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REDWO-3 OP ID: IS
<br /> `4OI2� CERTIFICATE OF LIABILITY INSURANCE 6.3.A. - Page r,12
<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
<br /> Insurance By Castle PHONE Ingrid Smithart FAX
<br /> 1227 Arguello Street (NC,No,Ext): 650-299-8240 (Arc,No): 650-364-3667
<br /> Redwood City, CA 94063 ADDRESS: IngridcInsuranceByCastle.com
<br /> Russ Castle
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:Nonprofit Ins.Alliance
<br /> INSURED Redwood City Education Found. INSURERB:State Compensation Ins Fund 35076
<br /> P.O. Box 3046
<br /> Redwood City, CA 94064 INSURER C
<br /> INSURER D:
<br /> INSURER E:
<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 /> INSR TYPE OF INSURANCE INSD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> [MMlDD(YYYI'} (MMlDDlYYYI')
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR X 2016-05747-NPO 04/15/2016 04/15/2017 DAMAGE TO RENTED 500,000
<br /> PREMISES(Ea occurrence) $
<br /> MED EXP Any one person) $ 20,000
<br /> X Liquor Liability PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY PRO-
<br /> JECT PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> JECT
<br /> OTHER $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> A ANY AUTO 2016-05747-N PO 04/15/2016 04/15/2017 BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> X HIRED AUTOS X AUUTOS NED (Per
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000
<br /> A EXCESS LIAB CLAIMS-MADE 2016-05747-UMB-NPO 04/15/2016 04/15/2017 AGGREGATE $ 2,000,000
<br /> DED X RETENTION $ 10,000 $
<br /> WORKERS COMPENSATION X PER 0TH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> Y
<br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE 9014557-16 06/06/2016 06/06/2017 E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N f A
<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 r LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Redwood City, its City Council, Commissions, Committees, Boards,
<br /> Officers, Employees, volunteers and agents as additional insureds per
<br /> attached policy form CG 20 12 04 13.
<br /> Event: OktobeRun Held October 29, 2016
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Redwood City CITYOFR
<br /> ty ty SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> P.O. Box 391 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Redwood City, CA 94064-0391 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED� RE
<br /> REPRESENTATIVE
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<br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
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