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CERTIFICATE OF LIABILITY INSURANCE I 5/3 DATE 0/2012 24PM <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 INSUREDS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) mu endorse . If SUBVGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A tatement on t is certiflca T does not confer rights to the <br />certificate holder In lieu of such endomement(s). <br />PRODUCER NTA T <br />NAME- Sandra Zumbado <br />M9 0045 PHONE <br />CA/C,xp. <br />310 - 216 - 9152 ) 310- 216 -9152 <br />FAX 310 - 216 -9534 <br />insur2vents.co <br />E-MAIL <br />ADDRE _ support@insur e TFtS .com <br />9841 Airport Boulevard, Suite 1000 1 Los Angeles, cu 429766 <br />INSURED Tel: (951) 826 - 2390 Fax: INSURER A: Riverport <br />Vendors Of City Of Riverside INSURERS: <br />Hilda Gonzalez INSURER C <br />3900 Main Street INSURER O: <br />Riverside, CA 92522 I R11QFQ <br />COVERAGES CERTIFICATE NUMBER: 23235 <br />REVISION NUMRFR: <br />THIS 15 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 MAY BE 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 />INTSRR TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP <br />POLICY NUMBER MMKOD MMID LIMITS <br />A GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY X 1800SO4152 741 897 <br />06/02112 <br />06103/12 <br />EACH OCCURRENCE <br />PREA SES Ea <br />$ 1,000,000 <br />f 300,000 <br />CLAIMS -MADE X OCCUR <br />MED EXP (Any one person <br />_ L51000 <br />PERSONAL d ADV INJURY <br />' - ,] <br />S 1,000,000 <br />GENERALAGGREGATE <br />S 2, <br />PRODUCTS - COMPIOP AGO <br />GENT. AGGREGATE LIMIT APPLIES PER <br />JECT X POLICY n PRO- I I LOC <br />$2.000,000 <br />S <br />AUTOMOBILE LIABILITY <br />ANYAUTO <br />V 1UJ A <br />COMBINED SINGLE UMIT <br />(Ea accident) <br />S <br />BODILY INJURY (Per person) <br />ALL OWNED AUTOS <br />S <br />BODILY INJURY (Par accident <br />f <br />SCHEDULED AUTOS <br />' / <br />PROPERTY DAMAGE <br />(Par accident <br />S <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />I <br />pl ( <br />f <br />��llt1�a A e <br />f <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE <br />S <br />EXCESS LUIS CLAIMS -MADE <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />$ <br />S <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? D NIA <br />WC STATU- OTH. <br />RY L MITS ER <br />E L EACH ACCIDENT <br />f <br />E L DISEASE EA EMPLOYE <br />S <br />Mandatory In NH) <br />P yes, doscdbo under <br />E L DISEASE POLICY L MIT <br />S <br />PARTICIPANT & VOLUNTEER MEDICAL N/A ACCIDENT MEDICAL <br />ACC. DEATH / DISMEM. <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) EVENT DATE(S): 06/02/12 <br />EVENT: Concessionaires Coverage ADDITIONAL INSUREDS (if any): SEE ATTACHED ENDORSEMENT <br />Total Of 40 Vendors. <br />Tel: (951) 826.2370 Fax: (951) 826 -2591 <br />-- -- - - - -- --- --- <br />City Of Riverside <br />Theresea Birkett <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />POLICY ION DATE T REOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />3900 Main Street, 5th Floor <br />Riverside CA 92522 <br />AUTHORIZED REPRESENTATIVE <br />'w -11000- Zuu9 AL:UKIJ GUKYUKAI ION. All rights reserved. <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />