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Axnrn_i np In• �� <br />'`'` °R° CERTIFICATE OF LIABILITY INSURANCE <br />DRl"EIMMIDDIYYYYj <br />12129115 <br />THIS CERTIFICATE 15 ISSUED A5 A MATTER OF INFORMATION ONLY AND GONFER5 NO RIGHT5 UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERI51, AUTHORIZED <br />REPRESENTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy {les) must be endorsed. If SUBROGATION 15 WANED, subJect to <br />the terms and condNions of the policy, certain policies may require an endorsement. A statement on this cerliticate does nol confer rights to the <br />ceHlOcale holder In Ilea of such endorsements . <br />PRODUCER Phone: 626 -449 -0301 <br />Unfled Agencies, InC. 11 j <br />CA License #D2526a6 FaX: 626 - 564 -656 <br />301 E. Colorado Blvd. Ste. 200 <br />Pasadena, CA 91101 <br />RObert W. Bader <br />NAME <br />PHONE FA% <br />A!C No E AIC No <br />ADDRESS. <br />INSURER 5 AFFORDING COVERAGE <br />NAIL a' <br />wsuRERA State Com ensation Ins. Fund <br />35076 <br />INSURED t3 8. D Construction CD Inc <br />Upland, CA 91766 � JiJ�I�;'Jjll��{ j�1'f1+J <br />145 N. 10th Ave. �nj�no�} ❑�D <br />INSURERS. <br />IrySURERC <br />INSURER D <br />INSURER E . <br />$ <br />COI,IMEFCL4L GENERAL L= ABILITY <br />CAVFRaP;FS f't= R71rtIf �iF NIIMRE =R• RFVICIAN Idl IMRFR• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 15SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR 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 REDUCEb BY PAID CLAIMS. <br />TYPE OF INSURANCE <br />POLICY UMBER <br />LIMn'S <br />GENERAL LIABILnY <br />EACH OCCURRENCE <br />$ <br />COI,IMEFCL4L GENERAL L= ABILITY <br />PRfhIISES fEe ac urcencel <br />S <br />MED EXP IAf1Y ale personl <br />$ <br />CLAIMSMADE � OCCUP. <br />PERS01lHL 8 AL�V UJJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN1 AGGREGATE LIMIT APPL ES PER <br />PRODUCTS - COMPlOP AGG <br />$ <br />POLICY PRO• LOC <br />$ <br />AUTOMOBILE LIABILITY <br />'-" ni to � � I <br />Ea ecntlenl <br />$ <br />UODILY INJURY (Per person) <br />$ <br />AtJY AUTO <br />�FOWNED ��DLLED <br />BODILY INJURY (Per acadeMl <br />S <br />HIRED AUTOS IJOFJ -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per acndent <br />$ <br />S <br />UMBRELLALIAB <br />OCCLR <br />EACHOCCURR;rIJOE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS- I�L4DE <br />I' rI71f1N - <br />$ <br />A <br />WORKERS COMPENSATION <br />ANDEMPLDYfRS'LIABILnY <br />ArrYPROpt�EYOWpARRJERr�E'unVE Y� <br />O.F- ICCR.�wI,IEC� �:��LU;CD" <br />{Mandatary In NH} <br />N!A <br />912038516 <br />01101116 <br />0110tH] <br />wC STATU- 0TH• <br />!� TnRr IArITC <br />EL EACHaCC1DEDTT <br />$ 1,OD0,00 <br />--- ---. <br />E L DISEASE - EA EMPLOYEE <br />S 1,ODD,OD <br />If yyes, tlescnbe antler <br />DESCRIPTIOIJ OF OPERA7101J5 below <br />EL DISEASE - POLICY LIMIT <br />S 1,ODD,OD <br />DESCRIPTION OF OPERAT10N51 LOCATIONS! VEHICLES IAllach ACORD 101. Additional RemarMS Schedule, i<moro space is required► <br />Subject to all policy terms, exclusions and conditions- RE: ].09 Unit, Tract <br />p 28987 - 7026 Crest Ave., Rsverside CA: *PLEASE NOTE COPYRIGHT LAWS APPLY <br />0 THE ACORD FORM PROHIBITING US FROM MODIFYING THE CANCELLATION CLAUSE. <br />OWEVER, PER UNITED AGENCIES, INC. PROCEDURES WILL NOTIFY YOU WITHIN 30 HAYS <br />IF SAID POLICY CANCELS. <br />CITYRIV <br />City Df Riverside <br />3900 Main St. <br />Riverside, CA 92522 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 6E CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE MILL BE DEL[VERED 1N <br />ACCORDANCE WITH THE POLICY PRDVISIDNi;. <br />AUTHORRED REPRESENTATIVE <br />D ACORD CORPORATION. All rights reserved <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />