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A� �® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <br />5/2/2019 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />NAME: Certificate Desk <br />Knight Insurance Services <br />ACNE. Ext: (818)662-4200 A/C, NO: (818)662-9312 <br />E-MAIL Certs@KnightIns.net <br />ADDRESS: <br />535 North Brand Boulevard <br />Suite 1000 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURERA:Landmark American Insurance Company 33138 <br />Glendale CA 91203 <br />INSURED <br />INSURER B: Everest Indemnity Insurance Co. 10851 <br />INSURERC:Allied World National Assurance Co. 10690 <br />All City Management Services Inc <br />INSURER D: Houston Casualty Company 42374 <br />10440 Pioneer Blvd # 5 <br />INSURER E <br />INSURER F: <br />Santa Fe Springs CA 90670 <br />COVERAGES CERTIFICATE NUMBER:19/20 Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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/DDNYYY <br />POLICY EXP <br />MM/DDNYYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />CLAIMS -MADE ❑OCCUR <br />DAMAGE TO RENTED 50,000 <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ 5,000 <br />X <br />Y <br />LHA140537 <br />5/1/2019 <br />5/1/2020 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />POLICY PES ❑ LOC <br />APPROVED <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />B <br />ANYAUTO <br />BODILY INJURY (Per accident) $ <br />ALL OWNED SCHEDULED <br />AUTOS X AUTOS <br />X <br />y <br />CFlCA00167-191 <br />5/1/2019 <br />5/1/2020 <br />PROPERTY DAMAGE <br />Per accident $ <br />X <br />NON -OWNED <br />HIREDAUTOS X AUTOS <br />$ <br />UMBRELLA LAB <br />OCCUR <br />let Layer (Primary) <br />EACH OCCURRENCE $ 3,000,000 <br />AGGREGATE $ 3,000,000 <br />C <br />X <br />EXCESS LAB <br />CLAIMS -MADE <br />DED X RETENTION $ 10,000 <br />$ <br />0311-8404 <br />5/1/2019 <br />5/1/2020 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />Not Applicable <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />D <br />Excess Liability <br />2nd Layer (Secondary) <br />5/1/2019 <br />5/1/2020 <br />Each Occurrence in Excess of $5,000,000 OCC <br />$0 Retention <br />H19XC50744-02 <br />$3M Primary Limit $5,000,000 Agg <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Certificate holder is completed to read; City of Riverside, its officers, employees and agents <br />As respects General Liability and required by written contract; Certificate Holder is named as additional <br />insured. Insurance is Primary & Non -Contributory. Waiver of Subrogation applicable. Sexual Abuse & <br />Molestation not excluded with respects to General Liability. Auto Liability Additional Insured included <br />as required by written contract. <br />CERTIFICATE HOLDER CANCELLATION <br />JGordon@riversideca.gov <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Riverside <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />3900 Main Street <br />AUTHORIZED REPRESENTATIVE <br />Riverside, CA 92522 <br />Manny Mashhoud/NYSGAL <br />ACORD 25 (2014/01) <br />INS025 (201401) <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />