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6.C. - Page 27 of 37
<br />� I
<br />A�� ®® CERTIFICATE OF LIABILITY INSURANCE
<br />TE (MMlDD1YYYY)
<br />r8/7/2015
<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(los) 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 />PRODUCERCONTACT
<br />PRODUC McGovern Insurance
<br />1625 EI Camino Real
<br />Belmont, CA 94602
<br />NAME:
<br />"ONE FAX
<br />a Ma Q.-En€I 650 593 a216 Afc,No); 650 594 9130
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE _ NAIC #
<br />INSURERA: Houston SpeClalty Insurance Company 12936
<br />www.jemins.com
<br />INSURED
<br />Ernst Development, Inc.
<br />937 Lakeview Way
<br />Emerald Hills CA 94062
<br />INSURER p: Topa Insurance Company 18031 _ -
<br />_
<br />wsuReRe: Ohio Security Insurance Company 24082
<br />INSURERD:
<br />INSURER E : _.
<br />$ 100,000
<br />.._
<br />INSURER F:
<br />5,000
<br />COVFRAAFS CERTIFICATE NUMBER: iF,RQFtIRF 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 SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />!NSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />p
<br />SUBR
<br />-
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMfDD1YYYY
<br />POLICY,EXP
<br />MMIDDlYYYY
<br />LIMITS
<br />A
<br />�/ COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE L w f OCCUR
<br />E/
<br />TEN -14528
<br />8/25/2014
<br />8/25/2015
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 100,000
<br />MED EXP (Anyone person)
<br />5,000
<br />PERSONAL&ADV INJURY
<br />$ 1,000,000
<br />GEN'LAGGREGATE LIMIT APPHrSPER:
<br />GENERAL AGGREGATE
<br />§ 2,000,000
<br />PRODUCTS -COMPIOPAGG
<br />§ 2,000,000
<br />POLICY 1-1JECT 1-1 LOC
<br />OTHER:
<br />C
<br />AUTOMOBILE LIABILITY
<br />BAS 56843641
<br />81612()15
<br />8/612016
<br />C O IIINFeD y INGLE LIMIT
<br />2,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />BODILY INJURY (Per accident)
<br />$
<br />ALLOWNED SCHEDULED
<br />AUTOS AUTOS
<br />NONOWNED
<br />HiRLDAUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />B
<br />UMBRELLA LIAR
<br />/
<br />OCCUR
<br />/
<br />XL6607212-00
<br />7/29/2015
<br />8/25/2016
<br />EACH OCCURRENCE
<br />5 1,000 000
<br />AGGREGATE
<br />$ 1,00(),000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />`Follow Form over GL & AU
<br />DED RETENTION$
<br />$
<br />WORKERS COMPENSATION
<br />AND E=MPLOYERS' LIABILITY Y f N
<br />ANY PROPRIETORWARTNER)EXECUTIVE
<br />ATUTE OFT"
<br />...ST
<br />E.L. EACH ACCIDENT
<br />$
<br />E.L. DISEASE - EA EMPLOYE
<br />$
<br />OrHCEWMEMUER EXCLUDED? ❑
<br />(Mandatory In NH)
<br />NIA
<br />E,L.DISEASE- POLICY LIMIT
<br />$
<br />ifes, describe under
<br />DESCRIPTION OF OPERATIONS beio v
<br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 901, Additional Remarks Schedule, maybe attached it more space is required)
<br />RE: Permits for 718 Canyon & 761, 763 & 765 Bain Place, Redwood City
<br />The City of Redwood City, its council members, officers, boards, commissions, employees and agents
<br />are named as Additional Insured on the general liability Auto and Excess liability
<br />'30 days for notice of cancellation
<br />City of Redwood City
<br />Engg€neering &Construction
<br />P,O. Box 391
<br />Redwood City CA 94064
<br />I €LN
<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 />AUTHORIZED REPRESENTATIVE ,
<br />Steve Suissa
<br />O 1988-2014 ACORD CORPORATION. All rights roservea.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />25896085 1 ERNST-1 1 15/16 GL, EX, AU I MaryAnn Norman 18/7/2015 1:01:36 P14 (?DT) I Page 1 of 9
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