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STARVIS-01 HBCT10
<br />CERTIFICATE OF LIABILITY INSURANCEI DATE (MWDD s
<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 License # 0564249 CONTACT
<br />NAME:
<br />Heffernan Insurance Brokers PHONE 1 (650)842-5200 FAX 650
<br />14608 O'Brien Drive 1�A .ue. E:n: 1Nc. Nat: ( ) 842-5201
<br />Menlo Park, CA 94025 ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE I NAIC#
<br />DESCRIPTION OFOPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required)
<br />Re: As Per Contract or Agreement on File with Insured. Redwood City 2020 is included as an additional insured on General Liability policy per the attached
<br />endorsement, if required. This certificate replaces and supersedes all previously issued certificates.
<br />CERTIFICATE HOLDER
<br />Redwood City 2020
<br />Attn: Yvette Mindeguia
<br />750 Bradford Street
<br />Redwood City, CA 94063
<br />ACORD 25 (2014101)
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />INSURER A: Nonprofits Insurance Alliance of California
<br />101184 1
<br />INSURED
<br />INSURER B: Care West Insurance Company
<br />110520 1
<br />I INSURER C
<br />1
<br />StarVlsta
<br />:
<br />610 Elm Street, #212
<br />INSURER D:
<br />I
<br />San Carlos, CA 94070
<br />INSURER E:
<br />I
<br />1 INSURER F:
<br />1 I
<br />COVERAGES CERTIFICATE NUMBER:
<br />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
<br />THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR AUUL
<br />LTR TYPE OF INSURANCE INSD
<br />SUtlR
<br />VNO
<br />POLICY NUMBER
<br />POLICY EFF POLICY"
<br />(MWDDNYYY) (MWDD/YYY11
<br />LIMITS
<br />A X 1 COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />1,000,0001
<br />CLAIMS -MADE � OCCUR X
<br />12016 -14280 -NPO
<br />07/01/2016 07/01/2017
<br />UAMAGLIORLaurrenal
<br />PREMISES OHUNrtu
<br />IS
<br />S
<br />500,000 1
<br />T
<br />I MED EXP (My.. person) 1S
<br />20,0001
<br />I PERSONAL& ADV INJURY
<br />$
<br />1,000,0001
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />I GENERALAGGREGATE
<br />S
<br />2,000,0001
<br />POLICY F-]JEC a LOC
<br />PRODUCTS-COMP/OP AGG
<br />5
<br />2,000,0001
<br />OTHER:
<br />ErIIPLOYEE BENEFI
<br />S
<br />Includedl
<br />AUTOMOBILE LIABILITY
<br />!
<br />SINGLE LIMIT IS
<br />(E. accident)
<br />1,000,0001
<br />A X ANYAUTO
<br />2016 -14280 -NPO
<br />07/01/2016 07/01120171 BODILY INJURY (Per person)
<br />S
<br />1
<br />OWNED
<br />SCHEDULED
<br />BODILY INJURY (Per ao=t)�$
<br />_ ALL OWAUTOS
<br />X X
<br />NON -OWNED I
<br />PROPERTY DAMAGE
<br />S
<br />HIRED^IROS
<br />AUTOS !
<br />IPeraaidentl
<br />i
<br />S
<br />1
<br />X UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE S
<br />5,000,000
<br />A EXCESS LAS
<br />CLAIMS -MADE
<br />12016.14280 -DMB
<br />07/0112016 07/0112017 1 AGGREGATE $
<br />5,000,000
<br />I 10,000
<br />DED `` X RETENTIONS I
<br />5
<br />WORKERS LOMAiNSATIONPER
<br />OTH.
<br />X I I
<br />AND EMPLOYERS' LIABILITY YIN
<br />B ANY PROPRIETOR/PARTNEWEXECUTIVE ❑
<br />OFFICERIMEMBER EXCLUDED? N/AI
<br />W-11607001211
<br />STATUTE ER
<br />07/01/2016 07101120171E.L.EACHACCIDENT S
<br />1,000,0001
<br />(Mandatory in NN)
<br />I
<br />E.L. DISEASE -EA EMPLOYEES
<br />1,000,0001
<br />If yes. describe under
<br />IS
<br />1,000,0001
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />A Director's & Officer2016-14280-DO
<br />07/01/2016 07101/2017
<br />Limit
<br />1,000,000
<br />A Professional Liab 12016 -14280 -NPO
<br />0710112016 07101/2017
<br />Agg:$2M/Occurrence
<br />1,000,000
<br />DESCRIPTION OFOPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required)
<br />Re: As Per Contract or Agreement on File with Insured. Redwood City 2020 is included as an additional insured on General Liability policy per the attached
<br />endorsement, if required. This certificate replaces and supersedes all previously issued certificates.
<br />CERTIFICATE HOLDER
<br />Redwood City 2020
<br />Attn: Yvette Mindeguia
<br />750 Bradford Street
<br />Redwood City, CA 94063
<br />ACORD 25 (2014101)
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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