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Client #: 393205 <br />YALECHA1 <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM /DD /YYYY) <br />10/28/2015 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />USI Southern California CL <br />Lic # 0351162 <br />CONTACT Wendy Franzka <br />PHONE /CC No, Ext : 818 251 -3154 FAX No): 610 - 537 -2702 <br />E -MAIL wendy.franzka@usi.biz <br />ADDRESS: Y• l nn <br />21700 Oxnard Street, Suite 1200 <br />Woodland Hills, CA 91367 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A : Zurich American Insurance Compa <br />16535 <br />INSURED <br />INSURER B: Travelers Property Casualty Co. <br />25674 <br />Yale /Chase Equipment and Services, Inc. <br />RCSSK Enterprises, LLC <br />Hawaiian Lift Truck, Inc. <br />P.O. Box 1231, La Puente, CA 91749 <br />INSURER C: <br />INSURER D <br />INSURER E: <br />$10,000 <br />INSURER F <br />$1,000,000 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R <br />LTR <br />TYPE OF INSURANCE <br />NSR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM /DD /YYYY) <br />POLICY EXP <br />(MM /DD /YYYY) <br />LIMITS <br />• <br />GENERAL LIABILITY <br />G L0038175600 07/01/2015 <br />07/01/2016 <br />EACH OCCURRENCE <br />$170007000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$170007000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F x1 OCCUR <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />Ded.: $0 <br />GENERAL AGGREGATE <br />$2,000,000 <br />A � <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />POLICY X PRO- FX ]LOC <br />JECT <br />$ <br />• <br />AUTOMOBILE <br />LIABILITY <br />BAP038175700 <br />07/01/2015 <br />07/01/2016 <br />Ea acccidentSINGLE LIMIT <br />$170007000 <br />ANY AUTO <br />X <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />$ <br />X <br />Comp.Ded:$250 X COII.Ded:$500 <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />ZUP81 M4406915NF <br />11/01/2015 <br />07/01/2016 <br />EACH OCCURRENCE <br />$1030003000 <br />AGGREGATE <br />$1030003000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION $0 <br />$ <br />A <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY T Y/ N PROPRIETOR /PARTNER /EXECUIVE <br />OFFICER /MEMBER EXCLUDED? Y� <br />N/A <br />WC038175500 <br />07/01/2015 <br />07/01/2016 <br />X TORYTLMITS EAND <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$170007000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />A <br />Hired Auto <br />BAP038175700 <br />07/01/2015 <br />07/01/2016 <br />ACV <br />Physical Damage <br />Comp. Deductible: $100 <br />Coll. Deductible :$250 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Certificate Holder is included as Additional Insured as respects operations of the Named Insured, per <br />company form #U -GL- 1345- BCW(04 -13) and #U -GL- 1175- FCW(04 -13). Additional Insured status is valid only if a <br />written contract /agreement is required of the insured and is in effect. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Riverside <br />3900 Main Street <br />Riverside, CA 92522 -0000 <br />ACORD 25 (2010/05) 1 of 1 <br />#S16584262/M16565508 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />RRBZP <br />