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ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) <br />� 12/10/2024 THIS CERTIFICATE IS ISSUED AS A MA TIER 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. <br />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). <br />PRODUCER NAM1:�"' Xan Daven-Thomas Seagreaves Insurance Services rtgNtfo Ext): (831) 464-1870 l(AJC, No): 2425 Porter St ioDRESS: office@seagreaves.net Ste 6 INSURER($) AFFORDING COVERAGE NAIC# Soquel CA 95073 INSURER A: Accelerant National Insurance Company 10220 INSURED INSURER B: <br />La Viga Culinary Inc. INSURER C: <br />2042 BROADWAY ST INSURER D: <br />INSURER E: <br />REDWOOD CITY CA 94063-1802 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 />'Ti'R TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMn>DIYYYY) (MM/DDivmi LIMITS <br />,c COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 lcLAIMS-MA□E I ,CloccuR ..,,.,w,.,.._..._ IV u ... , C:LJ $ 250,000 PREMISES (Ea occurrence) <br />MED EXP (Any one person) $ 5,000 -A y N0091PK0l 1966 12/01/2024 12/01/2025 PERSONAL & ADV INJURY $ 2,000,000 -GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 �POLICY □ jr& OLoc PRODUCTS -COMP/OP AGG $ 6,000,000 OTHER: $ <br />AUTOMOBILE LIABILITY (Ea accidenti"""��� � ... ,,' $ -ANY AUTO BODILY INJURY (Per person) $ -OWNED -SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ ----HIRED NON-OWNED <Pe'i'accic1��1'i"'' .. ""'" $ AUTOS ONLY AUTOS ONLY -,__ $ <br />UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ -EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br />OED I I RETENTION $ $ WORKERS COMPENSATION lsrATUTE I 1¥R"· AND EMPLOYERS" LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE □N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 2042 Broadway, Redwood City CA 94063 Certificate Holder is Additional Insured City and its Council, Officers, Agents, Employees, and volunteers shall be additional inured including completed operations, primary noncontributory, waiver of rights/recovery CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Redwood City ACCORDANCE WITH THE POLICY PROVISIONS. IO I 7 Middlefield Rd AUTHORIZED REPRESENTATIVE 1 Redwood City CA 94061 © 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />REV: 06-09-25 VR <br />ATTY/AGR.2025.139/La Viga Culinary Inc. (2042 Broadway -LV Mar) (Page 17 of 33)