Laserfiche WebLink
�JrCERTIFICATE OF LIABILITY INSURANCE <br />Vill4 Zfxm* Nom <br />11111pirlil <br />A <br />19;M EMMA M I <br />N$URED <br />Erik Hoge, A Partner Jesus Carnacho Jr., A Partner <br />PO Box 11835 <br />San Bernardino CA 92423 <br />11IRTULtim <br />WZUHE�� <br />COVERAGES CERTIFICATE NUMBER: 49409426 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />-1- P OL IC I Y 11 EFF -I POLICY EXP ­ <br />LTR TYPE OF INSURANCE LIMITS <br />INSD WVD POLICY NUMBER 1MMfIDD/YYYY ' MM/DDNYYy1 <br />A <br />/ � COMMERCIAL GENERAL LIABILITY 'BKS56461090 4/15/2019 14/1512020 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />7 __7 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES _(Ea occurrence) <br />1,000,000 <br />MED EXP (Any one person) <br />s 15,000 <br />PERSONAL a ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />APPROVED <br />GENERAL AGGREGATE <br />PRO- <br />V POLICY JECT LOC <br />I 11 <br />PRODUCTS - COMP/OP AGG <br />- 1 -11-11.11 <br />._�2,00'0,000 <br />i - ---------------------------- ................ <br />OTHER <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY- (Per a-ccid - a - nt) $ -1 <br />HIRED NON -OWNED <br />PkoPERTVbAmAGt <br />$ <br />AUTOS ONLY AUTOS ONLY i(Per <br />accident) <br />UMBRELLA LIAS OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />—TTE—R <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE .,._ERM <br />ANYPROPRIF-TOR/PARTNER /EXECUTIVE <br />E.L. EACH ACCIDENT <br />OFFICER/MEMBER EXCLUDED? ":NIA: <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE $ <br />If ns, describe under <br />D SCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Riverside is Additional Insured if required by written contract or written agreement subject to General Liability Blanket Additional <br />Insured Provision, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />C1% of Riverside THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />PU lic Utilit ACCORDANCE WITH THE POLICY PROVISIONS. <br />3900 Main <br />City Hall <br />Riverside CA 92522 AUTHORIZED REPRESENTATIVE <br />LD an Rash <br />0 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />49409426 1 56461090 1 19-20 Master Certificate I Logan Rash 1612012019 12:06:54 PM (PDT) I Page 1 of 9 <br />