Cities Index.
Exhibit 3: Fourth Amendment

Alameda City Council
February 3, 2026

Document
Exhibit 3: Fourth Amendment
Meeting
February 3, 2026
Body
Alameda City Council
Original file
13.7 MB
Text extracted from the city's file for reading and search. Open the original on legistar1.granicus.com. That file is the official record.

/0/1/2/3/4/2/3/0/i255
/6/7/8/9/10/11/6/12/13/i255
/14/15/16/17/18/19/i255/21/22/23/24/25/22/23/24/18/i255/18/15/i255/21/26/17/23/23/22/23/24/18/i255 /i255
/28/29/30/31/i255/32/33/34/35/36/37/i255/39/40/41/42/43/40/41/42/36/i255/36/33/i255/39/44/35/41/41/40/41/42/36/i255/45/46/14/47/48/49/50/51/i255/21/52/53/54/55/52/53/54/50/56/57/58/i255/30/31/i255/59/60/61/59/62/59/63/i255/30/60/61/64/i255 /61/29/30/31/i255/65/62/63/i255/63/66/67/i255/64/68/i255/69/59/70/62/71/66/62/67/58/i255/72/73/72/74/58/i255/70/67/i255/66/60/63/i255/70/59/61/75/59/59/60/i255/61/29/59/i255/76/77/28/78/i255/79/69/i255/80/81/80/82/83/84/80/58/i255/66/i255/85/71/60/30/86/30/87/66/88/i255/86/64/62/87/64/62/66/61/30/64/60/i255 /89/29/59/62/59/30/60/66/68/61/59/62/i255/90/61/29/59/i255/76/30/61/67/90/91/i255/66/60/63/i255/92/77/28/28/83/81/93/79/94/i255/95/i255/80/93/93/79/76/77/80/28/83/93/58/i255/77/94/76/96/i255/66/85/i255/79/62/59/97/64/60/i255/86/64/62/87/64/62/66/61/30/64/60/58/i255/75/29/64/31/59/i255 /66/63/63/62/59/31/31/i255/30/31/i255/98/99/99/i255/100/62/66/60/63/i255/80/101/59/60/71/59/58/i255/93/71/30/61/59/i255/99/73/99/58/i255/79/66/102/88/66/60/63/58/i255/76/80/i255/103/104/74/98/72/58/i255/89/29/59/62/59/30/60/66/68/61/59/62/i255/90/105/62/64/101/30/63/59/62/90/91/58/i255/30/31/i255/85/66/63/59/i255/75/30/61/29/i255 /62/59/68/59/62/59/60/86/59/i255/61/64/i255/61/29/59/i255/68/64/88/88/64/75/30/60/97/106/i255 /i255
/i255/107 /83/76/77/28/80/81/93/106/i255
/80/96/i255/79/60/i255/94/64/101/59/85/70/59/62/i255/98/73/58/i255/72/73/72/73/i255/66/60/i255/66/97/62/59/59/85/59/60/61/i255/75/66/31/i255/59/60/61/59/62/59/63/i255/30/60/61/64/i255/70/67/i255/66/60/63/i255/70/59/61/75/59/59/60/i255/61/29/59/i255/76/30/61/67/i255/66/60/63/i255 /105/62/64/101
/30/63/59/62/i255/89/29/59/62/59/30/60/66/68/61/59/62/i255/90/80/97/62/59/59/85/59/60/61/90/91/i255/30/60/i255/66/60/i255/66/85/64/71/60/61/i255/60/64/61/i255/61/64/i255/59/109/86/59/59/63/i255/110/65/111/58/112/99/73/i255/68/64/62/i255/31/59/62/101/30/86/59/31/i255/62/59/60/63/59/62/59/63/i255/63/71/62/30/60/97/i255 /61/29/59/i255/86/64/60/61/62/66/86/61/71/66/88/i255/61/59/62/85/i255/70/59/61/75/59/59/60/i255/94/64/101/59/85/70/59/62/i255/98/73/58/i255/72/73/72/73/i255/66/60/63/i255/113/71/60/59/i255/65/73/58/i255/72/73/72/99/96/i255 /114/96/i255/79/60/i255/113/71/60/59/i255/72/103/58/i255/72/73/72/98/58/i255/61/29/59/i255/69/30/62/31/61/i255/80/85/59/60/63/85/59/60/61/i255/75/66/31/i255/66/85/59/60/63/59/63/i255/70/67/i255/66/60/63/i255/70/59/61/75/59/59/60/i255/61/29/59/i255/76/30/61/67/i255/66/60/63/i255 /115/116/117/118/119/120/121/116/i255/45/122/121/116/121/119/123/124/125/126/121/116/i255/46/69/30/62/31/61/i255/39/127/121/123/120/127/121/123/126/56/57/i255/128/119/126/122/i255/124/120/120/119/126/119/117/123/124/129/i255/130/117/127/131/121/123/132/124/126/119/117/123/i255/123/117/126/i255/126/117/i255/121/133/130/121/121/120/i255/134/65/111/58/98/72/73/i255/68/64/62/i255 /31/59/62/101/30/86/59/31/i255/62/59/60/63/59/62/59/63/58/i255/66/60/63/i255/75/30/61/29/i255/66/i255/61/64/61/66/88/i255/66/97/97/62/59/97/66/61/59/i255/86/64/85/87/59/60/31/66/61/30/64/60/i255/60/64/61/i255/61/64/i255/59/109/86/59/59/63/i255/110/111/104/58/103/111/73/96/i255 /76/96/i255/79/60/i255/84/59/86/59/85/70/59/62/i255/72/98/58/72/73/72/98/58/i255/61/29/59/i255/93/59/86/64/60/63/i255/80/85/59/60/63/85/59/60/61/i255/75/66/31/i255/66/85/59/60/63/59/63/i255/70/67/i255/66/60/63/i255/70/59/61/75/59/59/60/i255/61/29/59/i255 /135/119/126/136/i255/124/123/120/i255/115/116/117/118/119/120/121/116/i255/45/122/121/116/121/119/123/124/125/126/121/116/i255/46/93/59/86/64/60/63/i255/39/127/121/123/120/127/121/123/126/56/57/i255/128/119/126/122/i255/124/120/120/119/126/119/117/123/124/129/i255/130/117/127/131/121/123/132/124/126/119/117/123/i255/123/117/126/i255/126/117/i255/121/133/130/121/121/120/i255 /110/72/111/73/58/103/73/74/58/i255/66/60/63/i255/75/30/61/29/i255/66/i255/61/64/61/66/88/i255/66/97/97/62/59/97/66/61/59/i255/86/64/85/87/59/60/31/66/61/30/64/60/i255/60/64/61/i255/61/64/i255/59/109/86/59/59/63/i255/110/65/104/99/58/112/111/74/96/i255/i255 /84/96/i255/79/60/i255/82/66/62/86/29/i255/72/65/58/i255/72/73/72/65/58/i255/61/29/59/i255/28/29/30/62/63/i255/80/85/59/60/63/85/59/60/61/i255/75/66/31/i255/66/85/59/60/63/59/63/i255/70/67/i255/66/60/63/i255/70/59/61/75/59/59/60/i255/61/29/59/i255/76/30/61/67/i255 /124/123/120/i255/115/116/117/118/119/120/121/116/i255/45/122/121/116/121/119/123/124/125/126/121/116/i255/46/36/122/119/116/120/i255/39/127/121/123/120/127/121/123/126/56/57/i255/128/119/126/122/i255/124/120/120/119/126/119/117/123/124/129/i255/130/117/127/131/121/123/132/124/126/119/117/123/i255/123/117/126/i255/126/117/i255/121/133/130/121/121/120/i255 /110/98/58/98/65/73/58/73/73/73/i255/68/64/62/i255/31/59/62/101/30/86/59/31/i255/62/59/60/63/59/62/59/63/i255/63/71/62/30/60/97/i255/61/29/59/i255/66/63/63/59/63/i255/86/64/60/61/62/66/86/61/71/66/88/i255/61/59/62/85/i255/70/59/61/75/59/59/60/i255/94/64/101/59/85/70/59/62/i255/98/73/58/i255/72/73/72/73/i255/66/60/63/i255 /113/66/60/71/66/62/67/i255/98/58/i255/72/73/72/74/58/i255/66/60/63/i255/75/30/61/29/i255/66/i255/61/64/61/66/88/i255/66/97/97/62/59/97/66/61/59/i255/86/64/85/87/59/60/31/66/61/30/64/60/i255/60/64/61/i255/61/64/i255/59/109/86/59/59/63/i255/110/98/58/104/111/99/58/112/111/74/96/i255/i255/76/64/88/88/59/86/61/30/101/59/88/67/58/i255 /61/29/59/i255/93/59/62/101/30/86/59/i255/105/62/64/101/30/63/59/62/i255/80/97/62/59/59/85/59/60/61/58/i255/66/31/i255/66/85/59/60/63/59/63/i255/70/67/i255/61/29/59/i255/69/30/62/31/61/i255/80/85/59/60/63/85/59/60/61/58/i255/93/59/86/64/60/63/i255/80/85/59/60/63/85/59/60/61/58/i255/66/60/63/i255 /36/122/119/116/120/i255/39/127/121/123/120/127/121/123/126/i255/132/122/124/129/129/i255/137/121/i255/116/121/125/121/116/116/121/120/i255/126/117/i255/122/121/116/121/119/123/i255/124/132/i255/126/122/121/i255/46/39/138/116/121/121/127/121/123/126/56/139/i255 /83/96/i255/28/29/59/i255/76/30/61/67/i255/66/60/63/i255/105/62/64/101/30/63/59/62/i255/63/59/31/30/62/59/i255/61/64/i255/85/64/63/30/68/67/i255/61/29/59/i255/80/97/62/59/59/85/59/60/61/i255/64/60/i255/61/29/59/i255/61/59/62/85/31/i255/66/60/63/i255/86/64/60/63/30/61/30/64/60/31/i255 /31/59/61/i255/68/64/62/61/29/i255/29/59/62/59/30/60/96/i255 /94/79/140/58/i255/28/141/83/107/83/69/79/107/83/58/i255/30/61/i255/30/31/i255/85/71/61/71/66/88/88/67/i255/66/97/62/59/59/63/i255/70/67/i255/66/60/63/i255/70/59/61/75/59/59/60/i255/61/29/59/i255/71/60/63/59/62/31/30/97/60/59/63/i255/87/66/62/61/30/59/31/i255/66/31/i255 /68/64/88/88/64/75/31/106/i255
/i255
/i255
/98/96/i255/105/66/62/66/97/62/66/87/29/i255/98/58/i255/28/83/107/82/58/i255/64/68/i255/61/29/59/i255/80/97/62/59/59/85/59/60/61/i255/30/31/i255/85/64/63/30/68/30/59/63/i255/61/64/i255/62/59/66/63/i255/66/31/i255/68/64/88/88/64/75/31/106/i255 /i255
/i255/28/29/59/i255/61/59/62/85/i255/64/68/i255/61/29/30/31/i255/80/97/62/59/59/85/59/60 /61/i255/31/29/66/88/88/i255/86/64/85/85/59/60/86/59/i255/64/60/i255/61/29/59/i255/98/73/61/29/i255/63/66/67/i255/64/68/i255/94/64/101/59/85/70/59/62/58/i255/72/73/72/73/i255/66/60/63/i255/31/29/66/88/88/i255 /61/59/62/85/30/60/66/61/59/i255/64/60/i255/61/29/59/i255/98/31/61/i255/63/66/67/i255/64/68/i255/113/66/60/71/66/62/67/i255/72/73/72/112/58/i255/71/60/88/59/31/31/i255/61/59/62/85/30/60/66/61/59/63/i255/59/66/62/88/30/59/62/i255/66/31/i255/31/59/61/i255/68/64/62/61/29/i255/29/59/62/59/30/60/96/i255 /i255
/i255
/i255
/142/143/144/145/146/147/148/149/150/151/i255/153/145/i255/154/153/155/155/153/156/143/145/144/i255/157/146/144/150/i255 



