Laserfiche WebLink
�1 FRONTIE-01 CPALME <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE 06 271201 YY) <br />06!27!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(les) 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 aRWCT <br />PHONThe Wooditch Company Insurance Services, Inc. (A/C, No, Eat): (949) 553-9800 FAX N,):(949) 553-0670 <br />1 Park Plaza, Suite 400 Pwkss; <br />Irvine, CA 92614 INSURERS) AFFORDING COVERAGE MAIC 0 <br />INSURER A: Insurance Company of the West 27847 <br />INSURED INSURER B, <br />F H II Homebuilders, Inc. INSURER C : <br />8300 Utica Avenue, Suite 300 wsuRER D : <br />Rancho Cucamonga, CA 91730 <br />INSURERE: <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRER- <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 />INSRTYPE OF INSURANCE �ADOL SUER POLICY NUMBER POLICY EFF POLICY EXPLTR <br />LIMBS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCLRRENCE $ <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Me omunencei S <br />MED EXP (Any one perso- I S <br />PERSONALS ADV NJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE S <br />POLICY JECT Lac <br />PRODUCTS - COMPIOP AGO $ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) S <br />ANY AUTO <br />BODILY INJURY (Per persons S <br />OWNED SCHEDULED <br />AUTOS ONLY AUUpIT��OSSyy�� pp j}j� f/(J �(��}� <br />AUTOS AUTOSONY�OIV!f�l <br />BODILY INJURY (Per awden,l S <br />ONLY <br />L jJ I!J/ <br />(Pe�acEciRdertgAMAGE $ <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE $ <br />DED RETENTION S <br />S <br />A WORKERS COMPENIA TIOIN <br />X ER <br />HAND <br />YIN <br />STATUTE <br />ANY PROPRIETORlPARTNEPJEXECUTIVE X WSD 5034049 02 0710412018 0710412019 <br />E.L. EACH ACCIDENT $ 11000,00 <br />ppFandatFICERory IIMEnM� EXCLUDED? N f A <br />Sltl <br />1,000,00 <br />E.L. DISEASE - EA EMPLOYEE $ <br />II yea, deacnbe under <br />1,000,00 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If mea space In required) <br />RE: All operations performed by the Named Insured during the current policy period. wCwV <br />Waiver of Subrogation for Workers' Compensation: See Attached Endorsement. <br />City of Riverside <br />3900 Main Street <br />Riverside, CA 92522 <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 />REPRESENTATIVE <br />ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved - <br />The ACORD name and logo are registered marks of ACORD <br />