H&H General Contractors Inc (2020-2021)

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H&HGENE-01 SASMITH ACORL7µ' CERTIFICATE OF LIABILITY INSURANCE `.�•-'' DATE(MM/DD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 5/15/2020 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). License # OC36861 CONTACT Christina M Mountz PRODUCER NAME: Inland Empire-Alliant Insurance Services, Inc. PHONEFAX -2013 (A/C, No, Ext): (909) 886-9861 No):(909) 886 685 Carnegie Dr Ste 265 San Bernardino, CA 92408 ADDRESS: cmountz@alliant.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Associated Industries Insurance Company Inc 23140 INSURED General Casualty Company of Wisconsin 24414 41394 H&H General Contractors Inc % Benchmark Insurance Company $ 1'000'000 PO Box 536 APPROVED D Highland, CA 92346 X INSURER F: COVERAGES CERTIFICATE NUMBER- 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS -MADE X OCCUR X AES1194160 00 3/15/2020 3/15/2021 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ X MED EXP An one person)$ 5,000 $2,500 BI/PD Ded/Occ PERSONAL & ADV INJURY $ 1'000'000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 GEN'L POLICY LX JECT El LOC PRODUCTS - COMP/OPAGG $ 2,000,000 PER PROJECT POL $ 5,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ X ANY AUTO X BCA0004933-00 3/15/2020 3/15/2021 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ X HIREDX NON -OWNED AUTOS ONLY AUTOS ONLY X $500 Comp Ded X $500 Comp Ded UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE [Y] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A X CST5018141 1/1/2020 1/1/2021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1'000'000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Agreements for Bid 7696 — Iowa Avenue Improvements from MLK Blvd to University Ave. City of Riverside, it is agreed that the City of Riverside, Riverside Transit Agency and their officers, employees, agents and Riverside Transit Agency employees are additional insureds as respects to general liability and auto liability per endorsements attached; waiver of subrogation as respects to workers' compensation per attached endorsement. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Ci of Riverside THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Department Attn: Edward Lara / Christopher Nieto 3900 Main Street 4th Floor AUTHORIZED REPRESENTATIVE Riverside, CA 92522 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD