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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE DNYYY 08/01/201 PRODUCER Phone: 714 - 535 -6510 Anaheim Business Insurance Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 306 N . State College Blvd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Anaheim, Ca 92806 GENERAL LIABILITY C BN 120744 License #: OC94230 INSURERS AFFORDING COVERAGE NAIC # INSURED REN CHAO WU DBA: WAFFLES DE LIEGE 15810 E GALE AVE STE # 148 City o f Industry, CA 91745 INSURER A FAREAST INSURANCE COMPANY $ 1 1 000,000 INSURER B: INSURER C: INSURER D' INSURER E f%n%jFco wr-ce 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LINLITS DATE f MNWQ0W A And The City Of Riverside GENERAL LIABILITY C BN 120744 04/01/2011 04/0112012 EACH OCCURRENCE S 1.000.000 DAMAGE TO REME15 PREMISES $ 1 1 000,000 X COMMERCIAL GENERAL LIABILITY CLAI MS MADE Fx� OCCUR MED EXP �Any one person) $ ' 5 1 000 PERSONAL& ADV INJURY S 1 1000�VV0 GENERAL AGGREGATE $ 20.000 PRODUCTS - COMPIOP AGG $ 1 , 000 2 000 GEN1 AGGREGATE LIMIT APPLIES PER X POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO APPR VED ) 6 LJ FO COMBINED SINGLE LIMIT (Ea accodont) $ BODILY INJURY (Per won) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS R� sk Manager 7 v BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per aoddent) $ GARAGE LUBILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S S AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S $ S DEDUCTIBLE S RETENTION S WORKERS COMPENSATION AND } WC STATU- OTH- TORY ER E.L EACH ACCIDENT EMPLOYERS' LIABILITY ANY PROPRIETOPJPARTNERlEXECUTIVE 3 E.L. DISEASE - EA EMPLOYEE OFFICERIMEMBER EXCLUDED? S MR describe under IAL PROVISIONS below F S E.L. DISEASE - POLICY LIMIT OTHER s DESCRIPTION OF OPERATIONS/ LOCATIONS 1 VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Event Day September 03 2011 r-1=RTIFI['.ATF HOLDER CANCELLATION ACORD 25 (2001/08) a ACORD CORPORATION 1988 Printed by VAV on August 01, 2011 at 02:55PM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUANG INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Riverside Food Truck Fest N T THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DD SO SHALL And The City Of Riverside IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, LTS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) a ACORD CORPORATION 1988 Printed by VAV on August 01, 2011 at 02:55PM