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MLW DATE (iVIlvfIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE RD02 5/4/2016 THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or 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 GROSSLIGHT INSURANCE INC /PHS 250765 P: (866) 467 -8730 F: (888) 443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: PHONE FAX ,Ext): (8 66) 467 -8730 { ,No): (888) 443 -6112 ADDRESS: INSURERS) AFFORDING COVERAGE NAIL* INSURERA: Sentinel Ins Co LTD 11000 INSURED PIMENTAO LLC 438 71 ANN PLAT INA DR DIAMOND BAR CA 91765 INSURER B: IIMIT,Y INSURER G: INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 TYPE OFINSURANCE ADDL SUER POLICYAVMBER POLICYEFF MM/DD/YYY POLICYEXP IIMIT,Y COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 ► 000, 0 0 0 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $1 000 0 0 0 ► , X X MED EXP (Any one person) $10, 000 General Liab 72 SBM AR8569 02/02/2016 02/02/2017 riPERSONAL & ADV INJURY $1 ► 000, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2, 0 0 0 , 000 POLICY E] JE T LOC PRODUCTS - COMPIOP AGG s2, 000, 0 0 0 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Per accident) $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION $ c Y WORKERS COMPENSATION AND EMPLOYERS' LIABI= PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ ANY PRO PRIETORIPARTN ERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ❑ N/A E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS ILOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. Reference: Taste of Brews Inland Empire CERTIFICATE HOLDER CANCELLATION © 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CITY OF RIVERSIDE 3900 MAIN ST' RIVERSIDE, CA 92522 © 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD