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I <br />=a CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) <br />J <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 ,fames E. McGovern, Inc. HAMS: Ma Ann Worman <br />1625 EI Camino Real PHONE 650-593-8216 x103 w Nol., 650-594-913.(;1 <br />Belmont, CA 94002 F.MAN <br />Www.Jemins.com <br />INSURED <br />Ross McDonald Company, Inc <br />1154 Stealth Street <br />Livermore CA 94550 <br />CnVPRArFR e'r-0r1clrAT0 KIIIAROCo. ., r <br />INSURER A: Ohio Security Insurance <br />INSURER 0e American Fire and Casu <br />INSUR€RC: Markel Insurance COMM <br />XV <br />NAIC # <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVEBEEN 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 A06L SDr3R POLICY EFF POLICY f: <br />LTR TYPE OF INSURANCE Y <br />POLICY MMlDOlYS`YY Al1WDD LIMITS <br />A <br />✓ COMMERCIAL GENERAL LIABILITY <br />✓ <br />`/ <br />BKS (21) 57 47 36 67 <br />10/20/2020 <br />10/20/2021 <br />EACHOCCURRENCE $1 400 900. <br />—A <br />PREMISES IFS OrCurrencel $500000. <br />CLAIMS -MADE F OCCUR <br />MED EXP My one on) $15,000. <br />PERSONAL & ADV INJURY $1 000 000. <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2,000,000. <br />POLICY✓E 78T 1-1 LOC <br />PRODUCTS-COMP/OPAGG 1 $2,000,()00, <br />OTHER. <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />✓ <br />BAA (21) 57 47 36 67 <br />10/20/2020 <br />10/20/2021 <br />GOMBINEp1 L L ! $ <br />Eea dans 1,000_.900. <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />OWNED SCHEDULED <br />BODILY INJURY (Per accident) $ <br />AUTOS ONLY AUTOS <br />✓ <br />HIRED J NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYtn E <br />Per danF $ <br />$ <br />1 <br />B <br />UMBRELLA LIAR H OCCUR <br />USA (21) 57 47 36 67 <br />10/20/2020 <br />10/20/2021 <br />EACH OCCURRENCE $5.000=0. <br />EXCESS LIAB CLAIMS -MADE <br />AGGREGATE $5.000.000. <br />DEO I I RETENTION S <br />S <br />C <br />WORKERS COMPENSATION <br />`/ <br />MWC 0000425-11 <br />1/4/2021 <br />1/4/2022 <br />P 01 <br />AND EMPLOYERS' LIABILITY Y / N <br />STATUTE R <br />t~.L. EACH ACCIDENT $1.000,000, <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/ME MBEREXCLUDED? ❑ <br />N/A <br />E.LDISEASE-EAElAPLOYE $ <br />(MandatoryI NH) <br />If yyes, describe under <br />E.L DISEASE - POLICY LIMIT $1 000.000. <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Furniture Installation @ 3 Branch BID, Library Meeting Room, Redwood City RMC#B21000 <br />The C1of Redwood City, its officers, agents, employees and volunteers are named as Additional Insured & Primary Non-contributory <br />on the General & Auto LlabiIity. <br />Waiver of subrogation applies to General Liability and Workers' Compensation. <br />'30 day written Notice of Canceliatton, except for non-payment of premium which is 10 days- <br />" I w ­m _ GANGtLLA I IUN <br />The Cit Of Redwood City SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Redwood City Public Library THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />1044 Middlefield Road ACCORDANCE WITH THE POLICY PROVISIONS. <br />Redwood City CA 94063 AUTHORIZED REPRESENTATIVE <br />Sylvia McGovern <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />59846570 1 ROSSM-4 121/22 � Per Project I MaryAnn Worman 11/25/2021 4:11:49 PM (PST) I Page 1 of 22 <br />