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6-G. _zpge 14 of 21 DATE (MMlDD/YYYY) ACOR,D CERTIFICATE OF LIABILITY INSURANCE 10122/2018 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 endersement(s). PRODUCER CONTANAME.'. Cheryl Taylor SfateFarm Charlotte Russell State Farm Agency (AIC N exq: 650-369-7900 FAX NoI: 650-242-4126 = 1381 Woodside Road, Suite 218 ADDRESS: Cheryl.Taylor.yhxe@statefarm.com Redwood City CA 94061 INSURERS) AFFORDING COVERAGE NAIC# INSURERA: State Farm General Insurance Company 25351 INSURED INSURER B: Illinois Union Insurance Group INSURER C. _ Downtown Business Group INSURER D: PO Box 1266 INSURER E: Redwood City CA 94064 INSURER F: CCIVF_RAGFS CFRTIFICATF td1IMRFR• RFViSI0Kl NI IMRFR- 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 LTR TYPE OF INSURANCE LIMITS POLICY NUMBER MMIOIOYIYEYYY MMIDDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED _ CLAIMS -MADE IJ OCCUR PREMISES(Eaoccurrsnee} $ MED EXP (Any one person)', $ 5,000 A Y 97 -CT -Z765-0 11!10/201711111012019 PFRSONALaAOVINJURY $ 300,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY P] PRO- E LOC JECT PRODUCTS-CGMPIOP A. Go $ 4,000=000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ j Ea accident ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTY DAMAGE - AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE I T DED RETENTION $ 5 WORKERS COMPENSATION WR AND EMPLOYERS' LIABILITY Y 1 N STATUTE ER ANY PRO PRIETOWPARTNERIEXECUTNEE.L- EACH ACCIDENT 5 –_" OFFICERIMEMBER EXCLUDED? ❑ N!A E.L- DISEASE - EA EMPLOYEE S (Mandatory in NH) If yes, descnbe under - - "— DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S Liquor Liability 8 Y AF113279284 11/03/2017 11/03/2019 Per person 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) G City of Redwood City, Police, Fire 1017 Middlefield Rd Redwood City CA 94063 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. n 0FtA.2f11F ACogn CCIRPCIRATIf1N All rinhfe racarvarl The ACORD name and logo are registered marks of ACORD 1001486 132848.12 03-16-2016 103