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ACOR1 CERTIFICATE OF LIABILITY INSURANCE DATE(MwDOrYYYY) lk � 71212019 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 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, subject to 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 Marsh JLT Specialty USA CNAMEONTACT Gonna M.Borja 135 Main Street (&QNNQ,_Fal- 415-930-9049 1 lac N ): Suite 1600 E-MAIL - San Francisco, CA 94105 ADDRESS: donna.bodaftiRUS.com INSURERS)AFFORDING COVERAGE MAIC K www.m,3rsh.com California License:OH01556 INSURER A: AXIS Surplus Insurance Company 26620 INSURED INSURER B: Zurich American Insurance Company 16535 Pitcher Services, LLC. 218 Demeter Street INSURER C: East Palo Alto CA 94303 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 50118581 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 ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE ADDL eR POLICY EFF POLICY EXP LTR POLICY NUMBER (MMIDD/YYYYI MM/D LIMITS A ✓ COMMERCIAL GENERAL LIABILITY SP002682-03-2019 8/1/2019 8/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ,/OCCUR PREMISES Ee occurrence $500,000 ✓ XCU-included MED EXP(Any one person) $26,000 PERSONAL 6 ADV INJURY $1,000,000 GEWLAGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE :2,000,000 ✓ POLICY 71 PERO F JCT 71 LOC PRODUCTS-COMP/OP AGG $2,000,000 Ai OTHER S � B AUTOMOBILE LIABILITY BAP0235382-02 8/1/2019 8/1/2020 COMBINED Bcc •BINEDt INGLELIMI 31,000,000 ' ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY AUTOS ONLY (Per accident i UMBRELLA B OCCUR EACH OCCURRENCE __ { EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ B WORKERS COMPENSATION WCO235381-02 8/1/2019 8/1/2020 AND EMPLOYERS'UABILrTY Y/M ✓ STATUT ERH ANYPROPRIETOR/PARTNE'R/E)cECUTIVEE.L.EACH ACCIDENT 51,000,000 it (Mai—aR/MEMBEREXCLUDED7 N/A It (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ } I}yes.describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 r DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remark*Schedule,may be attached H more space Is required) Certificate issued as evidence of Coverage. CERTIFICATE HOLDER CANCELLATION Evidence of Coverage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE , Donna Borja Oc 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD w )1) 50119581 1 19-20 GL-AIrrO-MC-XS-CPL-PROF I Haley Smich 1 1/23/2019 10:24:06 AH (CDT) 1 Page 1 of 19 E t t