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CERTIFICATE OF LIABILITY INSURANCE Dare IO2 <br />� w ,v9rz017 o,7 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. IS <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 <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER JUUN NAME: y Norbertp Alvarado <br />CD (PHONE E (909)243 -7303 IIN ,No): (909)243 -7319 <br />Hammer Insurance Services- <br />(AIL. No. xtl. <br />9225 Charles Smith Ave Suite B <br />I ADDRESS: ort aerlk hammennsumnce.com <br />ADDRESS: eg @ <br />INSURERS' AFFORDING COVERAGE <br />NAIL9 <br />Rancho Cucamonga <br />CA 91730 <br />INSURERA Kinsale Insurance Company <br />38920 <br />INSURED <br />INSURER B: Financial Indemnity Company <br />19852 <br />1 Ramirez Corporation <br />( INSURER C: <br />1521 Knox St <br />INSURER D' <br />INSURER E <br />San Fernando <br />GA 91340 INSURER F' <br />COVERAGES CERTIFICATE NUMBER: 119171C REVISION NUMBER: <br />OF INSURANCE LISTED <br />BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY THATTHE POLICIES <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, <br />OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />CERTIFICATE MAY BE ISSUED <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADDIL SUen' <br />TYPE OF INSURANCE iN¢n vrvn <br />POLICY EFF - w POLICY EXP <br />POLICY NUMBER IMM1.0,YYI (MMIDdYYW, <br />LIMITS <br />LTR <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,00000 <br />❑ CLAIMS -MADE CIOCCUR <br />unwn R =ia =u <br />PREMISES (Ea Occurrence) <br />$ 100,000.00 <br />❑ <br />I MED EXP(Any one Person) <br />$ 9.00 <br />A ❑ <br />y y <br />01000571380 10/412017 101412018 I PERSONAL a ADV INJURY <br />$ 1,000,000.00 <br />IGENERALAGGREGATE <br />$ 2,000,00090 <br />GENI'L AGGREGATE LIMIT APPLIES PER <br />IIII''''----����ii,,''III CI PRO CI <br />POLICY JECT ❑ LOL <br />PRODUCTS AGG <br />2. 000,000 00 <br />E <br />$ <br />❑ OTHER <br />APPROVED' <br />INeLC UMii <br />S 1,000,00000 <br />A MOBILE LIABILITY <br />I <br />(Ea eetldsiu) <br />` I BODILY INJURY (Per person) <br />$ CSL <br />❑ ANY AUTO <br />OWNED <br />MATT <br />SCHEDULED <br />CCFICR1715441 5/20/2017 5/20/2018 I BODILY INJURY (Per acc#et) <br />$ CSL <br />8 ❑_ AUTOS ONLY <br />HIRED <br />❑ <br />NON -OWNED <br />vr[ n ninnmr: <br />IlPeramdenp <br />$ CSL <br />❑_ AUTOSONLY <br />AUTOS ONLY <br />S <br />❑ <br />❑ <br />I <br />n UMBRELLA UAB OOCUR <br />�ICLAIMS <br />EACH OCCURRENCE <br />$ 2,000,00000 <br />2,000,00000 <br />A ff EXCESS DAB -MADE <br />01000571490 10/412017 1014 /2018 <br />E <br />POED I❑ RETENTION $ <br />(AGGREGATE <br />o <br />S <br />JJOiiKER3 G /OMfNGATION <br />❑ (STATUTE I❑ IEgTH- <br />AND EMPLOYERS'LIABILITY YIN <br />IEL EACH ACCIDENT <br />$ <br />ANY PROPRIETORIPARTNERIEXECUTIVE t-1 <br />DFFICERIMEMBER EXCLUDED'o (Ell NIA <br />IEL DISEASE EA EMPLOYEE <br />$ <br />,Mandatary in NH) <br />If yes, describe under <br />IEL DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />DESC OPTION OF OPERATIONS r LOCATIONS) VEHICLES (ACOI.J 1M'(, Addit,onal Remadcs Schedule, due, be adac4ed if moro spare L required) <br />I nstallabon of waterlsewer mains and Conduits also performs single family homes demolition work <br />Scheduled Autos. <br />2016 RAM 5500 VIN #3C7WRMDL3GG381766 Comp /Coll 500 deductible, 2016 RAM 5500 VIN #3C7WRMDL5GG381767 Comp(Coll 500 deductble, <br />2016 RAM 5500 VIN #3C7VVRMELOGG337660 Comp /Coll 500 deductible, 2003 DODG RAM 1500 VIN #1 D7HA18D63J607991 Comp /Coll 500 deductible <br />Certificate Holder endorsed as additional Insured per respects to insureds request and operations towards the general liability <br />CERTIFICATE HOLDER <br />City of Riverside <br />3900 Main Street <br />Riverside CA 92522 <br />CANCELLATION <br />SHOOED ANV OF THE I)$OVE DESCRIBED PO IES B CANCELLED <br />THE EXPIRATION DA EREOF, NOTICE L BE D LIVERED IN <br />ACCORDANCE WITH H POLICY PROVIS19NS . <br />61988 -2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />