Laserfiche WebLink
�ACOR -.. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MWDD/YYYY) <br />06/23/2015 <br />PRODUCER 949 - 940 -1856 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />AVI COMMERCIAL INSURANCE MARKE=TING <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />INC <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />200 S. OL�A VISTA <br />SAN CLE ENTE, CA 92672 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED - <br />_ INSURERA. FIRST MERCURY INSURANCE COMPANY <br />B K CAPITAL INVESTMENTS <br />INSURER B l <br />D A: MISSION TOBACCO LOUNGE <br />INSURER <br />3630 UNIVERSITY AVE <br />INSURER D <br />RI, ERSIDE, CA 92501 <br />rNSURER E <br />__ <br />COVERAGES <br />TAHE POLICIES CF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />NY REQUIR MENT, TERM OR CONDI1ION OF ANY CONTRACT OR CTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAINI THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGPREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID <br />CLAIMS. <br />INSR DTI <br />LTR POLICY NUMBER <br />POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />E M I D Y -- <br />GENE F�AL LIABILITY <br />EACH OCCURRENCE S 1,000,000 <br />A <br />- <br />X <br />DAMAGE RENTEb <br />5 50,DOD_ <br />C'MMERCIALGENERALLIABILITY <br />FMEV100652 <br />12/31/2014 <br />12131/2015 PREMISES (Ea occurencel <br />CLAIMS MADE OCCUR <br />MED EXP (Any ore person) b EXCLUDED <br />_ <br />X LIQUOR LIABILITY AT <br />PERSONAL &ADVINJURV 5 1,000,000 <br />$1,000,000 / $1,000 000 <br />GENERAL AGGREGATE $ 2,000 000 <br />PRODUCTS - COMP /OP AGG S L000,000 <br />- -- _ <br />GEN -L AGGREGATE LIMIT APPLIES PER: <br />PRO- LOC <br />X jEcT <br />AUTOI'iOBILE <br />POLICY <br />LIABILITY <br />- <br />_ <br />ANY AUTO <br />APPROVED <br />COMBINED SINGLE LIMIT S <br />(Ea acclaert) <br />A L OWNED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />_ <br />S HEDULEDAUTOS <br />H RED AUTOS <br />BODILY INJURY $ <br />NON -OWNED AUTOS <br />_ <br />(Per accident) <br />PROPERTY DAMAGE 1i <br />- <br />(Per aooldenp <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCT DENT S <br />A�V AUTO <br />OTHER THAN EA ACC $ <br />I <br />AUTO ONLY. AGG $ <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE S <br />OCCUR CLAIMS MADE <br />AGGREGATE S <br />b <br />DEDUCTIBLE <br />$ <br />RFTENTION S <br />$ <br />OER <br />WORKERS COMPENSATION AND <br />-_ I TORY LIMIT 1 -.— <br />EMPLOYERS' LIABILITY <br />E L EACH ACCIDENT S. <br />ANY PROPRIETOR /PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />' EL. DISEASE - EA_EMPLOYEE $ <br />III es, tlescrlbe untler <br />V <br />SPECIAL PROVISIONS below <br />I <br />I - - <br />E L DISEASE -POLICY LIMIT S <br />OTHER <br />A <br />BUSINESS PERSONAL <br />FMEV100652 <br />12/3112014 <br />12131/2015 LIMIT - $150,000 <br />i PROPERTY <br />DEDUCTIBLE - $1,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS '.. <br />CERTIFICATE HOI DER IS LISTED AS ADDITIONAL INSURED <br />'10 DAY NCTICE OF CANCELLATION FOR NON PAYMENT OF PREWUM <br />EVENT TAKES PLACE ON AUGUST 29TH, 2015 BETWEEN 12PM TO 12AM <br />'.. <br />CERTIFICATE HOLDER <br />CITY OF RIVERSIDE ITS OFFICERS EMPLOYEES AND <br />AGENTS <br />RISK MANAGEMENT, 3900 MAIN ST <br />RIVERSIDE, CA 92522 <br />ACORD 25 (2001/08) <br />CANCELLATION <br />SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OFF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br />ACORD CORPORATION 1988 <br />