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INIAGINC-03 WRIMLYMEMU. <br />CERTIFICATE OF LIABILITY INSURANCE DAT11912O2YYYI <br />. •__• 5/19/2020 <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: ff the certlHcats holder Is an ADDITIONAL INSURED, the pollcy(Ns) must have ADDITIONAL INSURED provisions or be endorsed. <br />H SUBROGATION IS WAIVED, subject to the berms and conditionsof the policy, certain po$IcI9S may require an endorsement A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such andorsement(s). <br />ODUCER <br />Ul <br />4FPProperty & Casualty Sarvlces, Inc. "OONE PAX mm� <br />ISO West Santa Clara Street (cor, No, Ear):. (408) 792-5400 (AIC, n6):(4108) 792~3670 <br />suite 675 <br />San Jose, CA 85113 <br />IxBUA£RLeJ /LPNO�C011PRAIiE - ---ANCA _ <br />r 1NSURERA:CItlAens insurenm Comp&pV of America 81534 <br />INSURED ; INsu1R R B: Republic Indem Company of America _X22179_ <br />ImageX, Inc <br />c/o Raymer Business Services, LLC m: • -- -- — <br />4749 Bennet Drive, Suite 1 INSURER o; <br />Livermore, CA 94551 INSURER E: <br />--- INSURER P. . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 19 FLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. N07VOMSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AL1 THE TERMS. <br />EXCLUSIONS AND CON 01TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PALO CLA1M5. <br />DO <br />R TYPE OF INSURANCE � AIN LR_ M PIXJCYNUMBER • �GGY EFF AOUCY E1(P T " <br />uMITs <br />I 'X COMMERCULLOENERAL LLAO tumw <br />---t -- - FACL11OCCURRENCE _ S 7,000,Bt <br />CLAIMSaIAOE X OCCUR X X OOFA312130 612012020 5!2012021 j e.AiSEE� D # 1,040,OC <br />G£ NL AGGREGATE LIMIT APp1.lES PER: <br />X POLICY j LOC <br />AUTOMOBILE LIABILITY <br />[-accurreneeL.. <br />ILnED--EKP oor! aperera!11 ..S <br />ANY AUTO <br />I PPA�LRL3ADI(INJURY � # _ <br />UTOpS <br />�p <br />ONLY <br />PRODUCTS-COM.P1CPAW. S _ <br />X AUTOS ONLY �. X <br />py�yU�LyEOp <br />. R1] OS i7A� <br />X <br />10OL dad in GL Lip" <br />X UMBRELLA LIAR X OCCUR <br />EXCESS LIAO - --CLAIMS-MADE <br />DED RETENTIOMi <br />MRKERS COATP HATION <br />AND EMPLOYER$ LrM[U Y <br />jANY YFlCCERRRAE�RfPARTNERRpI CLRIVE YIN <br />F;NIA <br />andndry in Nil) <br />'1f res. dorerbo undo' <br />M OF OPE RATIO NSI V='nONSI vEH 1C;Ee {ACs RD sot, ndlfil tonal Rum Me Sc lnd u!o, may bo Nit=h nd if more Aimee I mqu!m dl <br />Itlons per written contract with the Named Insured. The City, its Dicers, agents, employees and voluntoors am named as an Addillonal Insured per <br />351-10D8 0819 attached. Primary non-conblbutory wording par form 381.10x73 03 16 attached. CIR form attached. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Redwood City THE EXPUtAT10N DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />1417 Middlefield Road ACCORDANCE WITH THE POLXY PROVISIONS, <br />Redwood City, CA 94063 <br />AUTHORIZED <br />REEPIR.�ESENTATIVE <br />ACORD 26 (2018103) ®1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />[-accurreneeL.. <br />ILnED--EKP oor! aperera!11 ..S <br />I PPA�LRL3ADI(INJURY � # _ <br />l}Em!IERAL AGGRE4l1TE 5 _ <br />PRODUCTS-COM.P1CPAW. S _ <br />HIRED NON OWl i3 <br />COMS!NfJ7 SINGLE LU,1rf <br />iEa actiaan!)- <br />OBFA312130 <br />512012020 5/20/2021 BODILYINIURYLPmp wn) f <br />#p}Q�F11LY INJUpR1UYN,/�aepdwE! _ �_ . <br />OBFA312130 <br />ERCH RCCURfiEHCE Is <br />52012020 5/2012021 <br />pcGPAGATE s. <br />X <br />'186315.08 <br />6202020 51202021 <br />ELEACH ACCIDENT <br />EL039EA8E--EAFfNPLAYEE S <br />M OF OPE RATIO NSI V='nONSI vEH 1C;Ee {ACs RD sot, ndlfil tonal Rum Me Sc lnd u!o, may bo Nit=h nd if more Aimee I mqu!m dl <br />Itlons per written contract with the Named Insured. The City, its Dicers, agents, employees and voluntoors am named as an Addillonal Insured per <br />351-10D8 0819 attached. Primary non-conblbutory wording par form 381.10x73 03 16 attached. CIR form attached. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Redwood City THE EXPUtAT10N DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />1417 Middlefield Road ACCORDANCE WITH THE POLXY PROVISIONS, <br />Redwood City, CA 94063 <br />AUTHORIZED <br />REEPIR.�ESENTATIVE <br />ACORD 26 (2018103) ®1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />