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® DATE (MMIDD/YY)
<br />1ACOR° CERTIFICATE OF LIABILITY INSURANCE I 03/2012014
<br />THIS CERTIFI$ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES
<br />NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE
<br />DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and
<br />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
<br />endorsement(s).
<br />PRODUCER
<br />CONTACT
<br />Alliant Insurance Services, Inc. (dhail @alliant.com)
<br />333 South Hope Street, Suite 3750
<br />NAME:
<br />PHONE
<br />A/C No. Ext : 213 443 -2472
<br />FAX
<br />A/C, No):
<br />Los Angeles, CA 90071
<br />9
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURED
<br />INSURER A: ACE American Insurance Company
<br />22667
<br />INSURER B: ACE American Insurance Company
<br />22667
<br />ValleyCrest Landscape Maintenance
<br />INSURER C: ACE American Insurance Company
<br />22667
<br />Location #32210, 8726 Calabash Ave
<br />Fontana, CA 92335
<br />INSURER D1: American Guarantee 8 Llabil ty Insurance Cc
<br />26247
<br />INSURER D2
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />INSURER E:
<br />CLAIMS MADE ❑ OCCUR
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 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 INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHI :H THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
<br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUER
<br />WvD
<br />POLICYNUMBER
<br />POLICYEFFECTIVE
<br />DATE IMM/DD/YYYY)
<br />POLICYEXPIRATION
<br />DATE(MM/DDIYYYY)
<br />LIMITS
<br />GENERAL
<br />LIABILITY
<br />EACH OCCURRENCE
<br />$1,000,000.00
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$1,000,000.00
<br />CLAIMS MADE ❑ OCCUR
<br />G24554648
<br />04/01/2014
<br />04/0112015
<br />MED EXP (Any one person)
<br />$5,000.00
<br />X
<br />PERSONAL & ADV INJURY
<br />$1,000,000,00
<br />A
<br />CONTRACTUAL LIABILITY
<br />�O
<br />D
<br />X
<br />xcuHAZARO
<br />GENERAL AGGREGATE
<br />$2,000,000.00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS — COMP /OP AGG
<br />$2,000,000 -00
<br />POLICY X PROJECT LOC
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$2,000,000.00
<br />BODILY INJURY
<br />Per person)
<br />B
<br />ANY AUTO
<br />H08725524
<br />04/012014
<br />04101/2015
<br />BODILY INJURY
<br />ALL OWNED SCHEDULED AUTOS
<br />1
<br />AUTOS
<br />(Per accident)
<br />HIRED AUTOS NON -OWNED AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />D
<br />X
<br />UMBRELLA LIAR
<br />X OCCUR
<br />AUC 8473118 -13
<br />04/01/2014
<br />04/01/2015
<br />EACH OCCURRENCE 1
<br />$2.000,000 OD
<br />AGGREGATEI
<br />$2,000,00000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />EACH OCCURRENCE 2
<br />DED
<br />RETENTION $
<br />AGGREGATE 2
<br />(Follows Form)
<br />WORKERS' COMPENSATION AND
<br />EMPLOYERS' LIABILITY Y/N
<br />C47143214
<br />04/01/2014
<br />04101/2015
<br />X
<br />I WC STATU
<br />TORY LIMITS
<br />OTH-
<br />ER
<br />_
<br />E.L. EACH ACCIDENT
<br />$1000,000.00
<br />C
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICERIMEMBEREXCLUDED? N
<br />N,A
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE — EA EMPLOYEE
<br />$1.000,000.00
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE — POLICY LIMIT
<br />$1,000,000.00
<br />Other
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required). Policy Provisions include a 30 day cancellation notice.
<br />See Attached For Additional Insured, Calif WC Endorsement, GL Waiver of Subrogation, AOS Auto Add Insured, Addt Ins 2037 Compl. Op., Waiver of
<br />Subrogation Auto (AOS)VCM
<br />322100117 Riverside S Quadrant- Parkways & Medians, 3900 Main St., Riverside, CA 92504
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
<br />THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Riverside AUTHORIZED REPRESENTATIVE
<br />3900 Main St.
<br />Riverside, CA 92504 ilLr /l2QGffia�lC6 �t'll!<GC2d. /PLC.
<br />ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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