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CERTIFICATE OF LIA BILITY INSURANCE DATE 16/20112 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 CONTACT AOn Risk Services Central Inc. NAME: Chicago IL Offi (ac. No. Ext): (866) 283 - 7122 FAX No.): (847) 953 5390 200 East Randolph E.MAJL Chicago IL 60601 USA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Sompo Japan Insurance company of America 11126 Oce North America, Inc. INSURER B: National Union Fire Ins CO Of Pittsburgh 19445 100 oakview Drive Trumbull CT 06611 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570046210050 REVISION NUMBER: 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limps shown are as requested INSR LTR TYPE OFINSURANCE INSR WVD POLICY NUMBER MMIDO M LIMITS GENERAL LIABILITY GDL 2 MIDD EACHOCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Me occunanca $100,000 CLAIMS -MADE X❑ OCCUR LED EXP (Any one person) $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addhional Remarks Schedule, If more space Is required) City of Riverside is included as Additional Insured as required by written Contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability and Automobile Liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Riverside AUTHORIZED REPRESENTATIVE Attn: Risk Management 3900 Main Street Riverside CA 92522 USA `m w . 9 w 0 u g N O n N O Z m N V 01 U ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PERSONAL B ADV INJURY $1,000, GENERAL AGGREGATE $2,000, GEN'L AGGREGATE LIMIT APPLIES PER .7 POLICY 7 PRO LOC PRODUCTS - COMPIOP AGG S2 , 000 , A A AUTOMOBILE LIABILITY AI NY AUTO X ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS Acv40673vO ADv400081O ROVE 12/ 12/01/ 11 O F 12 01 2012 1210112012 ��/� RM COMBINED SINGLE LIMIT a d nt $2,000, BODILY INJURY ( Per person) BODILY INJURY (Par acddenl) PROPERTY DAMAGE Par accident UMBRELLALIAB EXCESS LIAR I OCCUR CLAIMS -MADE ana r E CH OCCURRENCE GRE DED RETENTION L.A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR t PARTNER I EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) El If yes, describe under DESCRIPTION OF OPERATIONS below NIA WSD40013NO WCN40563LO 1 01/2011 1 /01/2011 12/01/2012 12/01/2012 W M C STATU- OTH- X TORY LIITS ' E.L. EACH ACCIDENT S1, 000, E.L. DISEASE -EA EMPLOYEE $1,000, E.L. DISEASE - POLICY LIMIT $1,000, e E&O - MPL - Primary 13086454 0110112012 01/01/2013 Limit of Liability $1,000, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addhional Remarks Schedule, If more space Is required) City of Riverside is included as Additional Insured as required by written Contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability and Automobile Liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Riverside AUTHORIZED REPRESENTATIVE Attn: Risk Management 3900 Main Street Riverside CA 92522 USA `m w . 9 w 0 u g N O n N O Z m N V 01 U ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD