FACADE THEME PARTY - Laserfiche WebLink

Home

ACC?R ° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 09/02/2015 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(ies) 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 certificate holder in lieu of such endorsement(s). PRODUCER Liberty United Insurance Services, Inc. 6005 Vineland Avenue, Suite 203 North Hollywood, CA 91606 NAME, Sam Muradyan P HONE (888)688 -37$8 aC Na: (888)265 -6889 E -MAIL ADDRESS: Sam @libertyunitedinsurance.com X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR License #: OF89841 INSURERS AFFORDING COVERAGE NAIC # INSURER A: United States Fire Insurance Co $ 1,000,000 INSURED INSURER B: Facade Theme Party INSURER C: 1501 7th St INSURER D: Riverside, CA 92507 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000 -0 REVISION NI IMBER• 1 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 THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADOL S BR POLICY NUMBER POLICY EFF POLICY EXP MMIDDlYYYY MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y N SRPGP - 101 -0715 09/01/2015 09/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RE PREMISES Ea occur ance $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1 000 000 GEN'L )( AGGREGATE LIMIT APPLIES PER: JECT 1 1 LOC POLICY F—] PRO- l l GENERAL AGGREGATE $ 2 000 000 PRODUCTS - COMP /OPAGG $ 2,000,000 OTHER: COMBINED SINGLE LIMIT Ea accident $ $ AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident I S $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DIED RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA STATUTE I I ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY LIMIT S $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate Holder Is An Additional Insured Scheduled Activities Exclusion Endorsement Applies: Mechanical Bulls, Mechanical Surfboards & Zip Lines City of Riverside, its officers, employees and agents 3900 Main Street Riverside, CA 92522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. U IVUB -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Printed by CER on September 02, 2015 at 10:11AM