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A .� DATE (MM /DD[r (� CERTIFIC OF LIABILITY INSURANCE 12105/2012 PRODUCER Phone BOB 874 -3800 Fax 800 -921 -5506 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CONSTRUCTION SPECIALTIES INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2450 VEN7URE OAKS WAY, SUITE 220 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SACRAMENTO CA 95833 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AgencyLlc# OB35752 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A Tower Group Companies A IX Adm W L VICKERS CONSTRUCTION, INC. INSURER B State Compensation Insurance Fund 33562 YUCAIPA BLVD. # 4, STE 439 INSURER C YUCAIPA CA 92399 INSURER D INSURER E rnVFRAnFR 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, EXCLUSONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR ADD INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMA)D POLICY EXPIRATION DATE MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER PRO - POLICY LOC CGLB00002412 02/01112 02/01/13 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurenca $ 100,000 MED. EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHFDUI FD AUTOS HIRED AUTOS NON -OWNED AUTOS • F OZ TL: H V Li AS O FO 1S eT COMBINED SINGLE LIMI - I' (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGF (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ EXCESS / UMBRELLA LIABILITY OCCUR F-1 CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YI ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEM13ER EXCLUDED (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below 9024786 09/19/12 09/19/13 X I TORY UMITS OTHER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS *10 DAYS NOTICE FOR NON - PAYMENT, 30 DAYS FOR ALL OTHER CITY OF RIVERSIDE IS NAMED ADDITIONAL INSURED ONLY AS THEIR INTERESTS MAY APPEAR PER FORM CG9 20 01 08 06 ATTACHED. tv� -A al`1rai.r W- -I.I - N•a.�IM��•�alall.• ACORD 25 (2009 /01) Uertincate IF 4Vb0Z V 1tItft$ -LUU`J At:UKU t:UKF VKAI IUIV. All ngnrs reserves. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCR'BED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30* DAYS WRITTEN City of Riverside NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT 3900 Main Street Riverside, CA 92522 AUTHORIZED REPRESENTATIVE ��- Attention: ACORD 25 (2009 /01) Uertincate IF 4Vb0Z V 1tItft$ -LUU`J At:UKU t:UKF VKAI IUIV. All ngnrs reserves. The ACORD name and logo are registered marks of ACORD