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GUERR-8 OP ID:YV <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> DATE 08129/2011 YY) <br /> 0812912014 <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 INSURERS), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 /> PRODUCER Phone:408-288-6262 NAME: <br /> FAX <br /> Leavitt Pacific Ins.Brokers Fax:408-298-7635 Afc No): <br /> License#OD79674 c IL E <br /> 1330 S. Bascom Ave. ADDRESS: <br /> San Jose, CA 95128 INSURERS)AFFORDING COVERAGE NAIC I <br /> Nicholas A.Weintraub <br /> INSURER A:Ironshore Specialty Ins.Co. 25445 <br /> INSURED Guerra Construction Group INSURER B:Golden Eagle Insurance Corp. 10836 <br /> Santa Clara Construction 8r INSURER C:Cypress Insurance Company 10855 <br /> Engineering,Inc. INSURERD:Mercer Insurance Company 14478 <br /> 984 Memorex Drive <br /> Santa Clara,CA 95050 INSURERE: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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. <br /> ILTR TYPE OF INSURANCE INS WVD POLICY NUMBER MMIDD MMIDDlYYYY LIMBS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY X GS0000803 04/01/2014 04/01/2015 PREMISES EaEoFccurreT ncce $ 50,00 <br /> CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,00 <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> JECT <br /> POLICY X PRO—7 LOC $ <br /> COMBINED <br /> AUTOMOBILE LIABILITY Ea accident)SINGLE LIMIT $ 1,000,00 <br /> B X ANY AUTO BA3058848 04/01/2014 04101/2015 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Peraccident <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,00 <br /> D EXCESS LAB CLAIMS-MADE 27303160 04/01/2014 04/01/2015 AGGREGATE $ 4,000,00 <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY T Y LIMITS <br /> C ANY PROPRIETORIPARTNERIEXECUTIVE YIN N N A 3300066654141 04/01/2014 04/01/2015 E.L.EACH ACCIDENT $ 1,000,00 <br /> OFFICER/MEMBER EXCLUDED? 1,000 r OO <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,00 <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> City of Redwood City its subsidiary agencies, directors, officers, <br /> employees, agents, independent contractors and volunteers are named as <br /> additional insured per GL form CG2010 & CG2037 attached. Re: Jardin de Ninos <br /> Park Renovations 1698 Middlefield Rd Redwood City CA 94063 <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITREDW <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City Of Redwood City ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1017 Middlefield Rd <br /> Redwood City,CA 94063 AUTHORIZED REPRESENTATIVE <br /> t <br /> CO 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />