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ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DDIYYYY)
<br />01/14/2026
<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 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 />Daiwa Insurance Marketing, Inc.
<br />a/c NN Ext): (310) 540-8595 a/c No): (310) 540-6554
<br />E-MAIL
<br />ADDRESS: info@daiwains.com
<br />20355 Hawthorne Blvd. 2FI
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />POLICY NUMBER
<br />INSURER A: Tokio Marine America Insurance Company 10945
<br />Torrance CA 90503
<br />INSURED
<br />INSURER B: Employers Assurance Company 25402
<br />INSURER C:
<br />EK Food Services Inc.
<br />INSURER D:
<br />Marufuku Ramen - Redwood City (DBA)
<br />INSURER E:
<br />865 Middlefield Rd
<br />INSURER F:
<br />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 />INSR
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ADDL
<br />SUBR
<br />1017 Middlefield Rd
<br />POLICY EFF
<br />POLICY EXP
<br />LTR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />MM/DD/YYYY
<br />MM/DD/YYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />X OCCUR
<br />DAMAGE TCLAIMS-MADE
<br />PREM SESOEa oNcunrDence $ 100,000
<br />MED EXP (Any one person) $ 5,000
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />A
<br />Y
<br />Y
<br />CPP6412600-00
<br />01/20/2026
<br />01/20/2027
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 2,000,000
<br />X POLICY❑ JECT PRO ❑ LOC
<br />PRODUCTS - COMP/OPAGG $ 2,000,000
<br />Liquor Liability $ 1,000,000
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />X
<br />ANY AUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />CPP6412600-00
<br />01/20/2026
<br />01/20/2027
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE $
<br />Per accident
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE $ 1,000,000
<br />AGGREGATE $ 1,000,000
<br />A
<br />X
<br />EXCESS LIAB
<br />HCLAIMS-MADE
<br />CU6412601-00
<br />01/20/2026
<br />01/20/2027
<br />DED X RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />X
<br />AND EMPLOYERS' LIABILITY Y / N
<br />STATUTE EORH
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />B
<br />OFFICER/MEMBER EXCLUDED? LN]
<br />N/A
<br />Y
<br />EIG272842005
<br />01/01/2026
<br />01/01/2027
<br />E.L. DISEASE - EA EMPLOYE $ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />Commercial Property
<br />Business Personal Pr, $120,000
<br />A
<br />CPP6412600-00
<br />01/20/2026
<br />01/20/2027
<br />76usiness Interruptior $875,000
<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 named as additional insured.
<br />This insurance is primary and Waiver of Subrogation is included.
<br />Location Address: 865 Middlefield Rd, Redwood City, CA 94063
<br />CERTIFICATE HOLDER CANCELLATION
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />ATTY/AGR.2026.028/EK Food Services Inc (865 Middleifield Rd) (Page 17 of 27)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Redwood City
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />c/o Engineering Division
<br />AUTHORIZED REPRESENTATIVE
<br />1017 Middlefield Rd
<br />Redwood City, CA 94061
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />ATTY/AGR.2026.028/EK Food Services Inc (865 Middleifield Rd) (Page 17 of 27)
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