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ACC)R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYYI 5118/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 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 INSURI I, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the Policy(les) 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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT TIB Transportation Insurance Brokers NAME: Jan Monti _ PHONE — —_- 425 West Broadway, Suite 300 talc. Nd. Ext : 81I 8.246-2800 _ Pn c Nom 818-246-4690 Glendale CA 91204 E-MAIL ADDREss: monti@tibinsurance.com INSURED HLCHA-1 H & L Charier Co., Inc. 8801 Helms Avenue Rancho Cucamonga CA 91730 INSURERA: Lancer Insurance Compal_ INSURER B: Admiral InsuranceCompany INSURER C : INSURER D: MAIC # 26077 COVERAGES CERTIFICATE NUMBER: 907512617 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. NSRIN R' __--- ---- - -.---- POLICY—EXP EFF POLICY - — —' LTR TYPE OF INSURANCE Jum5UBPOLICY NUMBER MMIDD/YYYY MM1DOrrYYY LIMITS A LX COMMERCIAL GENERAL LIABILITY Y GL155953#16 5!21!2018 5121f2019 EACH OCCURRENCE _ $ 5,000,000 CLAIMS -MADE X OCCUR v DAMAGE RENTED -- GEN1 AGGREGATE LIMIT APPLIES PERS X POLICYr PRO- D JECT � LOC APPROVED A AUTOMOBILE LIABILITY Y BA156070#15 512112018 5121121719 �.� ANY AUTO ALL OWNED X SCHEDULED ,.� AUTOS AUTOS X HIRED AUTOS X NON -OWNED _ AUTOS e UMBRELLA LIAB X OCCUR Y SEX0960143903 5!2112018 5!21!2019 X EXCESS LIAR_ CLAIMS -MADE DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERfEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑' N!A (Mandatory in NH) If yes describe under I DESCRIPTION OF OPERATIONS below ,PREMISES (Ea occurrence .. $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL&ADVINJURY 55.000,D00 GENERAL AGGREGATE $ 5.000,000 PRODUCTS -COMP1oPAGO $ COMBINED SINGLE LIMIT $ _LEa acc deny_ 5,000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE- $ Per acuderlt}�� S EACH OCCURRENCE _ $ 5,000,000 AGGREGATE $ 5,000,000 E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S E.L. DISEASE - POLICY Li IT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED BUT ONLY TO THE EXTENT THE CERTIFICATE HOLDER IS HELD LIABLE FOR THE CONDUCT OF THE NAMED INSURED. ADDITIONAL INSURED ENDORSEMENTS ARE ATTACHED. CERTIFICATE HOLDER ELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THEREOF, City of Riverside Parks, Recreation and Community ACCORDAINCEION W THDATE THE POLICY PROVISIONS. WILL BE DELIVERED IN Services 6927 Magnolia Ave. 2nd F For AULHORIZED REPRESENTATIVE Riverside CA 92506 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 7-3 "rl' -�v F-1 SK---