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Jul 07 1510:44a G & F Trailers 909-820 -4903 p.1 <br />Aco a CERTIFICATE OF LIABILITY INSURANCE u1�`��� <br />11126!2014 <br />III <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 ALTERTHE 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 endomemen s . <br />PRODUCER <br />Gaspar insurance Services, Inc. <br />Miff Shane Rettberg <br />PHDNE a1e.3D2306o � Nal 818.436.6122 <br />E•�L servic rinsuranee.com _ <br />5900 Canoga Ave Ste 110 <br />INSURERISI AFFORDING COVERAGE <br />NAICR <br />Woodland Hills, CA 91367 <br />License #- OC66626 <br />INSURER A: Ad iral Insurancee o <br />$ 5,000 <br />INSURED <br />George Edward Liblin <br />DBA- G & F Carriages <br />2175 South Willow Avenue <br />Bloomington, CA 92316 <br />PERSONAL 6 ADV INJURY <br />$ 1,000,000 <br />-INSURERS: <br />INSURER c: <br />I NSURERD: <br />INSURER E: <br />INSURERF: <br />-.r.. su uanrn. <br />COVERAGES L.CtcnrR.nrcnr+mocr. ww....,... --- -- <br />TS IS ?O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />HI <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 />INS. <br />LT <br />A <br />X <br />TYPE OF IN NICE <br />COMMERCIAL GENERAL LABILITY <br />CWMSMADF � OCCUR <br />L <br />Y <br />� <br />POUCYNUNBER POLICY EFF <br />CA000015393-04 12104J2014 <br />WBn YY <br />12/04/2015 <br />LIMBS <br />EACH OCCURRENCE s 1,000,000 <br />"T <br />s 50 000 <br />MED EXP IM one I <br />$ 5,000 <br />PERSONAL 6 ADV INJURY <br />$ 1,000,000 <br />GENERAL AGCitEI.,ATE <br />S 2000000 <br />fS PE <br />GENL AGGREGATE LIMIT APPLIES R <br />PELT F_ LOC <br />PRODUCTS- COMHOP AGG <br />5 1,000.000 <br />S <br />%( POLICY <br />OTHER' <br />• AUTOMOBILEUABILIV <br />I un <br />COM LN S[.1GLELIAIIT <br />t <br />BODILY INJURY iPa person) <br />E <br />L ANY AUTO <br />ALL OWNED SCHEDULED <br />J AUTOS AUTOS <br />NON,-OWHED <br />WED A1JT05 ALTOS <br />BODILY INJURY (Per aeddenu <br />S <br />PPROPERTY DAMAGE <br />S <br />S <br />MBRELLA LIAa <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />$ <br />tnm <br />XCESS LIAR <br />CLAMS -MADE <br />RETENnOKS <br />WORKER.4 COMPENSATION <br />PER OTH- <br />T <br />S <br />E.L. EACH ACCIDENT <br />S <br />AND EMPLOYERS' UABIUTY YIN <br />ANY PROPRIEToPJPARTNERIEYECURVE <br />E.L D6EASE - EA EMPLOYE <br />S <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NHI <br />N 1 A <br />D yes, desulbe under <br />DESCRIPTION OF OPERATIONS bekw <br />E.L.OLSEASE- POLICY UMIT <br />S <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remedu Sclmdule, tmy be atncaad N more spare Is raquiradl <br />This policy includes a Blanket Additional Insured Endorsement — the certificate holder is an additional insured if required by <br />written contract Please refer to the attached endorsement <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />The City of Riverside THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Greater Riverside Chambers of Commerce <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />3900 Main St. AUTHORIZED REPRESENTATIVE <br />Riverside, CA 92501 I <br />SRR <br />0 1988-2014 ACORD CORPORATION. All right, reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />Printed by SRR an November 26. 2014 at 02-16PM <br />