PAIRINGS CELLARS, LLC OUTDOOR DINING PERMIT

-------." PAIRCEL-01 LACOSTA 'a`oRO CERTIFICATE OF LIABILITY INSURANCE DATE 9/14/2016 ) 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). PRODUCER License#OG66614 CONTACT Lorenza Acosta One Risk Group,LLC DBA:One Risk Management&Insurance Services PHONE 025 226-7363 Fnlc,No):(925)226-7390 5976 W.Las POSitas Blvd.,Suite 100 E-MAIL N�Ext):( ) -1 ) ( ) Pleasanton,CA 94588 aol cress:Lacosta@a oneriskgroup.com INSURERIS)AFFORDING COVERAGE NAIC II INSURER A:California Capital Insurance Company 113544 INSURED INSURER B: Pairings Cellars,LLC INSURER C: I 310 Main St,#B, INSURER 0: Pleasanton,CA 94566 INSURER E: I INSURER F: I COVERAGES CERTIFICATE 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 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. IN8Rl TYPE OF INSURANCE ADDLISUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDMYYY) A X COMMERCIAL GENERAL LIABIIJTY EACH OCCURRENCE $ 1,000,000 _ CLAIMS-MADE X OCCLR X 3-CMA-1-1955271 06126/2016 06/28/2017 DAMAGE TO RENTED 250,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL fl ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 PRO- X POLICY JECT LOC I PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: I $ AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ — ALL OWNED SCHEDULED BODILY INJURY(Per accident('$ AUTOS _ AUTOS HIRED AUTOS NON-OWNED L(Per PROPERTY $ I I$ I UMBRELLA LIAB OCCLR EACH OCCURRENCE 1$ I EXCESS LIAR CLAIMS-MADE AGGREGATE I$ I DED RETENTIONS 1$ WORKERS COMPENSATION I STATUTE 10R AND EMPLOYERS'LIABILITY YIN I I ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT I$ OFFICERREMBER EXCLUDED? NIA 1 (Mandatory In NH) E.L.DISEASE.EA EMPLOYEE$ If yes.desoibe urcer DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Re:Outside dining area at 310 Main St.,#B,Pleasanton,CA City of Pleasanton Its officers,directors,employees and agents are additional insured with respects to general liability per endorsement to be issued by the carrier. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Pleasanton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN $Y ACCORDANCE WITH THE POLICY PROVISIONS. Community Development Dept Planning Division PO BOX 520 Pleasanton,CA 94566 AUTHORIZED REPRESENTATIVE • 1 VI/A I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD