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E & R CONS JEANA <br />`64� CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />1/23/2020 <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 <br />_NAME� <br />PHONE -9800 FAX -0670 <br />(A/C, No, Ext): (949) 553 (A/C , No): (949) 553 <br />The Wooditch Company Insurance Services, Inc. <br />1 Park Plaza, Suite 400 <br />Irvine, CA 92614 <br />E MAIL <br />ABDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Old Republic General Insurance Corporation <br />24139 <br />$ 1,000,000 <br />INSURED <br />INSURER B 7 <br />X X Al CG50131813 11/1/2019 <br />INSURER C 7 <br />E & R Construction, Inc. <br />INSURER D 7 <br />5141 Calmview Ave. <br />Baldwin Park, CA 91706 <br />INSURER E 7 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AE30VE 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 />ADDLSUBR <br />INSD <br />WVD <br />POLICYNUMBER <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 />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE Elf -I <br />Aj OCCUR <br />X X Al CG50131813 11/1/2019 <br />11/1/202 0 <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />100,000 <br />$ <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />APPROVED <br />AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY FNI-1 PRO- <br />L_!"�] JECT El LOC <br />PRODUCTS - COMP/OP AGG <br />2,000,000 <br />$ <br />$ <br />OTHER <br />I -------- <br />A <br />AUTOMOBILE <br />LIABILITY <br />BINED INGLE LIMIT <br />C(E0a Ma , d e n 0S <br />1,000,000 <br />$ <br />BODILY INJURY (Per person) <br />$ <br />X <br />ANY AUTO <br />X <br />X <br />AlCA50131813 <br />11/1/2019 <br />11/1/2020 <br />OPED SCHEDULED <br />A TOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(per a.,dent) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETOR/PARTNER/EAtzuu I Vtz <br />X <br />AlCW50131813 <br />11/1/2019 <br />11/1/2020 <br />X PER OTH- <br />�STATUTE ER <br />— <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000, <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Al operations performed by the named insured during the current policy period. glaiwv/auaiwv/wcwv <br />City of Riverside is included as Additional Insured as respects General Liability and Auto Liability per attached endorsements. <br />Waiver of Subrogation for General Liability, Auto Liability and Workers' Compensation: See Attached Endorsements. <br />CERTIFICATE HOLDER CANCELLATION <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 />City of Riverside <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management <br />3900 Main Street <br />AUTHORIZED REPRESENTATIVE <br />Riverside, CA 92522 <br />ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />