Agmt24 Curry Pizza House (900A Middlefield)

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,4c'to►za® CERTIFICATE OF LIABILITY INSURANCE GATE (MMlDDIYYYY) 7/12/2024 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(les) must have ADDITIONAL INSURED provisions or 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 CONTACT Gregory Zeman Roger Larson arc F!o E : (925) 415-5097 Fi4AfC No E-MAIL zeman twf com ADDRESS: g @ g• 675 Y nacio Valle Rd. 9 Y INSURERS} AFFORDING COVERAGE NAIC 9 Ste B215 Walnut Creek CA 94596 INSURERA: Guard INSURED INSURER B: MED EXP (Any one person) INSURER C: SSD Foods LLC INSURER D; AmTrust North America 900 Middlefield Road INSURER E: PERSONAL&ADV INJURY Redwood City CA 94063 INSURER F: COVERAGES CERTIFICATE NUMBER: SSDF24071215143714 REVISION NUMBER: 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. IIR ADDL SUER POLICY NUMBER MMIDDNYYY MMIDD EXP LLIMITS LTR TYPE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. COMMERCiALGENERALLIABILITY AUTHORIZEDREpRESENTATIVE ��`-J— Redwood City 94064 ,�I EACHOCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 0 MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ Included A Y Y SSBP537323 6/29/2024 6/29/2025 GEN'L AGGREGATE LIMIT APPLIES PER: GENE RAL AGGREGATE $ 2,000,000 POLICY JET LOC PRODUCTS -COMPIOPAGG $ 2,000,00 Liquor Liability $ $11I OTHER: AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acddent $ HIRED NDN -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ 4CESS LIAB CLAIMS -MADE 07D RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANYPROPRIETORIPARTNERIEXEIVE CUT OF FICERrMEMBER EXCLUDED? [Y (Mandatory In NH) NIA Y TES4440508 6/29/2024 6/29/2025 STATUTF ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) KR Redwood City Partners, LLC and the City of Redwood City are additional insureds under General Liability per the attached forms. Waiver of subrogation applies to General Liability and Workers' Compensation. CERTIFICATE HOLDER CANCELLATION @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ATTY/AGR.2024.158/Curry Pizza House (900A Middlefield Rd) (Page 20 of 26) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Redwood City & KR Redwood City Partners, LLC PO BOX 391 AUTHORIZEDREpRESENTATIVE ��`-J— Redwood City 94064 ,�I @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ATTY/AGR.2024.158/Curry Pizza House (900A Middlefield Rd) (Page 20 of 26)