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Ai� vw CERTIFICATE OF LIABILITY INSURANCE <br />—DATE <br />4/14/2017n <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 />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 />NAME CONTACT Jennifer Leroy <br />El Dorado Insurance Agency, Inc. <br />El Dorado Security Services Insurance Agency <br />PHONE . (713) 521 -9251 i Ne: (713) 521 -0125 <br />AIEB :jleroypeldoradoinsurance.com <br />PO Box 66571 <br />INSURERS AFFORDING COVERAGE <br />RAIC0 <br />INSURERAAllied World Surplus Lines <br />24319 <br />Houston TX 77266 <br />INSURED <br />INSURER BNorquard Insurance Company <br />INSURER C: <br />10/12/2016 <br />G Brothers Inc. Dba: <br />Western Regional Security <br />INSURER D: <br />PERSONAL S ADV INJURY <br />PO Box 267 <br />INSURER E <br />Perris CA 92572 <br />INSURER F: <br />COVERAGES CERTIFICATENUMBER:Blanket AI (10/16) 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 />TR TYPE OF INSURANCE SOB POLICY NUMBER MWDCD MWDDDYM LIMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑X OCCUR <br />EACH OCCURRENCE <br />5 1,000,000 <br />IX <br />DAMAGE TO REN PREMISES Ea oausenca <br />S 100,000 <br />MED EXP IMy one person) <br />$ 10,000 <br />Elora 6 Omissions <br />X <br />5200- 1281 -02 <br />10/12/2016 <br />10/12/2017 <br />PERSONAL S ADV INJURY <br />S 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY ❑ PRO- <br />JECT LOC <br />GENERAL AGGREGATE <br />S 3,000,000 <br />PRODUCTS COMP,tlP AGG <br />$ 3,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMITS <br />Ea acch era <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL ED AUTOS <br />1 <br />BODILY BODILY INJURY (Per accklenp <br />8 <br />HIRED AUTOS NON-ONTIED <br />H AUTOS <br />PROPERTY DAMAGE <br />Per acadenl <br />$ <br />�— <br />6 <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X <br />AGGREGATE <br />$ 1,000,00-0- <br />A <br />EXCESS LIAB <br />CVJMSMADE <br />DED I I RETENTION <br />S <br />5201- 0338 -02 <br />10/12/2016 <br />10/12/2017 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />(Mandatory In NH) <br />X 56desUbe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />GBW769660 <br />6/28/2016 <br />6/28/2017 <br />PER <br />X STATUTE ER <br />E.L EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE • EA EMPLOYE <br />$ 1,000,000 <br />E.L. DISEASE • POLICY LIMIT <br />$ 1 000 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remark. Schedule, may W .Bathed It more apace Is requlrad) <br />Subject to a signed and dated Written contract or written agreement that includes an additional insured <br />requirement, certificate holder is an additional insured (CO 20 10 07/04). <br />Re: Yseael Villegas Community Center, 3091 Esperanza Street, Riverside, CA 92504. <br />City of Riverside, Parks, Recreation <br />and Community Services <br />Department <br />6927 Magnolia Avenue <br />2nd Floor <br />Riverside, CA 92506 <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 />.L. Ring, Jr. /JL03 — —� <br />All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS02S om,nn <br />