Agmt25 Estellato Tre Inc. DBA Caffe Stellato (816 Middlefield)

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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/13/2025 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 GADA HASSANY NAME: GADA HASSANY A/CNW. Ext): 550-243-7446 FAX No 475 EL CAMINO REAL $ 416 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# MILLBREA, CA 94030 INSURERA: MARKEL INSURANCE COMPANY 22616 INSURED INSURER B : INSURER C : ESTELLATO TRE INC INSURER D : DBA:CAFE ESTELLATO INSURER E: 816 MIDDLEFIELD RD INSURER F: REDWOOD CITY, CA 94063-2628 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 D IN SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ RENTED CLAIMS -MADE FlOCCUR PREMDAMAGE S ( PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Es accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ X WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y OF ICERMEMBEREXCLUDED?ECUTIVE ❑ (Mandatory in NH) N/A Y MWCO240900-01 08/01/2025 08/01/2026 PEROTH- STATUTE ER E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THIS WORKERS COMP POLICY ENDORESED BY A WAIVER OF SUBROGATION EMDORESEMENT IN FAVOR OF CITY,ITS COUNCIL,OFFICERS,AGENTS,EMPLOYEES. l�la:all�l�L'\I�:[�]A�Ja: hG1►[yaAAG\I[�1� THE CITY OF REDWOOD CITY 1017 MIDDLEFIELD RD REDWOOD CITY.CA 94063-1993 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE GADA HASSANY 08/13/2025 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ATTY/AGR.2025.342/Gaffe Stellato (816 Middlefield Road - Caffe Stellato) (Page 21 of 27)