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2020PLU-01 JVIERRA <br />ACORO"° CERTIFICATE OF LIABILITY INSURANCE <br />`64� <br />DATE(MM/DD/YYYY) <br />5/14/2019 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License # OC88587 <br />CONTACT Julie Vierra <br />NAME: <br />PHONE FAX <br />(A/C, No, Ext): (626) 610-9529 (A/C, No): <br />CDS Insurance Services <br />2001 E. Financial Way, Suite 200 <br />Glendora, CA 91741 <br />E-MAIL juliev@cdsinsurance.com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURERA: United Specialty Ins Co <br />12537 <br />INSURED <br />INSURER B : <br />INSURER 7 <br />X <br />20/20 Plumbing & Heating, Inc. <br />INSURER D: <br />3/26/2019 <br />7343 Orangew000d, Ste B <br />Riverside, CA 92504 <br />INSURER E <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />INSURER F: <br />MED EXP (Any oneperson) <br />COVERAGES CERTIFICATE NUMBER- REVISION NUMBER - <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 CONTRACT OR 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE X OCCUR <br />X <br />X <br />LIG0049800 <br />3/26/2019 <br />3/26/2020 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />50 000 <br />$ <br />MED EXP (Any oneperson) <br />$ 5,000 <br />''.. <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L <br />POLICY � jECT LOC <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY Perperson) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Wrap -Up Exclusion applies per attached CGL.ALG.0104 0910 w/off-site wording - All Endorsements Apply As Per Written Contract. <br />RE: 5961 Acorn Street, Riverside, CA 92504 (City owned property - 27,000 square feet of land, Assessor's Parcel Number 155-070-030) <br />City of Riverside CA, its officers, employees and agents are additional insured per attached endorsement CG2010 0413 including primary non-contributory <br />wording. Waiver of Subrogation also applies per attached endorsement #CG2404 0509. All endorsements apply as per written contract. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City <br />Ci of Riverside <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Public Works Director <br />3900 Main Street <br />AUTHORIZED REPRESENTATIVE <br />J��" <br />, 'If 6 <br />Riverside, CA 92522 <br />I I <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />