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'�C`vr2oW CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
<br />11/22/2019
<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 poficy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does riot confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />Attn: Sean E. Kratz
<br />CONTACT
<br />PHONE Fqx
<br />�q�510-465-3090 rA�, No}. 510-452-2193
<br />DRIESS. Certificates deals renton.com
<br />P. O. Box 12675
<br />Oakland CA 94604-2675
<br />INSURER AFFORDING COVERAGE NAIL*
<br />INSURER A. Associated Indemn CLD 21865
<br />OTHER: $
<br />INSURERS: Arch Insurance Company 11150
<br />INSURED BELLEASSO
<br />ci &Associates, Inc
<br />2290
<br />2290 Diamond Blvd, Suite 100
<br />INSURER C: American Automobile Insurance Company 21849
<br />pJsultl=Ro; Sentinel Insurance Company 11000
<br />Concord CA 94520
<br />INSURER E:
<br />9/10/2019
<br />9/10/2020
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 350573535 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 REQU+REMENT, 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 ADDL SUER POLICY EFF P Ll Y EXP – —
<br />LTR TYPE OF INSURANCE POLICY NUMBER _JM_MDDM=DD/YYYY LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY Y Y AZC80929363 9/10/2019 9/10/2020 EACH OCCURRENCE $1,000,000
<br />FRIOCCUR C(Ea
<br />CLAIMS -MADE PREFAB I o=unsnne $ 1,000,000
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br />)( PRO -
<br />POLICY LOC
<br />JECT PRODUCTS - COMP/OP AGG $2,000,000
<br />OTHER: $
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />I Y
<br />9
<br />MZA80341177
<br />9/10/2019
<br />9/10/2020
<br />OM I�NE(FADtSINGLEU IT $1,000,000
<br />X
<br />ANY AUTO
<br />BODILY INJURY (Per person) $
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident $
<br />( )
<br />X
<br />HIRED X NON -OWNED
<br />PROPERTY DAMAGE $
<br />AUTOS ONLY AUTOS ONLY
<br />Per ac Jdept}
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />AZC80929363
<br />9/10/2019
<br />9/10/2020
<br />EACH OCCURRENCE $ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $ 5,000,000
<br />DEp RETENTION S
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />Y
<br />57WEGAD4C78
<br />7/1/2019
<br />7/1/2020
<br />;XSTER
<br />ER
<br />AND EMPLOYERS' LIABILITY Y 1 N
<br />ATUTE
<br />E.L. EACH ACCIDENT 1,000,000
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE$
<br />OFFICER/MEMBEREXCLUDED?
<br />N /A
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE - POLICY LIMIT $1.000.000
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Professional
<br />Y
<br />PAAEP0105801
<br />12/4/2019
<br />12/4/2020
<br />$2,000,ODO per Claim
<br />Liability
<br />$2,000,060 Annl Aggr
<br />Claims Made
<br />DI=SC RIPTK}N OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORO 101, Additional Remarks Schedula, may ba attached It more space is required)
<br />REF: Contract 2015-037. Middlefield Road Underground Utility District .Joint Trench Project. The City of Redwood City, its Council members, commissions,
<br />committees, boards, ofihcers, employees and agents are named as additional insureds as respects general and auto Ilab itity for claims arising from the
<br />operations of the named insured. Insurance is primary and non-contributory. Waiver of Subrogation applies to Commercial General Liability, Automobile Liability
<br />and Workers Compensation.
<br />LLr, 11FRvM 1 C FtVLIJCR %,ANI:tL.LAI IVN sU UBy loin;/1U Liay tor NonNay of Prem
<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 />Community Development Department
<br />Attn: City Manager AUTHORIZED REPRESENTATIVE
<br />P.O. Box 391
<br />Redwood City CA 94064
<br />U 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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