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ACRD® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />2/9/2018 <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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements). <br />PRODUCER <br />CONTACT Elizabeth Michel, CISR <br />PHONE (760} 451-8556 Ex. 203 FAX (764)451-8613 <br />A1C No Ext): A1C No): <br />Robert Bell Insurance Brokers, Inc. <br />E-MAIL emichel@robertbellinsurance.com <br />ADDRESS. <br />605 East Alvarado Street <br />Suite 200 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A :Mesa Underwriters Spec. Ins . Co. <br />36838 <br />Fal lbrook CA 92028 <br />INSURED <br />INSURER B: <br />INSURER C: <br />DAMAGE TO RENTED 100,000 <br />PREMISES Ea occurrence)$ <br />Valley Equipment & Party Rental <br />INSURER D: <br />24456 Sunnymead Blvd <br />INSURER E: <br />MP0004002001491 2/8/2018 2/8/2019 <br />INSURER F: <br />PERSONAL & ADV INJURY $ 11000,000 <br />Moreno Valley CA 92553 <br />COVERAGES CERTIFICATE NUMBER:2 018 GL 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 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 REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DDIYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 11 000, 000 <br />A <br />CLAIMS -MADE FX OCCUR <br />DAMAGE TO RENTED 100,000 <br />PREMISES Ea occurrence)$ <br />MED EXP (Any one person) $ 51000 <br />X <br />MP0004002001491 2/8/2018 2/8/2019 <br />PERSONAL & ADV INJURY $ 11000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L <br />X <br />POLICY F—]JECT PRO ❑ LOC <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />X <br />OTHER: 504 BI PD Deductible <br />APPROVED <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />NON -OWNED <br />H I RED AUTOS AUTOS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETORIPARTNERIEXECUTIVEE.L. <br />EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? F—] <br />N 1 A <br />E.L. DISEASE - EA EMPLOYE $ <br />(Mandatary in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD '101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Riverside, its officers, employees and agents are Additional Insureds per Endorsement <br />#CG 20 10 04 13 attached. <br />CERTIFICATE HOLDER CANCELLATION <br />jhernandez@riversideca.gov <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Riverside <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />3900 Main Street <br />AUTHORIZED REPRESENTATIVE <br />Riverside ■ CA 92522 <br />Michael Bell/EM -� <br />ACORD 25 (2014101) <br />INS025 (201401 ) <br />©'1988-20'14 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />