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Client#: 2085
<br />WOODRODGEI
<br />ACOP," 1.A. - Page 28 TIFICATE OF LIABILITY INSURANCE I DATE 12/01/2016YY)
<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
<br />Dealey, Renton & Associates
<br />P. O. Box 12675
<br />Oakland, CA 94604-2675
<br />510 465-3090
<br />INSURED
<br />Wood Rodgers, Inc.
<br />3301 C Street, Bldg. 100B
<br />Sacramento, CA 95816-3342
<br />COVERAGES
<br />CERTIFICATE NUMBER:
<br />NTACT
<br />NAME: Nancy Ferrick
<br />PHONE 510 465-3090
<br />A/C, No, Ext):
<br />-MAIL Y
<br />ADDRESS: nferrick@ deale renton.com
<br />FAx
<br />(AIC, No): 510 452-2193
<br />INSURER(S) AFFORDING COVERAGE
<br />INSURER A: Travelers Property Casualty Co
<br />INSURER B: XL Specialty Insurance Co.
<br />INSURER C:
<br />INSURER D:
<br />INSURER E:
<br />INSURER F:
<br />REVISION NUMBER:
<br />NAIC #
<br />125674
<br />37885
<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 CONTRACTOR 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 DDLSUBR POLICY EFF POLICY EXP
<br />LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY� LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY X X 6803HO71620 - CA 10/01/2016 10/01/201� EACH OCCURRENCE $1,000,000
<br />A CLAIMS -MADE FX OCCUR X X 6806H391485 - NV 10/01/2016 10/01/20171 DAMAGE
<br />O(EaoccuErence) $1,000,000
<br />_ MED EXP (Any one person) $10,000
<br />PERSONAL & ADV INJURY $1,000,0010
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRO -
<br />POLICY X1 ECT 7 LOC
<br />_ OTHER:
<br />A AUTOMOBILE LIABILITY
<br />A
<br />A
<br />B
<br />X X BA5367LO55
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOSAUTOS
<br />X HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />UMBRELLA LAB X OCCUR X
<br />X EXCESS LIAB CLAIMS -MADE
<br />DED RETENTION $
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? N / A
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />Professional
<br />Liability
<br />X CUP4161T309
<br />X UB402OT377
<br />DPR9907124
<br />GENERAL AGGREGATE I $2,000,000
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />10/01/2016 10/01/201 INED CO(EaMaBccidem) NGLE LIMIT $1,000,000
<br />dent)
<br />BODILY INJURY (Per person) $
<br />BODILY INJURY (Per accident) I $
<br />PROPERTY DAMAGE $
<br />(Per accident)
<br />$
<br />s
<br />10/01/2016 10/01 /201
<br />EACH OCCURRENCE ,
<br />IAGGREGATE $
<br />01/01/2016 01/01/20171 X
<br />E.L. DISEASE - EAEMPLOYEEI $1,000,000
<br />E.L. DISEASE -POLICY LIMIT I $1,000,000
<br />10/01/2016 10/01/2017 $5,000,000 per Claim
<br />$7,000,000 Annl Aggr.
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES.
<br />30 Days Notice of Cancellation (10 Days for Non -Payment of Premium).
<br />REF: 2017 Redwood Creek Improvements Project. GENERAL LIABILITY/AUTOMOBILE LIABILITY/EXCESS-UMBRELLA
<br />LIABILITY ADDITIONAL INSURED: The City of Redwood City, its Council Members, commissions, committees,
<br />boards, officers, employees, and agents. The Excess -Umbrella Liability is Following Form to the General
<br />(See Attached Descriptions)
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Redwood City SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: Engineering Division ACCORDANCE WITH THE POLICY PROVISIONS.
<br />P.O. Box 391
<br />Redwood City, CA 94064-0000 AUTHORIZED REPRESENTATIVE
<br />© 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br />#S1877512/M1852435 DAC
<br />
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