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s►� Rom CERTIFICATE OF LIABILITY INSURANCE MIDDYYYY) 05/23/20/23 /2017 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 have ADDITIONAL INSURED provisions or 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 Sparrow General Insurance Agency 2629 Manhattan Ave. #281 CONTACT Nanci Sparrow NAME n/cO ° "IU E,01 310- 379 -0605 uC. rao: 310 - 379 -0631 Ao RESS: Nanci@SparrowGeneral.com Hermosa Beach CA 90254 INSURER(S) AFFORDING COVERAGE NAIC# Phone: 310-379-0605 Fax: 310-379-0631 INSURERA: Oregon Mutual Insurance Company INSURED Locked In Enterprises, Inc. INSURER B: CLAIMS -MADE X OCCUR 1I DBA K & G Collision Center INSURER C: 12697 Magnolia Ave Riverside CA 92503 INSURER D: INSURER E: $ 5,000 A Y INSURER F: BSP719590 COVERAGES CERTIFICATE NUMBER: 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 rypE OF ADDLSUBR POLICY NUMBER POLICY EFF MMMD POLICY EXP MMMD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR 1I DAMAI' ' ' ' ENTED PREMISES re o¢urrerlce $ 300.000 MED EXP (Anyone person) $ 5,000 A Y N BSP719590 06/03/2017 06/03/2018 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY [::] PRI LOG JECT X PRODUCTS- COMP /OP AGG $ 2.000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea amclent $ Person) O OWNED OWNED SCHEDULED AUTOS ONLY AUTOS APPROVED BODILY INJURY (Per mdent) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per acddent $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAE CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANYPROPRIETOR /PARTNER/EXECUfIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N/A E.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) Kyes, describe under DESCRIP ION OF OPERATIONS b Io. E.L. DISEASE - POLICY LIMIT $ A Garage Keepers BSP719590 06/0312017 06/03/2018 Location 1: $60,000 A Garage Keepers BSP719590 06/0312017 06/03/2018 Location 2: $60,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, AddiOOnal Remarks Schedule, may be anached if more space's required) City of Riverside is named as Additional Insureds with respects to his interest in the operations of the named insured CERTIFICATE HOLDER CANCELLATION © 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Riverside THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 8095 Lincoln Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Riverside, CA 92504 AU TH ORIZED REPRESENTATIVE A/nEc� J' © 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD