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FACIENG-01 DOROTHYBERRYHILL <br />CERTIFICATE OF LIABILITY INSURANCE <br />YWY) <br />DATE (10MM/DD/MM/DD/ 9 <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 <br />CONTACT Dorothy Berryhill <br />PHONE FAX <br />(A/C, No, Ext): (714) 505-5556 (A/C, No): <br />NFP Property & Casualty Services, Inc. <br />1551 North Tustin Avenue <br />Suite 500 <br />ADMDRESS: dorothy.berryhill@nfp.com <br />Santa Ana, CA 92705 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Travelers Property Casualty Company of America <br />25674 <br />GEN'LAGGREGATE <br />INSURED <br />INSURER B: California Automobile Insurance Company <br />38342 <br />INSURER C: National Union Fire Insurance Company of Pittsburgh, PA <br />19445 <br />Floriani Engineering Inc. dba: Facilities Engineering Inc. <br />INSURER D: <br />$ 2'000'000 <br />900 E. Orangefair Lane <br />Anaheim, CA 92801 <br />INSURER E <br />INSURER F: <br />B <br />AUTOMOBILE <br />X <br />COVFRAGFS CFRTIFICATF NIIMRFR- RFVISION NIIMRFR- <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 />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />X X Y6607F105258TIL19 4/3/2019 <br />APPROVED <br />4/3/2020 <br />EACH OCCURRENCE <br />$ 1'000'000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />100,000 <br />$ <br />GEN'LAGGREGATE <br />MED EXP (Any oneperson) <br />$ 5'000 <br />PERSONAL & ADV INJURY <br />$ 1'000'000 <br />LIMIT APPLIES PER: <br />POLICY LX PE� El LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2'000'000 <br />PRODUCTS - COMP/OPAGG <br />$ 2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />BA040000040504 <br />4/3/2019 <br />4/3/2020 <br />COMBINED SINGLE LIMIT1 <br />Ea accident) <br />ccident <br />,000,000 <br />$ <br />BODILY INJURY Perperson) <br />$ <br />BODILY INJURY Per accident <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />C <br />X <br />UMBRELLA LAB <br />EXCESS LAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />EBU028179768 <br />4/3/2019 <br />4/3/2020 <br />EACH OCCURRENCE <br />$ 9'000'000 <br />AGGREGATE <br />$ 9'000'000 <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />PER OTH- <br />STATUTE ER <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Riverside, and its officers, employees and agents are named as additional insured per CGD246 0419 attached. Waiver of Subrogation applies per <br />CGD467 0219 attached Certificate holder is named as addiitonal insured on Mercury auto policy MCA85100817-CA attached. <br />CFRTIFICATF HOI nFR (-AN(-Fl I ATION <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cit of Riverside <br />Y <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />5950 Acorn St. <br />Riverside, CA 92504 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />