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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <br />10/20/2025 <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 />UUNIAUI NAME: Steven Luu <br />SJL Insurance Services Inc <br />FAX <br />PHONE 626 387-6688 <br />A/C No Ext : ( (A/C, No): <br />ADDRESS: steven@sjlins.com <br />539 E Garvey Ave <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A : EMPLOYERS COMPENSATION INS CO 41394 <br />Monterey Park CA 91755 <br />INSURED <br />INSURER B: <br />INSURER C: <br />Tong Sui Productions LLC <br />INSURER D: <br />1290 KIFER RD, Unit #305 <br />INSURER E: <br />INSURER F: <br />SUNNYVALE CA 94086-5322 <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 />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />CLAIMS -MADE FlOCCUR <br />PREMISES (Ea occurrence) $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />POLICY ❑PRO ❑ LOC <br />JO- <br />PRODUCTS - COMP/OP AGG $ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />(Ea accident) $ <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLYAUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />(Per accident) $ <br />UMBRELLA LIABOCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />HCLAIMS-MADE <br />AGGREGATE $ <br />DED I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />ND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N <br />OFFICER/MEMBER EXCLUDED? <br />N / A <br />Y <br />EIG610190400 <br />09/28/2025 <br />09/28/2026 <br />ER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 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 />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The Redwood City, its Council, officers, officials, agents, employees, and volunteers in the Certificate Holder box are named as additional insured. <br />Reference to Business: Tong Sui Desserts & Drinks, 2400 Broadway UNIT 110, Redwood City, CA 94063 <br />CERTIFICATE HOLDER CANCELLATION <br />The Redwood City, its Council, officers, officials, agents, employees, and <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />volunteers in the Certificate Holder box are named as additional insured. <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />1017 Middlefield Road <br />AUTHORIZED REPRESENTATIVE <br />Redwood City CA 94063 <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.2026.121/Tong Sui (2400 Broadway - Tong Sui) (Page 17 of 29) <br />