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ERBLOQR-01 SIGUI Ll
<br />DATE (MMIDO"
<br />CERTIFICATE OF LIABILITY INSURANCE 0810912018
<br />PRODUCER License OC36561 . . . . ...........................................................................................
<br />Inland Empire-Alliant Insurance Services, Inc, PHONE FAX, -2013
<br />735 Camegle Dr Ste 200 JAIC, No, Et)� (909) 886-9861 1 Na)!(909) 886
<br />San Bernardino, CA 92408 NXIIII
<br />INSUREI AFFORDING COVERAGE 19
<br />INSURER A. Ohio Casualty Insurance Company ?4074
<br />INSURED INSURER B: American Fire and Casualty Company Z4066
<br />E R Block Plumbing Inc INSURER c::: Preferred Employers Insurance Company 10900
<br />dba E R Black Plumbing
<br />10910 Hole Avenue INSURER 0:
<br />Riverside, CA 92505 INSURER E � I
<br />COlES CERTIFICATE,,,, NU11W RE1114: REVISION NU11A1lR1ER!!
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE III ISTED BELOW HAVE BEEN ISSUED TO THE INSUII::�ED NAMED ABOVE FOR 11 HE 11:110LICY 11�1::RIOD
<br />INDICATED NOTWITHSTANDING ANY REQUIREMENT,, TERM OR CONDITION OF ANY CONTRACT OR OTHE1111 DOCUMENT WITH RES1::111:::1CT "III �O W111 11111�C� Tl !IIIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIR, TH:11:::::: INSURANCE AFFORDED BY THE POLICIES DESl D HIE REIN IS SUBJECT io �1111111RMS,,
<br />EXCLUSIONS AND CONDITIONS OF SUCH PO11 ICIIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />POLICY I POLICY EFVj POLICY FXP
<br />III E OF INSURANCE I K! P��—
<br />_ ! � --- — --11115"Nlii� 11,
<br />A ]X COMMERCIAL G9NERAL LIABILITY EACH 00!Wl IS 11,000,000
<br />CLAIMS -MADE BKO57154"7 0310112018 0310112019 DANAGE � 0 REN TED 500,000
<br />OCCUlit x 111REMISES (Ewuvnirmnpe� I
<br />IIAED EXP (AnI peral !j 15,000
<br />1:1ERSONAL I ADV INJURY !1 1,000,000
<br />GEI A13GFEGA-M LIMIT APPLIES FEW GENERAL AGGREGATE 5 000,000
<br />POLICY X'LOC PRODUCTS - COMPIOP AGO 115 2,000,
<br />I 5PT APPROVED 000
<br />l IEW 1�
<br />COMBINED SlNGLE LIMIT 1,000.000:
<br />A OMOBILE LIABILITY Me accirl $
<br />ANY AUTO — X BAAS71S4447 0310112018 0310112019 BODILY INJURY lPar person) $
<br />OWNED SCHEDULED
<br />AUTOS ONLY 4AUTOS BODILY INJURY (Per accidel S
<br />I
<br />P
<br />AMS ONLY ANBOUTS AT LRQ�IrMl $
<br />. . .... ...... ..... . ........................ — .11,111,111,111,1111,'ll""I'll""I'll",'ll""I'll""I'll",'ll""I"ll,Ill""I'll"—"I .1 -
<br />UMBRELLA III OCCUR EACH RRFNCE $
<br />A OCCUR
<br />OCCU
<br />I FXCFSBLIAB CLAJMS,,MADE OG
<br />------- AGGREGATE
<br />DED
<br />— — — — — — — — — FX—
<br />C WORKERS COMPENSATION PER OTH,
<br />All EMPLOYERS'LIABILITY "STATUTE �J ER
<br />I IROIRIIEIWECUTIVE YIN KNIO325549 09101)2018 0910112019 E.l EACH ACCIDENT 1,000,000
<br />,%ll EXCLUDE
<br />n El MSEASI EMPLOYEE S 1,00%000
<br />1,000,000
<br />Or
<br />Wascribounder
<br />RIPTION OF OPERATIONS below E 111, DISEASE::: POL
<br />............ . ..... ..............
<br />DESCRIPTION OF OPERATIONS 0 LOCATIONS I VEHICLES (A MAdfd,,raoA Rawal Schedule, may
<br />Job: Operations pertaining to named Insured for call N. ortholder.
<br />Certificate holder Is additional Insured as respects to general and auto liability per endorsements attached.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
<br />THE EXP RATION DATE THEREOF, NOTICE VWLL BE DELIVERED IN
<br />City of Riverside ACCORDAINFCE VATH THE POUCY PROVISIONS.
<br />Risk Management
<br />3900 Main Street . ....... .. .. ...................................................................................................................................................................................................
<br />Riverside, CA 92522 AUTHORIZED REPRESENTATIVE
<br />ACORD 2S (2016103) ll 1988-201 S ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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