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qC p,Rp® <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />1 5/18/2016 <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 BELOW. <br />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 endorsement(s). <br />PRODUCER <br />Competitive Edge Insurance LIC# OH31982 <br />925 B Street <br />CONTACT <br />NAME: <br />A/CC,NNo, EXt : FAX No): <br />ADDRESS: brendajo @compedgeins.com <br />Suite 300 <br />San Diego, CA 92101 <br />compedgeins.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURERA: U.S. Fire Insurance Company <br />21113 <br />INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION (PURCHASING GROUP) AND <br />INSURER B: <br />PRODUCTS - COMP /OP AGG <br />ITS PARTICIPATING MEMBERS: <br />INSURER C : <br />X COMMERCIAL GENERAL LIABILITY <br />& I BREWING <br />INSURER D: <br />ERIC MILLSPAUGH <br />5135 EDISON #1 <br />INSURER E: <br />INSURER F: <br />CHINO, CA 91710 <br />COVERAGES CERTIFICATE NUMBER: USS312264 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM /DD/YYYY <br />POLICY EXP <br />MM /DDM'W <br />LIMITS <br />GENERAL LIABILITY <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />CLAIMS -MADE FX] OCCUR <br />A <br />X <br />SRPG -101 -0715 <br />12:01 AM <br />12:01 AM <br />5/221 AM <br />12:01 AM <br />EACH OCCURRENCE <br />$ 1,000,000 <br />FIRE DAMAGE (Any one fire) <br />$ 300,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />MED EXP (Any one person) <br />$ 5,000 <br />rRO - <br />X POLICY JPECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />g <br />ANYAUTO <br />APPROVED <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIREDAUTO NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />WC STATU- <br />TORY LIMITS <br />OTH <br />ER <br />$ <br />ANY PROPRIETOR /PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? ❑ <br />N/A <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE- EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />.. <br />AD &D <br />MAXIMUM MEDICAL <br />DEDUCTIBLE <br />TERMS OF PAYMENT <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Covered Vendor Type: Food & Drink. Certificate Holder is named as additional insured with respect to the operations of the Named Insured. <br />CERTIFICATE HOLDER CANCELLATION <br />THE CITY OF RIVERSIDE, ITS OFFICERS, EMPLOYEES AND <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />AGENTS <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />3900 MAIN ST <br />RIVERSIDE, CA 92522 <br />© 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2010/06) The ACORD name and logo are registered marks of ACORD <br />