Agmt26 Mademoiselle Colette (2401 Broadway)

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A .0' .0-% AM N--% o fit.. CJ/C LJ �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02/25/2026 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 ALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE ACONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subjectto 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 CONTACT POLICYEXP (MM/DD/YYYY) NAME: Ashley Brooks Ashley Brooks(9660373) PHONE FAX 1725 Woodside Rd Ste E (A/C, NO, EXT): 650-362-3435 (A/C, No): 650-618-0452 E-MAIL Redwood City CA 94061-3493 ADDRESS: abrooksl@farmersagent.com INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Truck Insurance Exchange 21709 INSURERB: Farmers Insurance Exchange 21652 MADEMOISELLE COLETTE INC INsuRERc: Mid Century Insurance Company 21687 816 SANTA CRUZ AVE INSURER D: MENLO PARK CA 94025 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS ISTD CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMEABOVE FORTHE 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 SUBJECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDTL INSD SUBR WVD POLICYNUMBER POLICY EFF (MM/DD/YYYY) POLICYEXP (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE /� OCCUR DAMAGE TO RENTED PREMISES (Ea Occurrence) $ 75,000 MED EXP (Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 C X X 605899984 03/12/2026 03/12/2027 GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY ❑ PROJECT ❑ LOC PRODUCTS-COMP/OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODI LY I NJ URY (Per person) $ ANYAUTO BODILY INJURY (Per accident) $ C OWNEDAUTOS X SCHEDULED ONLY AUTOS 605899984 03/12/2026 03/12/2027 PROPERTY DAMAGE (Per accident) $ X HIREDAUTOS NON -OWNED ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTHER $ A ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Y N/ A X 09481779 09/30/2025 09/30/2026 E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 Ifyes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) For Location: 2401 BROADWAY ST, REDWOOD CITY, CA 94063 Additional Insured is listed as The City of Redwood City and its Council, officers, officials, agents, employees, and volunteers CERTIFICATE HOLDER CANCELLATION CITY OF REDWOOD CITY SHOULD ANY OF THE ABOVE DESCRIPOLICIES BE CANCELLED BEFORE THE EXPIRATION 1017 MIDDLEFIELD RD DATE THEREOF, NOTICE WILL BE DE IVE D IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE REDWOOD CITY CA 94063 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All Rights Reserved 31-1769 11-15 REV: 04-27-26 VR The ACORD name and logo are registered marks of ACORD ATTY/AGR.2026.115/Mademoiselle Colette, Inc. (2401 Broadway - Mademoiselle Colette, Inc.) (Page 17 of 27)