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ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/14/2018 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 Marsh USA, Inc. 1166 Avenue of the Americas CONTACT NAME: PHONE FAX AIC No): New York, NY 10036 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 10/31/2019 I INSURER A: ACE American Insurance Company 22667 CN108453421-STND-GAWex-18-19 INSURED 0 I ANALYTICAL INSURER B: ACE Fire Underwriters Ins. Co. 20702 INSURER C : Indemnity Insurance Company of North America 43575 A WHOLLY-OWNED CORPORATION OF XYLEM P.O. BOX 9010 151 GRAHAM ROAD INSURER D: Allianz Global Risks US Insurance Company 35300 INSURER E: COLLEGE STATION, TX 77842 INSURER F: - COMP/OP AGG $ 2,000,000 COVERAGES CERTIFICATE NUMBER: NYC -010169765-14 REVISION NUMBER: 5 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. I�TSRR TYPE OF INSURANCE A DL UBR POLICY NUMBER MM/DD/YYYLICY Y MM/DDY�Y LIMITS D X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X] OCCUR I USLOO107118 10/31/2018 10/31/2019 I EACH OCCURRENCE $ 1,000,000 -1AMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 APPROVED E I MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; X POLICY ❑ JECT PRO r—]LOCPRODUCTS OTHER: GENERAL AGGREGATE $ 2,00,000 I - COMP/OP AGG $ 2,000,000 SIR: $1,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ISA H25272754 10/31/2018 10/31/2019 COMBINED SINGLE LIMIT $ 3,000,000 Ea accident X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ $ C B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? �N (Mandatory In NH) H es, describe under DESCRIPTION OF OPERATIONS below NIA WLR C65437065 (AOS) SCF 065437107 (WI) WLR 065437028 (CA, MA, OR) 10/31/2016 101/201 /38 1 W1/20 19 10/31/2019 10/31/2019 X PER OTH- STATUTE ER E. L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 7 . - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) The City of Riverside and its officers, employees, and agents are included as additional insured (except workers' compensation) where required by written contract. Waiver of Subrogation is applicable where required by written contract and as permissible by law. The City of Riverside 5950 Acorn Street Riverside, CA 92504 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 of Marsh USA Inc. Lauren Giagrande C � ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD