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CQi� 1 0 <br />�� CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />5r1512020 <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(les) 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 Bolton & Company <br />3475 E. Foothill Blvd., Suite 100 <br />Pasadena, CA 91107 <br />CONT ACT <br />PHONE 626 799-7000 FAx 626 583.2117 <br />E-MAIL <br />EACH OCCURRENCE $1000.000 <br />INSURERS AFFORDING COVERAGE NAIC O <br />INSURER A: Old Republic General Insurance Carp 24139 <br />www.boltonco.com 0008309 <br />INSURED <br />O'Grady Paving, Inc. <br />A & D Trucking, Best Equipment Rentals <br />2513 Wyandotte Street <br />INSURER : Starr Indemnity & Liability Company 38318 <br />INSURER C; <br />INSURER D: <br />INSURERE: <br />Mountain View CA 94043 <br />INSURER F <br />COVERAGES CERT(FICATE NUMBER: 55499974 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 TYPE OF INSURANCE L POLICY NUMBER 1PPOLICYFFFF RW pY E� LIMITS <br />LTR <br />A <br />COMMERCIAL GENERAL LIABILITY <br />A1CG44181801 <br />7/1/2019 <br />7/1/2020 <br />EACH OCCURRENCE $1000.000 <br />CLAIMS -MADE MOCCUR <br />DAMAGE TO PREMISES- N nunoa $100000 <br />MED EXP (Any oneperson) $51000 <br />PERSONAL & ADV INJURY $ 1 DDD DDD <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2,000,000 <br />POLICY FV] JEST 1-1 LOC <br />PRODUCTS -COMPIOPAGG S1000,000 <br />000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />AICA44181801 <br />7/1/2019 <br />7/1/2020 <br />COMBiN_, E SINGLE LIMIT $1 000 000 <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY13AMAGE $ <br />(Per awdegil <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />B <br />UMBRELLA LIAR <br />,/ OCCUR <br />1000585182191 <br />7/1/2019 <br />7/1/2020 <br />EACH OCCURRENCE $10,0001000 <br />AGGREGATE $10,000,000 <br />f <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETE TION <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPAR7NERIEXECUTIVE - N <br />OFFICERIMEMBEREXCLUDED? <br />N I A <br />AlCW44181801 <br />7/1/2019 <br />7/1/2020 <br />,/ PT r T ER <br />E.L. EACH ACCIDENT $1,000,000 <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYE $ <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />Ir yes, dascdba under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached !(more space Is required) <br />Re: OGP #20039, Project #STPL-5029(036), Redwood City Pavement Preservation. <br />GL Additional Insured applies per CG20100704 & CG20370704 attached, only if required by written contract/agreement. GL PIII mary&Non-Contributory <br />Warding applies per CGENGN00290906 attached. Auto Additicnal Insured and Prime ryry&Non-Conlrlbutory Wording applies per CAENGN00440212 attached. <br />GL. Auto & WC Notices of Cancellation apply per ILENGN000401911 and WC9903150906 altached. <br />Additional Insured($): City of Redwood City, its City Council, and Iheir elective and appointed, hoards, officers, agents, and employees . <br />k; MK I II-IL;AI C HVLUr-K I Arq .,L LLA I lVl4 <br />OGP #20039 <br />City of Redwood City <br />Attn: Engineering Division <br />R O. Box 391 <br />Redwood City, CA 4064 <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 />Chau Tran <br />©1988-2015 ACORD CORPORAMN. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />55499974 1 OGRAPAV-Cl 1 19-20 WC, Auto, GL, XS I Bolton Certificate processing 1 5/15/2020 5:97;20 PM tPDT) I Page 1 of 9 <br />