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A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/29/2019 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 Arthur J. Gallagher & Co. Insurance Brokers of CA, Inc. LIC #0726293 3697 Mt. Diablo Blvd, Suite 300 CONTACT NAME: PHONE FAx A/C No Ext: 925-299-1112 A/C No: 925-299-0328 ADDRIESS: INSURER(S) AFFORDING COVERAGE NAIC# Lafayette CA 94549 INSURERA: Redwood Fire and Casualty Insurance Co 11673 2/18/2019 INSURED CISERVI-01 C.I. Services, Inc. 26861 Trabuco #353 INSURER B: National Fire Insurance Co of Hartford 20478 INsuRERc: Continental Insurance Company 35289 INSURER D: Mission Viejo CA 92691 INSURER E: INSURER F: $ 100,000 COVERAGES CERTIFICATE NUMBER: 509672366 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/YYY POLICY EXP MM/DD/YYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y 6075858175 2/18/2019 2/18/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED ccurrence PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 15,000 ''.... PERSONAL &ADV INJURY $ 1,000,000 APPROVED AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L X Fy] PRO - POLICY JECT El LOC PRODUCTS - COMP/OP AGG $ 2,000,000 r Ded(Each Occurance) $ 5,000 / $10,000 OTHER C AUTOMOBILE LIABILITY Y 6075858158 2/18/2019 2/18/2020 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Comp & Coll Ded $ 1,000 C UMBRELLA LIAB X OCCUR 6072870105 2/18/2019 2/18/2020 EACH OCCURRENCE $ 6,000,000 AGGREGATE $ 6,000,000 X EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y CIWC031016 1/1/2019 1/1/2020 X PER OTH- STATUTE ER ANYPROPRI ETOR/PARTNER/EXECUTIVEF—] E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED ? N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ADDITIONAL INSURED(S): The City of Riverside and its officers, employees, and agents as an additional insured. CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Riverside ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management 3900 Main Street Riverside, CA 92522 USA AUTHORIZED REPRESENTATIVE 1-7 Ir „ © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD