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/DATE <br />A� " CERTIFICATE OF LIABILITY INSURANCE <br />(MM/DD/YYYY) <br />03/20/2019 <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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Lea Sands <br />NAME: <br />The Armstrong Company Insurance Consultants <br />HCONE. Ext): (310) 530-0099 q/c, No): (310) 530-0098 <br />2780 Skypark Dr, Ste 440 <br />E-MAIL Isands@armstronginsco.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURERA: WestAmerican Insurance Company 44393 <br />Torrance CA 90505 <br />INSURED <br />INSURER B: American Fire & Casualty Ins. 24066 <br />Ice Energy Holdings, Inc. <br />INSURER C: Underwriters Lloyds London <br />120 EI Paseo <br />INSURER D: <br />INSURER E: <br />Santa Barbara CA 93101 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 18-19 GL/AL/XS/PL 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 <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCEAUULbUbK <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1'000'000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREM SES Ea o.urrrence $ 500,000 <br />MED EXP (Any one person) $ 15,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />A <br />Y <br />BKW57944396 <br />08/01/2018 <br />08/01/2019 <br />LAGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE $ 2'000'000 <br />'. <br />PRO- <br />POLICY ❑PRO LOC <br />MOTHER <br />PRODUCTS-COMP/OP AGG $2,000,000 <br />Employee Benefits $ 1,000,000 <br />: <br />APPROVED <br />'.. <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />X <br />ANYAUTO <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />Y <br />BAA57944396 <br />08/01/2018 <br />08/01/2019 <br />BODI LY I NJ U RY (Pe r accide nt) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />Underinsured motorist BI $ 1,000,000 <br />UMBRELLA LIAB" <br />OCCUR <br />._ 10,000,000 <br />EACH OCCURRENCE $ <br />AGGREGATE $ 10'000'000 <br />B <br />X <br />EXCESS LABCLAIMS-MADE <br />ESA57944396 <br />08/01/2018 <br />08/01/2019 <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVEElN <br />OFFICER/MEMBER EXCLUDED? <br />/A <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />Each Claim $5,000,000 <br />C <br />Professional Liability <br />AE182561 <br />11/14/2018 <br />11/14/2019 <br />Aggregate All Claims $5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />This Certificate is issued in lieu of that dated 11/14/2018 <br />—it's officers, employees and agents are additional insured as respects General Liability per form number CG 2010 & CG 2037 attached, and as additional <br />insured as respects auto liability per form CA88100113 attached. <br />CERTIFICATE HOLDER CANCELLATION <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Riverside— <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Risk Management <br />AUTHORIZED REPRESENTATIVE <br />3900 Main Street <br />Riverside CA 92522 <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />