RecDoc 2015-093310 REDWOOD CITY JEFFERSON LLC_IA_08172015_103 Wilson

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CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 7/28/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Liberty Mutual Insurance NAME: PO Box 188065 PHONE No, Est): 800-962-7132 FAX No): 800-845-3666 Fairfield, OH 45018 E-MAIL ADDRESS: BusinessService @LibertyMutual.com INSURER(S)AFFORDING COVERAGE NAIC # INSURER A : West American Insurance Company 44393 INSURED INSURER B : Zakskorn Construction Company its officers, directors, and employees DBA ZCON Builders INSURER C : 780 W Grand Ave INSURER D Oakland CA 94612 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 25749995 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH .THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSP $yWD POLICY NUMBER (MM/DDY/YYYYI (MMIDD/YEYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE I OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL B ADV INJURY _$ GE N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECOT LOC PRODUCTS - COMP/OP AGG _$ OTHER: $ A AUTOMOBILE LIABILITY ✓ , BAW56142156 9/24/2014 9/24/2015 COMBINED SINGLE LIMIT $ (Ea accident) 1 ,000 0� 00 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS NON OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) Uninsured Motorist - $ 1 ,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N /A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Redwood City, its Council Members, Officers, Boards, Commissions, Employees and Agents are named as Additional Insured if required by written contractor written agreement subject to Auto Liability Additional Insured Provision. Waiver of Subrogation is included Project: Jefferson and Franklin Apartments 103 Wilson St. Redwood City, CA 94063 (ZCon #3042) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Redwood City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering and Construction ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 391 Redwood City CA 94064 AUTHORIZED REPRESENTATIVE - 'j /f Vicky Green (/�/ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 25749995 1 56142156 1 14 15 Master Certificate 1 Vicky Green 1 7/28/2015 12 :19:15 PM (PDT) 1 Page 1 of 8