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SR 06:115
City of Pleasanton
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2006
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SR 06:115
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Last modified
4/13/2006 3:55:53 PM
Creation date
4/13/2006 3:31:16 PM
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CITY CLERK
CITY CLERK - TYPE
STAFF REPORTS
DOCUMENT DATE
4/18/2006
DESTRUCT DATE
15 Y
DOCUMENT NO
SR 06:115
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<br /> ,..11__.... 1;3346 nM <br />ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (IIIM)DIYYYY) <br />0112412008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION <br />Detroit. Commercial ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Wachovla Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />300 River Place, Suite 2900 <br />Detroit, MI 48207 INSURERS AFFORDING COVERAGE NAlC' <br />INSURED INSURER" XL SpeciallY Insurance Company <br /> Omnlcom Group Inc. INSURER B: Greenwich Insurance Co. <br /> (The Rusa Reid Company) INSURER c: <br /> 437 Madison Avenue INSURER 0: <br /> New York, NY 10022 INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAve BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN-MAY HAVE BEEN REDUCED BY PAID CLAIMS. - <br />~ TYPE OF INSURANCE POLICY NUMBER POLICY EfFECTNE ~~ EXPIRAllON UIIITlI <br /> ~NERAL UABIUTY EACH OCCURRENCE $ <br /> COMMERCIAl. GENERAL LIABILITY DAMAGE TO RENTED $ <br /> I CLAIMS MADE 0 OCCUR MED EXP 'Aft.. on........nn\ $ <br /> I-- PERSONAL & ADV INJURY $ <br /> I-- GENERAl. AGGREGATE $ <br /> ~'LAGG:EnE LIMIT AP~f PER: PRODUCTS. CQMPIOP AGG $ <br /> POLICY I ~~,9.,: - LOC . <br /> ~OMOBILE UABILITY COMBINED SINGLE LIMIT $ <br /> - ANY AUTO (Ea acddent) <br /> - ALL OWNED AUTOS BOOIL Y INJURY <br /> (ParpenlOl\) $ <br /> - SCHEDULED AUTOS <br /> "- HIRED AUTOS BOOIl Y INJURY <br /> (Par acddent) $ <br /> "- NON-OWNED AUTOS <br /> PROPERlY DAMAGE $ <br /> (Par acdd.m) <br /> RE UAB'LITY AUTO ONLY. EAACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACe $ <br /> AUTOQNLY: AGG $ <br /> D~SlUM8RELlA UABIUTY EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTISLE $ <br /> RETENTION $ $ <br />A WORKERS COMPENSATION AND RWC6200002 01/01/08 01/01/07 X I WCSTATU- 10Il'" <br />B EMPLOYERS' UABILITY RWC8200003 01/01/08 01/01/07 E.L. EACH ACCIDENT $1 000000 <br />ANY PROPRIETORlPARTNERlEXECUTIVE <br /> OFflCERlMEMBER EXCLUDED? E.L. DISEASE" EA EMPLOYEE $1 000000 <br /> ~rn:,~~\~~1~~ b...... E.L. DISEASE" POliCY LIMIT $1 000 000 <br /> OTHER <br />DESCRIPTION OF OPERAT10NS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROV1SfONS <br />Waiver of subrogation applies In favor of certificate holder If required by contract & <br />where permitted by law. <br /> . . <br /> <br /> SHOULD AtIY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT10N <br />City of Pleasanton DATE THEREOF, THE ISSUING INSURER WlI.L ENDEAVOR TO MAlL ....30- DAYSWRmEN <br />City Manager NOT1CE TO THE CERTIFtcATE HOLDER NAMED TO THE LEn. BUT FAILURE TO DO SO SHALL <br />123 Main Street IMPOSE NO OBLlGAT1ON OR LIABlUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Pleasanton, CA 94586 REPRESENTATIVES. <br /> A~HORIZED REPRESENTATIVE <br /> . ~Q" -'I 71? m-~ <br /> <br />ACORD 25 (2001/08) 1 of 1 <br /> <br />#S234311/M223870 <br /> <br />49TS <br /> <br />iii ACORD CORPORATION 1988 <br /> <br />COVERAGES <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br />
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