Agmt26 The Baker Next Door (851 Main Street)

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ACVRD% CERTIFICATE OF LIABILITY INSURANCE DA12/152025Y) 12/15/2025 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(les) 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 Doug Jones (Justworks) c/o Artex Risk Solutions, Inc. P.O. Box 13838 CONTACT NAME: Justworks Customer Success PHONE ggg 534-1711 FAx /c No Ext): ( ) A/C No): A/C, E-MAIL ADDRESS: su@� pp ort ustworks.com INSURER(S) AFFORDING COVERAGE NAIC # Scottsdale, AZ 85267 INSURER A: American Zurich Insurance Company 40142 INSURED INSURER B Justworks Employment Group LLC Labor Contractor, for co -employees of: JJ & BC Enterprises, LLC dba: The Baker Next Door INSURER C: INSURER D: PO Box 7119 Church Street Station New York, NY 10008-7119 DAMAGE TO RENTED INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 25NY0171221221 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE 1:1 OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea 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 RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBEREXCLUDED? H N/A X WC 05-04-260-01 06/01/2025 06/01/2026 X PER OTH- STATUTE ER EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 Location Coverage Period: 06/01/2025 06/01/2026 Client# 163427 -CA DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage is provided for JJ & BC Enterprises, LLC dba: The Baker Next Door Job Name: City permit for outdoor seating Job Location: 851 Main St, Redwood City, CA 9 p 851 Main Street 94063 Job Duties: Clearing tables on a sidewalk cafe outside the front door of the only those co -employees of, but not subcontractors Redwood City„ CA 94063 insured business. # of employees: 15 Start Date: 08/11/2025 Waiver effective through to: policy term. Endorsements: Waiver of Subrogation t,ANI, City of Redwood City SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1017 Middlefield Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Redwood City, CA 94063 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �I�100`1111i © 1988-2015 ACORD CORPORATION. All rights reserved. ATTYAg Fac kfi3i4iti li �A 4 &6 t�P�A KAi kQtMPMh t*b0f 31)