 








/0/1/2/3/4/2/3/0/i255
/6/7/8/9/10/11/6/12/13/i255
/14/15/i255/17/14/18/15/19/20/20/i255/17/21/19/22/19/23/24/25/i255/26/27/28/i255/29/30/31/26/32/28/33/i255/27/28/31/28/26/34/i255/27/30/35/28/i255/36/30/37/33/28/38/i255/26/27/32/33/i255/39/34/38/32/40/32/36/30/26/32/34/41/i255/34/40/i255/42/43/31/28/28/39/28/41/26/i255/26/34/i255 /44/28/i255/28/45/28/36/37/26/28/38/i255/34/41/i255/26/27/28/i255/38/30/46/i255/30/41/38/i255/46/28/30/31/i255/40/32/31/33/26/i255/30/44/34/35/28/i255/47/31/32/26/26/28/41/48/i255 /i255
/49/14/18/18/19/50/20/23/15/i255/51/i255/42/20/20/23/52/14/42/18/19/20/25/i255/14/15/52/48/i255/i255 /52/14/18/53/i255/23/24/i255/42/50/42/54/19/55/42/i255 /42/41/i255/23/31/28/43/34/41/i255/52/34/31/29/34/31/30/26/32/34/41/i255 /i255/i255/i255/42 /i255/54/37/41 /32/36/32/29/30/56/i255/52/34/31/29/34/31/30/26/32/34/41/i255 /i255
/i255
/57/46/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/i255/57 /46/58/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/i255 /55/30/35/28/i255/54/32/56/56/33/i255 /i255/i255/i255/i255/i255/42 /38/30/39/i255/60/34/56/32/26/61/28/31/i255 /62/32/36/28/i255/60/31/28/33/32/38/28/41/26/i255/i255/i255/i255/i255/i255/52 /32/26/46/i255/54/30/41/30/43/28/31/i255 /i255
/i255
/22/19/52/23/54/54/19/15/55/19/55/i255/24/23/22/i255/42/60/60/22/23/62/42/50/58/i255/i255/i255 /i255
/i255
/i255
/57/46/58/i255/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59 /59/59/59/59/59/59/59/59/i255
/19/31/32/41/i255/20/39/32/26/27/i255
/55/32/31/28/36/26/34/31/25/i255/60/37/44/56/32/36/i255/17/34/31/63/33/i255/55/28/29/30/31/26/39/28/41/26/i255 /i255
/42/60/60/22/23/62/19/55/i255/42/20/i255/18/23/i255/24/23/22/54/58/i255 /52/32/26/46/i255/42/26/26/34/31/41/28/46/i255
/i255
/i255
/i255
/57/46/58/i255/59/59/59/59/59/59/59/59/59
/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/59/i255 /i255/i255/i255/i255/i255/i255/50/28/41/i255/42/33/56/30/41/32/30/41/i255 /42/33/33/32/33/26/30/41/26/i255/52/32/26/46/i255/42/26/26/34/31/41/28/46/i255 



