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CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />Do4220YYYY'ACR" <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 />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 CONTACT Lauren Gian rande <br />NAME: g <br />Marsh USA, Inc. PHONE (212) 345-6000 qIC, <br />1166 Avenue of the Americas (AICNo Ext No <br />New York, NY 10036 E-MAIL <br />ADDRESS: Lauren.Giangrande@marsh.com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />CN 108453421 -STN D-GAW-1 9-20 INSURER A: See Acord 101 <br />INSURED Ull on Fire Ins. Co. <br />19445 <br />O 1 ANALYTICAL <br />EACH OCCURRENCE <br />A WHOLLY-OWNED CORPORATION OF XYLEM <br />P.O. BOX 9010 APPROVED <br />151 GRAHAM ROAD <br />COLLEGE STATION, TX 77842 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: NYC -010169765 REVISION NUMBER: 7 <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 />MMIDDIYYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />B <br />X <br />COMMERCIAL GENERAL LIABILITY <br />GL 6862456 <br />10/31/2019 <br />10/31/2020 <br />EACH OCCURRENCE <br />$ 1,000,0C <br />CLAIMS -MADE � OCCUR <br />ccurrrence <br />PREM SESDAMAGE TOEa occurrence) <br />$ 1,000,0C <br />MED EXP (Any one person) <br />$ 10,00, <br />PERSONAL &ADV INJURY <br />$ 1,000,0C <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,OC <br />GEN'L <br />X <br />POLICY ❑ PRO ❑ LOC <br />JECT <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,OC <br />SIR: $1,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />CA 5320316 (AOS) <br />10/31/2019 <br />10/31/2020 <br />BINEDSINGLE LIMIT <br />Ea <br />$ 3,000,OC <br />B <br />X <br />ANY AUTO <br />CA 5320317 (VA) <br />10/31/2019 <br />10/31/2020 <br />BODILY INJURY (Per person) <br />$ <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />CA 5320318 (MA) <br />10/31/2019 <br />10/31/2020 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLALIAB <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 />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑N <br />(Mandatory in NH) <br />NIA <br />SEE ACORD 101 <br />10/31/2019 <br />10/31/2020 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 2,000,OC <br />E.L. DISEASE - EA EMPLOYEE <br />$ 2,000,OC <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ 2,000,0( <br />DESCRIPTION OF OPERATIONS I LOCATIONS I 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 included as additional insured (except Workers Compensation) as required by written contract. Waiver of Subre <br />by written contract and as permissible by law. <br />CERTIFICATE HOLDER CANCELLATION <br />The City of Riverside <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />5950 Acorn Street <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Riverside, CA 92504 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. <br />Lauren Giagrande <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />