CITY OF OAKLAND
BUSINESS LOCATION
EXPIRATION DATE
BUSINESS TAX CERTIFICATE
The issuing of a Business Tax Certificate is for revenue purposes only. It does not relieve the taxpayer from the responsibility of complying
with the requirements of any other agency of the City of Oakland and/or any other ordinance, law or regulation of the State of California, or any other governmental agency. The Business Tax Certificate expires on December 31st of each year. Per Section 5.04.300 (C,D), of the O.M.C. you are allowed a renewal grace period until March 1st the following year.
BUSINESS TYPE
GAMETIME
GAMETIME
CORPORATE TAX DEPARTMENT
544 CHESTNUT ST
CHATTANOOGA, TN 37402-4906
12/31/2025
544 CHESTNUT ST
CHATTANOOGA, TN 37402-4906
ACCOUNT
NUMBER
00212020
A
A BUSINESS TAX CERTIFICATE
IS REQUIRED FOR EACH
BUSINESS LOCATION AND IS
NOT VALID FOR ANY OTHER
ADDRESS.
PUBLIC INFORMATION ABOVE
THIS LINE TO BE
CONSPICUOUSLY POSTED!
ALL OAKLAND BUSINESSES
MUST OBTAIN A VALID
ZONING CLEARANCE TO
OPERATE YOUR BUSINESS
LEGALLY. RENTAL OF REAL
PROPERTY IS EXCLUDED
FROM ZONING.
DBA
PLAYCORE WISCONSIN INC
Starting January 1, 2021, Assembly
Bill 1607 requires the prevention of
gender-based discrimination of
business establishments. A full notice
is available in English or other
languages by going to:
https://www.dca.ca.gov/publications
Attachment C - City of Oakland Business License and GameTime Certificate and Liability Insurance
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 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).
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 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. $ $
$
$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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
POLICY AGGREGATE
D
08/01/2025
X
08/01/2026
08/01/2025
0 X
C
20494
4,000,000
National Union Fire Ins Co. of Pittsburgh PA
7039895544
35378
10656545
10,000,000
A
X
F
10,000,000
08/01/2026
G
X
American Casualty Company Of Reading, Pa
Excess Umbrella
08/01/2025
CN102326389-CAS-GAUWX-23-24
1,000,000
20443
.
08/01/2026
ATL-005145414-11
08/01/2025
X
4,000,000
08/01/2025
X
08/01/2026
7039929062
5 10,000,000
08/01/2026
2,000,000
X
Aggregate
The Continental Insurance Company
1,000,000
1,000,000
B
08/01/2026
08/01/2025
10,000,000
08/01/2025
X
08/01/2026
20427
7039895527
Each Occurrence
10,000
08/01/2025
7039895530
7039918871
7039984806
100,000
non-contributory basis, on the General Liability via CG 2010 04/13 and Automobile Liability via CA 2048 policies, when required by written contract. A Waiver of Subrogation applies in favor of the additional insured on the Workers Compensation policy, when required by written contract.
RE: All Jobs
City of Oakland, its Councilmembers, directors, officers, agents, and employees are listed as additional insured as their interests may appear, during and until completion of the referenced project, on a primary and Transportation Insurance Co
dba GameTime
Playcore Wisconsin, Inc.
Fort Payne, AL 35967
150 PlayCore Drive SE
2,000,000
Evanston Insurance Company
Two Alliance Center
**MARSH USA, LLC.
Atlanta, GA 30326
3560 Lenox Road, Suite 2400
Attn: [email protected] / Fax: 212-948-4321 MKLV2PBC002465
Continental Casualty Company
N
250 Frank H. Ogawa Plaza, Suite 4314
Oakland, CA 94612
City of Oakland
Public Works - Capital Contracts
08/01/2025
C
19445
1,000,000
Comp./Coll. Ded.: $2,000
SIR $250,000 Per Occ.
35289
X
RETENTION Umb Catastrophe $25,000
E
10,000,000
08/01/2026
Attachment C
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:
FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
Page of
AGENCY CUSTOMER ID: LOC #:
AGENCY
CARRIER
NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
**MARSH USA, LLC.�
Dates: 08/01/2025 - 08/01/2026�
Policy Number: 7039918885 (OH, ND, WY, WA)�
Workers' Compensation (Continued): �
��
Carrier: Transportation Insurance Company�
�
��
INSURERS AFFORDING COVERAGE/NAIC #��
INSURER G: National Fire Insurance Co Of Hartford (20478)�� WC 7 39895530 - AL,CO,FL,GA,ID,IL,IN,KS,KY,MA,ME,MD,MI,MN,MO,MT,NV,NY,NC,OK,PA,SC,TN,TX,UT,VA � Dates: 08/01/2025 - 08/01/2026�
�
2 Atlanta
Certificate of Liability Insurance
WC 7 39895544 - CA�
�
Carrier: Continental Insurance Company �
WC 7 39918871 - AZ, OR, WI�
25 ��
�
Policy Number: 7092684051 (CA)�
dba GameTime�
Playcore Wisconsin, Inc.�
150 PlayCore Drive SE�
2 CN102326389
Fort Payne, AL 35967