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CERTIFICATE OF LIABILITY INSURANCE
<br />DATEIMMIDDfYYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />04/04/2019
<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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<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).
<br />PRODUCER
<br />CONTA CT
<br />NAMELeandro Valencia
<br />Commercial Carriers Insurance Agency, Inc.
<br />PRONE FAX
<br />4 Centerpainte Drive, Suite 300
<br />LAIC, No, Ext): (,562) 733-6621 (AIX, No): (562) 356-0321
<br />_- _...
<br />La Palma, CA 90623
<br />E-MAIL MeadOwbrook.Com
<br />LValencia
<br />ADDRESS:, �..
<br />(562) 404-4900
<br />INSURERS) AFFORDING COVERAGE NAIL #
<br />_ ...
<br />-- _,,_.
<br />_INSURER A: Golden Bear Insurance Company 39861
<br />-
<br />INSURED
<br />_..... ... _,.
<br />INSURER B: Williamsbur National Insurance Co. 25780
<br />g.._
<br />Castillo Transport, Inc,
<br />.... _._. _._. .. ...._...
<br />...
<br />INSURER C
<br />PD BOX 222095
<br />INSURER @
<br />Newhall, CA 91322-2095
<br />INSURER E
<br />,.MEL) EXP (Any one person)
<br />I
<br />INSURER F
<br />MMWAIA w =r u,.' 1. w,w■ =1111+101 P<C1r.JTA IJr 1.v 1u Ia,I
<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 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 />INSR .. '"I'AbOL. SUBR ,.... ...............POLICY EFFPOLICY EXP ...m..... ......---------...,..... ____. ._.....
<br />LTR TYPE OF INSURANCEINSD POLICY NUMBER MMIDDNYYY NIMlD@IY'YYY LIMITS
<br />X..,,,.
<br />,,..COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />S 1,000,000
<br />1 CLAIMS -MADE X OCCUR
<br />„ DAMAGE TO REINITLb...............
<br />........._ _. __. _--
<br />....................J
<br />„ PREMISES (Ea rrccurrtrce
<br />50,000
<br />...
<br />-.
<br />_ ..... ._.III
<br />,.MEL) EXP (Any one person)
<br />I
<br />S 5,000
<br />__
<br />-- ------ -
<br />...w. ......APPROVED
<br />INJURY
<br />PERSONAL ...-----
<br />S 1,00®0
<br />_. 00......
<br />GEIVL
<br />AGGREGATE LIMIT APPLIES PER .
<br />GENERALAGGR.EGATE
<br />S 2,000,000
<br />B
<br />X
<br />I PRO- -
<br />POLICY .,. JECT ( --, LOC
<br />X
<br />m ......
<br />-PRODUCTS ,.,-„COMPIOPAGO
<br />_.
<br />S INCLUDED..
<br />GL0384319 11 10/3012018 10/3012019
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />I'll
<br />COMBINED
<br />O aBBINED1SINGLE LIMIT
<br />�-- --
<br />S 1,000,00®
<br />.... _._ ..,..0
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />S
<br />__---
<br />ALL OWNEp ........ SCHEDULED
<br />AUTOS X,...., AUTOS
<br />�. _.... --
<br />BODILY INJURY (Peraccrdenri
<br />- .............------
<br />S
<br />X---
<br />NON OWNED
<br />X
<br />...PROPERrebAMAGE __.
<br />--__. ............. ...........
<br />HIREDAUTDS AUTOS
<br />{PeraecVdentL_
<br />S
<br />B
<br />X
<br />CA0384496-11
<br />,
<br />10130/2018 1013012019
<br />s
<br />....
<br />UMBRELLA LIAR XOCCUR
<br />EACH OCCURRENCE
<br />S 1,000,000
<br />A
<br />X
<br />EXCESS LIAR
<br />........_ CLAIMS -MADE
<br />AGGREGATE
<br />S 1,000,00'0
<br />DED RETENTION $
<br />GBX31531
<br />10/3012018 , 10/3012019 Excess Auto/GL
<br />s 1,000,000
<br />WORKERS COMPENSATION
<br />PER OTH-
<br />1
<br />ANDEMPLOYERS' LIABILITY Y
<br />PER -_�_ER
<br />i _
<br />....—.._...,.._
<br />.......
<br />ANY PROPRIETORfPARTNERIrXECUTIVE
<br />i CNDENT
<br />El EACH ACC
<br />S
<br />EXCLUDED �
<br />{Mandatory in NH)
<br />.,., .................
<br />fE_L DISEASE EA EMPLOYEE
<br />�OIFICERIMEMIIER
<br />IT yyes describe under
<br />DESCRIPTION OF OPERATION'S below
<br />�"'
<br />E1 DISEASE -POLICY LIMIT
<br />-
<br />S
<br />B
<br />Physical Damage
<br />i
<br />I
<br />CA0384496-11
<br />10/3012018 10/3012019
<br />ACV less $1,000 ded
<br />B
<br />Cargo -Legal Liability
<br />IM0939135-00
<br />10/30/2018 10/30/2019
<br />$500,000 less $5,000 ded
<br />DESCRIPTION OF OPERATIONS P LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule,. may be attached K more space is required)
<br />The City of Riverside and its officers, employees, and agents are named as additional insured under the Auto & General Liability policy.
<br />a "r%I Irra..n r c r1wI_wG;r%. VANt:t::LLA I RUN
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Riverside ACCORDANCE WITH THE POLICY PROVISIONS.
<br />3900 Main Street
<br />Riverside, CA 92522 AUTHORIZED REPRESENTATIVE
<br />I
<br />0 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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