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GOVERAGES CERTIFICATE NUMRFR! Rrvlclntu MLIURFR- 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 ACORa 911 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `� mum 9/6/2018 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or 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 Specialty Insurance Agency Vendors of the U.S. P.O. Box 24 New Richmond, WI 54017 NpMEACT Stephanie Weiss PNONE 715-246-8908 FAx A� NO: 715-246-4257 EDMDR certS s ecial Insurancea en ADDRESS: G� P ty� 9 c!I•oom INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Evanston Insurance Company 35378 LIMITS INSURED Wild and Twisted Foods do Linda and Abbott Quiroz INSURERS: 34623 Yale Drive INSURER C : INSURER D : Yucaipa, CA 92399 INSURER E. MED EXP (Any one person) $ 5,000 INSURER F : GOVERAGES CERTIFICATE NUMRFR! Rrvlclntu MLIURFR- 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. ILTR TYPE OF INSURANCE ADDLSUER POLICY NUMBER MPOMILDID EFF MWDD EXP yyyl LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ 2,000,000 PREMISES Ea occurreDAMAGE TO RENTED nce $ 300.000 MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 2,000,000 A X X 2CN0164-9797 09/07/2018 09/06/2019 GEN'L AGGREGATE LIMIT APPLIES PER: %( POLICY El JE°T El LOC GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG $ 5,000,000 OTHER: APPROVED$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURYPer accident $ ( } HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per acadent $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTKER/EXECUTIVE ❑ OFFtCEPJMEMSER EXCLU DED1 NIA PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S A BUSINESS PERSONAL PROPERTY - INLAND MARINE AGGREGATE $ DESCRIPTION OF OPERATIONS 1 LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) VENDOR IS A NAMED INSURED AS A MEMBER OF VENDORS OF THE U.S.: Wild and Twisted Foods C/o Linda and Abbott Quiroz Additional Insured: The City of Riverside, its officers, employees and agents are named as Additional Insured with respect to liability arising out of the specified special event. This Insurance is primary and non-contributory. Event: Riverside Day of the Dead Email: jhemandez@dversideca.gov; riversidedayofthedeadfood@gmail.com; cosmeart@hotmail.com; rivdod@gmail.com Attn: Risk Management; Jessica Hernandez; Cosme Cordova Event Dates: November 3, 2018 includes setup and teardown 1=111 Ir IIIA 1 t r1UL.L/trc City of Riverside 3900 Main Street Riverside, CA 92522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE m 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD