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A� O® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDI1'YY10 <br />3/21/2025 <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(ies) 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 <br />Incline Insurance Services, Inc. <br />510 Myrtle Ave, Suite 203 <br />South San Francisco CA 94080 <br />CONTACT <br />NAME; Crystal McFarland <br />PHONE FAX <br />c Ne ExD 650-413-7522 AIc No): 650-413-7524 <br />E-MAILA_DDRESs: c stal inclineinsurance.com <br />INSURERS AFFORDING COVERAGE NAIL# <br />MERCIALGENERALLIABILITY <br />INSURER A: Ataln Specialty Insurance Company 17159 <br />Y <br />INSURED MAZR2IN-01 <br />Mazra 2 Inc. <br />2021 Broadway St <br />INSURER B: Scottsdale Insurance Company 41297 <br />-- <br />INSURERC: Hartford Casualty Insurance Company 29424 <br />INSURER O; <br />Redwood City CA 94063 <br />INSURER E, <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 874055820 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 <br />LTR <br />TYPE OFINSURANCEFNSD <br />ADDLSUBR <br />WVD <br />POUCYNUMBER <br />POLICY EFF <br />MWDD <br />POLICY EXP <br />MMIDDIYVYY <br />LIMITS <br />A <br />MERCIALGENERALLIABILITY <br />V <br />Y <br />CIP476351 <br />1/19/2025 <br />1/19/2026 <br />EACH E $1,000,000 <br />TCO <br />CLAIMS -MADE OCCUR <br />rRENTEOence $500,000 <br />PREMISES <br />MED Eerson) $5,000 <br />PERSJURY $1,000,000 <br />MCM <br />AGGREGATE LIMIT APPLIES PER: <br />GENEATE $2,000,000 <br />GEN'L <br />POLICY � PE� LOC <br />PRODIOP AGG $2,000,000 <br />$ <br />OTHER'. <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Par person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />B <br />UMBRELLALIAB <br />N <br />OCCUR <br />CXS4042879 <br />1/23/2025 <br />1/19/2026 <br />EACH OCCURRENCE $1,000,000 <br />AGGREGATE $ 1,000,000 <br />X <br />EXCESS LIAR <br />CLAIMS,MADE <br />'CEDRETENTION$ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANYPROPRIETORIPARTNERIEXECUTIVE Y <br />Y <br />57WECAPBG59 <br />1/19/2025 <br />1/19/2026 <br />X PER OTH- <br />STATUTE ER <br />E,L. EACH ACCIDENT $ 1,000,000 <br />OFFICERIMEMBEREXCLUDED2 ❑ <br />NIA <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />(Mandatory, in NH) <br />If yes, describe entler <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />1 <br />Ti <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Location Address: 2021 Broadway St, Redwood City, CA 94063. <br />The City of Redwood City is named as Additional Insured with regard to General Liability when required by written contract in accordance to policy provisions. <br />Primary and Noncontributory wording applies in favor of Additional Insured with regard to General Liability when required by written contract in accordance to <br />policy provisions. Waiver of Subrogation applies in favor of Additional Insured with regard to General Liability and Workers Compensation when required by <br />written contract in accordance to policy provisions. <br />CERTIFICATE HOLDER CANCELLATION <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20ft65),01-25 VR The ACORD name and logo are registered marks of ACORD <br />Page 6 of 39 <br />ATTY/AGR.2025.090/Mazra 2 (2021 Broadway) (Page 17 of 50) <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 />The City of Redwood City <br />1017 Middlefield Road <br />AUTHORIZED REPRESENTATIVE <br />Redwood City CA 94061 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20ft65),01-25 VR The ACORD name and logo are registered marks of ACORD <br />Page 6 of 39 <br />ATTY/AGR.2025.090/Mazra 2 (2021 Broadway) (Page 17 of 50) <br />