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Last modified
7/16/2013 11:03:37 AM
Creation date
7/16/2013 11:03:34 AM
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General
General - Type
Insurance
General 2 - Date
7/16/2013
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1 R MA INDEPENDENT CITIES <br />t RISK <br />eMAAuth ®city NT AUTHORITY <br />1100 West Town and Country Road, Suite 1550 <br />Orange, CA 92868 <br />(714) 425 -8503 cretama @brsrisk.com <br />LIABILITY CERTIFICATE OF COVERAGE and <br />ADDITIONAL COVERED ENTITY ENDORSEMENT <br />CERTIFICATE NUMBER: 2013-550 <br />CERTIFICATE HOLDER: City of Riverside Public Utilities <br />ATTN: Irene Martinez <br />3750 University Ave., 3rd Floor <br />Riverside, CA 92501 <br />MEMBER: City of Colton APPROVED <br />DESCRIPTION OF COVERED ACTIVITY: <br />As respect the temporary right -of -way agreement between the City of Riverside and the City <br />of Colton to access land at Pellissier Ranch northwest of Pellissier Rd. and Orange St., <br />Certificate Holder, its officers, employees and agents are included as Additional Covered <br />Parties with regard to any negligent acts or omissions of the Member, its employees, and its <br />elected or appointed officials. <br />MEMO POLICY NUMBER: ICAPL1023 EFFECTIVE DATE: 7/1/2013 <br />EXPIRATION DATE: 6/30/2014 <br />Self- Insured Retention: $ 500,000 <br />Limits: $ 1,000,000 <br />(per occurrence) <br />THE FOLLOWING COVERAGE IS IN EFFECT: <br />General and automobile liability as defined in the memorandum of liability coverage on file with the Member. <br />This is to certify that the coverage listed above has been issued to the Member named above for the policy period indicated, <br />notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate may <br />be issued or may pertain. The coverage afforded as described herein is subject to all the terms, exclusions, and conditions of <br />the memorandum of liability coverage of the Independent Cities Risk Management Authority which is available for your review <br />upon request. <br />Coverage is in effect as stated above and will not be canceled, limited, or allowed to expire except upon 30 -days written notice <br />to the certificate holder. <br />Date: 7/5/2013 <br />Renewal: No <br />General Manager: <br />
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