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��R�® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD /YYYY) 10/29/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and 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 endorsement(s). PRODUCER AISI dba Pan American Insurance Agency, Inc. CA License # OF89850 2800 W March Lane, Ste 420 Stockton CA 95219 CONTACT Kim Okamoto NAME: PHONE No. ExtIm (209) 955 -2600 A/C No): (209) 474 -0697 E -MAIL kimokamoto@paula.com ADDRESS. INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Peerless Ins Co 24198 INSURED E and E Pel ' s Enterprises Inc P O BOX 4166 Palm Springs CA 92263 INSURER B: INSURER C: INSURER D: $ 1 , 000 , 000 INSURER E: X COMMERCIAL GENERAL LIABILITY INSURER F: COVERAGES CERTIFICATE NUMBER:13 /14 GL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD /YYYY POLICY EXP MM /DD /YYYY LIMITS GENERAL LIABILITY Bob Underwood /KO -- EACH OCCURRENCE $ 1 , 000 , 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence) 100 000 $ r A CLAIMS -MADE F_x1OCCUR X CBP5349164 1/4/2013 1/4/2014 MED EXP (Any one person) $ 5, 000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2 , 000 , 000 X1 POLICY PRO- LOC JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR /PARTNER /EXECUTIVE WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Riverside 3900 Main St Riverside, Ca 92522, Wyatts Paint and Body 350 North Rancho San Bernardino Ca 92410, Qwik Parts Auto 330 Aast 6th Street San Bernardino Ca 92410 and Bo Huff Car Show 6951 Flight Rd, Riverside, Ca 92522 are named as Additional Insureds regarding Bo Huff Rockabilly Extravaganza November 30th, 2013 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) INS025 rgninn.� ni ©1988 -2010 ACORD CORPORATION. All rights reserved. Thn Af'_f1Rr1 name and Innn am rnnictnrnrl mnrL -a of Af'_f1Rr1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Riverside 3900 Main St AUTHORIZED REPRESENTATIVE Riverside, CA 92522 Bob Underwood /KO -- ACORD 25 (2010/05) INS025 rgninn.� ni ©1988 -2010 ACORD CORPORATION. All rights reserved. Thn Af'_f1Rr1 name and Innn am rnnictnrnrl mnrL -a of Af'_f1Rr1