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.4C ® DATE(MM/DD/YYYY)
<br />�-- CERTIFICATE OF LIABILITY INSURANCE
<br />2
<br />03/25/2025
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,
<br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
<br />e
<br />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,
<br />v
<br />the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain
<br />o
<br />policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu
<br />of such endorsement(s).
<br />PRODUCER CONTACT
<br />Aon Risk services Northeast, Inc. M E-
<br />N
<br />New York NY office PHONE FAX
<br />(AIC. No. Ext):
<br />a
<br />One Liberty Plaza
<br />165 Broadway, suite 3201 E-MAIL
<br />v
<br />New York NY 10006 USA ADDRESS:
<br />O
<br />INSURERS) AFFORDING COVERAGE NAIC #
<br />INSURED
<br />mpany 20281Boldyn Networks US LLC121
<br />INSURER A:7F"
<br />Innovation Dr Ste 200 INSURER B:o 10052Irvine
<br />CA 92617-3094 USA INSURER C:SE
<br />AA1120810
<br />NSURER D:
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 570111608281
<br />REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE
<br />BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
<br />OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
<br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE
<br />BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />LTR TYPE OF INSURANCE INBC WVD POLICY NUMBEROC YE POLICY EXP_IMIW LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY GAB
<br />EACH OCCURRENCE $2,000,000
<br />CLAIMS -MADE X❑ OCCUR -ffAVkTT To —
<br />RENTED
<br />PREMISES Ea occurrence $2,000,000
<br />MED EXP (Any one person) $lo,000
<br />PERSONAL&ADV INJURY $2,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />00
<br />PRO- GENERAL AGGREGATE $4,000,000
<br />POLICY ❑X O LOC
<br />ro
<br />JECT
<br />PRODUCTS - COMP/OP AGG $4,000,000
<br />p
<br />�2
<br />OTHER:
<br />A
<br />0
<br />AUTOMOBILE
<br />LIABILITY
<br />73645549
<br />09/30/2024
<br />09/30/2025
<br />COMBINED SINGLE LIMIT
<br />V)
<br />(Ea awdent)$1,000,000
<br />ANYAUTO
<br />O
<br />BODILY INJURY ( Per person)
<br />OWNED SCHEDULED
<br />Z
<br />BODILY INJURY, Per accident)
<br />AUTOS ONLY AUTOS
<br />d
<br />HIRED AUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />—
<br />PROPERTY DAMAGE
<br />Per acadent
<br />w
<br />EACH OCCURRENCE
<br />A
<br />X
<br />UMBRELLA LIAB X OCCUR
<br />56718908
<br />09/30/2024109/30/20-25
<br />U
<br />$9,000,000
<br />EXCESS UAB CLAIMS -MADE
<br />.AGGREGATE $9,000,000
<br />DED RETENTION
<br />PERSTATUTE
<br />B
<br />COMPER
<br />EMPLOYRTLIABILITY NAND
<br />EMPLOYERS' LIABILITY
<br />71835186
<br />09/30/202409/10/2025
<br />Y / N
<br />ANY PROPRIETOR r PARTNERI EXECUTIVE
<br />X OTH.
<br />ER
<br />E. L. EACH ACCIDENT $1,000,000
<br />OFFICER/MEMBER EXCLUDED? N
<br />(Mandatory Inrap
<br />N!A
<br />If yes,DESS IPTIONunder
<br />DESCRIPTION un OPERATIONS below
<br />E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />C
<br />E&O - professional LiabilitE-L
<br />- Primar Y��UKINT�D47
<br />09/30/2024
<br />09/30
<br />DISEASE -POLICY LIMIT $1,000,000
<br />y Prof Liab / 025 Occurence $2,000,00(
<br />Policy ters &condi ions
<br />SIR applies per Aggregate $5,000,00(
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached I more space is required)
<br />Re: A12475 Master Encroachment Agreement Related to the Installation of Networks Facilities within Public Right -of -Way. City of
<br />Pleasanton, its elected officialsofficers, employees, agents, and volunteers are included as Additional Insured in accordance
<br />y Liability policy.
<br />with the policprovisions of the,General
<br />General Liability policy evidenced herein is Primary and Non-contributory to other insurance available to an Additional
<br />Insured, but only in accordance with the polcy
<br />po
<br />Liability policy. 's provisions.
<br />A Waiver Subrogation is granted in favoriof Certificate Holder in accordance with the policy provisions of the General
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHT
<br />F THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />City Of Pleasanton PONS,
<br />PO BOX 520 AUTHOENTATIVE
<br />Pleasanton CA 94566 USA
<br />"� tCEgiPed "-r'6w�
<br />ACORD 25 (2016103) The ACORD name and logo are registered ma9ks 2015 ACORD CORPORATION. All rights reserved.
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