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A� ® CERTIFICATE OF LIABILITY INSURANCE i�5izo1 <br />PRODUCER (714) 778 -5555 FAX: (714) 778 -1981 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Thomas & Thomas Professional Insurance Service ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2534 N. Santiago Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite B <br />CA 92867 <br />INSURED <br />C.E. Fry Construction Co., Inc. <br />P.O. Box 1769 <br />Upland, CA 91785 <br />rnvcoer_ec <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURERA:Mt. Hawley Insurance Company <br />INSURERB: Casualty Insurance <br />INSURERc:National Union Fire Ins, Co. <br />INSURER D: Everest National Ins. Co. <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREG LIMITS S HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LIMB TYPECIFINSURANCE <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DA AGE <br />PREM T Ea <br />S occurrence) <br />$ 5(),000 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one rson ) <br />$ 5,000 <br />A <br />CLAIMS MADE X OCCUR L0176099 <br />11/16/2011 <br />11/16/2012 <br />PERSONAL & ADV INJURY <br />S 1 <br />S 2,000,000 <br />GENE AGGREGATE <br />$ 2 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER'. <br />PRODUCTS- COMP /OP AGG <br />POLICY X PRO- LOC <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />COMBINED SINGLE LIMB <br />(Ea accident) <br />$ 1,000,000 <br />BODILY INJURY <br />(Per person) <br />S <br />B <br />ALL OWNED AUTOS CCA0006337 11 26/2012 <br />SCHEDULED AUTOS <br />26/2013 <br />BODILY INJURY <br />(Per accident) <br />S <br />HIRED AUTOS PROF', ® F ORM <br />NOWOWNED AUTOS <br />�/� <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />K == <br />Manager <br />AUTO ONLY - EA ACCIDENT <br />OTHER THAN EA ACC <br />$ <br />Risk <br />S <br />$ <br />AUTO ONLY: AGG <br />EXCESS I UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE _ <br />$ 5 ,000,000 <br />X OCCUR CLAIMS MADE <br />S <br />IS <br />C <br />DEDUCTIBLE ME013625123 <br />11/16/2011 <br />11/16/2012 <br />Is <br />RETENTION $ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />X WC STATU- OTH- <br />I <br />E.L. EACH ACCIDENT 1 1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />7600006677121 <br />1/1/2012 <br />1/1/2013 <br />E.LDISEASE - EAEMPLOYE $ 1 000,000 <br />E.L. DISEASE - POLICY LIMIT S 1,000,000 <br />Sy ECIAL PROVISIONS AL PR OVISIONS below a under <br />SP <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />JOB: ALTURA CREDIT UNION 6403 RIVERSIDE AVE. RIVERSIDE, CA 92507. CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. <br />9;4.L@1 '[!14;A <br />CITY OF RIVERSIDE <br />3900 MAIN STREET <br />RIVERSIDE, CA 92522 <br />25 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, }(9,)(M"AX <br />JdED�d� `�(d6XO�41�(db9Q�1XOYF,14Xd��C <br />AUTHORIZED REPRESENTATIVE <br />Burris /CSS qa X Awl� <br />®1988 ACORD CORPORATION. All rights reserve <br />IN5UZ5 (200901) at I ne AL.UKU name an0 logo are reglstereD marKS 01 JAI UMu <br />