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" ' ' CERTIFICATE OF LIABILITY INSURANCE D;T418/DD/YYYY) 4/18/2019 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 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 Francis L. Dean 12800 University Drive CONTACT NAME: HOE A/CNNo, Ext): FAX No): (630) 665-7291 E-MAIL ADDRESS: jeatmon@fdean.com Suite 125 Fort Myers, FL 33907 fdean.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: U.S. Fire Insurance Company 21113 INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION (PURCHASING GROUP) AND INSURER B: ITS PARTICIPATING MEMBERS: INSURER C : FUNNEL FRENZY INSURER D: BRYAN MOUNTS 2026 RIVERSIDE AVE INSURER E INSURERF: RIALTO, CA 92377 COVERAGES CERTIFICATE NUMBER: USS411642 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDM'W LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY $ 1,000,000 CLAIMS -MADE FX] OCCUR A X SRPGAPML-101-0718 5/4/2019 12:01 AM 5/7/2019 12:01 AM EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: MED EXP (Any one person) $ 5,000 RO- X POLICY JPECT LOC A AUTOMOBILE LIABILITY[APPROVED COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ ANYAUTO '.... ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIREDAUTO NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIABOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB HCLAIMS-MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N WC STATU- TORY LIMITS OTH ER $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ AD&D MAXIMUM MEDICAL DEDUCTIBLE TERMS OF PAYMENT DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Covered Vendor Type: Food & Drink. Certificate Holder is named as additional insured with respect to the operations of the Named Insured. The City of Riverside, it's officers, employees and agents CERTIFICATE HOLDER CANCELLATION CITY OF RIVERSIDE RISK MANAGEMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3900 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. RIVERSIDE, CA 92522 AUTHORIZED REPRESENTATIVE Fra 4 -Lt i y L. D e a vv © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/06) The ACORD name and logo are registered marks of ACORD