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OP" ID: MIN r CERTIFICATEOF LIABILITYINSURANCE DATE (l�ll'�iDDi'Y"'YYY} 05115/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the palicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not canter rights to the certificate holder in lieu of such endorsement(s). PRODUCER Alliance Mgt. & Insurance Sery 355 Via Vera Cruz #1 CONTACT NAME:Michelle A Nowell A/C No, Ext): 760-471-x'115 (Arc, N©y 760-471-9378 CA Agent/Broker Lic# 0131955 San Marcos, CA 9201'8 Michelle A. Nowell E-MAIL ADDRESS: mnowell@amiscorp.com PRODUCER CI�SC-1 CUSTOMER IQ #: INSURER(S) AFFORDING COVERAGE NAIC # EACH OCCURRENCE INSURED CI&S/Claim Investigations & INSURER A: Acceptance Casualty Ins Comp 10340 Support/Bittner Enterprises Brett R Bittner INSURER B: 05/03!20'19 INSURER C: 10© 000 $ x 5225 Canyon Crest Dr #71-211 INSURER D: Riverside, CA 92507 INSURER E: MED EXP (Any one person) $ 5,0'010 INSURER F: $ 1 0'0'0,0'0'0 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS„ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DDL INSR UBR WVD POLICY NUMBER POLICY EFF MM/DDrYYYY POLICY EXP MM/DDrYYYY LINTS Riverside, CA 92501 GENERAL LIABILITY EACH OCCURRENCE 1 0 00 ,0 00 A i COMMERCIAL GENERAL LIABILITY x CP0'a95'a980 05/03!20'1 g 05/03!20'19 DAMAGE TO RENTED PREMISES Ea occurrence 10© 000 $ x CLAIMS -MADE FXIOCCUR MED EXP (Any one person) $ 5,0'010 PERSONAL & ADV INJURY $ 1 0'0'0,0'0'0 X Errors & Omission GENERAL AGGREGATE $ 5,0'0'0,0'010 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 1 00©,0"0"0 X1 POLICYF ERT LOC APPROVnED AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (PER ACCIDENT) $ $ NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER ANY PROPRIETORPARTNERIEXECUTIVEE.L. EACH ACCIDENT $ OFFICER/MEM BER EXCLUDED? F-] N i A E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS i LOCATIONS r VEHICLES (Attach ACORD '101, Additional Remarks Schedule, If more space is required) The City of Riv►erside,and its officers,employees and agents are named as additional insured. Investigation, CA. CERTIFICATE HOLDER CANCELLATION @ 1999-2009 ACORD CORPORATION. All rights reserved.. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Riverside ACCORDANCE WITH THE POLICY PROVISIONS. Office of the City Attorney AUTHORIZED REPRESENTATIVE Aaron Chandler 3750 University Ave #250 00 1%pa Uto-Qu Riverside, CA 92501 Sm OL @ 1999-2009 ACORD CORPORATION. All rights reserved.. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD