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7.1.B. - Page 21 <br /> � � 6ATE{h2MlD[lIYYYY� <br /> A'��'C7 {;����F�C�,T� �� ���1�����Y ���U��1��� <br /> THIS CERTIFECATE i5 ISSUED AS A NWTTER OF IN�ORIVIATION ONLY AND CONF�RS NO F21GtiT5 t1PON THE C�RTIFICATE HOLDER.TF{IS <br /> CER7I�ICAT� oO�S NOT AFFIl21ViA7iVELY QR NEGATIVEI.Y AIVIENEl, EXT�tNA 4R ALTER THE C�V�RAG� AFFORDEI] BY THE POL[CEES <br /> BELOW. THIS C�IiTIF[CATE DF INSURANCE DOES NdT CONSTi7i}7E A CONTRACT B�TiN���f THE ISSUING IN3URER(S), AUTNORIZ�i] <br /> REPRESENTA7IU�012 PROCIUCER,AIVD THE CERTIFfCAT�IiOLpER. <br /> 11VIPOR7ANT: If the certiFcate holder is an ADti1TIONAL iNSURE�,the pokicy(ies) must ba endorsed. If SUBROGA7101�IS WAiV�D,subject fo <br /> the terms and conditions of the policy,cer#ain pol�cies rr►ay req�ire an endorsement. A statement on this certiticaEe does not confer rights to t�e <br /> certificafe holder in lieu of such endorsement{s�. <br /> pRODIfCER Arthur J. Gal[agher&Co. Ensurance Brokers CONTACT NAME: <br /> of California, IF1C. PHONE nrc r�a� •s -� s-1�12 nrc €�o: 925-299-d3 $ <br /> 3697 Mt. Diablo Bl�vd., Suite 300 <br /> Lafayette, GA 94549 E-MAIL AOURESS: <br /> INSUR6R 5 AFFOR�]N6 COVERAGE NA[C# <br /> www.ajg.cam 0726293 INSL[RERA: [IO 1 r <br /> iNSU�xeo 3NSU�eR�: Ffiscox Inc. Q200 <br /> paul Krup ka iN5liRERC: <br /> Krupka Gnnsultin�j�7 <br /> 409 Rolling Hills HV9. 3NSURER�: <br /> San Mat�o CA 9�A03 1N5F3RERE: <br /> INSl7RER F: <br /> COVERAC�ES CERTfFICATE N11�111BEii: 16284457 REVISION NLIMBER: <br /> THIS IS T�CERTfFY THAT 3HE POLICIES QF INSIJRANCE LISTEQ BELOW�IAVE BEEIV ISSU��TQ TH�I�JSE1f2�D NAA�ED ABOVE FOI2 TFiE POLICY PERIQQ <br /> INI3ICATEQ. NOIlNlTH5TA3V�l1+SG A3VY F2EQVIREi4lIENT,TERM�€2 COI�L]ETION O�ANY CONTRAC�OR OTIiER�OCUME3VT Wl3H ftESP�CT TO WH[CH THtS <br /> CEFi7lF€CATE INAY �� ISSEJ�p OR MRY P�FtTAIN,7H� INSIJRAIVCE AF�ORDE� BY THE POL[CIES �ESCR[BECI H�REIN IS SUBJ�CT TO ALI.THE TERiV15, <br /> EXCLLtSi0iV5 AND CON�ITIOIVS OF SIfCEf POLfClES.L[M1TS SHOWN MAY MAVE BEEIV RE�UGEp BY PAEd CLP.I€NS. <br /> 1NSR AO€31.SIJBR POE.ICY EFF POI.[GY EXP LiMITB <br /> !TR TYP�OFIN5URANGE PpLICYt3UtJIBER {JIM16D1YYYY MMfRP <br /> � GENERAL LEA9ILITY ,/ 3422080649 6125/20�2 5/25/2013 EACH OCCURRENCE � �.�p����� � <br /> DAMAGE3 RENT�� 300,(1b� <br /> COMME92CIALG�NERALL€ABILiTY PREMISES Eapccur�ence $ <br /> CLp,1MS-MAl]E �OCGl1R MED EXP{My vna person $ ������ <br /> PERSONAL&ADV]N.111RY $ 2r4��r�Q� <br /> GENERAC.AGGREGATE $ 4�OOO�U(�{} <br /> GEN'LAGGREGA'FEUMl3"APPLIESP�fi: PRODL3CTS-COhhP16PAGG $ 4,000,00(} <br /> PDLICY PR0. Lac - $ <br /> - ASITOSrS091L�LFAHILf7Y CaMBINE65[NGLELIMIT <br /> �a aCClde�i $ <br /> AtJYAU70 BOOILYiNJURY(Perpersan) � <br /> P,ILOWNEO SCHE3?ULEO BOOILYINJUf2Y(F'eraccidertt) q� <br /> AUTOS A13T05 <br /> NONAWNEQ PeQrac�caRdent RMAGE S <br /> HIREDAUTOS AUTOS <br /> � <br /> � <br /> UMBREf.1.AE1A9 OCCl1R FJ1CtfOCCURRENCE $ <br /> E%CESS LtAB CLAtMS-MA6E AGGREGATE $ <br /> �Ea RET�iJT10N$ S <br /> $ <br /> $ <br /> WORKERS GOMRENSATEON YJC STATU- O��{- <br /> AN�EMPLQYERS'LFABILiTY yp�y <br /> TORY L[MITS <br /> ANYi�RdPRIETOfyPARTh1EWEXECUTIVE❑ �.�.�+cHACCIOEN7 $ <br /> OFFICERlMEMBER EXCL[1DEU? �f A <br /> (Mandatory in NH) E.L.AI8€A5�-EA EMPLOYEE S <br /> Ifyes,descriqe undes E.L.�ESFASE-POlICY LfivIIT $ <br /> �ESCR[PTION OF OPE€2ATIQNS befow <br /> B Prafessional Lia6iEity t1RA1278769i2 5125120i2 5/25/2013 $i,000,(300 iimiU$5,DUD Retention <br /> 6ESCRIPI"10N OF OP�itATlON51 LOCATiONS!YEHIGI.ES(A3tach qCOR�161,Additionai Remarks Schedule,if more space is required} <br /> �RE;Those usual and cusfo€nary to insusecE's operatians. City,its offEcers,aqents,vo�unteers and employees are included as Additional I€�sured <br /> as respects General Liabiliiy only per attached Eorm 58146968A(Ed.01106). <br /> Written con€ract requirad. <br /> CERTIFICAT�HOLn�l2 CANCELLATION <br /> SHOULQ ANY OF TitE ABOVE DESCRIB�I]POLICI�S BE CANCELLEb BE�OftE <br /> CEt of Redwoad City �H� �XPIRATIQN pAT� T#iEREOF, NOTICE W[LL BE DELIVEREf} IN <br /> A�IV:CI}y Manager ACCOROANCE WITH 7HE POLICY PROVIS[ONS. <br /> 10'!7 Middlefisfd Rd. <br /> Redwood City CA 94063 AUTHORIZED R�PRESENTATNE <br /> r� . ��a6�.'� . <br /> Gina Endrina <br /> O 1988-2014 ACORD CflRPORATION. All rights reserved. <br /> ACORE3 25(2094I05) The ACORD name and Iogo are reglsterert marks of ACORD <br /> CERT NO.: 16264Q57 Gina Endrina 5/7/2013 9:15:28 AM Page 1 af 3 <br /> � <br />