Laserfiche WebLink
CliPnt#- 1d21n <br />FWMARM <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <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 />12/04/2012 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Edgewood Partners Ins. Center <br />Lic #OB29370 949 -417 -9175 Suzan <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 />19000 MacArthur Blvd. Penthse Fl. <br />POLICY EXPIRATION <br />ATE (MM/DDfYYI <br />LIMITS <br />Irvine, CA 92612 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />E.W. Harmon, Inc. <br />3344 Hamner Avenue <br />Norco, CA 92860 <br />INSURERA: Everest Indemnity Insurance Com <br />07/02/13 <br />INSURER B: Everest National Ins Co <br />10120 <br />INSURER c: Hanover Insurance Company <br />INSURER D: Peerless Insurance Company <br />24198 <br />INSURER E: <br />DAMAGE TO RENTED <br />PREMISES IE. <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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM D <br />POLICY EXPIRATION <br />ATE (MM/DDfYYI <br />LIMITS <br />A <br />GENERAL LIABILITY <br />EF4ML01597121 <br />07/02112 <br />07/02/13 <br />EACH OCCURRENCE <br />$1 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE Ex-J OCCUR <br />DAMAGE TO RENTED <br />PREMISES IE. <br />15;, <br />MED EXP (Any one person) <br />$5000 <br />PERSONAL BADVINJURY <br />$1 <br />X BI /PD Ded:5 <br />X <br />Poll. Ded. $10 ,000 <br />GENERAL AGGREGATE <br />s2, 000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />s2, 000,000 <br />PRO- <br />POLICY X JEC Loc <br />.Pollution Liab. <br />$2MII1 /A <br />$1 Mill <br />Each <br />Cond. Limit <br />D <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />BA8928124 <br />04122/12 <br />04/22113 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000 OOO <br />, <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />A ��+a 7 �K ��/� <br />` R O • ED <br />e T <br />s + <br />��/( <br />RM <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />V/ <br />$ <br />1 <br />L <br />AUTO ONLY: AGG <br />EXCESS /UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR FI CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION AND <br />7600008298121 <br />12/01/12 <br />12101/13 <br />X T W O C Y 9 LIMIT _ER <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$1 OOO,OOO <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000 <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />YES <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />C <br />OTHER Property <br />RH38058223 <br />04/22/12 <br />04122/13 <br />$250,000 Limit <br />Inland Marine <br />$1,000 Died. <br />Leased /Rented <br />lEguipment <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: Columbia and Iowa Improvements. <br />CtK I IrlcAI t HULUEK <br />CANCELLATION 9 U Ua s Tor Non -t'a ment <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Riverside <br />DATE THEREOF, THE ISSUING INSURER WILL lt [RRXR MAIL 'An_ DAYS WRITTEN <br />3900 Main St. <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,Ja X <br />Riverside, CA 92522 <br />kOP1PRRlIR7PJ6I�GRRREtIPRXlA16K]> nQQIF) Bt7) CXILIIRIDCt� JdDlE�0CR7blR�CDWQBCXX <br />ACORD 25 (2001/08) 1 of 2 #S252544/M252455 <br />T5 © ACORD CORPORATION 1988 <br />