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CERTIFICATE HOLDER
<br />© 1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05)
<br />AUTHORIZED REPRESENTATIVE
<br />CANCELLATION
<br />DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
<br />LOCJECT
<br />PRO-POLICY
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />OCCURCLAIMS-MADE
<br />COMMERCIAL GENERAL LIABILITY
<br />GENERAL LIABILITY
<br />PREMISES (Ea occurrence)$
<br />DAMAGE TO RENTED
<br />EACH OCCURRENCE $
<br />MED EXP (Any one person) $
<br />PERSONAL & ADV INJURY $
<br />GENERAL AGGREGATE $
<br />PRODUCTS - COMP/OP AGG $
<br />$RETENTIONDED
<br />CLAIMS-MADE
<br />OCCUR
<br />$
<br />AGGREGATE $
<br />EACH OCCURRENCE $
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />INSR
<br />LTR TYPE OF INSURANCE POLICY NUMBER
<br />POLICY EFF
<br />(MM/DD/YYYY)
<br />POLICY EXP
<br />(MM/DD/YYYY)LIMITS
<br />WC STATU-
<br />TORY LIMITS
<br />OTH-
<br />ER
<br />E.L. EACH ACCIDENT
<br />E.L. DISEASE - EA EMPLOYEE
<br />E.L. DISEASE - POLICY LIMIT
<br />$
<br />$
<br />$
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />(Mandatory in NH)
<br />OFFICER/MEMBER EXCLUDED?
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />HIRED AUTOS
<br />NON-OWNED
<br />AUTOS AUTOS
<br />AUTOS
<br />COMBINED SINGLE LIMIT
<br />BODILY INJURY (Per person)
<br />BODILY INJURY (Per accident)
<br />PROPERTY DAMAGE $
<br />$
<br />$
<br />$
<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 />INSR
<br />ADDL
<br />WVD
<br />SUBR
<br />N / A
<br />$
<br />$
<br />(Ea accident)
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />The ACORD name and logo are registered marks of ACORD
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />INSURED
<br />PHONE
<br />(A/C, No, Ext):
<br />PRODUCER
<br />ADDRESS:
<br />E-MAIL
<br />FAX
<br />(A/C, No):
<br />CONTACT
<br />NAME:
<br />NAIC #
<br />INSURER A :
<br />INSURER B :
<br />INSURER C :
<br />INSURER D :
<br />INSURER E :
<br />INSURER F :
<br />INSURER(S) AFFORDING COVERAGE
<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 />1,000,000
<br />500,000
<br />751549176
<br />751549176
<br />10492 Dougherty Avenue
<br />10492 Dougherty Avenue
<br />N/A
<br />City of Pleasanton
<br />1,000,00004/01/25
<br />1,000,000
<br />04/01/25
<br />X
<br />04/01/25
<br />X
<br />Rented/Leased Equipment
<br />100,000
<br />35076
<br />35076
<br />44520
<br />44520
<br />1,000,000
<br />24074
<br />24074
<br />Contractor's Pollution
<br />Errors & Omissions Liab.
<br />10,000,000
<br />RE: 2024 Geotechnical Hazard Abatement District (GHAD) Maintenance
<br />AUTO XS LIMIT ONLY
<br />1-888-845-2248
<br />1-888-845-2248
<br />X
<br />5,000,000
<br />Additional Insured: City of Pleasanton
<br />Brannon Project #: 024-1016
<br />04/01/25
<br />04/01/24
<br />USA
<br />04/01/24
<br />X
<br />04/01/25
<br />04/01/24
<br />Brannon Corporation
<br />Brannon Corporation
<br />EFX-124989
<br />9356789-2024
<br />04/01/24
<br />1,000,000
<br />04/01/25X
<br />X
<br />maggi12
<br />X
<br />X
<br />Charles Griswold
<br />Charles Griswold
<br />04/01/24
<br />2,000,000
<br />X
<br />Suite 1190
<br />Suite 1190
<br />Pleasanton, CA 94566
<br />1901 S. Bascom Avenue
<br />1901 S. Bascom Avenue
<br />10,000
<br />Deductible: $5,000
<br />OHIO CAS INS CO
<br />OHIO CAS INS CO
<br />CRUM & FORSTER SPECIALTY INS CO
<br />CRUM & FORSTER SPECIALTY INS CO
<br />2,000,000
<br />STATE COMPENSATION INS FUND
<br />STATE COMPENSATION INS FUND
<br />1,000,000
<br />A
<br />A
<br />B
<br />04/01/24
<br />BAO62860866
<br />X
<br />04/01/24
<br />Monrgan Hill, CA 95037 USA
<br />Monrgan Hill, CA 95037 USA
<br />Y
<br />C
<br />A
<br />A
<br />Limit
<br />Limit
<br />EPK-147311
<br />1,000,000B
<br />12/09/2024
<br />12/09/2024
<br />BMO62860883
<br />X
<br />EPK-147311
<br />EPK-147311
<br />X
<br />10,000,000
<br />1,000,000
<br />LIC #0L72977
<br />LIC #0L72977
<br />123 Main Street
<br />Campbell, CA 95008 USA
<br />Campbell, CA 95008 USA
<br />04/01/25
<br />Limit
<br />McSherry & Hudson, An Alera Group Company
<br />McSherry & Hudson, An Alera Group Company
<br />X
<br />Docusign Envelope ID: A868345E-0DA9-4A08-8C65-AB1D9D0A7B80
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