 













 












 












 









SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #
NAME:

CONTACT
(A/C, No):

FAX
E-MAIL
ADDRESS:

PRODUCER
(A/C, No, Ext):

PHONE

INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

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.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D 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. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY
Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-

STATUTE
PER

LIMITS(MM/DD/YYYY)

POLICY EXP
(MM/DD/YYYY)

POLICY EFF

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

EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR

CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE

DAMAGE TO RENTED
$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY

(GJHZRRG 3DUWQHUV ,QV &HQWHU
 0DQVHOO 5G 6XLWH 
$OSKDUHWWD *$ 
*UH\OLQJ &2, 6SHFLDOLVW

 1$
JUH\OLQJFHUWV#JUH\OLQJFRP
;/ 6SHFLDOW\ ,QVXUDQFH &RPSDQ\ 
.,77$66 7KH &RQWLQHQWDO ,QVXUDQFH &RPSDQ\ 

.LWWHOVRQ $VVRFLDWHV ,QF
 ( 5RELQVRQ 6W 6WH 
2UODQGR )/ 
1DWLRQDO )LUH ,QVXUDQFH &R RI +DUWIRUG 
$PHULFDQ &DVXDOW\ &R RI 5HDGLQJ 3$ 

& ; 
; 
; :$ 6WRS *DS 


;
< <   

:$ 6WRS *DS 
& 
;
; ;
< < %8$  
% ; ; < &8( 
;
< 


%
'
;
1 < :&
:&








$ 3URIHVVLRQDO /LDELOLW\
,QFO 3ROOXWLRQ
< '35   3HU &ODLP
$JJUHJDWH

5H
.$, 31   &LW\ RI $ODPHGD 2Q&DOO 6HUYLFHV 
&LW\ RI $ODPHGD
 6DQWD &ODUD $YHQXH 5RRP 

$ODPHGD &$



 


 










SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #
NAME:

CONTACT
(A/C, No):

FAX
E-MAIL
ADDRESS:

PRODUCER
(A/C, No, Ext):

PHONE

INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

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.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D 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. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY
Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-

STATUTE
PER

LIMITS(MM/DD/YYYY)

POLICY EXP
(MM/DD/YYYY)

POLICY EFF

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

EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR

CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE

DAMAGE TO RENTED
$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY

(GJHZRRG 3DUWQHUV ,QV &HQWHU
 0DQVHOO 5G 6XLWH 
$OSKDUHWWD *$ 
*UH\OLQJ &2, 6SHFLDOLVW

 1$
JUH\OLQJFHUWV#JUH\OLQJFRP
6WHDGIDVW ,QVXUDQFH &RPSDQ\ 
.,77$6
.LWWHOVRQ $VVRFLDWHV ,QF
 ( 5RELQVRQ 6W 6WH 
2UODQGR )/ 


$ &\EHU /LDELOLW\ (2&

   3HU &ODLP
$JJUHJDWH

5H
.$, 31   &LW\ RI $ODPHGD 2Q&DOO 6HUYLFHV 
&LW\ RI $ODPHGD
 6DQWD &ODUD $YHQXH 5RRP 

$ODPHGD &$



 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 










 


 









← All documents from this meeting