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ACbRhP CERTIFICATE OF LIABILITY INSURANCE <br />111,1� <br />F —DATE —(..-.rfyyyl <br />I 12/11/2al7 <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)i, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT.- If the certificate holder is an ADDITIONAL IREURED, the policy(ios) 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 7-na Cowie <br />Cornerstone Specialty Insurance Services Inc <br />-NAME <br />PHONE IF <br />(714)731-770 ('AX <br />No 0 C, No) (714)731-7750 <br />t: -MAIL. tina@cornerstanespecialty corn <br />ADDRESS <br />14252 Culver Drive, A299 <br />INSURER(S) AFFORDING COVERAGE NAIC 9 <br />Irvine CA 92604 <br />INSURER A: Travelers Property Casualty Co 25674 <br />INSURED <br />INSURER B Travelers Indemnity Co of Conn 25682 <br />C BELOW, INC <br />INSURER C Continental Casualty Company 20443 <br />14280 Euclid Avenue <br />INSURER D: <br />INSURER E: <br />57< ADDTLINSRD/PRIMARY <br />Chino CA 91710 <br />1 INSURER F - i <br />COVERAGES CERTIFICATE NUMBER: 17/18 CERTIFICATES 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 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />AUIJL <br />IN <br />hUtIK <br />WVn <br />POLICY NUMBER <br />POLICY EFF <br />(MMIODNYYY) <br />POLICY EXP <br />(MMIDDNYYY) <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE 11 2,000,000 <br />CLAIMS MAD —1 OCCUR <br />—7 E FX <br />7y <br />DAMA13"'U"OTor <br />PREM'S S 100,000 <br />ES I. oc=rence) <br />MED EXP (Any one person) 3 5.000 <br />57< ADDTLINSRD/PRIMARY <br />X BLNKT MR OF SUBRO <br />PERSONAL & ADV INJURY S 2,000.000 <br />A <br />600-51-15598911 12/18/2017 12/1812018 <br />GEWLAGGIREGATE LIMIT APPLIES PER <br />GENERALAGGREGATE s 4.000,000 <br />POLICY PRO- <br />19 JECT El LOC <br />PRODUCTS COMPtOPAGG S 4.DOO,000 <br />s <br />OTHER <br />APPROVED <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT s 1,DOO,000 <br />(Ea 8=00rd) <br />BODILY INJURY (Par person) s <br />ANYAUTO <br />B <br />I <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />Y <br />BA -7D6871122 12/16/2017 12/18/2018 <br />130D LY INJURY (Per accident) S <br />HIRED %ON-OWNEID <br />AUTOSONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />(par ..an., <br />s <br />X <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ 10,000.000 <br />A <br />EXCESS LIAB <br />HCLAIMS-MADE <br />Y <br />CUP -4181T634 <br />12/18/2017 <br />12/1812018 <br />AGGREGATE S 10,000,000 <br />X <br />DED I I RETENTION $ 0 <br />s <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY P�OPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MFRVS�R EXCLUDED? F <br />(man toryInN4) <br />da <br />NIA <br />XJUB-41BIT277 <br />12/1812017 <br />12/18/2018 <br />X1 PER OT <br />STATUTE ERM' <br />EL EACH ACCIDENT $ 1,000,000 <br />E L DISEASE - EA EMPLOYEE $ 1,000,000 <br />I f yes, descr be under <br />I <br />USCRIPTION OF OPERATIONS beiow <br />E L DISEASE POL GY LIMIT S 1.000.000 <br />C <br />Professional Liability <br />Claims Made <br />MCH288306745 <br />12118/2017 <br />12/18/2018 <br />Each Claim $2.000.000 <br />Annual Aggregate $2.000.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it mom space is required) <br />The City of Riverside, Riverside County Flood Control Conservation District, County of <br />Riverside and their officers employees and agents, are Additional Insured for General Liability but only if required by wdtten contract <br />with the Named Insured orior to an occurrence and as per attached endorsement Coverage is subject to all policy terms and conditions *30 <br />days notice of cancellation, except for 10 days notice for non-payment of premium For Professional Liability, the aggregate limit is the <br />total insurance for al covered claims reported within the policy period <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 Public Works ACCORDANCE WITH THE POLICY PROVISIONS. <br />3900 Main Street <br />AUTHORIZED REPRESENTATIVE <br />Riverside CA 92522 d�� el -4 <br />0 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />