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AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/20/2019 1 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 FL DEAN TOM WOJCIECHOWSKI UNIVERSITY DR STE 125 CONTACT NAME: A/CNNo Ext: 8007452409 FAX PHOE12800 No): E-MAIL FORT MYERS, FL 33907-5335 8007452409 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: United States Fire Insurance 21113 INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION (PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: INSURER B: INSURER C: PRODUCTS - COMP/OP AGG $2,000,000.00 Yazette Guerrero INSURER D: 5459 Passero Ave INSURER E: Riverside, CA 92505 INSURER F: COVERAGES CERTIFICATE NUMBER: USS413746 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/DD/YYYY LIMITS GENERAL LIABILITY GENERAL AGGREGATE $2,000,000.00 PRODUCTS - COMP/OP AGG $2,000,000.00 X COMMERCIAL GENERAL LIABILITY PERSONAL &ADV INJURY $1,000,000.00 CLAIMS -MADE OCCUR A X SRPGAPML-101-0718 12M 120:011 AAM 06/0 12:01 A01M 1 Am EACH OCCURRENCE $1,000,000.00 FIRE DAMAGE (Any one fire) $300,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: MED EXP (Any one person) $5,000.00 APPROVED PRO- ( POLICY JECT LOC AUTOMOBILE A LIABILITY 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 LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ EACH OCCURRENCE $0.00 GENERAL AGGREGATE $0.00 EACH OCCURENCE $ GENERAL AGGREGATE $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Reunions The City of Riverside, its Officers employees and agents is added as an additional insured but only with respect to liability arising out of the named insured during the policy period. Additional insured General Liability per form CG 20 26 07 04. Additional insured General Liability: City of Riverside. Host liquor is included. CERTIFICATE HOLDER CANCELLATION City of Riverside Risk Management 3900 Main Street Riverside, CA 92522 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 Francis L. Dean ACORD 25 (2010/06) v141120.001 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD