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CERTIFICATE NO. ISSUE �ATE (MMIDD/YYW) <br /> wc-�os� CERTIFICATE OF COVERAGE O6/28l2011 <br /> THIS CER77FICATE IS ISSUED AS A MATTER OF INFORMATION ONLV ANO CONFER$ NO <br /> RIGHfS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELV <br /> CSAC Excess Insurance ORNEGATIVELYAMENO,EXTENDORALTERTHECOVERAGEAFFORDEDBELOW. THIS <br /> Autho rity CERTIFICATE OF COVERAGE DOES NOT CONSTIfITUE A CONTFiACT BEf WEEN THE <br /> ISSUING INSURER(9), AUlXORI7E0 REPRESEMATVE OR PROOUCER, AND THE <br /> CERTIFICAIE HOL�ER <br /> C/O ALLIANT INSURANCE SERVICES, INC. <br /> PO BOX $4SD IMPORTANT: M Na cefllllrale hoWer Is raquesling a WANER OP SUBROGATION, IM <br /> Memorendums W Gove�age musl be entloraed. A sfalament on ihis caNfcale tices not conier <br /> NEWPORT BEACH, CA 92658•6450 hg�(s (p the cerlificate holder In Ileu ot such entlorsemenys). <br /> PHONE (949) 7550271 I FAX (879) 699-0901 COVERAGE <br /> LICENSE fi0C36861 AFFORDED BY: A" S8B O�WChed SChBd1110 Of IfI5Uf8�S <br /> Membar. COVER4GE � <br /> CITY OF REDWOO� CITY AFFOROED BY: B <br /> ATTN:CAROLYN MCLAURIN � <br /> 1077 MIDDLEFIELD RD. COVERAGE <br /> REDWOOD CITY, CA 94063 AFFORDED BV: C <br /> COVERAGE <br /> AFFORDED BY: D . <br /> Coverages <br /> THIS tS TO CERTIFY THAT THE MEMORANDUMS OF COVERAGE AND POLICIES LI5TE0 BELOW HAVE BEEN ISSUED TO THE MEMBER <br /> NAMED ABOVE FOR THE PERIOD INDICATED, NOTNfiHSTANDING ANY RE�UIREMENT, TFRM OR CONDITION OF ANY CONTRACT OR <br /> OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER'fiFICATE MAY BE ISSUED OR MAY PERTPJN. THE COVERAGE AFFORDED <br /> BY THE MEMORANDUMS AND POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF <br /> SUCH MEMORANDUMS AND POUCIES. <br /> CO 7ypE OF CAVERAGE MEMORANDUM/ COVERAGE EFFEC7IVE COVERnGE EXPIRA710N LIABILITY IIMfTS <br /> �� POLICV NUMBER DATE (MM1WD/YYVY) DA7E (MMIDDIWYY) . <br /> q EXCESS WORKERS' See eneched 07/012071 07/01f2012 wowcERS canaENSnnoN: <br /> COMPENSATION & Sd�edule M DMBtB^� OB�'N <br /> � EMPLOYER'S LIABILITY Insurars tor polley Smmmry eM AAemhefa <br /> numbels 5950.000 Rem�on <br /> EMPLOYEF6' UABIIITY: <br /> omereze mnwen <br /> 55,000.000 eiM Membafa <br /> - . Saso,00a rt�mom� <br /> 4MITS APPLY PER OCCURRENCE FOR ALl PROGRAM MEMBERS COMBINED. <br /> Description of Operations/LocationsNehideslSpecfal Items: <br /> AS RESPECTS EVIDENCE OF COVERAGE. <br /> Cencellatlon � <br /> Certificate Holder SHOULO ANY OF THE ABOVE DESCRIBED MEMORANDUMS OF COVEi3AGElPOL1CIE5 <br /> BE CANCELLED BEFORE THE E%PIRATION THEREOF, NOTICE WILL BE DELIVERED IN <br /> FOR THE PURPOSE OF EVIDENCE ONLY ACCORDANCE WITHTHE MEMORAN�UMSOFCOVERAGEIPOLICIES PROVISIONS. <br /> C/O CITY OF REDWOOD CITY <br /> AT"fN: CAROLYN MCLAURIN qU7NORREO REPPESENTATIVE <br /> '1017 MIDDLEFIELD RD. <br /> REDWOOD CITY, CA 94063 ���� <br /> CSPCE%GESSINSIIRIWCEAUTHORITY - <br /> Page 1 0( 2 <br />