C AND F SHAVED ENTERPRISES TIKIZ SHAVED ICE AND ICE CREAM

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CERTIFICATE OF LIABILITY INSURANCE E (MM/DD/YYYY) DAT05/02/2019 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 CONTACT NAME: A/OE C NNo, Ext): (954) 436-3776 A/c No): (866) 461-0503 Mendez &Associates EMAILFSSI HOME@MENDEZINSURANCE.COM 9953 Pines Blvd. INSURERS AFFORDING COVERAGE NAIC # Pembroke Pines, FL 33024 INSURERA: SCOTTSDALE INSURANCE COMPANY Phone (954) 436-3776 Fax (866) 461-0503 INSURED INSURER B: PROGRESSIVE INSURER 7 C&F SHAVED ENTERPRISES TIKIZ SHAVED ICE & ICE CREAM INSURER D: 1442 Oldenburg Ln $ COMBINED SINGLE LIMIT Ea accident $ 1000,000 Norco CA 92860 INSURER E: Y BODILY INJURY (Per person) $ INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE k OCCUR ❑ Y CPS3123787 10/16/2018 10/16/2019 09/08/2019 EACH OCCURRENCE $ 1,000,000.00 PRENTED REM IS(E. occurrence) $ 100,000.00 MED EXP (Any one person $ 5,000.00 ❑ PERSONAL &ADV INJURY $ 1,000,000.00 GEN'LAGGREGATE LIMIT APPLIES PER : ❑ POLICY ❑ PRO ❑ LOC JECT ❑ OTHER GENERAL AGGREGATE $ 2,000,000.00 APPROVED PRODUCTS -COMP/OP AGG $ 2,000,000.00 $ COMBINED SINGLE LIMIT Ea accident $ 1000,000 B AUTOMOBILE LIABILITY ❑ ANY AUTO ❑O WNED SCHEDULED AUTOS ONLY ❑ AUTOS ❑HIRED ❑ NON -OWNED AUTOS ONLY AUTOS ONLY ❑ ❑ Y BODILY INJURY (Per person) $ 08148007-0 09/08/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PRO PRI ETOR/PART NER/EXECUTIVE[:] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ❑ SPER TATUTE ❑ OERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Riverside and its officers, employees and agents shall be named as additional insured as respects to the operations of the named insured per attached General Liability. CERTIFICATE HOLDER CANCELLATION @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) QF The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF RIVERSIDE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RISK MANAGEMENT ACCORDANCE WITH THE POLICY PROVISIONS. 3900 MAIN STREET RIVERSIDE, CA 92522 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) QF The ACORD name and logo are registered marks of ACORD