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Client#: 45500 CMITR
<br />DATE (MM/DD(YWY)
<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1 06/28/2018
<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 />certificate---__---'- Ab6itidNALN'�UlRtb 116 endorsed, if SUBROGATION IS WAIVED, subject to
<br />IMPORTANT: If holder is an , Is policy(les) must a e
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s). 7URTACT I— -
<br />PRODUCER NAME: Cyncli Cruz I 111A . .... ....
<br />Allen Lawrence & Assoc. LLC P - HONE -3424 (Ad No): 818 710-3425
<br />(AIC, No � 818 710 C
<br />License OK07568 E-MAIL
<br />cc,r,uz@al,l,enl,,a,wr,e,nc,e,.com
<br />ADDRESS;.._ T_
<br />7033 Owensmouth Avenue INSURER(S) AFFORDING COVERAGE I _NAIC
<br />110328
<br />Canoga Park, CA 91303-2006 INSURER A: Capitol specialty Insurance Corp.
<br />_7
<br />. ................. 10657
<br />INSURED NSURE1.
<br />t
<br />C.M.I. Transportation, Inc. INSURER C : -See Below -
<br />I . I -_..1 .
<br />-1111-1 122837 -------- ----- - -
<br />24795 State Hwy 74 1 INSURER .D. :A . G ., C , Sm .. oil , no . I .. o .. - , ra - nc . . - C , a . re . p . a - ny . ..... ....... ...... .. . ............ . .
<br />Canal l n so ran c a Company
<br />10464
<br />Perris, CA 92570 INSURER E'
<br />I REVISION NUMBER:
<br />COVEKAUtb POLICY PERIOD
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />POLICY EFF POLICY EXP LIMITS
<br />49R
<br />TR
<br />A
<br />TYPE OF INSURANCE
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X BI/PD Ded:1,000
<br />-6s-6�i54P8411504
<br />049Y Nymqfft
<br />(RMIDD YY
<br />2 �YT'
<br />0612912018
<br />(MW/ DR/I I
<br />06/29/201
<br />EACH OCCURRENCE
<br />&TO RENTED
<br />RAVAGE
<br />S 'a ocqurrenr,e)
<br />�E
<br />on)
<br />MED EXP (Any one P�sa,
<br />L
<br />PERSONAL & AD V INJURY
<br />$1,000,000
<br />. . ....
<br />$1100,000
<br />$5,000
<br />.... ........
<br />$1,000,000
<br />AND EMPLOYERSLIABILITY YtN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERWEMBER EXCLUDED'IN I
<br />NIAI
<br />APPROVED
<br />D
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />(Mandatory in NH)
<br />he under
<br />PRODUCTS - COMP/OP AGG
<br />$2,000,000
<br />,......DESCRIPTION
<br />D
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />MX193077685
<br />6/29/2018
<br />$ -
<br />18471010011
<br />/2018
<br />6/29/2018
<br />0( /201
<br />06/29
<br />POLICY PRO- J, _1 LOU 1 1 - -11, JECT
<br />coMbmEb SINGLE LIMIT
<br />(Ea accident)_
<br />$1,000,000
<br />AUTOMOBILE LIABILITY
<br />x
<br />$75,000 Per Trailer
<br />Trailer Interchan
<br />BODILY INJURY (Pei person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />BODILY INJURY (Per accident)
<br />'PF(5i5ffkTY
<br />$ -
<br />AUTOS AUTOS
<br />DAMAGE
<br />$
<br />N 0 N0WNED
<br />X HIRED AUTOS AUTOS
<br />$
<br />UMBRELLA UABMAEX00000789686.........
<br />6/29/20118�06/291201
<br />- _------- --- -
<br />EACHOC...... CURREN
<br />CE
<br />00
<br />OCCUR
<br />V EXCESS LIAR AIMS -MAD
<br />
<br />c
<br />I
<br />WORKERS ,COMPENSATION
<br />[_
<br />CTSA45020097
<br />1/01/2018
<br />01
<br />y' 'T CR
<br />_F6d
<br />AND EMPLOYERSLIABILITY YtN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERWEMBER EXCLUDED'IN I
<br />NIAI
<br />E EACH ACCIDENT $1
<br />E DISEASE - EA EMPLOYE
<br />(Mandatory in NH)
<br />he under
<br />, ....... . . . ____ __
<br />EL, DISE.ASE.-POLICY LIMIT $1
<br />,......DESCRIPTION
<br />D
<br />, RIPTIONOFOPERATIONS below
<br />Motor Truck Cargo
<br />MX193077685
<br />6/29/2018
<br />06/29/201
<br />$1,000,000 Per Vehicle
<br />Deductible $2,500
<br />Legal Liability
<br />$75,000 Per Trailer
<br />Trailer Interchan
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Compensation Program, Inc (Self Insured Group)**
<br />"California Truckers Safety Association Workers"
<br />The City of Riverside is included as Additional Insured under the
<br />General Liability and Automobile policies as their interest may appear.
<br />City of Riverside
<br />8095 Lincoln Ave
<br />Riverside, CA 92504
<br />ACORD 25 (2010/05) 1 of I
<br />#S383221IM383127
<br />0
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />6t . Law"AAea_
<br />@ 1988-2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD CYC
<br />
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