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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD[YYYY) <br />F08/28/2019 <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 <br />Liberty United Insurance Services, Inc <br />704 S Victory Blvd, Suite 204 <br />CONTACT <br />NAME: Sam Muradyan <br />H �N E., FAX� <br />(A N E.1): 8187618888 <br />P /C (A/C No): 8882656889 <br />E-MAIL <br />ADDRESS: sam@libertyunitedinsurance.com <br />Burbank, CA 91502 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />License #: OF89841 <br />INSURERA: Admiral Insurance Compan <br />CA000031875-02 <br />INSURED <br />INSURER B: Infinity Commercial Auto <br />Facade Theme Party, Inc. <br />INSURER C: <br />1501 7th St Suite A <br />INSURER D: <br />Riverside, CA 92507 <br />INSURER E: <br />INSURER F: <br />—COVERAGES CERTIFICATE NUMBEW--00000000-206216 REVISIOWNUMBER�--66— <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 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 />ADDLJSUBR� <br />INSD <br />WVD <br />POLICY NUMBER <br />POLIC <br />IMM/D <br />POLICYEXP <br />(MM/DDNYYY) <br />LIMITS <br />A <br />X <br />COMMERCIAL G NERAL LIABILITY <br />y <br />y <br />CA000031875-02 <br />09101/2019 <br />09/01/2020 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE LxJ OCCUR <br />_71 <br />-6 m <br />P RA E M 2EE S '(ER '.N.u, ra n c a) <br />$ 300,000 <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />APPROVED <br />POLICYF—] JPERCOT- 1-1 LOC <br />L <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />504-61007-6445-001 <br />12129/2018 <br />12/29/2019 <br />COMBcNEDtS'NGLE LIMIT <br />(Ea "c id., <br />$ <br />BODILY INJURY (Per person) <br />$ 25,000 <br />ANY AUTO — <br />BODILY INJURY (Per accident) <br />$ 50,000 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPER DAMAGE <br />(Per accidZ t) <br />$ 25,000 <br />Comp/Coll <br />$ $500 Ded <br />UMBRE LA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />DED � � RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY Y/N <br />STERT H- <br />A UTE OETR <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <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 />Re: Description of work performed for the City of Riverside, reference to event or description of operations. <br />The City of Riverside and its officers, employees and agents shall be named as additional insured as respects to the operations <br />of the named insured per aftached General Liability Form <br />Waiver of Subrogation applies in favor of the City of Riverside <br />CERTIFICATE HOLDER CANCELLATION <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Printed by CER on August 28, 2019 at 02:21PM <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 />ACCORDANCE WITH THE POLICY PROVISIONS. <br />3900 Main Street <br />Riverside, CA 92522 <br />CRIZED EPRE ENTATIVE <br />AUTH :70� S &�_ <br />(CER) <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Printed by CER on August 28, 2019 at 02:21PM <br />