E AND R GLASS CONTRACTORS INC CO

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A_OD CERTIFICATE OF LIABILITY INSURANCE OPID SP DATE(MMIDDIYYYY) E&RGL-D 06/22/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Crosby Insurance, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8181 E. Kaiser Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Anaheim CA 92808 Phone: 714-221-5200 Fax: 714-221-5210 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A, Great American Assurance Cc INSURER B: AMERICAN STATES INSURANCE CO E&R Glass Contractors, Inc.,Co INSURER C: Great American Ins Co 5369 Brooks Street Montclair CA 91763 INSURER D: STATE COMPENSATION INS.Smm INSURER E: Great American Ina. Co. of NY vvv~r I HE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR r NSR TYPE OF INSURANCE POLICY NUMBER POLICY DATE MM/DDIYY DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY _ GLP2267702 03/31/09 03131110 PREMISS(~Eaoccurence) $ 50000 CLAIMS MADE Fx 1OCCUR MED EXP (Any one person) $ Excluded X Blkt Contractual PERSONAL & ADV INJURY $ 1000000 X BFPD/XCU Inc GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: R PRODUCTS -COMP/OPAGG $ 2000000 POLICY X JE CT LOC AUTOMOBILE LIABILITY B X ANY AUTO 25-CC-261624-1 03/31/09 03/31/10 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS Dig tally signed by Art T rres BODILY (Per perrso) RY $ X HIRED AUTOS DN cn=Art Torres c=U o=Finan e ou=City X NON-OWNED AUTOS of R , iverside email=atori + es@riversii + ieca.gov BODILY INJURY (Per accident) $ , Rea son: approved as to form PROPERTY DAMAGE $ I (Per accident) GARAGE LIABILITY Loc ation: approve as to AUTO ONLY - EA ACCIDENT $ R ANY AUTO Dat e: 2009.07.27 13:29: 04 -07'00' OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $5,000,000 C X OCCUR EICLAIMS MADE SBE0332632 00 03/31/09 03/31/10 AGGREGATE $5,000,000 DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY UTH- X TORY LIMffS ER D ANY PROPRIETOR/PARTNER/EXECUTIVE 583422-08 11 /01/08 11/01/09 E. L. EACH ACCIDENT $ 1000000 OFFICER/MEMBEREXCLUDED? Ifyes beunder E.L. DISEASE - EA EMPLOYE $ 1000000 ,AL P S PECIAL P ROVISIONS below E.L. DISEASE-POLICY LIMIT $ 1000000 OTHER E Install Floater MAC6584845-05 03/31/09 03/31/10 Per Occur $50,000 Ded $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: La Sierra Senior Center. City of Riverside, its officers, agents, employees and representatives are named Additional Insured. *10 Days Notice of Cancellation will be given for Non-Payment of Premium. (xx/pr) VCR1 Irn m1C miLUCR GANGtLL.AI IVN RIVM15 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DATE THEREOF, THE ISSUING INSURER WILL~MAIL *30 DAYS WRITTEN City of Riverside NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, L 3900 Main Street Riverside CA 92522 R