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4WRO <br />FACIENG-01 <br />CERTIFICATE OF LIABILITY INSURANCE <br />PATLEYERLY <br />DATE (MMIDDIYYYY) <br />4/2/2018 <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 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 <br />NFP Property & Casualty Services, Inc. <br />1551 North Tustin Avenue <br />Suite 500 <br />Santa Ana, CA 92705 <br />INSURED <br />Facilities Engineering <br />900 E. Orangefair Lane <br />Anaheim, CA 92801 <br />CONTACT Pat Leyerly <br />NAME: <br />PHONE <br />(A/C. No, Ext): (714) 505-5558 <br />E-MAIL p <br />ADDRESS <br />FAX <br />(A/C, No): <br />INSURER(S) AFFORDING COVERAGE _ NAIC # <br />INSURERA:Travelers Property Casualty Company of America 25674 <br />INSURER B: Mercury Casualty Company 11908 <br />INSURER C: National Union Fire Insurance Company of Pittsburgh, PA 19445 <br />INSURER D : <br />INSURER E <br />INSURER F <br />• <br />REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />INSURANCE <br />TERM <br />THE INSURANCE <br />LIMITS <br />SUBR W <br />VD <br />LISTED BELOW HAVE BEEN ISSUED TO <br />OR CONDITION OF ANY CONTRACT <br />AFFORDED BY THE POLICIES <br />SHOWN MAY HAVE BEEN REDUCED BY <br />THE <br />OR <br />PAID <br />POLICY <br />IMMIDYYYY1 <br />INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />CLAIMS. <br />INSR <br />LTR_ <br />TYPE OF INSURANCE ADDL <br />INS) <br />POLICY EFF <br />POLICY NUMBER IMM/DD/YYYY) <br />EXP LIMITS <br />DI' <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />660 -7F105258 <br />-TIL -18 04103!2018 04/03/2019 <br />EACH OCCURRENCE <br />1,000,000 <br />$ <br />CLAIMS -MADE X I OCCUR X <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence} <br />100,000 <br />$ <br />MED EXP (Any one person) $ 5,000 <br />APPROVED <br />l <br />1,000,000 <br />PERSONA! & ADV INJURY $ <br />GENT. AGGREGATE UMIT APPLIES PER: <br />GENERAL AGGREGATE <br />I�pRODUCTS -COMP/OP AGG1$ <br />r3 2,000,000 <br />POLICY X Tar. LOC <br />2,000,000 <br />_._ <br />OTHER: <br />$ <br />B <br />AUTOMOBILE LIABILITYCOMBINED <br />X ANY AUTO <br />BA040000040504 i 04/03/2018 <br />04103!2019BODILY <br />SINGLE LIMIT 1,000,000 <br />accident) . $ <br />_(Ea <br />INJURY (Per person) $ <br />OWNEDSCHEDULED <br />__AUTOS ONLY J AUTOS <br />X HIRED XNON-OWNED <br />I AUTOS ONLY ( AUTOS ONLY <br />I BODILY INJURY (Per accident)' $ <br />PROPERTY DAMAGE <br />(Per accident) $ <br />_ <br />$ <br />C+ <br />X UMBRELLA LIAR X OCCUR <br />EXCESS LIAB CLAIMS -MADE <br />IEBU027548188 04!0312018 04/03/2019 <br />EACH OCCURRENCE $ 4,000,000 <br />AGGREGATE $ 4,000,000 <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATIONPER <br />EMPLOYERS' LIABILITY <br />ANDANY PROPRIETORIPARTNERIEXECUTIVE Y 1N <br />OFFICERfMEMBER EXCLUDED? N I A <br />f <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OE OPERATIONS below <br />OTH- <br />FR <br />E.L EACH ACCI DENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE $ <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 />The City of Riverside, and its officers, employees and agents are named as additional insured per CGD246 0605 attached, Certificate holder is named as <br />addiitonal insured on Mercury auto policy MCA85100817-CA attached. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City of Riverside <br />5950 Acorn St. <br />Riverside, CA 90670 <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 />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION- All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />