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ACRD® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/12/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER Patriot Risk & Insurance Services 100 Spectrum Center Drive, Suite #400 Irvine, CA 92618 CONTACT NAME: PHONE FAX A C, : 949 486 -7900 (A/C, No): 949 486 -7950 E-MAIL Ext ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # AUTHORIZED REPRESENTATIVE INSURERA : West American Insurance Company 44393 www.patrisk.com OK07568 INSURED K.D. Acoustics 15 Commercial Avenue INSURER B: American Fire & Casualty Company 24066 INSURER C: StarStone National Insurance Company 25496 INSURER D: Riverside CA 92507 INSURER E: MED EXP (Any one person) INSURER F: XCU Included COVERAGES CERTIFICATE NUMBER: 31332167 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYY LIMITS A COMMERCIAL GENERAL LIABILITY AUTHORIZED REPRESENTATIVE BKW 1656559500 6/5/2016 6/5/2017 EACH OCCURRENCE $ 1 ,000,000 Aa.•�`� CLAIMS -MADE FV/1OCCUR Leonard E. Ziminsky A DAMAGE TO RENTED PREMISES Ea occurrence $ 1 00,000 MED EXP (Any one person) $ 5,000 XCU Included Contractual Liability PERSONAL & ADV INJURY $ 1 ,000,000 APPROVED GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Fv/] PE F LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY BAA1757214689 7/19/2016 7/19/2017 COMBINED SINGLE LIMIT Ea accident $ 1 XO X0 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY V/ AUTOS ONLY B v,/ UMBRELLA LIAB ,� OCCUR ESA1756559500 6/5/2016 6/5/2017 EACH OCCURRENCE $ 310001000 AGGREGATE $ 310001000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE Y I N T20160159 7/15/2016 7/15/2017 STATUTE ORH E.L. EACH ACCIDENT $ 1 ,000,000 OFFICERIMEMBEREXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 ,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Operations usual to the named insured City of Riverside is named as Additional Insured as respects to General Liability and Auto Liability per endorsement attached where required by written contract. *30 days notice of cancellation, 10 days for non - payment of premium. CERTIFICATE HOLDER CANCELLATION Clt of Riverside SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 39 0 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Riverside CA 92522 AUTHORIZED REPRESENTATIVE ✓lr"+1�f•A «riN�,rF�. ice+' Aa.•�`� Leonard E. Ziminsky A ACORD 25 (2016/03) ©'1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 31332167 1 16/17 GL/UMB/AU/WC I Annette Romero 1 8/12/2016 10:04:18 AM (PDT) I Page 1 of 15 This certificate cancels and supersedes ALL previously issued certificates.