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q� Os STM <br />CERTIFICATE OF LIABILITY INSURANCE Roos <br />1Ta(NmamnrvvvYT <br />5/9/2017 <br />THIS CERTIFICATEIS 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PROINA ER <br />NUTMEG INS AGENCY INC /PHS <br />210781 P: F: (888) 443 -0112 <br />PC BOY 29611 <br />CHARLOTTE NC 28229 <br />CONTACT <br />NAME: <br />Alc °,N.Est <br />G1ia,Nar. (888) 443 -0112 <br />SGDDAIL <br />INSURER(S) AFFORDING COVERAGE NA6ll <br />INSURER A. Sentinel Ins Cn LTD <br />11000 <br />IN V)PED <br />JENNIFER TIPPIE DBA NAKIE FOODS <br />600 CENTRAL AVE APT 30 <br />RIVERSIDE CA 92507 <br />INSURER B <br />COMMERCIAL GENERAL LIABILITY <br />INSURER C <br />INSURER D. <br />INSURER E. <br />EACH OCCURRENCE <br />INSURER F. <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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INFR <br />I IN <br />TYPEOFINSL'ICACE <br />'1111, <br />INYR <br />3IMR <br />LIVED <br />NY ICY NVIRIER <br />PO1./CY EV% <br />m n <br />POLICE EXP <br />LIMIT(' <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />1, 000, 0 0 U <br />—1 171 CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />,I 000 000 <br />/ / <br />X <br />R <br />MEDEXP(AlryoneParsen) <br />$10, 000 <br />A <br />Generdl LiOb <br />7E SAVE IU'L27 <br />05/08/2017 <br />05/08/2018 <br />PERSONAL&,ADV INJURY <br />L1, 000, 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE <br />L2, 000, 0 0 0 <br />POLICY PEo- LOG <br />PRODUCTS - COMPIOPAGG <br />;2, 000, 000 <br />APPROVED <br />OTHER.. <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />BODILY INJURY (Per Person) <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />PROPERTY DAM AGE <br />HIRED NONFOMED <br />AUTOS ONLY AUTOS ONLY <br />Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />E40H OCCURRENCE <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />oEO <br />RETENTIONS <br />IV/1RAFkC (T�iNPFYG TTO.Y <br />PER OTH- <br />IAT1 IPI./19FNP• U.P1)fTY <br />STATUTE ER <br />E.L. EACH OCCIDENT <br />ANY PROPRIETORIPARTNERIEXECUTP/E YIN <br />OFFICERAIEMBER EXCLUDED? <br />(Mandatory in NH) ❑ <br />N/A <br />E.L. DISEASE. E4 EMPLOYEE <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS belrnv <br />E.L. DISEASE- POLICY LIMIT <br />DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Those usual to the Insured's Operations. <br />CERTIFICATE HOLDER CANCELLATION <br />© 1988 -2016 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016103) The ACORD name and logo are registered (narks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Riverside <br />AUTHOR12ED REPRESENTATIVE <br />3900 MAIN ST <br />RIVERSIDE, CA 92522 <br />© 1988 -2016 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016103) The ACORD name and logo are registered (narks of ACORD <br />