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,4CC)R °® CERTIFICATE OF LIABILITY INSURANCE <br />D 09/12/2014 ) <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 INSURER(S), 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 endorsement(s). <br />PRODUCER <br />R.V. Nuccio & Associates Insurance Brokers, Inc. <br />10148 Riverside Drive <br />Toluca Lake, CA 91602 <br />NAME: CONTACT Robert V. Nuccio <br />PHONE (800) 364 -2433 a/c No l: (818) 980 -1595 <br />E-MAIL <br />ADDRESS: sU ort rvnuccio.COm <br />INSURERS AFFORDING COVERAGE <br />NAIC q <br />INSURERA: Fireman's Fund Insurance Company <br />21873 <br />9/13/2014 <br />INSURED <br />J &T Business Management <br />224 S. Joy St. <br />Corona, CA 92879 <br />INSURER B: <br />$ 1,000,000 <br />INSURER C: <br />$ 100,000 <br />INSURER D: <br />$ 0 <br />INSURER E: <br />$ 1,000,000 <br />INSURER F: <br />GENERAL AGGREGATE <br />COVERAGES CERTIFICATE NUMBER: 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 />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />✓ COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F OCCUR <br />✓ Host Liquor Liability <br />�/ <br />XXC80486665 <br />NAEP059866 <br />9/13/2014 <br />09/14/2014 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE To RENT D <br />PREMISES Ea occurrence <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 0 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />✓ POLICY F1 PRO LOC <br />PRODUCTS - COMP /OP AGG <br />$ 1,000,000 <br />APPROVED <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />Lperson) <br />URY (Per <br />BODILY INJURY <br />$ <br />BODILY INJURY Per accident <br />( ) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER /MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under RIPTION OF OPERATIONS below <br />DESC <br />NIA <br />WC STATU- I OTH- <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space Is required) <br />Additional Insured: City of Riverside <br />_ ­­­-"Ww F% I.AIVVCLLA IFUN <br />City of Riverside <br />3900 Main St. <br />Riverside, CA 92522 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Robert V. Nuccio <br />W 19BU -ZU10 AGORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />