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'�`"�► 4WESTPIPE- WMORELOS <br />w �`* CERTIFICATE OF LIABILITY INSURANCE DATEM) <br />9/23/2019 <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 �n.auac m v�.w <br />San Marcos - Escondido <br />570 Rancheros Dr Ste 100 <br />San Marcos, CA 92069 <br />INSURED <br />4 West Pipeline Inc. <br />P.O. Box 3277 <br />Sun City, CA 92587 APPROVE, <br />hem <br />(arc, No, Ext): (760) 304-7120 _ FAX No):(760) 304-774$ <br />uE-MAIL _ -_._...._._�... <br />nr,nRccc. WMorelosCcaalliant.com <br />ER a :west American Insurance Com an 44393 <br />_.3 <br />ER C : State Compensation Insurance Fund of California 35075 <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 />R _ <br />TYPE OF INSURANCE DL SUB' POLICY EFF POLICY EXP <br />X COMMERCIAL GENERAL LIABILITY IN V POLICY NUMBER M / tYYYY /D LIMITS <br />� <br />EACH OCCURRENCE _ S 1,000,01 <br />CLAIMS -MADE OCCUR X X 0100046481-2 1/11/2019 1/11/2020 DAMAGE Ta RENTED �_ <br />X OWner'S Contractor PREMISE.$jEa occurrence) S ....__ 100,01 <br />MED EXP dA- — -n c <br />L AGGREGATE LIMIT APPLIES PER: <br />POLICY LF X] JPER& E:] LOC <br />AUTOMOBILE LIABILITY <br />Y INJURY Per arson <br />S <br />Y INJURY (Per accident <br />S <br />=RTY DAMAGE <br />:c,der,f -- <br />X ANY Aura <br />OWNED SCHEDULED <br />X <br />X <br />BAW58191851 <br />8/$/2019 <br />8/8/2020 <br />AUTOS ONLY AUTO��}S�yN <br />fATIJTE OCH <br />CH ACCIDENT <br />S 1,000,000 <br />'EASE - EA EMPLOYE <br />...X.. AUTOS ONLY X AQTOS ONLY <br />,EASE - POI Ir.Y i IMIT <br />t `1,000.000 <br />UMBRELLA LIAB X OCCUR <br />X ExcessuAB CLAIMS -MADE <br />X <br />X <br />0100046484-2 <br />1/11/2019 <br />1/11/2020 <br />DED RETENTIONS <br />AND EMPLOYERS' LIABILLITf <br />ANY PROPMETOR/PARTNERfEXECUTiVE YIN <br />EXCLUDED? <br />(Mandatory <br />N / A <br />X <br />916112219 <br />611$/2019 <br />6/18/2020 <br />in NHR <br />If ves. desnhhe unri— <br />PTION OF OPERATIONS! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Riverside is named as Additional Insured. <br />KI=UA I t MAXIM 5,000'000 <br />SINGLE. MIT 1,000,000 <br />ciderE LI <br />Y INJURY Per arson <br />S <br />Y INJURY (Per accident <br />S <br />=RTY DAMAGE <br />:c,der,f -- <br />S <br />OCCURRENCE <br />S 1,000,000 <br />.GATE <br />S 1,000,000 <br />fATIJTE OCH <br />CH ACCIDENT <br />S 1,000,000 <br />'EASE - EA EMPLOYE <br />S 1,000,000 <br />,EASE - POI Ir.Y i IMIT <br />t `1,000.000 <br />BEFORE <br />City of Riverside SHOLD ANY OFTHE U EXPIRA IONH DATEV THEREOFDESCRIE NOTCEIEWIILLCELLED BECDELIVERED IN <br />Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. <br />3900 Main Street <br />Riverside, CA 92522 AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) <br />(07 1 988-201 5 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />