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-M EEELECT-01
<br />'`� sza►, CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<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(les) 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 CONTACT
<br />NAME:
<br />Aniello Insurance Agency PHONE FAX
<br />3012 W. Charleston Blvd #150 (A/C, No, Est): (702) 259-0250 (A/c,_No):(702) 259-0662
<br />Las Veg as, NV 89102 E-MAIL
<br />ADDRESS info@anielloinsurance.com
<br />_.. ._ _. _. _.. _..
<br />_INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURED
<br />E E Electric, IncR C: Endurance Risk Solutions Assurance Co 43630
<br />P.O. Box 465APPROVED(�'
<br />1 11 11=. R D : State Compensation Insurance, Fund 35076
<br />Mira Loma, CA 91752 _ _ ■e..- r h 4 AA70
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 />INSRLTR TYPE OF INSURANCE 'ADDL SUBR'. POLICY NUMBER POLICY EFF MMIDDIYYYYI POLICY EXP LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY �', EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE X '', OCCUR 'PPK1974622 5/1/2019 5/1/2420 DAMAGE TO RENTED 50,000
<br />X X PREMISES (Ea %w renae) .. $
<br />MED_EXP (Any one person) $ 5'000
<br />PERSONAL & ADV INJURY.. i,. $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ ,,,,,,,, 2'000'000
<br />POLICY X JE0 .. LOCPRODUCTS -COMP/OP AGO $ 2,000,000
<br />OTHER: jDeductible $ 5,000
<br />B AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT 1,000,000
<br />(Ea..aoddenl) $
<br />X ANY AUTO X X iMZA80339762 5/1/2019 5/1/2020 1 BODILY INJURY (Per person) $
<br />'... OWNED SCHEDULED
<br />'..
<br />AUTOS ONLY ! AUTOS BODILY
<br />p BODILY INJURY (Per accident) $
<br />X HUIF S ONLY X ARaS ONP Y ',, (PerOacticnt) DAMAGE _... $ ......
<br />C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br />X EXCESS LIAB CLAIMS -MADE', EXC30000326102 5/1/2019 5/1/2020 AGGREGATE $ 5,000,000
<br />DED RETENTION $
<br />D�WORKERS COMPENSATION X STATUTE ORH
<br />Y / N X
<br />AND EMPLOYERS' LIABILITY 9201474.20 1/1/2020 1/1/2021 1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT .,. $
<br />pFFICER/M%IW EXCLUDED? N / A
<br />(Mdatory n FIFI) an,000,000
<br />- E.L.ELDISEASE - EA EMPLOYEE! $
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,ODU,OOU
<br />E 'Additional XS Limits 27307323 5/1/2019 5/1/2020 $5M Excess of $5M 5,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Excess Liability Increases General Liability and Employers Liability Limits
<br />Re: All CA Jobs Under Contract with the Named Insured
<br />Additional Insured Endorsement is granted as to General Liability policy, naming City of Riverside, its officers, employees and agents as additional insured,
<br />per attached endorsement #CG2010 0413 & CG2037 0413. Additional Insured Endorsement is granted as to Automobile Liability policy, naming City of
<br />Riverside, its officers, employees and agents as additional insured, per attached endorsement #CA7018 1014. Waiver of Subrogation Endorsement as to
<br />Commercial General Liability policy is granted to City of Riverside, its officers, employees and agents, per attached endorsement #CG2404 0509. Waiver of
<br />SEE ATTACHED ACORD 101
<br />City of Riverside / Public Works
<br />Risk Management
<br />3900 Main St.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE•
<br />_'d -te,
<br />ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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