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ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE 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(ies) 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 Berkshire Hathaway Direct Insurance Company 1314 Douglas Street Suite 1400 Omaha, NE 68102 NAME: PHONE 1-800-507-4495 FAX 866-715-2764 (A/C, No, Ext): A/C, No E-MAIL ADDRESS: Service threeinsurance.com R INSURERS AFFORDING COVERAGE NAIC # EFF INSURER A: Berkshire Hathaway Direct Insurance Company 10391 INSURED INSURER B: City Pub, Inc. dba City Pub 2620 Broadway St INSURER C: Redwood City, CA 94063-1533 INSURER D: ) INSURER E: A INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY POLICY POLICY EXP LIMITS INSD R NUMBER EFF (MM/DD/YYYY WVD (MM/DD/Y ) A X COMMERCIAL GENERAL LIABILITY CP140206066P2 024 03/15/2024 03/15/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 CLAIMS -MADE X❑ OCCUR PREMISES (E. occurrence MED ERCP (Any one $ 5,000 person) X X PERSONAL & ADV $ 1,000,000 INJURY GENERAL $ 3,000,000AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY []JEGT ❑ LOC PRODUCTS- $SEE GENERAL COMP/OP AGG AGGREGATE OTHER: $ A AUTOMOBILE LIABILITY CP140206066 P2024 03/15/2024 03/15/2025 COMBINED SINGLE $ LIMIT Ea accident ANY AUTO BODILY INJURY (Per $ erson X X OWNED AUTOS ONLY HIREDNON-OWNED AUTOS ONLY SCHEDULED AUTOS AUTOS ONLY BODILY INJURY (Per $ accident) X X PROPERTY DAMAGE $ (Per accident) HIRED AND NON- $1,000,000/3,000 OWNED 000 UMBRELLALIAB EACH OCCURRENCE $ EXCESS LIAB HOCCUR CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE NIA PP14 206066 03/15/2024 03/15/2025 SPER TATUT XOTHER E E.L. EACH ACCIDENT $ 1 000 000 OFFICER/MEMY BER EXCLUDED? X E.L. DISEASE - EA $ 1,000,000 EMPLOYEE (Mandatory in NH) E, L. DISEASE - $ 3,000,000 If yes, describe under POLICY LIMIT DESCRIPTION OF OPERATIONS below A OCCUR CP140206066 P2024 03/15/2024 03/15/2025 $1,000,000 / PerOccur/Pygregate 3,000,000 ERRORS & OMISSIONS X CYBER X X X PerOccur/Aggregate $1,000,000 / 3,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Redwood City is an additional insured on the general liability policy only in regard to work performed by the insured, per ISO endorsements CG 20 37 04 13 and CG 20 10 04 13 and CG 20 01 04 13 and CG 20 12 05 09 and CG 20 29 or equivalent. The policy contains a blanket Additional Insured provision adding Additional Insured where required by a written contract with the insured prior to the start of work. The certificate holder is named an additional insured. Waiver of Subrogation and Blanket Additional Insured provisions are contained with Form 3PG 00 01- 01/21. The insurer agrees to waive our right to recover from the certificate holder to the extent required by written contract. The certificate holder has waivers of subrogation as their interest may appear (ATIMA). The policy contains a blanket waiver of subrogation where required by a written contract with the insured prior to the start of work performed by insured, per ISO endorsements CG 20 10 11 85 and or equivalent. The policy is Primary as to the losses it covers, and the insurer will not seek contribution if there is a written contract requirement between the insured and the certificate holder. Completed and Ongoing operations regarding general liability are included subject to the Each Occurrence and General Aggregate in the Commercial General Liability section for policy CP14020606P2024. The insurer will provide at least 30 days' notice to the certificate holder prior to when the insurer cancels and non -renews. Excluded from Workers Compensation Paul Dazey - Excluded CERTIFICATE HOLDER CANCELLATION The City of Redwood City SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO Box 391 Redwood City, CA 94064 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ATTY/AGR.2024.149/City Pub (2620 Broadway) (Page 22 of 36)