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EXPIRATION DATE THEREOF, <br />POLICY PROVISIONS. <br />City of Riverside <br />Finance/Purchasing Division <br />3900 Main Street <br />Riverside, CA 92522 <br />ACORD CORPORATION. All riehts <br />THE <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />DATE (a DD1YYYY) <br />AC <br />CE RTIFICATE OF LIABILITY INSURANCE <br />51412 012 <br />DPCR86 D7 <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 cemticate holder is an ADDITIONAL INSURED, the pollcyges) must be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of me <br />Policy, certain policies may require an endorsement. A statement on this cern8cate does not confer rights to the Certificate holder in lieu of such endoma n s). <br />PRODUCER <br />comam <br />NAME: MelPtly IrranNwhm Darn OeBWr <br />N F <br />INC. No. En: 91I885.1]r5 NC, NPI: 61Ra19 -7Em <br />Hays Companies <br />IDS Center Suite 700 <br />80 South 8 Street <br />ADD <br />ADDRESS: pakcsrta nin.mm <br />PRODUCER <br />CUSTOMER la r: o &K -1 <br />Minneapolis, MN 55402 <br />INSURER(S) AFFORDING COVERAGE <br />NAIL9 <br />INSURER A: TRAVELERS INDEMNITY COMPANY OF CONNECTICUT <br />25882. <br />INSURED <br />INSURER B: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />25874 <br />INSURER C: <br />G & K Services, Inc. & its Subsidiaries <br />INSURER D: <br />5995 Opus Parkway <br />INSURER E: <br />Minnetonka, MN 553 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION <br />NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED <br />LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />BY PAIDCLAIMS <br />INSR TYPE OF INSURANCE <br />LTR Inw <br />POLICY NUMBER POLICY EFF POLICY EXP <br />vAn (MWDD/YYYY (MWDDIYYYY) LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE S 1,000,000 <br />A X COMMERCIAL GENERAL LIABILITY <br />CLAIM &MADE FxI OCCUR <br />DAMAGE TO RENTED S 1 D00,000 <br />PREMISES Ea occunencc <br />MED EXP(Anyone person) S 10,000 <br />HC2 LS.M7RaS58DTCT11 12/0112011 12/012012 PERSONAL S ADV INJURY S 1,000,000 <br />GENERAL AGGREGATE S 15,000,000 <br />PRODUCTS- COMP/OP AGO S 2,000,000 <br />GEN'LAGGREGATELMITAPPLEN <br />PER <br />POLICY <br />PR6 <br />JECT X LCC <br />$. <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea acchierh <br />g 3,000,000 <br />A <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />BODLIY INJURY (Per acciden0 <br />S. <br />X <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />HC2ECAP472M CT(1 <br />21012011 <br />1 112012 <br />PROPERTY DAMAGE <br />(Peramltlent) <br />S <br />% <br />NON OWNED AUTOS <br />5 <br />X <br />PHYSICAL DAMAGE- SELF - INSURED <br />S <br />UMBRELLA LIAR <br />gCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />CUIMSMADE <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />1S <br />ppCC <br />D <br />X rro SpTLL OM <br />NRYLIMITS ER <br />E.L EACH ACCIDENT <br />- <br />S 1,000,000 <br />B <br />B <br />YIN <br />ANY PROPMETORAPARTNERIEXECUTIVE <br />OFFICERAEMDER EXCLUDED? N <br />of.dararyin MII <br />NIA <br />HC2a10477M53MIIIAasI <br />HRJU8472A53 11 <br />IMA, NAI <br />12101/2011 <br />1210112012 <br />EL. DISEASE-EA EMPLOYEE <br />S 1,000,000 <br />If under <br />DESCRIPTION under <br />OPERATIONS below <br />E .L. DISEASE - POLICY LIMIT <br />S 1,000,000 <br />Note: Workers' Compensation coverage Is not provided in Texas. <br />Contact : Hays Companies for evidence of Walkers' Compensation or alternative coverage for the state of Texas <br />Contact. USK Services, Inc for evidence of Workem'Compengation coverage in the follovon states: North Dakota Ohio, Washington. and omin . <br />MURIP NOFOPERATIONSILOCATOWl VEHICLES IAnetl, ACORO tat, AddklaMl Remed,s 9clwduN, Irmareapettbreq,tlnd) <br />Evidence or Insurance. <br />EXPIRATION DATE THEREOF, <br />POLICY PROVISIONS. <br />City of Riverside <br />Finance/Purchasing Division <br />3900 Main Street <br />Riverside, CA 92522 <br />ACORD CORPORATION. All riehts <br />THE <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />