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2020PLU-01 AREGISTER <br />ACORO"° CERTIFICATE OF LIABILITY INSURANCE <br />�..•--�' <br />DA0/23/2018 <br />10/23/2018 <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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License # 0757776 <br />CONTACT <br />NAME: <br />PHONE(A/C, No): (949) 891-0407 <br />(A/C, No, Ext): (949) 623-3980 <br />Newport Beach, CA - HUB International Insurance Services Inc. <br />4695 MacArthur Court, Suite 600 <br />Newport Beach, CA 92660 <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURERA:Old Republic General Insurance Corp. <br />24139 <br />EACH OCCURRENCE $ <br />INSURED <br />INSURER B: <br />CLAIMS -MADE OCCUR <br />INSURERC: <br />20/20 Plumbing & Heating, Inc. <br />INSURER D: <br />7343 Orangewood Dr. Suite B <br />Riverside, CA 92504 <br />INSURER E <br />MED EXP (Any oneperson) $ <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ <br />CLAIMS -MADE OCCUR <br />MED EXP (Any oneperson) $ <br />PERSONAL & ADV INJURY $ <br />APPROVED <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />lo <br />POLICY PRO- <br />JECT LOC <br />PRODUCTS - COMP/OPAGG $ <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT 1,000,000 <br />Ea accident $ <br />BODILY INJURY Perperson) $ <br />X ANY AUTO <br />X <br />Al CA94251806 <br />03/30/2018 <br />03/30/2019 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident $ <br />PROPERTY DAMAGE <br />Per accident $ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N/A <br />Al CW94251806 <br />03/30/2018 <br />03/30/2019 <br />X PER OTH- <br />STATUTE ER <br />1,000,000 <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE- EA EMPLOYE $ 1,000,000 <br />If yes, describe under <br />1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />This certificate rescinds and supersedes any and all prior certificates issued on behalf of the Named Insured. <br />RE: Property lease: 5961 Acorn Street, Riverside, CA 92504. auaip <br />The City of Riverside is included as Additional Insured where required by an executed written contract as respects Auto Liability per attached endorsement. <br />This Insurance shall apply as Primary and Non -Contributory per attached endorsement. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City <br />Ci of Riverside <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Public Works Director <br />3900 Main Street <br />AUTHORIZED REPRESENTATIVE <br />Riverside, CA 92522 <br />444� w_._ <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />