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DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE 1/5/2017


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 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).
CONTACT
PRODUCER NAME: Fran Arcara
Barbary Insurance Brokerage PHONE FAX
230 California Street, Suite 700 (A/C, No, Ext): 415-788-4700 (A/C, No): 415-788-4701
E-MAIL
San Francisco CA 94111 ADDRESS: Fran@barbaryinsurance.com
INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : Sentinel Insurance Co, LTD 11000


INSURED PRESS-1 INSURER B : Hartford Casualty Insurance Co 29424
The Press Shop, Inc. INSURER C : Travelers Casualty & Surety Co 19038
Kathryn Glickman
INSURER D :
2962 Fillmore St.
San Francisco CA 94123 INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: 1671084543 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 ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY Y Y 57SBMID9775 1/4/2017 1/4/2018 EACH OCCURRENCE $ 2,000,000
DAMAGE TO RENTED
CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $ 1,000,000
X Business Owner's MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
PRO-
X POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 4,000,000
OTHER: $
A AUTOMOBILE LIABILITY 1/4/2017 1/4/2018 COMBINED SINGLE LIMIT $ 2,000,000
57SBMID9775 (Ea accident)
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE
X HIRED AUTOS X AUTOS (Per accident) $
$

UMBRELLA LIAB OCCUR EACH OCCURRENCE $


EXCESS LIAB CLAIMS-MADE AGGREGATE $

DED RETENTION $ $
B WORKERS COMPENSATION 57WECZU1344 1/4/2017 1/4/2018 PER OTH-
Y X STATUTE ER
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000
C Professional Liability 106566977 6/14/2016 6/14/2017 $2,000,000 Per Claim
Retroactive date: 06/14/2016
Retention: $10,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

City of Oakland, its Councilmembers, directors, officers, agents, employees and volunteers are named as
additional insured as required by written contract per the attached form.

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE


The City of Oakland, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1Frank H Ogawa Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
Oakland CA 94612
AUTHORIZED REPRESENTATIVE

1988-2014 ACORD CORPORATION. All rights reserved.


ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD

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