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9 ern IQ of 17 <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/ <br />AE(MM/ DNYYY) 8121/2019 <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 pollcy(les) must bo 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 />Dealey, Renton 8, Associates <br />License #0020739 <br />600 Anton Blvd., #100 <br />CONTACT <br />NAME: <br />PHONE 714 427�$f O FC No : ?14-427 6818 <br />E-MAIL <br />: Certificates@dealeyrenton.com <br />Costa Mesa CA 92626 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: Hartford Underwriters Ins, CO. 80104 <br />413012020 <br />INSURED LPAINC <br />LPA, <br />5301 Californial Avenue, Suite 700 <br />INSURER B : Hartford Casualty Insurance Co. 29424 <br />INSURER C: Hartford Accident S Indemnl 22357 <br />INSURER D: XL Specialty Insurance Co. 37885 <br />Irvine CA 92617 <br />INSURER E: <br />GENERAL AGGREGATE $ 2,000,000POLICYJEST <br />INSURER F <br />$ <br />COVERAGES CERTIFICATE NUMBER: 2054603235 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 />INSR <br />LTR <br />I TYPE OF INSURANCE <br />ADDLSUDR <br />City of Redwood City <br />POLICY NUMBER <br />POLICY EFF <br />MAtIDn <br />POLICY EIfP <br />M10A <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ff] OCCUR <br />Y <br />Y <br />57UUNVJ3732 <br />413012019 <br />413012020 <br />EACH OCCURRENCE $1,000,000 <br />PREMff$ f.Ea occurronool $1.0°0.000 <br />MED EXP Any one rson) $10,000 <br />PERSONAL F, ADV INJURY $1,000,000 <br />L AGGREGATE LIMIT APPLIES PER: <br />LOC <br />POTHER: <br />GENERAL AGGREGATE $ 2,000,000POLICYJEST <br />PRODUCTS - COMPIOP AGO S 2,°00,000 <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />ATOS <br />X HIRED AUTOS ALO�TOS QED <br />LX <br />Y <br />Y <br />67UUNVJ3732 <br />4/3012019 <br />403002020 <br />COMBINED, SINGLE LIMIT $ <br />Eo eccJdanl <br />BODILY INJURY (Per person) S <br />BODILY INJURY (Per a0wart) $ <br />(P©raERde t) DAMAGE $ <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />EXCESS UAB <br />X <br />OCCUR <br />CLAIMS-NWDE <br />67XHUVJ3506 <br />413012019 <br />403012020 <br />EACH OCCURRENCE $1,000,000 <br />AGGREGATE $1,00(t.000 <br />DED RETENTIONS <br />$ <br />O <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED? NI <br />(Mandatory In NH) <br />IFyyaa deacrtbeundo' <br />DESGrRip T[ON OF OPERATIONS below <br />N I A <br />57WE619D35 <br />4/3002019 <br />413012020 <br />X SEARIUTE OR - <br />E. L. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE - EA EMPLOYE S 1,000.000 <br />E.L. DISEASE - POLICY LIMIT $ 11,000.0130 <br />D <br />Profoselonal <br />Liability <br />Claims Mado <br />DPR9941339 <br />4!3012019 <br />413012020 <br />$2,000,000porclaim <br />$2,D00,000 onnl aggr. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I V4HICLBS (ACORD 101, Addltonal Remarks Schadul% may bo attachod If more spaco is requlrad) <br />Umbrella policy is a follow -form to underlying General LiabllltylAuto Liability[Employers Liability <br />RE: Phase 1: feasibility analysis for a site(s) that meets minimum and optiimum parcel size requirements. <br />The City of Redwood City, its officers, agents, employees and volunteers are named as an additional insured as respects general liability and auto liability as <br />required ger written contract or agreement. General Liability Is Primary/Non-Contributory per policy form wording. Auto Liability Is Primary per policy form <br />wordIng, Insurance coverage Incudes waiver of subrogation per the attached endorsement(s). 30 Day Notice of Cancellation applies <br />rF-RTIFICATF HOLDER CANCELLATION 30 Dav Notice of Cancellation <br />ACORD 26 (2014104) <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />183 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Redwood City <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Atten: City Manager <br />AU ORIZED REPRESENTATIVE <br />1017 Middlefield Rd. <br />Redwood Clty CA 54063a&A.�� <br />� I <br />ACORD 26 (2014104) <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />183 <br />