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f OP ID: PS A�Or�O CERTIFICATE OF LIABILITY INSURANCE DA 03118fDOIYYYY) 03118!2016 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(les) must 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 PRODUCUR Phone: 909 -980 -4211 Silvers one Insurance Services Fax: 909.980.4785 Jetton a Assoc Ins Svs Inc P.O. Box 1200 (Lic N0004829) Rancho Cucamonga,, CA 91729-1200 Brent Jetton, AA, CIC INSURED K A D Paving Company P O Box 9150 Redlands, CA 92374 APPROVED cuaio NeR IO e' KADPA -3 INSURERtS) AFFORDING COVERAGE INSURER A; Ironshore Specialty fns C0 INSURER B Nationwide Mutual Insurance Co INSURER C INSURER D: INSURER E : INSURER F: Lo): COVFRAGFS CFRTIFICATF NIIMRFR- RFVISIr k! NI IMRFR• NA]C # 25445 23787 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 IHt PULILII:S Ut:5CHIULU HLHkIN 15 SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS AOOLSUBR; EFP iLTR TYPE OF INSURANCE POLICY NUMBER MMLICY MMID IDIYYYY LIMITS GENERAL LIAaILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X AGS0038203 0311912018 03119/2017 -PREMISES (9 ooTEo PREMISES Ea occurcence; _ S 50,00 CLAIMS -MADE X OCCUR MEDEXP (Any one person) S 55,00 PERSONAL d ADV INJURY S 1,000,0) GENERAL AGGREGATE S y 2,004,00 GEML AGGREGATE LIMIT APPUESPER PRODUCTS COMPIOPAGG S 2,000,000 POLICY X PRO LOC Deducible 5 10,0{) AUTOMOBILE LIABILITY X I r.nuRINFn DSINfa F MIT 5 1,000,009 B X ANY AUTO ACP7805481112 03119/2016 03/19/2017 accident)' l► BO ILLY IN BODILY INJURY (Per person) S ALL OWNED AUTOS BODILY INJURY (Per accident) S SCHEDULED AUTOS PROPERTY DAMAOC X HIRED AUTOS (Peraccidenl, S X NON- OWNEDAUTOS S $ UMeNlLLA LIAtl OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE S DEDUCTIBLE S RCTENTION a WORKERS COMPENSATION I WCSTATU- OTH.' AND EMPLOYERS' LIABILITY YIN TORY I IM1TS _ _ .I. Ifk— .- ANY PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT S A OFFICEWMEMBER EXCLUDED? NIA -- - -- — - (Mandatory In NH) E.L. DISEASE • EA EMPLOYEE• S H YeS, desalbe under _ __. _ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 5 IRented/Leased Eqpt ACP71105481112 0311912016 03/1912017 Value 100,00 DESCRIPTION OF OPERATIONS ! LOCATIONS f VEHICLES (AIIeeh ACORD 101, Additional anel Remarks Schedule, If more space is required) RE: Plaza T5 Addition, 3716 Elizabeth Street, Riverside CA. Job 111544. City of Riverside is additional insured to general liability per CG2010 04/!3 04/13. and CG2037 Auto additional insured applies per attached, only per written contract. CITRI07 City of Riverside Risk Management 3900 Main Street Riverside, CA 92522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEI:ORE THE EXPIRATION DATE THEREOF, NOTICE WILL dt: IJII= LIvFHEO IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009100) Tho ACORD namo and logo arc rag)stcred marks of ACORD