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A 6.2.A. - Page 40 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
<br />5/8/2015
<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 terns 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 Sandra Thomas CIC
<br />Moody Insurance Agency, Inc.
<br />NAME: f F
<br />PHONE (303)824-6600 I AX (303)370-0119
<br />.Ext)_ Nal:
<br />6055 East: Tufts Avenue
<br />ADDRESS: sthomas@moodyins . com
<br />Suite 1000
<br />I INSURER(S) AFFORDING COVERAGE
<br />[
<br />NAIC i! [
<br />Denver CO 80237
<br />INSURERAAmTrust International Underwriters
<br />�INSURERa:Starr
<br />INSURER
<br />Surplus Lines Insurance Co
<br />13604
<br />RWC Harbor Communities, LLC
<br />IINSURERC:Houston Casualty Co
<br />42374
<br />ECR Construction Corporation
<br />IINSURER D:
<br />270 St Paul St, Ste 300
<br />INSURER E:
<br />Denver CO 80206
<br />I INSURER F:
<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
<br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
<br />THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR TYPE OF INSURANCE ADDL SUER
<br />LTR INSn WVD POLICY _N_U_MB_ ER
<br />POLICY EFF POLICY EXP
<br />IMMIDDIYYYYI WMIDDIYYYYI
<br />LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY PAL105387500
<br />EACH OCCURRENCE $DAMAGE
<br />5, 000, 00'0
<br />CLAIMS -MADE LJ OCCUR
<br />TO
<br />PREMISES Es occurrence) $
<br />104, 000
<br />3/19/2015 3/19/2018 I MED EXP (Anyone person) $
<br />5,0001
<br />PERSONAL&ADV INJURY $
<br />5, 000, 000 I
<br />GEN'LAGGREGATE LIMIT APPLIESPER:
<br />GENERALAGGREGATE $
<br />5,000,0001
<br />JECTPRI-
<br />POLICY PRO- F-1 LOC
<br />I PRODUCTS - COMPIOPAGG $
<br />5,000,000
<br />OTHER:
<br />Self Ins Retention $
<br />50,000
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT $
<br />fEa accident)
<br />_
<br />I BODILY INJURY $
<br />ANY AUTO
<br />(Per person)
<br />_
<br />ALL OWNEDSCHEDULED
<br />BODILY INJURY (Per accident) $
<br />AUTOS
<br />AUTOS
<br />NON -OWNED
<br />PROPERTY DAMAGE $
<br />HIRED AUTOS
<br />AUTOS
<br />Weraccidenll
<br />$
<br />B UMBRELLA LIAR I
<br />X
<br />I OCCUR 1000015248
<br />EACH OCCURRENCE $
<br />10, 000, 000
<br />X EXCESS LIAR
<br />7
<br />CLAIMS -MADE
<br />AGGREGATE $
<br />10, 0001 000
<br />DES] I I RETENTION$
<br />3/19/2015 3/19/2018 $
<br />WORKERS COMPENSATION
<br />I SPER TATUTE I I OERH
<br />i
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXFCUTIVE YIN
<br />I F.L. EACH ACCIDENT $
<br />I
<br />MIA
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />E.L. DISEASE - EA EMPLOYEE $
<br />If yes, describe under
<br />POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -
<br />C Excess Liability HXC100IO814
<br />3/19/2015 3/19/207.8 Each occurrence
<br />10, 000, 000
<br />Aggregate-ProdlComp Ops
<br />10,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />City of Redwood City, It's Council, commissions, boards, committees, officers, employees, and agents as
<br />Additional Insured, on primary, non-contributory basis.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Redwood City, It's Council, eoMMi THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />boards, committees, officers, employees, ACCOR13ANCE WITH THE POLICY PROVISIONS.
<br />P O Box 391
<br />Redwood City, CA 94063 AUTHORIZED REPRESENTATIVE
<br />S Thomas, CTC/SANTHO
<br />O 1968-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />IAIC117F ronAAn+i
<br />
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