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CERTIFICATE OF LIA THIS CERTIFICATE IS ISSUED AS A MATTER OF {NFORMATiON ONLY i CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pl the terms and conditions of the policy, certain policies may require an end certificate holder in Iieu of such endorsement(s). PRODUCER Francis L- Dean & Associates of California, LLC P.O. Box 91387 Los Angeles, CA 900139 www.fdeanca.com INSURER SPORTS AND RECREATION PROX40ERS ASSOCIATION(PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: 2FEELBTR JULIUS JOHNSON 115 SIR TRISTRAM DR RIVERSIDE, CA 92507 p /� DATE (MM=NYYY) BILIW INSURANCE 1 3,26,2018 4ND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER. THIS ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ;ONITRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED licy(ies) must be endorsed. If SUBROGATION IS WANED, subject to arsement. A statement on this cerifiicate, does not confer rights to the CONTACT NAME: PHONE FAX AIC, No, EEAt,[Aid-, No E-MAIL SS-. applica#ionsCA@fdean.com ADDRE INSURER(S) AFFORDING COVERAGE MAIC # INSURERA: U -S_ Fire Insurance Company 21113 INSURER B : INSURERG: INSURERD : INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: USSM989-9 REVISION NUMIiEK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THF 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 I'OLICiES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 0 TYPE OF INSURANCE GENERAL LIABILITY qMERCIAL GFM=RAL UNRLTIY K COMCLAIMS-MAUE El OCCUR GiMLAOGREGAT E UM T APPLIES PER X F-1 PROs LOC POLICY PRO- AUTOMOBB LFABISJTY ANYAVTO ALL OS FIA-UT-05 EDULES AUTOS AUT05 WREDAUTO NON -OWNED UMBRELLA LIAR I I OCCUR EXCESS LIAR CLAIMS -MADE DED RETC-P3TiON $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE C OFFFGMMEMBER.EXC LJDM' (Mandatory in NH) M mss. describe nxier POLICY NUMBER X1 I SRPG-101-0717 IA 7/1/2017 711/2018 12:01 AM 112.04 AM APPROVED LIMITS GENERALAGGREGATE $ 2.000,000 PRODUCTS - COMPIOP AGG $ ? 000,000 P>=RSONALRADV WJURY $ 1,000,400 EACH OCCURRENCE $ 1,000.000 FIRE DAMAGE (ArnJ are Tae) $ 300,000 MED ECP (Any One Persm) $ 5,000 C0MUINFD3INGLEL1WT Ea dCig2n $ BODILY INJURY (Per Peron) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ [Psi accNe��t $ EACH OCCURRENCE $ AGGREGATE $ g WC STALL- 11TH $ TORY LIMITS ER EL EAGH ACCIDENT $ F I DISEASE - EA EMPLOYEE 5 E.L. DISEASE _ POLICY LIMIT g AD&D MAXIMUM MEDICAL DEDUCTISIE TERMS OF PAYMENT DESCRIPTION OF OPERATFONS / LOCATIONS/ VEHICLES (ALtachACORD 141, Additional Remarks Schedule, if more space is required) Covered Vendor Type: Product or Service display Exhibits_ Certificate Halder is named as additional insured with respect to the operations of the Named Insured_ CERTIFICATE HOLDER CANCELLATION CITY OF RIVERSIDE SHOULD ANY or THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VO -L BE DELIVERED IN 3900 MAIN ST. ACCORDANCE WITH THE POLICY PROVISIONS. RIVERSIDE, CA 92522 AUTHORIZED REPRESENTATIVE Fra viv,L. Deav © 1988-2010 ACORD CORPORATION_ All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD