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<br />Client#: 54008FIELD <br />DATE (MM/DD/YYYY) <br />ACORD TM <br />CERTIFICATE OF LIABILITY INSURANCE <br />9/20/2018 <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 any rights to the certificate holder in lieu of such endorsement(s). <br />CONTACT <br />PRODUCER <br />Lusin Alabashyan <br />NAME: <br />FAX <br />PHONE <br />Edgewood Partners Ins. Center <br />213-629-8903213-947-1167 <br />(A/C, No): <br />(A/C, No, Ext): <br />E-MAIL <br />Lic#0B29370 <br />lusin.alabashyan@epicbrokers.com <br />ADDRESS: <br />350 S. Grand Avenue, Suite 4500 <br />INSURER(S) AFFORDING COVERAGENAIC # <br />Los Angeles, CA 90071 <br />Nonprofits' Ins Alliance of CA 11845 <br />INSURER A : <br />INSURED <br />New York Marine & General Insurance Co 16608 <br />INSURER B : <br />F.I.E.L.D.(Farmworkers Institute of <br />INSURER C : <br />Education & Leadership Development Inc. <br />INSURER D : <br />122 East Tehachapi Blvd. <br />INSURER E : <br />Tehachapi, CA 93561 <br />INSURER F : <br />COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: <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 />INSRADDLSUBRPOLICY EFFPOLICY EXP <br />TYPE OF INSURANCELIMITS <br />POLICY NUMBER <br />LTR(MM/DD/YYYY)(MM/DD/YYYY) <br />INSRWVD <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE$ <br />AX20182462101/01/201801/01/20191,000,000 <br />DAMAGE TO RENTED <br />$ <br />X500,000 <br />CLAIMS-MADEOCCUR <br />PREMISES (Ea occurrence) <br />MED EXP (Any one person)$ <br />20,000 <br />PERSONAL & ADV INJURY$ <br />1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE$3,000,000 <br />PRO- <br />X PRODUCTS - COMP/OP AGG$3,000,000 <br />POLICYJECTLOC <br />$ <br />OTHER: <br />COMBINED SINGLE LIMIT <br />AUTOMOBILE LIABILITY <br />A20182462101/01/201801/01/20191,000,000 <br />(Ea accident)$ <br />BODILY INJURY (Per person)$ <br />X <br />ANY AUTO <br />OWNEDSCHEDULED <br />BODILY INJURY (Per accident)$ <br />AUTOS ONLY <br />AUTOS <br />HIREDNON-OWNEDPROPERTY DAMAGE <br />$ <br />AUTOS ONLY <br />(Per accident) <br />AUTOS ONLY <br />$ <br />UMBRELLA LIAB <br />A <br />EACH OCCURRENCE$ <br />XX OCCUR 201824621UMB01/01/201801/01/20195,000,000 <br />EXCESS LIAB <br />CLAIMS-MADEAGGREGATE$ <br />5,000,000 <br />$ <br />X10,000 <br />DEDRETENTION$ <br />PEROTH- <br />WORKERS COMPENSATION <br />BWC20180001604501/01/201801/01/2019X <br />STATUTEER <br />AND EMPLOYERS' LIABILITY <br />Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT$ <br />1,000,000 <br />N / A <br />OFFICER/MEMBER EXCLUDED? <br />Y <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE$1,000,000 <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT$1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Leasing classroom space <br />Certificate holder is included as additional insured with respect to the operations of the named insured <br />subject to the terms, conditions, and exclusions of the policy. <br />CERTIFICATE HOLDERCANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Riverside <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />3900 Main Street <br />Riverside, CA 92522 <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD <br />1of 1 <br />#S1215610/M1071261LALA1 <br /> <br />