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ACOR®® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br /> 6/2/2016 <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 /> PRODUCER CONTACT Melnora Cruz <br /> NAME: <br /> MOC Insurance Services (PHONE ExD; (415 ) 957 - 0600 FAX No): (415) 957-0577 <br /> License No . 0589960 E-MAIL <br /> ADDRESS:mcruzc4moc ins . com <br /> 44 Montgomery St . , 17th Fl . INSURER(S) AFFORDING COVERAGE NAIC # <br /> San Francisco CA 94104 INSURER A :West American Insurance Co . 44393 <br /> INSURED INsuRER EAmerican Fire & Casualty Company 24066 <br /> SummerMill Homes , LLC INSURER C :Federal Insurance Co . 20281 <br /> 3000 Executive Pkwy Ste 450 INSURER D Republic Indemnity Company of CA 43753 <br /> INSURER E : <br /> San Ramon CA 94583 INSURER F : <br /> COVERAGES CERTIFICATE NUMBER:2016 - 2017 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 /> INSR ADDL OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP <br /> LTR INSD FWD POLICY NUMBER (MMIDDIYYYY) (MMIDD/YYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 <br /> TO occurrence)A CLAIMS-MADE X OCCUR <br /> DAAETERNcuence) $ 500 , 000 <br /> BKW56441790 4/2/2016 4/2/2017 MED EXP (Any one person) $ 15 , 000 <br /> PERSONALSADV INJURY $ 1, 000 , 000 <br /> GEN'L AGGREGATE LIMIT APPLES PER: GENERAL AGGREGATE $ 2 , 000 , 000 <br /> POLICY <br /> PRO- X LOC PRODUCTS - COMP/OPAGG $ 2 , 000 , 000 <br /> OTHER: Expense Mod Factor 1 $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 , 000 , 000 <br /> (Ea accident) <br /> B X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BAA56441790 11 16/2015 11/16/2016 BODILY INJURY Per accident $ <br /> AUTOS AUTOS / ( ) <br /> X HIRED AUTOS X AUTOS ED PROPERTY DAMAGE $ <br /> AUTOS (Pet accident) <br /> Uninsured motorist combined $ 1, 000 , 000 <br /> C X UMBRELLA LIAB X OCCUR 79879775 11/16/2015 11/16/2016 EACH OCCURRENCE $ 50 , 000 , 000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 50 , 000 , 000 <br /> DED RETENTIONS $ <br /> C WORKERS COMPENSATION 25061901 03/23/2016 03/23/2017 X STATUTE OTH <br /> AND EMPLOYERS' LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 , 000 , 000 <br /> OFFICER/MEMBER EXCLUDED? NIA <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1, 000 , 000 <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1, 000 , 000 <br /> DESCRIPTION Of OPERATIONS / LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br /> The City of Redwood City, its Council , commissions , boards , committees , <br /> officers , employees and agents are named as additional insureds as their interest may appear . 30 days <br /> notice of cancellation and 10 days for non payment of premium . <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Redwood City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attention : City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1017 Middlefield Road <br /> Redwood City, CA 94063 AUTHORIZED REPRESENTATIVE <br /> Melnora Cruz/DGI <br /> - <br /> © 1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br /> INSI72512014041 <br />