea occurrence) <br />$ <br />$ <br />$ <br />$ <br />$ <br />COMBINED SINGLE LIMIT <br />PROPERTY DAMAGE <br />BODILY INJURY (Per person) <br />(Ea accident) <br />BODILY INJURY (Per accident) <br />$ <br />$ <br />$ <br />AGGREGATE <br />EACH OCCURRENCE <br />E.L. EACH ACCIDENT <br />INSURED <br />$ <br />$ <br />$E.L. DISEASE - POLICY LIMIT <br />E.L. DISEASE - EA EMPLOYEE <br />PER STATUTE OTH- ER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />(Per accident) <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 />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 />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />progressivecommercial@email.progressive.com <br />09/12/2024 <br />1-800-444-4487 <br />BENJAMIN NOBLE <br />733 CARMEL <br />ALBANY, CA 94706-0000 <br />City of Pleasanton <br />P.O. Box 520 <br />Pleasanton, CA 94566 <br />Progressive Commercial Lines Customer and Agent Servicing <br />991949626295530709D091224T225314 <br />USAA Insurance Agency Inc. <br />9800 FRDRCKSBRG HSVCW, SAN ANTONIO, TX 78288 <br />United Financial Casualty Company 11770 <br />A X 03273484YN 09/10/2024 03/10/2025 <br />1,000,000 <br />A 03273484YN 09/10/2024 03/10/2025 <br />See ACORD 101 for additional coverage details.$ <br />Docusign Envelope ID: C6FFC7B2-9C83-47BE-B6CC-2D075BDF5819