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ACRO® CERTIFICATE OF LIABILITY INSURANCE
<br />E (MM/DDIYYYY)
<br />710/20/2025
<br />TYPE OF INSURANCE
<br />INSD
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT NAME: Ali Raza
<br />Zain Jeewan'ee Insurance Agency
<br />1 9 Y
<br />PHONE 408-703-4900 Ext. 4902 408-997-7890
<br />A/C, No, Ext): (A/C, No):
<br />1494 Hamilton Ave, Ste 101
<br />ADDRESS: ali.raza@insurel23.com
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A: United Fire & Casualty Company
<br />San Jose CA 95125
<br />INSURED
<br />INSURER B: United States Liability Insurance Company
<br />INSURER C : Employers Preferred Insurance Company. 10346
<br />Broad Peak Industries Inc Dba Zareen's Restaurant
<br />INSURER D:
<br />2039 Broadway St
<br />INSURER E:
<br />$
<br />INSURER F:
<br />Downtown Redwood City CA 94063
<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 />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />(MM/DD/YYYY)
<br />(MM/DD/YYYY)
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE a OCCUR
<br />Y
<br />Y
<br />10168281499
<br />05/14/2025
<br />05/14/2026
<br />EACH OCCURRENCE $ 1,000,000
<br />PREMISES (Ea occurrence) $ 100,000
<br />MED EXP (Any one person) $ 5,000
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY PRO-
<br />JECT LOC
<br />OTHER:
<br />GENERAL AGGREGATE $ 2,000,000
<br />PRODUCTS - COMP/OP AGG $ 2,000,000
<br />$
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIRED AUTOS X AUTOSWNED
<br />10168281499
<br />05/14/2025
<br />05/14/2026
<br />(Ea accident) $ 1,000,000
<br />BODILY INJURY (Per person) $
<br />BODILY INJURY (Per accident) $
<br />_PR_07ETM DAMAGE
<br />(Per accident) $
<br />B
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />OCCUR
<br />CLAIMS -MADE
<br />XL 1661020A
<br />05/14/2025
<br />05/14/2026
<br />EACH OCCURRENCE $ 2,000,000
<br />AGGREGATE $ 2,000,000
<br />DED I I RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? 71
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N/A
<br />Y
<br />EIG557337101
<br />07/21/2025
<br />07/21/2026
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000
<br />A
<br />Business Property
<br />10168281499
<br />05/14/2025
<br />05/14/2026
<br />Limits: $150,000
<br />A
<br />Business Interruption
<br />10168281499
<br />05/14/2025
<br />05/14/2026
<br />12 Months
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />The City, its Council, officers, officials, agents, employees, and
<br />volunteers are listed as additional insured, primary and non contributory and waiver of subrogation applies on General Liability. Workers Compensation
<br />waiver of subrogation applies in favor of The City, its Council, officers, officials, agents, employees, and volunteers.
<br />CERTIFICATE HOLDER CANCELLATION
<br />@ 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />ATTY/AGR.2026.022/Zareen's Restaurant (2039 Broadway) (Page 17 of 31)
<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 />v
<br />@ 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />ATTY/AGR.2026.022/Zareen's Restaurant (2039 Broadway) (Page 17 of 31)
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