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1111M v_I1111 ■•• 1 - 1_ 1 S.M. NM ,11tH 1 MI1 ■Pi 1111 .1I.., 11Y11 �xlr 1
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTIT
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />rs; ORTANT: If the certificate holder Is an ADDITIONAL INSURED, the
<br />the terms and conditions of the policy. certain policies mey require an e
<br />certificate holder In lieu of such endorsement(s).
<br />GV)f111P_Sa
<br />Werdlow Insurance Agency, Inc.
<br />License *OB09800
<br />M orrpaHrk High Street
<br />Dick Wareilow Ins Brokers
<br />INIURi,D National Merchants Association
<br />insured Member:
<br />M & E Concessions Commissary
<br />Robert Kane
<br />68.846 Perez Rd g76
<br />Cathedral City, CA 92234
<br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />UTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />pollcy(les) must be endorsed. it SUBROGATION 18 WAIVED, subject to
<br />rtdorsement. A atatement on this certificate does not confer rights to the
<br />""TACT Dick Wardlow Insurance Brokers
<br />MME
<br />PH NIn Easy 806.663 4606 1 Fwr., Not: 808- 663.0648
<br />Miss: jenwlawardlowInsurance.com
<br />PRODUCE
<br />OW R1O e; lilld►ECO -1
<br />1NS(JAERIS) AFFORDING COVERAGE NAM P
<br />INSURER A:AMMO Speclelty InsurefIOS CO
<br />INSURER a :
<br />INSURER C :
<br />INSURER D:
<br />JINSVNeI!
<br />INSURRRF:
<br />CQVER.AUF$ CERTIFICATE NUMBER ,iF.1Q11/1� .may 1.- _...
<br />THIS 18 TO INDICATED. ONOTTWTHSTAND1NG POLICIES OF INSURANCE LISTED
<br />REQUIREMENT, TERM OR CONDITION OFBEEN
<br />ANY CONTRA T OR OTHER DOCUMENT H RESPECT ECT TO POLICY
<br />WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED DY PAID CLAIMS.
<br />A
<br />OPNERAL UASIUTY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLA €MB -MADE I •• i OCCUR
<br />GEM., AGGREGATE LIMIT APPLIES PEI.
<br />GE
<br />CE POLICY 1- P f -1 LOC
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON- OWPJED AUTOS
<br />U#IIRRELLA LIAR
<br />EXCESS LIAR
<br />CIP224884
<br />OCCUR
<br />CLAIMS -MADE
<br />DEDUCTIBLE
<br />RETENTION S
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YI N
<br />OFFICER/MEM ER�EXCLUDED? ECUTIVE
<br />{Mendatpry In NN)
<br />If ye doIwfw under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />04101/2018
<br />0410112018
<br />APPROVED
<br />LIMITS
<br />EACH OCCURRENCE
<br />PREMISES (Ee necunwnml
<br />MED EXP (Any ono person)
<br />PERSONAL & ADV INJURY
<br />1 1,000,00
<br />100,00
<br />1
<br />s
<br />EXCLUDE
<br />1,000,000
<br />GENERAL AGGREGATE
<br />1
<br />2,000,000
<br />PRODUCTS - COMP/OP AGO 1
<br />INCLUDED,
<br />1
<br />DESCRIPTION 0; OPERATIONS 1 LOCATIONS I VGIIICLII (Atiseh ACORD 7011 Addeolrsl Romaetn &Nodule, If mom Spree la required)
<br />Praducta Liability for Edible Food Products Only.
<br />Intellectual Property Excluded.
<br />Coee atatohsld. )
<br />Operations for: Show i OD Car Show for Charity on 5/2/15 - 5/3/15.
<br />COMBINED SINGLE LIMIT
<br />(Ea avddonD
<br />1
<br />BODILY INJURY IPM *lion)
<br />1
<br />BODILY INJURY (For occident)
<br />1
<br />PROPERTY DAMAGE
<br />(PER ACCIDENT)
<br />S
<br />EACH OCCURRENCE
<br />1
<br />1
<br />AGGREGATE
<br />1
<br />1
<br />ITOAY I IMC19 1 PET
<br />1
<br />E.L. EACH ACCIDENT 1
<br />EL. DISEASE - EA EMPLOYEE 1
<br />E.L. DISEASE POL11;Y Lawn-
<br />1
<br />CERTIFICATE HOLDER
<br />The City of Riverside, Its
<br />Officers, Employees & Agents
<br />Rlak Management
<br />3800 Mein Street
<br />Rlvoraide, CA 92822
<br />SHOWULJ1
<br />ACORD 26 (2009!09)
<br />CANCELLATION
<br />GHOUL!) ANY OF THE ABOVE DESCRIBED PQLICIC$ as CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORED R!!R!e!NTATIVI
<br />tc6kroutz arm V i
<br />1888 -2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />CQVER.AUF$ CERTIFICATE NUMBER ,iF.1Q11/1� .may 1.- _...
<br />THIS 18 TO INDICATED. ONOTTWTHSTAND1NG POLICIES OF INSURANCE LISTED
<br />REQUIREMENT, TERM OR CONDITION OFBEEN
<br />ANY CONTRA T OR OTHER DOCUMENT H RESPECT ECT TO POLICY
<br />WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED DY PAID CLAIMS.
<br />A
<br />OPNERAL UASIUTY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLA €MB -MADE I •• i OCCUR
<br />GEM., AGGREGATE LIMIT APPLIES PEI.
<br />GE
<br />CE POLICY 1- P f -1 LOC
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON- OWPJED AUTOS
<br />U#IIRRELLA LIAR
<br />EXCESS LIAR
<br />CIP224884
<br />OCCUR
<br />CLAIMS -MADE
<br />DEDUCTIBLE
<br />RETENTION S
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YI N
<br />OFFICER/MEM ER�EXCLUDED? ECUTIVE
<br />{Mendatpry In NN)
<br />If ye doIwfw under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />04101/2018
<br />0410112018
<br />APPROVED
<br />LIMITS
<br />EACH OCCURRENCE
<br />PREMISES (Ee necunwnml
<br />MED EXP (Any ono person)
<br />PERSONAL & ADV INJURY
<br />1 1,000,00
<br />100,00
<br />1
<br />s
<br />EXCLUDE
<br />1,000,000
<br />GENERAL AGGREGATE
<br />1
<br />2,000,000
<br />PRODUCTS - COMP/OP AGO 1
<br />INCLUDED,
<br />1
<br />DESCRIPTION 0; OPERATIONS 1 LOCATIONS I VGIIICLII (Atiseh ACORD 7011 Addeolrsl Romaetn &Nodule, If mom Spree la required)
<br />Praducta Liability for Edible Food Products Only.
<br />Intellectual Property Excluded.
<br />Coee atatohsld. )
<br />Operations for: Show i OD Car Show for Charity on 5/2/15 - 5/3/15.
<br />COMBINED SINGLE LIMIT
<br />(Ea avddonD
<br />1
<br />BODILY INJURY IPM *lion)
<br />1
<br />BODILY INJURY (For occident)
<br />1
<br />PROPERTY DAMAGE
<br />(PER ACCIDENT)
<br />S
<br />EACH OCCURRENCE
<br />1
<br />1
<br />AGGREGATE
<br />1
<br />1
<br />ITOAY I IMC19 1 PET
<br />1
<br />E.L. EACH ACCIDENT 1
<br />EL. DISEASE - EA EMPLOYEE 1
<br />E.L. DISEASE POL11;Y Lawn-
<br />1
<br />CERTIFICATE HOLDER
<br />The City of Riverside, Its
<br />Officers, Employees & Agents
<br />Rlak Management
<br />3800 Mein Street
<br />Rlvoraide, CA 92822
<br />SHOWULJ1
<br />ACORD 26 (2009!09)
<br />CANCELLATION
<br />GHOUL!) ANY OF THE ABOVE DESCRIBED PQLICIC$ as CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORED R!!R!e!NTATIVI
<br />tc6kroutz arm V i
<br />1888 -2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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