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�e 11 of 17 CERTIFICATE OF LIABILITY INSURANCE <br />D01/16/2019DIYYYv) <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />MARSH RISK & INSURANCE SERVICES <br />CALIFORNIA STREET, SUITE 1300 <br />CONTACT <br />NAME: <br />PHO345 <br />(A/CNE, Ext): A/C No), <br />E-MAIL <br />ADDRESS: <br />CALIFORNIA LICENSE NO. 0437153 <br />SAN FRANCISCO, CA 94104 <br />COMMERCIAL GENERAL LIABILITY <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: United Educators Ins Risk Ret. Grp. <br />10020 <br />CN1 02776682-STND-GAWUE-1 8- <br />INSURED <br />THE BOARD OF TRUSTEES OF THE <br />INSURER B : N/A <br />N/A <br />INSURER C: N/A <br />N/A <br />LELAND STANFORD JUNIOR UNIVERSITY, ET AL. <br />INSURERD: <br />C/O RISK MANAGEMENT DEPARTMENT <br />320 PANAMA STREET <br />$ <br />X <br />STANFORD, CA 94305-6207 <br />INSURER E, <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: SEA -003207157-34 REVISION NUMBER: 8 <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />Alexander Raynoldsi <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE 1:1 OCCUR <br />SEE ATTACHED <br />NTE RENTED <br />DAMAGE PREM SESO a occurrence <br />$ <br />X <br />MED EXP (Any one person) <br />$ <br />Liquor Liability <br />PERSONAL & ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />GEN'L <br />POLICY ❑ PRO - <br />POLICY [:]LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />D7386X <br />09/01/2018 <br />09/01/2019 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />AGGREGATE <br />$ 2,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />PRODUCTS - COMP/OP <br />$ 1,000,000 <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY Y / N <br />PERT <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE IS ISSUED FOR THE USE OF PREMISES FOR THE STANFORD CLASSIC TREEATHLON. EVENT ON MARCH 2-3 2019 AT PACIFIC SHORES CENTER (1700 SEAPORT BLVD., REDWOOD <br />CITY, CA 94063), WESTPOINT HARBOR AND PORTIONS OF SEAPORT BLVD EAST OF BLOMQUIST ST., STARTING AT INTERSECTION OF CHESAPEAKE DR. AND SEAPORT. <br />CERTIFICATE HOLDER/OWNER IS ADDITIONAL INSURED AND ANY BENEFICIARY, OFFICER, DIRECTOR, EMPLOYEE OR AGENT OF ANY OF THE FOREGOING IS/ARE ADDITIONAL INSUREDS <br />UNDER THE UMBRELLA LIABILITY POLICY WHERE REQUIRED BY WRITTEN CONTRACT. THE UMBRELLA LIABILITY POLICY APPLIES IN EXCESS OF THE UNDERLYING GENERAL LIABILITY SELF- <br />INSURED RETENTION. <br />CERTIFICATE HOLDER CANCELLATION <br />REDWOOD CITY POLICE DEPARTMENT <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />1017 MIDDLEFIELD ROAD <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />REDWOOD CITY, CA 94063 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br />Alexander Raynoldsi <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 91 <br />