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OP ID: SD 144c,"M ° CERTIFICATE OF LIABILITY INSURANCE DAT 08 /31 D/YYYY) 08/31/11 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endorsement(s). PRODUCER 714 257 - 9644 Smith - Newman & Adamson Insurance Agency, Inc. 714 257 - 9833 1800 E. Lambert Rd. Suite 215 Brea, CA 92821 Ted E. Adamson CONTACT NAME: PH CNNo Exe: aC No: E -MAIL PRODUCER CUSTOM ID #: GBCOO - 1 INSURERS AFFORDING COVERAGE NAIC # INSURED G.B. Cooke Inc INSURER A: Travelers Prop & Casualty 25674 580 E. Foothill Blvd Azusa, CA 91702 INSURER B: X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR INSURER C INSURER D: 09/01/11 09/01/12 PREMISES Ea occurrence INSURER E: MED EXP (Any one person) $ 10,000 INSURER F: $ 1,000,000 COVERAGES CERTIFICATE NUMBER! RFVLCInNI kit IMRFR- 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 CONDITIO OF SUCH POLICIES. LIMITS SH MAY H AVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADD[ SUB POLICY NUMBER POLICY D E POLICY /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 4T22- CO- 0693CO93- TCT -11 09/01/11 09/01/12 PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL ✓t ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X PRO LOC $ A AUTOMOBILE LIABILITY ANY AUTO BA- 0693CO93- - 09/01/11 09/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,00 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS AP RO OF X PROPERTY DAMAGE Per accident) $ X $ NON -OWNED AUTOS $ UMBRELLA LIAR O'CUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE S M a alter DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WC STA7U- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? F-1 NIA LIM E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I T_ � DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) All Operations - City of Riverside is named as additional insured per attached endorsement. City of Riverside City Hall 3900 Main Street Riverside, CA 92522 CITYOFR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD