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C RE) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/21/2019 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 CONTACT NAME: 12800 University Drive Suite 125 Fort Myers, FL 3390% fdean.com a/c NN Ext): A FAX No): (630) 665-7291 E-MAIL dmbark ADDRESS: @fdean.com INSURER(S) AFFORDING COVERAGE NAIC # POLICY EXP NSURERA: U.S. Fire Insurance Company 21113 INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION (PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: INSURER B : INSURER C : WVD ID ACTIVE WEAR, INC. RICHARD CORDOVA INSURERD: INSURERE: 7115 ARLINGTON AVENUE INSURERF: RIVERSIDE, CA 92504 1.VVCICAl7t5 CERIIFiCAlE NUMBER: U6S415516 RFVIQIAIU All IAAQCC9. 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LTR NSR WVD MMIDDNYYY MMIDD/YYYY LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 1,000,000 PERSONAL & ADV INJURY $ 1,000,000 — CLAIMS -MADE Fx1 OCCUR A X SRPGAPML-101-0718 5/24/2019 5/27/2019 EACH OCCURRENCE $ 1,000,000 12:01 AM 12:01 AM FIRE DAMAGE (Any one fire) $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: MED EXP (Any one person) $ 5,000 X POLICY PRO - JECT , LOC AUTOMOBILE LIABILITYAPPROVED''", COMBINED SINGLE LIMIT Ea accident $ A BODILY INJURY (Per person) $ ALLLL OOWNSWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIREDAUTO NON -OWNED AUTOS PROPERTY DAMAGE (Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION STATU- WCTORY OTH AND EMPLOYERS' LIABILITY Y / N LIMIT -$ ER ANY PROPRIETOR/PARTNER/EXECUTIVE E. L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ - If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below AD&D MAXIMUM MEDICAL DEDUCTIBLE TERMS OF PAYMENT DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Covered Vendor Type: Retail Carts. Certificate Holder is named as additional insured with respect to the operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION CITY OF RIVERSIDE 3900 MAIN STREET RIVERSIDE, CA 92051 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 Flra.tAtt L. Dea*X, U 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD