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,® CERTIFICATE OF LIABI LITY INSURANCE I DATE (MM/DD/YYYY) <br />09/1 0/2025 <br />� <br />THIS CERTI FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN D CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEN D OR AL TER TH E COVERAGE AFFORDED BY TH E POLI CIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TH E ISSUING INSURER(S}, AUTHORIZE D REPRESENTATIVE OR PRODUCER, AND THE CERTI FICAT E HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUB ROGATION IS WAIVED, subject to the terms and conditions of th e policy, ce rtain policies may req uire an endorsement. A statement on this certificate does not confer ri ghts to the certificate holder in lieu of such endorsement(s). PRooucER Concise Insurance Services CONTACT NAME: Summer ElhindiPHONE (650)401 -8800 I FAX 2 350 Clipper St I AIC". Nn Erl\: /A/C Nol: (650)401-801 0 E-MAIL summer@co nciseinsu rance.com San Mateo, CA 94403 ADDRESS: <br />License #: 0M96830 INSURER/Sl AFFORDING COVERAGE NAIC # <br />INSURER A: Ata in Insurance ComnanvINSURED La Perla Negra, Inc. INSURER S: The Hartfo rd Insurance Comnanv 29424 <br />OBA The Sadwich Spot INSURER C: <br />2420 Broadway St INSURER D: <br />Re dwood City, CA 940 63-1 551 INSURER E: <br />INSURER F: <br />COVERAGES CERTI FICAT E NUMBER: 0001 1 024-4 2721 REVISION NUMBER: 7 TH IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I NSURED NAM ED ABOVE FO R THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CO NDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PO LICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUS IONS AND CONDITI ONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR <br />A <br />A <br />B <br />A <br />A <br />TYPE OF INSURANCE <br />.._X COMMERCIAL GENERAL LIABILITY:=J CLAIMS-MADE [i] OCCUR <br />--GEN'L AGGREGATE LIMIT APPLIES PER: Fl □PRO-POLICY JECT <br />OTHER: AUTOMOBILE LIABILITY ..x ANY AUTO - <br />[i] LOC <br />OWN ED SCHEDULED -AUTOS ONLY -AUTOS HIRED NON-OWNED-AUTOS ONLY -AUTOS ONLY <br />UMBRELLA LIAB -EXCESS LIAB H OCCUR <br />CLAIMS-MADE <br />OED I I RETENTION $ <br />WORKERS COMPENSAT ION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE [y] OFFICER/M EMBER EXCLUDED? Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below <br />Personal Property <br />Liquor Liabi lity <br />AD DL SUBR m�n un<n POLICY NUMBER <br />CI P457631 001 <br />CI P457631001 <br />57WECAY1 V00 <br />N!A <br />AP P45288260 <br />AP P45288260 <br />POLICYEFF IMMIDD/YYYYI <br />06/09/2025 <br />06/09/20 25 <br />06/09/2025 <br />06/09/2 025 <br />06/09/2025 <br />11POLICY EXP MM/0D/YYYYI <br />06/09/2026 <br />06/09/2 026 <br />06/09/2026 <br />06/09/2 026 <br />06/09/2026 <br />LIMITS <br />EACH OCCURRENCE $ DAMAGE TO RENTED PREM ISES IEa occurre nce\$ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />PRODUCTS -COM P/O P AGG $ $ COMBINED SINGLE LIMIT $ (Ea accident\ BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ !Per accident\ <br />$ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />$ <br />XI �f�TUTE I I OTH-ER <br />E.L EACH ACCIDENT $ <br />E.L. DISEASE • EA EMPLOYEE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRI PTION OF OPERATI ONS I LOCATI ONS I VEHICLES (ACORD 101, Additional Remarks Sched ule, may be attached if more space Is required) <br />The City of Redwo od City, its council members, offi cers , boards, com missions, employees <br />and ag ents are additional insureds on the above General Liability, Auto Liability and <br />Excess Liability Policies if re quired by written co ntract. <br />Coverage provi ded to the Ad diti onal Insureds shall apply on a Primary / Non-Contributory <br />Bas is on the above General Llab ility, Auto Liability and Excess Liability policies if <br />req uired by written contract. <br />(co ntinued on ACORD 101 Add itio nal Remarks Sched ule) <br />CERTIFICATE HOLDER CANCELLATI ON <br />1.000 000 <br />100 000 <br />5,000 <br />1,000 000 <br />2 000 000 <br />2 000 000 <br />1 000 000 <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />$1 50,000 <br />$1,000,000 <br />City of Redwo od City SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Engineering Division <br />P.O. Box 391 <br />Redwood City CA 94064 <br />I <br />ACO RD 25 (201 6/0 3) <br />THE EX PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESrN,TI VE <br />f I • 11.•~·--=-r 7 (S UM) <br />© 1988-20 15 ACORD CORPORATION. Al l rights re served. <br />Th e AC ORD name and logo are registered marks of ACORD Pri nted by SUM on 09/1 0/2025 at 01 :59PM <br />M 0.......- <br />Q) Cl co <br />"O co e Ill 0 N "<t <br />C. en .c (.) -�"O C: co en <br />Q) .c <br />CX) N '° N 0 N fl'. (.'.)