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<br />DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />10/09/2017 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND O <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONT <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, bject to <br />the terms and conditions of the policy, certain policies may req confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />CONTACT <br /> <br />PRODUCER <br />NAME: <br />SCOTT CLAUS INSURANCE <br /> <br />FAX <br />PHONE <br />(909)883-4211 <br />(909)883-3382 <br /> <br />(A/C, No): <br />(A/C, No, Ext): <br /> <br />2124 N Waterman Ave <br /> <br />E-MAIL <br />scott@clausinsurance.com <br /> <br />ADDRESS: <br /> <br />San Bernardino, CA 92404 <br /> <br />INSURER(S) AFFORDING COVERAGENAIC # <br />0689949 <br />TRUCK INSURANCE EXCHANGE 21709 <br />INSURER A : <br /> <br /> <br /> <br />LC AUTOMOTIVE INVESTMENTS LLC <br />INSURED <br />INSURER B : <br /> <br /> <br /> <br />2523 MAIN ST <br />INSURER C : <br /> <br /> <br /> <br />RIVERSIDE, CA 92501 <br />INSURER D : <br /> <br /> <br /> <br />909-798-1388 <br />INSURER E : <br /> <br /> <br /> <br /> <br />INSURER F : <br /> <br /> <br /> <br />COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW H D <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION O <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAV <br />POLICY EFFPOLICY EXP <br />ADDLSUBR <br />INSR <br />TYPE OF INSURANCE LIMITS <br />POLICY NUMBER <br />(MM/DD/YYYY)(MM/DD/YYYY) <br />LTR <br />INSDWVD <br />x <br /> 1,000,000 <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE$ <br /> <br /> <br />DAMAGE TO RENTED <br /> x <br /> 1,000,000 <br />CLAIMS-MADEOCCUR $ <br />PREMISES (Ea occurrence) <br /> <br /> <br /> 5,000 <br />MED EXP (Any one person)$ <br /> <br /> 1,000,000 <br />03/01/2017 03/01/2018 <br />A 604798083 <br />PERSONAL & ADV INJURY$ <br />Y <br />Y <br /> <br /> <br /> 2,000,000 <br /> <br /> <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE$ <br /> <br /> <br /> PRO- 1,000,000 <br />POLICYLOC PRODUCTS - COMP/OP AGG$ <br />JECT <br /> <br /> <br /> <br />$ <br />OTHER: <br /> <br /> <br />COMBINED SINGLE LIMIT <br /> 1,000,000 <br />AUTOMOBILE LIABILITY $ <br />(Ea accident) <br /> <br /> <br /> <br />BODILY INJURY (Per person)$ <br />ANY AUTO <br /> <br /> <br /> <br />ALL OWNEDSCHEDULED <br /> <br />X <br />BODILY INJURY (Per accident)$ <br /> <br />A Y Y <br />AUTOSAUTOS <br />03/01/2017 03/01/2018 <br />604798083 <br /> <br /> <br /> <br />NON-OWNED PROPERTY DAMAGE <br /> 1,000,000 <br />X X <br />$ <br /> <br />HIRED AUTOS <br />(Per accident) <br />AUTOS <br /> <br />Garage Liab 2,000,000 <br /> <br />$ <br /> <br /> <br />X X 4,000,000 <br />UMBRELLA LIAB <br />EACH OCCURRENCE$ <br />OCCUR <br /> <br /> <br /> <br />A <br /> <br /> x Y <br />EXCESS LIAB <br /> <br />CLAIMS-MADE AGGREGATE$ <br />03/01/2017 03/01/2018 <br />604798083 <br /> <br /> <br /> <br /> <br /> <br />$ <br />DEDRETENTION$ <br /> <br /> <br />PEROTH- <br /> <br />WORKERS COMPENSATION <br />STATUTEER <br />AND EMPLOYERS' LIABILITY <br /> <br />Y / N <br /> <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ <br /> <br /> <br /> <br />N / A <br />OFFICER/MEMBER EXCLUDED? <br /> <br /> <br /> <br />E.L. DISEASE - EA EMPLOYEE$ <br />(Mandatory in NH) <br /> <br /> <br />If yes, describe under <br /> <br />E.L. DISEASE - POLICY LIMIT$ <br />DESCRIPTION OF OPERATIONS below <br /> <br />03/01/2017 03/01/2018 <br />A Garage Keepers 604798083 $500,000 <br /> <br />03/01/2017 03/01/2018 <br />A Contents X Y 604798083 $875,200 Special Form <br /> <br /> $2500 DEDUCTIBLE coverage Incl. Theft <br /> <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Ad uired) <br />CERTIFICATE HOLDER IS ALSO NAMED AS ADDITIONAL INSURED <br />RE: DESCRIPTION OF WORK PERFORMED FOR THE CITY OF RIVERSIDE, REF <br />DESCRIPTION OF OPERATIONS. THE CITY OF RIVERSIDE AND ITS OFFICER <br />AGENTS SHALL BE NAMED AS ADDITIONAL INSURED AS RESPECT TO THE OP <br />INSURED PER ATTACHED GENERAL LIABILITY FORM CG2026 AND AUTOMIBIL <br /> <br />CERTIFICATE HOLDERCANCELLATION <br />CITY OF RIVERSIDE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> <br />3900 MAIN STREET <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />RIVERSIDE, CA 93522 <br /> <br /> <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br /> <br /> <br />© 1988-2013 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2013/04) The ACORD name and logo are registered marks of ACORD <br /> <br />