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BLAICOI-01 BSHEETS ACORO"° CERTIFICATE OF LIABILITY INSURANCE `..•--�' DATE(MM/DD/YYYY) 09/27/2018 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(ies) 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 License # OC88587 CONTACT Kimberly Shultenburg NAME: PHONEFAX (A/C, No, Ext): (626) 610-9516 (A/C, No): CDS Insurance Services 2001 E. Financial Way, Suite 200 Glendora, CA 91741 E-MAIL kimberlys@cdsinsurance.com INSURERS AFFORDING COVERAGE NAIC # EACH OCCURRENCE $ 1,000,000 INSURERA : Travelers Prop Cas Co of America 25674 APPROVED INSURED INSURER B: GEN'L AGGREGATE LIMIT APPLIES PER X POLICY JECTPRO- LOC OTHER: INSURERC: PRODUCTS-COMP/OPAGG $ 2,000,000 Blair -Martin Co., Inc; Basin Valve Company INSURER D: A 1500 E. Burnett St. Signal Hill, CA 90755 INSURER E INSURER F: 10/01/2018 10/01/2019 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCURY-630-726K3611-TIL-18 X 10/01/2018 '.. 10/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100 000 PREMISES Ea occurrence $ MED EXP (Any oneperson) $ 5,000 APPROVED PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY JECTPRO- LOC OTHER: I GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X BA -726K3611 -18 -CAG 10/01/2018 10/01/2019 CEa acOMBINED SINGLE LIMIT cident $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ A UMBRELLA LIAB X OCCUR X EXCESS LIAB CLAIMS -MADE YFS-EX-7J553122-TIL-18 10/01/2018 10/01/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A UB -6J803664 -18-14-G 10/01/2018 10/01/2019 X PER OTH- STATUTE ER 1,000,000 E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ 1,000,000 1,000,000 E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Endorsements apply as per written contract. City of Riverside is named as additional insured per attached endorsement form CG D2 48 8/05 including Primary & Non -Contributory Wording. Are named as additional insured on the auto policy per the attached endorsement form CA T3530215. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Riverside City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3900 Main Street Riverside, CA 92522 AUTHORIZ(E�D REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD