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Ho <br />l <br />d <br />e <br />r <br /> <br />I <br />d <br />e <br />n <br />t <br />i <br />f <br />i <br />e <br />r <br /> <br />: <br />77 <br />7 <br />7 <br />7 <br />7 <br />7 <br />7 <br />0 <br />7 <br />0 <br />7 <br />0 <br />7 <br />0 <br />0 <br />0 <br />7 <br />7 <br />7 <br />6 <br />3 <br />6 <br />1 <br />6 <br />0 <br />6 <br />5 <br />5 <br />5 <br />3 <br />3 <br />3 <br />0 <br />7 <br />7 <br />3 <br />7 <br />0 <br />7 <br />4 <br />4 <br />6 <br />2 <br />1 <br />5 <br />5 <br />5 <br />6 <br />7 <br />0 <br />74 <br />4 <br />3 <br />1 <br />3 <br />6 <br />6 <br />7 <br />2 <br />4 <br />0 <br />6 <br />3 <br />1 <br />0 <br />0 <br />7 <br />3 <br />6 <br />4 <br />1 <br />5 <br />6 <br />6 <br />0 <br />5 <br />6 <br />2 <br />3 <br />1 <br />1 <br />3 <br />0 <br />7 <br />6 <br />2 <br />5 <br />1 <br />4 <br />4 <br />4 <br />6 <br />1 <br />6 <br />6 <br />5 <br />5 <br />5 <br />2 <br />0 <br />70 <br />6 <br />2 <br />4 <br />4 <br />5 <br />7 <br />3 <br />2 <br />7 <br />6 <br />5 <br />5 <br />0 <br />2 <br />0 <br />7 <br />5 <br />2 <br />6 <br />6 <br />3 <br />3 <br />5 <br />7 <br />2 <br />4 <br />7 <br />2 <br />3 <br />3 <br />0 <br />0 <br />7 <br />5 <br />4 <br />6 <br />6 <br />3 <br />7 <br />1 <br />7 <br />0 <br />0 <br />7 <br />6 <br />7 <br />7 <br />4 <br />0 <br />73 <br />6 <br />6 <br />0 <br />1 <br />5 <br />5 <br />7 <br />2 <br />0 <br />7 <br />6 <br />1 <br />3 <br />0 <br />0 <br />7 <br />7 <br />7 <br />2 <br />7 <br />2 <br />5 <br />2 <br />0 <br />2 <br />5 <br />7 <br />7 <br />3 <br />1 <br />1 <br />0 <br />7 <br />7 <br />7 <br />7 <br />7 <br />7 <br />7 <br />0 <br />7 <br />0 <br />0 <br />0 <br />7 <br />0 <br />7 <br />0 <br />0 <br />7 <br />66 <br />6 <br />6 <br />6 <br />6 <br />6 <br />6 <br />0 <br />6 <br />0 <br />6 <br />0 <br />6 <br />0 <br />0 <br />0 <br />6 <br />2 <br />6 <br />0 <br />6 <br />4 <br />6 <br />6 <br />2 <br />0 <br />4 <br />4 <br />4 <br />6 <br />2 <br />0 <br />0 <br />6 <br />2 <br />2 <br />0 <br />0 <br />0 <br />4 <br />2 <br />4 <br />2 <br />2 <br />4 <br />2 <br />0 <br />0 <br />0 <br />0 <br />62 <br />0 <br />0 <br />0 <br />0 <br />6 <br />0 <br />4 <br />0 <br />0 <br />6 <br />2 <br />2 <br />0 <br />2 <br />0 <br />6 <br />2 <br />2 <br />2 <br />2 <br />0 <br />6 <br />2 <br />4 <br />2 <br />0 <br />4 <br />0 <br />0 <br />2 <br />0 <br />0 <br />6 <br />2 <br />2 <br />2 <br />2 <br />0 <br />4 <br />2 <br />4 <br />2 <br />0 <br />4 <br />0 <br />2 <br />2 <br />0 <br />0 <br />60 <br />0 <br />2 <br />2 <br />2 <br />6 <br />2 <br />6 <br />0 <br />2 <br />4 <br />2 <br />2 <br />0 <br />0 <br />0 <br />6 <br />2 <br />2 <br />0 <br />0 <br />2 <br />4 <br />0 <br />6 <br />2 <br />2 <br />4 <br />0 <br />2 <br />2 <br />0 <br />0 <br />6 <br />2 <br />0 <br />0 <br />2 <br />0 <br />6 <br />2 <br />6 <br />0 <br />0 <br />4 <br />0 <br />0 <br />0 <br />2 <br />0 <br />60 <br />2 <br />2 <br />2 <br />0 <br />4 <br />2 <br />6 <br />0 <br />2 <br />2 <br />2 <br />6 <br />2 <br />2 <br />0 <br />6 <br />6 <br />6 <br />4 <br />6 <br />0 <br />6 <br />2 <br />2 <br />4 <br />0 <br />6 <br />6 <br />4 <br />4 <br />4 <br />0 <br />6 <br />6 <br />6 <br />6 <br />6 <br />6 <br />6 <br />0 <br />6 <br />0 <br />0 <br />0 <br />6 <br />0 <br />6 <br />0 <br />0 <br />6 <br />Ce <br />r <br />t <br />i <br />f <br />i <br />c <br />a <br />t <br />e <br /> <br />N <br />o <br /> <br />: <br />57 <br />0 <br />1 <br />0 <br />3 <br />6 <br />0 <br />1 <br />8 <br />5 <br />5 <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 01/16/2024 <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, 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 policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <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 />PRODUCER <br />Aon Risk Services Central, Inc. <br />Chicago IL Office <br />200 East Randolph <br />Chicago IL 60601 USA <br />PHONE <br />(A/C. No. Ext): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />(312) 381-1000 <br />INSURED 34886MSIG Specialty Insurance USA Inc.INSURER A: <br />25445Ironshore Specialty Insurance CompanyINSURER B: <br />41718Endurance American Specialty Ins Co.INSURER C: <br />35378Evanston Insurance CompanyINSURER D: <br />16992Westfield Specialty Insurance CompINSURER E: <br />INSURER F: <br />FAX <br />(A/C. No.):(312) 381-7007 <br />CONTACT <br />NAME: <br />Burke, Williams & Sorensen, LLP <br />444 South Flower St., Ste 2400 <br />Los Angeles CA 90071-2953 USA <br />COVERAGES CERTIFICATE NUMBER:570103601855 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 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.Limits shown are as requested <br />POLICY EXP <br />(MM/DD/YYYY) <br />POLICY EFF <br />(MM/DD/YYYY) <br />SUBR <br />WVD <br />INSR <br />LTR <br />ADDL <br />INSD POLICY NUMBER TYPE OF INSURANCE LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />POLICY LOC <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO- <br />JECT <br />OTHER: <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />SCHEDULED <br /> AUTOS <br />HIRED AUTOS <br />ONLY <br />NON-OWNED <br />AUTOS ONLY <br />BODILY INJURY ( Per person) <br />PROPERTY DAMAGE <br />(Per accident) <br />BODILY INJURY (Per accident) <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-MADE AGGREGATE <br />EACH OCCURRENCE <br />DED <br />UMBRELLA LIAB <br />RETENTION <br />E.L. DISEASE-EA EMPLOYEE <br />E.L. DISEASE-POLICY LIMIT <br />E.L. EACH ACCIDENT <br />OTH- <br />ER <br />PER STATUTE <br />Y / N <br />(Mandatory in NH) <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />OFFICER/MEMBER EXCLUDED?N / A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />Per OccurrenceMSTLPL0010701/15/2024 01/15/2025 <br />LPN30030693101C 01/15/2024 01/15/2025 $10,000,000Aggregate <br />Lawyers Professional <br />D 01/15/202501/15/2024 <br />A <br />MKLV7PL0006238 <br />$5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Deductible: $350,000 Each Claim, $700,000 in the Aggregate and $50,000 Step-Down, including defense costs <br />CANCELLATIONCERTIFICATE HOLDER <br />AUTHORIZED REPRESENTATIVECity of Pleasanton <br />P.O. Box 520 <br />Pleasanton, CA 94566 USA <br />ACORD 25 (2016/03) <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />Docusign Envelope ID: 610B4B74-AB0F-430C-91D3-9D0172BDE2E2