Laserfiche WebLink
JUN -16 -2011 11:29 From: To:8265878 P.1/2 <br /> Commercial Certificate of Insurance / F ARM s' <br /> Agency , Gary Miskell <br /> Name. . 39K72 Los Alamos Rd. Suite A2 Issue Date (MM/DD/YY) 0912/11 <br /> & • Munieta, CA 92562 <br /> Address • 951- 696 -7555 Thu certificate Is I.-cued m a matter of information only and confers no d g hts <br /> upon the ceilificutc hulder.1 his certlllcale does not amend. extend nr all .r dic <br /> St Dlst. Agent 7ti <br /> 99 30 coverage alTorded by the policies shown b,.luw. <br /> Companies Providing Covcrlige: <br /> Insured Crrmpany A Truck Iusurmwe Exchange <br /> . Ratomir Mladenovic lee <br /> Name . II Ac II Sweepers (]nmpany 8 Farmem Tnsurdnce Exchange <br /> & - 8605 Penny Dr 7rurr <br /> Address Riversidt, CA 92503 1O'npbuy C Mid - Century Insurance Curripariy <br /> co poly D <br /> IRUer <br /> Coverages <br /> T4- is to wrtify lltat the politics of insurance listed belnw have been i-mied to the insured named above fur tltc policy period Indicated. Notwithstanding <br /> any requirement. tenn or condition or any contract or niher dorxrment with respect to which this wrtifit:ale way be Issued or may pertain, the i nisunr c <br /> afforded by the policies described heroin Is suhJed to all the ternis, exclusions and conditions of such policies. Urnits shnwn may have been reduced b <br /> paid claims. <br /> Co. Type of Insurance Poicy. Number Policy Effective Polity Expiration <br /> LIr. y Date (mwDD/yy) r)ale (MM /n1)/vy) Miry Limits <br /> (' General liability 604769428 10 /06! I0106 /11 Genr.ral Aggregate $21000,000 <br /> X Commerciai Ceneral x Pruducts- Comp/VPS <br /> Liability ` Agggalt: $2.000,000 <br /> X - Occurrence Version APPROVE AS TO F I Person & Injury S <br /> Contractual • Incidental / !f inch Umurrence S 1,000 000 <br /> Only / Fos Darnage <br /> Uwners & Contractors Pratt !'� (Any nne fire) S 100,000 <br /> Risk ager Medical Expense <br /> [Any one person) $5.000 <br /> A Automobile liability 602169724 10115/10 10/15/11 CombinW Single <br /> All Owned Commerrial Liniil S I.000.U00 <br /> Aut Rndi)y Iri ury <br /> X Scheduled Autos (Per person) S <br /> Hired Autos Undily Injury <br /> Non-Owned Autos (Per accident) $ <br /> Garage Liability I Property Damage S 1,000,000 <br /> Garage Aggregate. S <br /> Umbrella Liability Limit $ <br /> Workers' Compensation Statutory <br /> and Each Accident $ <br /> UiSCa.SC • batch Employee $ <br /> Employers Liability Disease - Policy Limit S <br /> Description of Operations/ Vehicles /RestricLiu, is /Special Items: <br /> Additional lnsurcd: City of Riverside 3900 Moiu Sheet, RiVCT.%idc, CA 92522 <br /> Certificate Holder Cancellation <br /> . City of Riverside Should ally of the ahove described policies be cancelled b,furu the expiration i late <br /> Na . Risk Management thereof. the Issuing company will endeavor to mail 30 days written timice to L is <br /> & • 3900 Main Street certificate holder named tg Oe left. but failure to mail such notice shall firipme no <br /> Address • Riverside, CA 92522 ubligatiun or liability of H7#te company, its agents or mprtsentat ves. <br /> Au0iurized Repretentadve <br /> 662492 4 91 Copy Distribution: Service Center Copy and Agent's Copy ►; �� <br />