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DATE (MWDDIYYYY) <br />A`� & CERTIFICATE OF LIABILITY INSURANCE 05/11/201210:10 <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 certificate holder is an ADDITIONAL INSURED, the polrsems) must ent. A statement endorsed. ement on thi SUBROGATION certificate does not confer rights to the I WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsemt <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER Barney & Barney LLC NA CO NTA C T Penn E. Kelle <br />PHONE I <br />CA Insurance Lic: 00O3950 ( AIC. No Ext : 858 975 - 3056 A/C No): <br />E-MAIL <br />9171 Towne Centre Drive, Suite 500 ADDRESS: penny.keUey@barneyandbarney.com <br />San Diego, CA 92122 lNrURrR(Sl AFFORDING COVERAGE NAIL # <br />858- 457 -3414 INSURER A Golden Eagle Insurance Corporation 1.0836 <br />NSURED Best Beverage Catering; F & B Associates, Inc. INSURER B Liberty Surplus Insurance Corporation 1.0725 <br />rucuReR c : RSUI indemnity Company 22314 <br />4901 Morena Blvd., Suite 1107 INSURER D! <br />San Diego, CA 92117 INSURER E: <br />Chian # 49203 1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 445023 MST NUMBER: 19289 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD WHICH THIS <br />INDICATED. NO ANY CERTIFICATE MAY BE ISSUED OR MAY PERT IN, THE T C O ND ITI ON <br />INSURANCE AFFORDED BY THE POLICIES IES D SCRI ED D E EIN IS W SUB CT TO ALL HE TERMS, <br />nn,n rnKiniTlnnlc nl= RI ICH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />SR - <br />S <br />- - - --- - 'ADDL�ST <br />TYPE OF INSURANCE <br />- SR <br />POLICY NUMBER <br />PULIGT err <br />MM <br />ruw— �..� <br />LIMITS <br />1 000 000 <br />EACH OCCURRENCE <br />$ <br />GENERA L LIABILITY <br />AMA T RENTED <br />$ 50,000 <br />X <br />DGLSF1848166 <br />7/24/2011 <br />7/24/2012 <br />PREMISES Ee occurrence <br />MED EXP (Any one person) <br />$ FXCluded <br />B <br />COMMERCIAL GENERAL LIABILITY <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />CLAIMS -MADE a OCCUR <br />GENERAL AGGREGATE <br />2000,000 <br />$ , <br />x <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />$ <br />POLICY PRO LOC <br />COMI3INED INGL LMIT <br />1,000,110 <br />AUTOMOBILE LIABILITY <br />Ea accident) <br />EUDILY INJURY (Pa pvmon) <br />$___ <br />A <br />X ANY AU10 <br />� BODILY INJURY (Per accldenl) <br />OWNED SCHEDULED <br />BA8785288 <br />7/24/2011 <br />7/24/2012 <br />$ <br />PROPERTY DAMAGE <br />$ <br />AUTOS AUTOS <br />Ix ALL <br />X NON -OWNED <br />Per accident <br />$ <br />HIRED AUTOS AUTOS <br />EACH OCCURRENCE <br />$ 10,000,000 <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N 28600 <br />7/ Oil <br />7/24/2012 <br />AGGREGATE <br />$ 10,000,000 <br />C <br />IF <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />WC STATU- OTH- <br />+ WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />I <br />I <br />E.L. EACH ACCIDENT <br />$ <br />1 OFFICERIMEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE - EA EMPLOYE <br />$ _ <br />.L. DISEASE - POLICY LIMIT $ <br />(Mandatory In NH) <br />If yes, descdbe under <br />I DESCRIPTION OF OPERATIONS bebw <br />$2,000,000 Each Cause <br />Liquor Liabil <br />DGLSF1948166 <br />7/24/2011 <br />7/24/2012 <br />$2,000,000 Aggregate <br />B <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional KernarKS acneouie, n <br />RE: Sea No Evil Art Show, June 3, 2012. The City of Riverside, its officers, agents and employees is named as additional insured in regards to <br />General Liability per attached form. <br />',ERTIFICATE HOLDER <br />City of Riverside <br />3900 Main Strect <br />Riverside, CA 92522 <br />Subject <br />ACORD 25 (2010/05) <br />Penny E. XeCCe y <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />TIO <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />