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ACORO' <br />CERTIFICATE OF LIABILITY INSURANCE <br />DPRCONS -01 WRIGHTD <br />DATE (MM/DD/YYYY) <br />8/28/2015 <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 ALTER THE 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 />IMFUH I AN 1: It the CeRITIcate nOlder Is an AUUITIONAL INSURED, the pollCy(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 endorsement(s). <br />PRODUCER NAME: Willis Certificate Center _ <br />Willis Insurance Services of California, Inc. PHONE (877} 945 -7378 No l: 888 467 -2378 <br />c/o 26 Century Blvd c No E.1: ( } <br />P.O. Box 305191 AD <br />Nashville, TN 37230 -5191 DRESS: certificates@willis.com <br />INSURER(sI AFFORDING COVERAGE NAIC S <br />INSURER A: National Union Fire Insurance Company of Pittsburgh 119445 <br />INSURED rINSURER B : <br />DPR Construction, A General Partnership RER C : <br />4665 MacArthur Court, Suite 100 RER D : <br />Newport Beach, CA 92660 oco . <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <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 />TYPE OF INSURANCE <br />X COMMERCIAL GENERAL LIABILITY <br />r I CLAIMS -MADE T OCCUR X <br />HSIR - $250,000 <br />I GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY I X I PRO- LOC <br />JECT <br />AUTOMOBILE LIABILITY <br />A X I ANY AUTO X <br />I ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS P AUTOS <br />UMBRELLA LIAR X OCCUR <br />A X EXCESS LIAB CLAIMS -MADE <br />DED X RETENTION $ 0 <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY Y/N <br />A ANY PROPRIETOR/PARTNERIEXECUTIVE � <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />POLICY NUMBER <br />GL 3194392 <br />P, <br />M . - <br />CA 3372249 <br />BE 32673218 <br />I C 014 26 7892 <br />09/01/2015 09/01/2016 <br />gD <br />LIMITS <br />EACH OCCURRENCE <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP /OPAGG <br />$ 2,000,01 <br />$ 2,000,01 <br />$ 10,01 <br />$ 2,000,01 <br />$ 4,000,01 <br />$ 4,000,01 <br />$ 2,000,01 <br />09/01/2015 09/01/2016 I BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PR PEFITY DAMAGE $ <br />(Per accident) <br />EACH OCCURRENCE $ 25,000,01 <br />09/01/2015 09/01/2016 AGGREGATE $ 25,000,01 <br />$ <br />X STATUTE ERH _ <br />09/01/2015 09101/2016 E.L. EACH ACCIDENT $ 1,000,01 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,01 <br />E.L. DISEASE - POLICY LIMIT $ 1,000,01 <br />DESCRIPTION OF OPERATIONS; LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />DPR Job #D1- B12028 -00 -HCA -Riverside Community Hospital -Job Name: HCA- Riverside Community Hospital Parking Structure It is agreed that City of <br />Riverside is named as Additional Insured as respects to General Liability and Auto Liability where required by written contract. <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />The City of Riverside Risk Management <br />3900 Main St <br />Riverside, CA 92522 <br />© 1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />