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A (f* 0 R D CERTIFICATE OF LIP TM PRODUCER 949.756.5730 FAX 949.7 5E . 5 740 Spectrum Risk Mgmt. & Insurance Services CA Li c . #OC77485 74 Discovery Irvine, C 92618 INSURED E. E . Bacon, Inc. DBA: DBA : Baker Furnace 3780 Prospect Ave. Yorba Linda, CA 92886 -1742 COVERAGES BILITY INSURANCE DATE (MMIDDIYYYY) 01/07/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Prop Cas Co of America 25674 INSURER B: ALL OWNED AUTOS INSURER C: $ 2 9 000 , 00 0 INSURER D: $ INSURER E. X HIRED AUTOS 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ISR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION -TR NSR DATE MMiDDIYYYY DATE MMIDDIYYYY GENERAL UABILITY 660- 888OM743 -TIL- l0 11/01/2010 11/01/2011 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR A GEN'L AGGREGATE LIMIT APPLIES PER: GARAGE LIABILITY T ANY AUTO EXCESS / UMBRELLA LIABILITY �] OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y i N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ A OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If y describe under SPECIAL PROVISIONS below OTHER BA 28 58P476 -10 1 01/2S/2010 1 01/25/2011 F A a .imw4 , =7 OWN bu UB- 2884P52 -5I 12/01/20101 12/01/2011 LIMITS Xi I POLICY PRO- LOC JECT $ 1 5 000 9 00 0 PREMISES Ea occurrence) AUTOMOBILE LIABILITY MED EXP (Any one person) $ 5 , 00 X ANY AUTO $ 1 0 000 , 00 0 GENERAL AGGREGATE ALL OWNED AUTOS A $ 2 9 000 , 00 0 SCHEDULED AUTOS $ (Ea accident) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS GARAGE LIABILITY T ANY AUTO EXCESS / UMBRELLA LIABILITY �] OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y i N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ A OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If y describe under SPECIAL PROVISIONS below OTHER BA 28 58P476 -10 1 01/2S/2010 1 01/25/2011 F A a .imw4 , =7 OWN bu UB- 2884P52 -5I 12/01/20101 12/01/2011 LIMITS EACH OCCURRENCE $ 1 5 000 9 00 0 PREMISES Ea occurrence) $ 100 MED EXP (Any one person) $ 5 , 00 PERSONAL & ADV INJURY $ 1 0 000 , 00 0 GENERAL AGGREGATE $ 2 o 00O 9 00 PRODUCTS - COMP/OP AGG $ 2 9 000 , 00 0 COMBINED SINGLE LIMIT $ (Ea accident) 11000 BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ X TORY LIMITS ER E.L. EACH ACCIDENT $ 1 9 000 0 00 0 E.L. DISEASE - EA EMPLOYEE $ 1 5 000 9 00 0 E.L. DISEASE - POLICY LIMIT $ 1 0 000 9 00 0 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS A ty of Riverside is named as Additional Insured per policy form CG D1 44 01 96 (Attached) with lespects to General Liability when required by written contract, agreement or permit. :10 da notice of cancellation will be sent for non -- a ment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ci of Riverside REPRESENTATIVES. 3900 Main Street AUTHORIZED REPRESENTATIVE Ri erside, CA 92522 Victor Farf n a /CORINN ACORD 25 (2089101) @ 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD