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6.2.B. - Page 65 <br />.4 QR�OAT (IVIWDatmml <br />CERTIFICATE ®F LIABILITY INSURANCE I <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 />Aon Risk Services Northeast, Inc. <br />Boston MA Office <br />One Federal Street <br />Boston mA 02110 USA <br />CONTACT <br />NAME: <br />(1UC NI o. Ext): (866) 283-7122 FAX <br />No.1: 800-363-0105 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED <br />INSURERA: The Phoenix Insurance Company <br />25623 <br />Scheidt & Bachmann USA Inc <br />INSURER B: The Travelers Indemnity Co Of America <br />25666 <br />31 North Avenue <br />the operations of the Insured under said contract. <br />Burlington MA. 01803 USA <br />INSURERC: XL Insurance America Inc <br />24554 <br />INSURER D: <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />INSURER E: <br />POLICY PROVISIONS. <br />INSURER F: <br />City Of Redwood city AUTHORIZED REPRESENTATIVE <br />COVERAGES <br />CERTIFICATE NUMBER: 570058881452 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 <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />INSR <br />LTR TYPE OF INSURANCE <br />ADDL-SUER POLtCYEFF POLICYExP <br />INSD WVD POLICY NUMBER (rMMIDMMIDD <br />LIMITS <br />- <br />C COMMERCAGENERALLIASILITY <br />UsO0010045L115A <br />1l/U�� U1/0X <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE rX] OCCUR <br />( DAMAGE TO RENTED <br />PREMISES (Fa occutrancel <br />$100,000 <br />X Per Occ Oed $56600 <br />I MED EXP (Any one person) <br />$10,000 <br />J <br />IPERSONAL&AOVINJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />I GENERALAGGREGATE <br />$2,000,0001 <br />X <br />POLICY ❑ PRO-❑ LOC <br />JECT <br />(PRODUCTS-COMPIOPAGG <br />$2,000,000 <br />OTHER: <br />Em...... <br />Benerils Per Claim <br />$1,000,000 <br />A AUTOMOBILE LABILITY <br />Y 810 9199C532-15 01/01/2015 01/01/2016 <br />COMBINED SINGLE LIMST <br />$1,000,000 <br />AOS <br />(Ea accident) <br />_ <br />I BODILY INJURY <br />X ANYAUTO <br />(Per parson) <br />— ALL OWNED <br />SCHEDULED <br />I BODILY INJURY (Per accident) <br />AUTOS <br />AUTOS <br />AGE <br />NON -OWNED I PROPEident) <br />HIREDAUTOS <br />AUTOS <br />(Par eccldenty <br />ComprColl Deductible <br />$1,000 <br />UMSReLLALIAB OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR CLAIMS -MADE <br />DEDRETENTION <br />WORKE SC MPENSATIONAND <br />EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR! PARTNERI FXFCUTIVF <br />OFFICERIMEMBER EXCLUDED?N NIA <br />(Mandatory In NH) <br />If yes, dascribe under <br />DESCRIPTION OF OPERATIONS below <br />(AGGREGATE <br />YUB8427C67615 01/01/201.01/01/2016X' PER STATt17E <br />{ E.L. EACH ACCIDENT <br />IERH <br />E.L. DISEASE -EA EMPLOYEE <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />$1,000,000 <br />$1,000,000 <br />U) <br />V) <br />O <br />Z <br />w <br />W <br />V <br />DESCRIPTION OF OPERATIONS! LOCATIONS l VEHICLES (ACORD 101, Addl6onal Remarks Schedule, maybe attachad It more space Is required) <br />RE: Evidence of insurance. <br />City of Redwood city its officers, agents, employees and volunteers are included as Additional Insured with respect to the <br />General Liability po�icy; granted a waiver of subrogation for workers' compensation policy- and the General Liability policy <br />evidenced herein is primary and non-contributory to other insurance available, as required �y written contract, but limited to <br />the operations of the Insured under said contract. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />City Of Redwood city AUTHORIZED REPRESENTATIVE <br />1017 Middlefield Road <br />Redwood city CA 94063 OSA .s�v 11 Fazle JL <br />©9888-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />