V.S.S. Sales Inc: DBA: V.S.S. Compressor Service (2020-2021)

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/DATE A� " CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 03/02/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Catherine Montoya NAME: Milestone Risk Management & Insurance Services HCNE. (949) 852-0909 q/c, (949) 852-1131 Ext): No): License No. OB72766 E-MAIL cmontoya@milestonepromise.com EACH OCCURRENCE $ 1'000'000 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 8 Corporate Park, Suite 130 Irvine CA 92606 INSURER A: Liberty Surplus Insurance Corp 10725 INSURED wrimrQ 12. Everest Indemnity Insurance 10851 V.S.S. Sales, Inc.; DBA: V.S.S. Compressor Service I - urance Co. 36940 DAMAGE TO RENTED PREM SES Ea o.urrrence $ 50,000 Vaughan's Industrial Repair, Inc.ny of the West 027847 16224 Garfield AvenueAPPROVED,urance Company 24074 Paramount C - INSURER F : COVERAGES CERTIFICATE NUMBER: 20/21 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEAUULbUBK INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREM SES Ea o.urrrence $ 50,000 MED EXP (Any one person) $ Excluded PERSONAL&ADV INJURY $ 1'000'000 A 100033067302 02/23/2020 02/23/2021 LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY PRO ❑ LOC JECT: MOTHER PRODUCTS-COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ ANYAUTO B OWNED X SCHEDULED AUTOS ONLY AUTOS CF2CA000158201 02/23/2020 02/23/2021 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident X HIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY Comp/Coll Deductibles $ 2,000/2,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5'000'000 AGGREGATE $ 5'000'000 C X EXCESS LAB CLAIMS -MADE SXS0056100 02/23/2020 02/23/2021 DED I X1 RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABI LI TY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N /A WSA504410801 11/01/2019 11/01/2020 ER /� STATUTE EORH 1,000,000 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below 1,000,000 E.L. DISEASE - POLICY LIMIT $ Limit/Ded. $50k/$1 k E Leased/Rented Equipment BK02156755498 02/23/2020 02/23/2021 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Riverside Public Utilities is included as Additional Insured on GL and AL, on a primary and non-contributory basis, per endorsement forms. A Waiver of Subrogation in favor of Additional Insured, with respects to the GL, AL, and WC, where required by written contract, per attached endorsement forms. CERTIFICATE HOLDER CANCELLATION @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Riverside Public Utilities ACCORDANCE WITH THE POLICY PROVISIONS. 5901 Payton Ave AUTHORIZED REPRESENTATIVE Riverside CA 92501.-r, r @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD