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ATE ,acoR CERTIFICATE OF LIABILITY INSURANCE I D02/08/2018DIYYYY) 6.2.A. - Page 10 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 have ADDITIONAL INSURED provisions or 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 MARSH RISK & INSURANCE SERVICES NAME: 345 CALIFORNIA STREET, SUITE 1300 I (A/C.NNo. Ext): FAX No): CALIFORNIA LICENSE NO. 0437153 I E-MAIL SAN FRANCISCO, CA 94104 ADDRESS: DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: Stanford Treeathlon 2018 held on March 3, 2018 (5 AM) to March 4, 2018 (5 PM) at Pacific Shores Center (1600 Seaport Blvd., Redwood City, CA 94063); Westpoint Harbor and portions of the Seaport Blvd Eas of Blomquist Street, starting at the intersection of Blomquist and Seaport. The city of Redwood City, its City Council, Commissions, Committees, Boards, Officers, Employees, Volunteers and agents is/are additional insureds under the umbrella liability policy where required by written contract. The umbrella liability policy applies in excess of the underlying general liability self-insured retention. CERTIFICATE HOLDER CANCELLATION WEST POINT HARBOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: MARK SANDERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1829 SEAPORT BOULEVARD ACCORDANCE WITH THE POLICY PROVISIONS. REDWOOD CITY, CA 94063 AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Paul Nagata ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD INSURER(S) AFFORDING COVERAGE NAIC # 025193-STND-GAWUF-17-18 INSURERA: United Educators Ins Risk Ret. Grp. 10020 INSURED INSURER B : N/A N/A THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY, ET AL. I INSURER C: N/A N/A C/O RISK MANAGEMENT DEPARTMENT I 215 PANAMA STREET, BLDG INSURER D : JUNIPER MODULAR I INSURER E: STANFORD, CA 94305-6207 I INSURER F: COVERAGES CERTIFICATE NUMBER: SEA -003308064-20 REVISION NUMBER: 2 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. INSR ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICYNUMBER (MM/DDIYYYY) (MM/DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ SEE ATTACHED DAMAGE CLAIMS-MADE1:1 OCCUR PREM SESO(Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ❑PRO- ❑LOC POLICY JECT PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY $ AUTOS ONLY AUTOS (Per accident) HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB D7386X OCCUR 09/01/2017 09/01/2018 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 1,000,000 DED I X I RETENTION $ 2,000,000 PRODUCTS - COMP/OP $ 1,000,000 WORKERS COMPENSATION I OERH AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y❑ SPER TATUTE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (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, maybe attached if more space is required) RE: Stanford Treeathlon 2018 held on March 3, 2018 (5 AM) to March 4, 2018 (5 PM) at Pacific Shores Center (1600 Seaport Blvd., Redwood City, CA 94063); Westpoint Harbor and portions of the Seaport Blvd Eas of Blomquist Street, starting at the intersection of Blomquist and Seaport. The city of Redwood City, its City Council, Commissions, Committees, Boards, Officers, Employees, Volunteers and agents is/are additional insureds under the umbrella liability policy where required by written contract. The umbrella liability policy applies in excess of the underlying general liability self-insured retention. CERTIFICATE HOLDER CANCELLATION WEST POINT HARBOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: MARK SANDERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1829 SEAPORT BOULEVARD ACCORDANCE WITH THE POLICY PROVISIONS. REDWOOD CITY, CA 94063 AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Paul Nagata ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD