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C I ient#: 45500 <br />CMITR <br />ACORD,,, CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM /DD/YYYY) 07/05/2017 <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(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 />Allen Lawrence & Assoc. LLC <br />License 0K07568 <br />7033 Owensmouth Avenue <br />Canoga Park, CA 91303 -2006 <br />CONTACT Cyndi Cruz <br />PHONE 818 710 -3424 Fax 818 710 -3425 <br />(A/C No Ext): (A/C No): <br />E -MAIL <br />ADDRESS: ccruz@allenllawrence.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURER A : Capitol Specialty Insurance Corp. <br />10328 <br />INSURED <br />C.M.I. Transportation, Inc. <br />24795 State Hwy 74 <br />Perris, CA 92570 <br />INSURER B : Hallmark Insurance Company <br />34037 <br />INSURER C : "See Below" <br />06/29/2018 <br />INSURER D AGCS Marine Insurance Company <br />22837 <br />INSURER E Canal Insurance Company <br />10464 <br />INSURER F : <br />COVERAGES <br />CERTIFICATE NUMBER: <br />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 />LTR <br />TYPE OF INSURANCE <br />INSR <br />WVD <br />POLICY NUMBER <br />(MM /DDY/YEYYY) <br />(MM /DDY/YYYY) <br />LIMITS <br />A <br />GENERAL <br />X <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CS0254841503 <br />06/29/2017 <br />06/29/2018 <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMISES (Ea RENTED <br />$100,000 <br />CLAIMS -MADE <br />X <br />OCCUR <br />MED EXP (Any one person) <br />$5,000 <br />X <br />BI /PD Ded:1,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />e l <br />PPROVED <br />■ ■ <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />JECT fl LOC <br />PRODUCTS - COMP /OP AGG <br />$2,000,000 <br />$ <br />E <br />AUTOMOBILE <br />_ <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED AUTOS <br />X <br />X <br />SCHEDULED <br />AUTOS <br />AUTOOWNED <br />PIA08151103 <br />06/29/2017 <br />06/29/2018 <br />OMBINED SINGLE LIMIT <br />(Ea accident) <br />1 000 000 <br />� r r <br />$ <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />$ <br />(Per accidentDAMAGE <br />$ <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />77HX174222 <br />06/29/2017 <br />06/29/2018 <br />EACH OCCURRENCE <br />$1,000,000 <br />AGGREGATE <br />$1,000,000 <br />DED <br />X <br />RETENTION $Q <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORlPARTNERlEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />Y / N <br />N <br />N / A <br />CTSA45020097 <br />01/01/2017 <br />01/01/2018 <br />X <br />WCSTATU- <br />TORY LIMITS <br />OTH- <br />ER <br />E.L. EACH ACCIDENT <br />$1 ,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />$1 ,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />D <br />Motor Truck Cargo <br />Legal Liability <br />Trailer Interchan <br />MXI93077685 <br />06/29/2017 <br />06/29 /2018 <br />$1,000,000 Per Vehicle <br />Deductible: $2,500 <br />$75,000 Per Trailer <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />* *California Truckers Safety Association Workers' Compensation Program, Inc (Self Insured Group) ** <br />The City of Riverside is included as Additional Insured under the <br />General Liability and Automobile policies as their interest may appear. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City of Riverside <br />8095 Lincoln Ave <br />Riverside, CA 92504 <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 />Qkt44i LaunzwAYt2 <br />ACORD 25 (2010/05) 1 of 1 <br />#S356883/M356810 <br />© 1988 -2010 ACORD CORPORATION. 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