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SAKU521-01
<br />SAMEM1
<br />ACORO
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />FDATE (MM/DD/YYYY)
<br />12/4/2025
<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(les) 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 />CONTACT
<br />NAME:
<br />PHONE
<br />(A/C, No, Ext): (650) 355-9645 (A/C, No): (650) 557-4277
<br />TAPD Insurance Agency
<br />329 Waterford Street, Suite A
<br />Pacifica, CA 94044
<br />AEpRIE S: Certificates@agostainsurance.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A:Atain Specialty Ins Co
<br />29033
<br />INSURED
<br />INSURER B: AmTrust North America
<br />25011
<br />INSURER C:
<br />5/8/2025
<br />Sakura 52 DBA Sakura
<br />INSURER D:
<br />2198 Broadway Street
<br />Redwood City, CA 94063
<br />INSURER E
<br />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 />INSR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPLTR LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE X OCCURCIP471258001
<br />X
<br />X
<br />5/8/2025
<br />5/8/2026 DAMAGE TO RENTED 10Q000
<br />PREMISES Ea occurrence $
<br />MED EXP (Any oneperson) $ 5,000
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 2,000,000
<br />X POLICY F—] jE F—]LOCPRODUCTS
<br />- COMP/OP AGG $ 2,000,000
<br />OTHER:
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident $
<br />ANY AUTO
<br />BODILY INJURY(Perperson) $
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident $
<br />AUTOS ONLY AUUTOS ONL�
<br />PROPERTY
<br />acciden DAMAGE $
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE $
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $
<br />DED RETENTION $
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?[yi
<br />(Mandatory in NH)
<br />N / A
<br />X
<br />TES4607738
<br />5/8/2025
<br />X PER OTH-
<br />STATUTE ER
<br />5/8/2026 1,000,000
<br />E.L. EACH ACCIDENT $
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Redwood City, and it's council, officers, officials, agents, employees, and volunteers are additional insured on the general liability policy with waiver of
<br />subrogation per attached endorsements, policy limits, and exclusions.
<br />City of Redwood City, and it's council, officers, officials,
<br />agents, employees and volunteers
<br />1017 Middlefield Rd
<br />Redwood City, CA 94063
<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 />AUTHORIZED REPRESENTATIVE
<br />1
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />ATTY/AGR.2026.021/Sakura 52 (2198 Broadway) (Page 17 of 30)
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