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AC '(MMIDDIYYYY) <br />Ill CERTIFICATE OF LIABILITY INSURANCE <br />F��E09/12/2018 <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 />CONTACT TAI HYUNG LEE <br />NAME: <br />ZCNNo Ext: (213)383-0909 qIc No: (213)383-0997 <br />Firstline General Insurance Agency <br />EA <br />-MIL tedlee@firstline-ins.com <br />3333 Wilshire Blvd. #315 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Los Angeles, CA 90010 <br />INSURER A: SCOTTSDALE INSURANCE COMPANY <br />Phone (213)383-0909 Fax (213)383-0997 <br />INSURED <br />INSURER B: <br />INSURER C: <br />OCHIN SECURITY PATROL <br />INSURER D: STATE COMPENSATION INSURANCE FUND A <br />811 E 88TH PLACE <br />INSURER E : <br />LOS ANGELES CA 90002 <br />PERSONAL &ADV INJURY $ 1,000,000.00 <br />INSURER F: <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 />INSR <br />UBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,000.00 <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED 100 000.00 <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person $ 5,000.00 <br />A <br />❑ ❑ CLAIMS -MADE❑ OCCUR <br />❑ <br />CPS3218410 08/22/2019 <br />08/22/2020 <br />PERSONAL &ADV INJURY $ 1,000,000.00 <br />❑ <br />GENERAL AGGREGATE $ 2,000,000.00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />E] POLICY [:]PRO- 1:1 LOC <br />J <br />PRODUCTS - COMP/OP AGG $ 2,000,000.00 <br />APPROVED <br />A&B- PROFESSIONAL $ 2,000,000.00 <br />AUTOMOBILE LIABILITY TY <br />COMBINED SINGLE LIMIT <br />Ea accident $ <br />BODILY INJURY (Per person) $ <br />❑ ANY AUTO <br />ALL OWNED SCHEDULED <br />❑ AUTOS ❑ AUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />NON -OWNED <br />❑ HIRED AUTOS ❑ AUTOS <br />$ <br />❑ ❑ <br />❑ UMBRELLA LAB ❑ OCCUR <br />EACH OCCURRENCE $ <br />❑ EXCESS LAB ❑ CLAIMS -MADE <br />AGGREGATE $ <br />❑ DED ❑ RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />WC <br />ORS LIMITS ❑ OERH <br />E.L. EACH ACCIDENT $ 1,000,000.00 <br />D <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED?F7NIA <br />(Mandatory in NH) <br />9259928-19 <br />08/29/2019 <br />08/29/2020 <br />E.L. DISEASE - EA EMPLOYE $ 1,000,000-00 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000.00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Re: Various Security Service Events <br />The City of Riverside and It's officers, Employees, and Agents shall be named as Additional Insured as respect to the operations of the named insured <br />per attached General Liability. Workers compensation waiver of subrogation applies in favor of the City of Riverside per attached form. <br />CERTIFICATE HOLDER CANCELLATION <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2010/05) QF The ACORD name and logo are registered marks of ACORD <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 />RIVERSIDE, CA 92522 <br />AUTHORIZED REPRESENTATIVE —� <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2010/05) QF The ACORD name and logo are registered marks of ACORD <br />