Agmt 13 Mosaic Global Transportation

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�..-� MOSAI-1 OP ID: JA AC�RO� DATE�MM/DDfYYYY) �..� CERTIFICATE OF LIABILITY INSURANCE �o�n9��3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOftMATION ONLY AND CONFERS N� RIGHT5 UPON THE CER7IFICATE HOLDER. THIB CERTIFICATE dOES NOT AFFiRMATIVEI.Y OR NEGATIVELY AIIfIEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 7HIS CERTIFICATE OF f�iSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTMORIZED REPRESENTATIVE OR PI24DUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy{ies) must be endorsed. If SUBROGA710N IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsemenY. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Phone: 818-246-2800 MAME: Janette Monti TIB Transportation 1ns Brokers PHONE --- FAX 425 West Broadway,5uite 400 Fax: 818-246-4690 ac No Ext:818-246-2800. ,�c,No�_818-246-4690____ E•MAIL � Glendale,Cl�9'�Z�a aooRESS:jmonti�tibinsurance.com__ __ __ INSURER S AFFOROWG COVERAGE NAIC# INSURERA:KtII htbrook Insurance Com an 73722 ._....__.-_----___....._--_.__._.._.._...-- I INSURED Mosaic Global Transportation 1NSURERB; 643 Bair Island Rd#210 � Redwoad City, CA 94063 INSURER C; INSURER D: INSURER E; INSURER F: COVERAGES CER7lFICATE NUMBER: 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 {SSUED OR MAY PERTAIN, THE iNSURANCE AFFORDED BY THE POLICIES OESCRBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSUMNCE POLICY NUMBER MM/DDNYYY MMfDD/YYYY LIMIT5 LTR GENERAL LIABILITY EACH OCCURRENCE $ ��OOO�OO ...._�_..._..___._._ A X COMMERCIAL GENERAL UABILITY X LCA001153 ;01/25/13 01125l14 PREMISES Ea occurrence $ �00,000 CLAIMS-MADE � OCCUR MED EXP(Any one parsonJ $ 5r0�0 PERSONAL&ADV INJUftY $ ��OOO,OOO GENERALAGGREGATE $ Z,OOO,OOO GEN'L•AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $ 'I,OOO,OO X POLICY PRO- -- �OC $ — AUTOM601LE LIABILITY COM6INED SINGLE LIMIT �,OOO OO Ea accident $ � A ANY AUTO X I_CA001153 01/25/13 41/25/34 60011.Y INJURY(Per person) $ AtLOWNED SCHEDULED �^ AUTOS X i AUTOS BODILY IfJJURY(Per accident) $ X HIRE�AUTOS X� NON-OWNE� PROPERTY DAMAGE $ .._.__ _.__ AUTOS Per accident --___....— $ UMBREL�A UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ pE0 RE7ENTION$ $ WORKERS COMPENSATION WC STATU- OTH- ANO EMPLOYERS'LIABILITY Y!N �g—�I ' ANY PROPRIETORIPARTNERIEXECUTNE ❑ E.l..EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N!A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under �"�-� DESCRIPTION OF OPERA710NS below EL.DISEASE-POLfCY LIMIT $ OESCRfPT10N OF OPERATION51 LOCATfONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required�. THE CITY AND ITS ELECTED OFFICIALS, OFFICERS, AND EMPLOYEES ARE NAMED,AN. ADDITIONAL INSURED WITH RESPECTS TO THE OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION a000000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SEFORE THE EXPlRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Redwood City ACCORDANCE WITH THE POLICY PROVISIONS. Attn; Economic Development Manager-City Manager's Office AUTHORIZED REPRESENTATIVE 1017 Midcllefield Road �� Redwood Ci CA 94063 - O 198$-2010 ACQRD CORPORATION. All righfs reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACQRD