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�1 ERGOW-1 OP ID: JS CERTIFICATE OF LIABILITY INSURANCE DA03/18/2020Y) 03118/2020 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 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 endorsement(s). PRODUCER CON ACT Mimi Watson Insurance by Allied Brokers -1 "AME' Lic # 0525309 a"�"N .650-328-1000 P Nol. 650-324-1142 Cowper Street ADDR Palo Alto, CA 94301 ESS. cert$ Ilied brokers.com Paf Brenda Aldaco Parra INSURERS AFFORDING COVERAGE NAIC # INSURED Ergo Works, Inc. Attn: Anne Kramer 2904 Ash Street, Ste A Palo Alto, CA 94306 INSURER E: INSURER F: Hanover 17337 COVERAGES CERTIFICATE NI)MRFR- Iz1=VISInNI nll Impro. 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 DOL a1JBRE — II AOLICY EFF P76GCTEXP LTR TYPE OF INSURANCE POLICY NUMBER 1 Mi4VOD1YYYY MranrYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I x ! OCCUR X IODFD862807 `I 05/22/2019 05/22/2020 PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 10,00 X Business Owners PERSONAL & ADV INJURY $ INCLUDE GENERALAGGREGATE $ 4,000,00 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4,000,00 X POPA LOC $ AUTOMOBILE LIABILITY COMSINFD 51N 1 Ea acciden S 2,000,0010 A ANY AUTO I0DFD862807 05/22/2019 05/22/2020 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS I BODILY INJURY (Per accident ) $ X HIREDAUTOS X NON -OWNED AUTOS III PROPERTY DAMAGE $ PER ACCI DENT $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 A X EXCESS LIAB CLAIMS -MADE ODFD862807 05/2212019 05/22/2020 AGGREGATE $ 1,000,00 X DED RETENTION $ 5000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? ❑ NIA 'WBFD862802 06/09/2019 06/09/2020 WC STATU- OTH- X R E L EACH ACCIDENT $ 1,000,00 - E.L. DISEASE - EA EMPLOYE $ 1,000,00 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,00 I PROPERTY 63,70 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) The holder of this certificate, City of Redwood City, is named as an Additional Insured as their interest may appear. C nULUcrc i,ANI:tLLA I IUN CTYOFRC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Redwood City ACCORDANCE WITH THE POLICY PROVISIONS. 1017 Middlefield Road Redwood City, CA 94063 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD