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AOR p� ATE (MM/DD/YYYY) CERTIFICATE OF GARAGE INSURANCE 08/30/2019 r 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 poill y(lies) must have ADDITIONAL INSURED provisions or 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 CONTACT Sentry Customer Service NAME: Dante Cipulli Ext): 800-473-6879 FAX (A/C, PHONE No): 800-514-7191 EMAIL ADDRESS: businessproducts_direct@sentry.com 05/01/2020 INSURER(S) AFFORDING COVERAGE NAIC # OTHER THAN AUTO ONLY INSURER A: Sentry Select Insurance Company 21180 AGGREGATE $ 2,500,000 INSURED GARAGE KEEPERS LIABILITYCOMP LEGAL LIABILITY DIRECT BASIS PRIMARY EXCESS X Haaker Equipment Company 2070 N White Ave 4967081005 05/01/2019 La Verne, CA 91750-5679APPROVED", X / OTC LOC SPECIFIEDLOG$ PERILS 1 $ 1,320,000 X COLLISION LOC LOC 1 $ 1,320,000 $ INSURER F: COVERAGES PROD / CUSTOMER ID: CERTIFICATE #: 1212948 REVISION #: 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 INSRD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GARAGE LIABILITY [dHIRED AUTOS ANY AUTO ONLY X NON -OWNED OWNED AUTOS USED AUTOS ONLY IN GARAGE BUSINESS X X 4967081005 05/01/2019 05/01/2020 AUTO ONLY (Ea accident) $ 500,000 OTHER THAN AUTO ONLY EA ACCIDENT $ 500,000 AGGREGATE $ 2,500,000 A GARAGE KEEPERS LIABILITYCOMP LEGAL LIABILITY DIRECT BASIS PRIMARY EXCESS X X 4967081005 05/01/2019 05/01/2020 X / OTC LOC SPECIFIEDLOG$ PERILS 1 $ 1,320,000 X COLLISION LOC LOC 1 $ 1,320,000 $ A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR X X 4967081004 05/01/2019 05/01/2020 EACH OCCURRENCE $ 500,000 PREMISES (Ea RENTED $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRQ- ❑ LOC OTHER GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGO $ 1,000,000 $ A X X UMBRELLA LAB EXCESS LIAB X OCCUR CLAIMS -MADE 4967081006 05/01/2019 05/01/2020 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 30,000,000 DED I I RETENTION $ PRODUCTS - COMP/OP AGO $ 30,000,000 WORKERS COMPENSATION AND EMPLOYERS. LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y / N (Mandatory in NH)1:1E.L. If yes, describe under REMARKS below N / A pT SEATUTE ERH E.L. EACH ACCIDENT $ DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Refer to attached CERTIFICATE HOLDER CANCELLATION City of Riverside SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE 3900 Main St WITH THE POLICY PROVISIONS. Riverside, CA 92522 AUTHORIZE ESENT7 / ACORD 30 (2016/03) 4967081 Sentry Select Insurance Company 1 00001 0000000000 19242 0 N Page 1 of 2 © 2010-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 08/30/2019 d65399b4-ca3a-42db-aa78-8bb276ab57f0 0027020044351808466392522000100