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A`� °® CERTIFICATE OF LIABILITY INSURANCE D10 /2 20°' 5 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 PRODUCER wwras 1 NAME' Roberson & Sons Insurance Services, Inc. PHONE (530)365 -1009 (530)247 -7908 iAlC.HO.Esti. rA1C. P.O. Box 491719 _t _ --_ E -MAIL AD 01IESSr INSURERISI AFFORDING COVERAGE NAIL # SUER INSURERA:Hudson Insurance CoMplM 25054 Redding CA 96049 -1719 _ INSURERB'Sssex Insurance Compgny Company 39020 INSURED B & D Mobile Home Transporting LLC INSURER C: Crouch's Mobile Home Transporting _ INSURER D. PO BOX 1436 INSURER E: _ Penn Valley CA 95946 INSUttER F, COVERAGES CERTIEiCATE NLIMRER-2015 -10 -02 JMC RF:VICInN NI IuaprZ- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTIMTHSTANDING 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Me o0ourrence $ 100,000 A CLAIMS -MADE Fx� OCCUR MED EXP (Anyone person) $ 5,000 X $1,_000 _ PD Deductible X BUI- 004467 -01 10/7/2D15 10/7/2016 PERSONAL & ADV INJURY S 1,000, 000 JJ�j7� GENERAL AGGREGATE $ 2 , 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY ❑ PRO• JECT LOC APPROVED 1II �IF 1{ 1`YJf U PRODUCTS - CDMPlDP AGO S 2,000,000 $ OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea eccddern S 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X BUI- 004467 -01 10/7/2015 10/7/2016 BODILY INJURY (Per ( ) $ PPe08 ^DAMAGE s 500 Ded NON -OWNED HIRED AUTOS AUTOS S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1 000 000 AGGREGATE $ A X EXCESS LIAR CLAIMS -MADE DED RETENTIONS $ (WAL BUIX- 95D463 -01 10/7/2015 10/7/2016 WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N/A H- PER OTHi A TE E.I. EACH ACCIDENT s E DISEASE - EA EMPLOYE S (Mandatory In NH) IT yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I S B Motor Truck Cargo IMN15635 10/7/2015 10/7/2016 Limit $100,000 Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space Is required) Cargo Coverage includes Double Wide Endorsement. City of Riverside and it's employees are named as Additional Insured. Addtional Insured applies to General Liability & Auto Liability. CERTIFICATE HOLDER CANCFI I OTrnN ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Riverside THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 8095 Lincoln Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Riverside, CA 92504 AUTHORIZED REPRESENTATIVE Eric Roberson /JAM�� ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)