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AL (SKU CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/17/2024 THIS CERTIFICATE IS ISSUED ASA 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 POLICY EXP (MM/DD/YYYY) NAME: Xan Daven-Thomas Jerry Seagreaves(9686B72) PHONE FAX 2425 Porter St Ste 6 (A/C, NO, EXT): 831-464-1870 (A/C, No): 831-475-5045 E-MAIL ADDRESS: office@seagreaves.net Soquel CA 95073-2454 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Truck Insurance Exchange 21709 INSURERB: Farmers Insurance Exchange 21652 LA VIGA CULINARY INC. INSURER C: Mid Century Insurance Company 21687 2042 BROADWAY ST INSURER D: S 5,000 INSURER E: REDWOOD CITY CA 94063 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS ISTO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDTL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERALLLIAABILITY EACH OCCURRENCE $ 2,000,00 CLAIMS -MADE OCCUR DAMAGE (EaOcc Occurrence) PREMISES (Ea Occurrence) $ 250,00 MED EXP (Any one person) S 5,000 PERSONAL&ADV INJURY $ 2,000,000 A Y Y 607180019 12/01/2023 12/01/2024 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY I I PROJECT ❑ LOC PRODUCTS-COMP/OPAGG $ 4,000,00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) J; ANYAUTO BODILY INJURY (Per accident) y OWNEDAUTOS SCHEDULED ONLY AUTOS PROPERTY DAMAGE (Peraccident) $ HIRED AUTOS NON -OWNED ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTHER $ ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A EI.EACH ACCIDENT $ E, L. DISEASE - EA EM PLOYEE E.L- DISEASE - POLICY LIMIT $ Ifyes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 772 BROADWAY ST, REDWOOD CITY, CA 94063 City and its Council, officers, officials, agents, employees, and volunteers shall be additional insured including ompleted operations, primary noncontributory, waiver of rights/recovery; and Worker's Comp Waiver of Subrogation endorsement in favor of City, its Council, officers, agents, employees, and volunteers. CERTIFICATE HOLDER CITY OF REDWOOD CITY ENGINEERING & CONS' PO BOX 391 REDWOOD CITY CA 94064 ACORD 25 (2016/03) CANCELLATION SHOULD ANY OF THE ABOVE DESCRI BED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All Rights Reservec Tom_ AI^— .-_—- _._J I., -... _-- A — -.c n1— ATTY/AGR.2024.212/La Viga (1772 Broadway) (Page 19 of 25)