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OP ID ZD <br />ACORD CERTIFICATE OF LIABILITY INSURANCE LADOORC <br />DATE (MM/OD/YYYY) <br />01/04/10 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />(WC) Heffernan Insurance Brkrs <br />1350 Carlback Ave, Suite 200 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Walnut Creek CA 94596 <br />Phone: 925-934-8500 Fax: 925-934-821~ECEIVEd <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />iNSURED <br />NsuaER A EVEREST NATIONAL INS. CO. <br />10120 <br />0 8 <br />JA <br />INSURER B <br />N <br />.2010 <br />L.A. Door <br />C <br />om anyp <br />INSURER C: <br />pp <br />p <br />1140 S. CC <br />r90631t #A <br />b <br />INSURER D: <br />La a Ha <br />A <br />ra <br />RISK MANAGEME <br />I SURER E: <br />COVERAGES <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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LLTR <br />TR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATEYMMID/YY <br />DATE DD/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES (Ea occcu once) <br />$ <br />CLAIMS MADE [ <br />] OCCUR <br />MED EXP (Any one person) <br />$ <br />_ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ <br />POLICY PRO LOC <br />JECT <br />AUT <br />OMOBILE LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />~PROV V 7 <br />~[ti TO <br />1 <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />rJ <br />BODILY INJURY <br />(Per accident) <br />$ <br />/ <br />/U <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />a <br />Amager <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />AUTO ONLY: AGG <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ <br />a <br />DEDUCTIBLE <br />$ <br />RETENTION 5 <br />$ <br />WORKERS COMPENSATION AND <br />TORY LIMITS EI <br />_ <br />A <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />7600001646101 <br />01/01/10 <br />01/01/11 <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1000000 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Project: University Village, Riverside, CA 92507. <br />*Except 10 days notice for non-payment of premium. <br />RIVER-4 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPfRATIO <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City of Riverside IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />3900 Main Street REPRESENTATIVES. <br />Riverside, CA 92522-0001 AUTHOR ESENTATN <br />aroRn 95 onnimm <br />