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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />03/27/2020
<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. If
<br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
<br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Aon Risk services Northeast, Inc.
<br />New York NY Office
<br />CONTACT
<br />NAME:
<br />(AICNNo.Ext): (866) 283-7122 FAX
<br />No : (800) 363-0105
<br />E-MAIL
<br />One Liberty Plaza
<br />165 Broadway, suite 3201
<br />ADDRESS:
<br />EACH OCCURRENCE $1,000,000
<br />New York NY 10006 USA
<br />CLAIMS -MADE ❑X OCCUR
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURED
<br />INSURERA: National Union Fire Ins Co of Pittsburgh
<br />19445
<br />Los Angeles SMSA LP
<br />dba Verizon Wireless
<br />1095 Avenue of the Americas
<br />INSURER B: New Hampshire Insurance Company
<br />23841
<br />INSURER C: AIU Insurance Company
<br />19399
<br />New York NY 10036 USA
<br />INSURER D: American Home Assurance Co.
<br />19380
<br />INSURER E: Illinois National Insurance Co
<br />23817
<br />INSURER F:
<br />APPROVED
<br />COVERAGES CERTIFICATE NUMBER: 570081129267 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. Limits shown are as requested
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />AUUL
<br />INSD
<br />51JIJK
<br />WVD I POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EAP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y GL64122 51
<br />The City of Riverside
<br />EACH OCCURRENCE $1,000,000
<br />CLAIMS -MADE ❑X OCCUR
<br />3900 Main St
<br />Riverside CA 92501 USA
<br />DAMAGE TO RENTED $2,000,000
<br />PREMISES Ea occurrence
<br />('�,rf�' �(I�I�'/�f���� �,�✓'"��
<br />MED EXP (Any one person) $10,000
<br />X XCU Coverage is Included
<br />PERSONAL & ADV INJURY $1,000,000
<br />APPROVED
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE $2,000,000
<br />X POLICY I ATJEC JECTJECT El LOC
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />Y
<br />Y
<br />CA 299-19-14
<br />ADS
<br />06/30/2019
<br />06/30/2020
<br />COMBINED SINGLE LIMIT $1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person)
<br />A
<br />X ANY AUTO
<br />CA 299-19-18
<br />06/30/2019
<br />06/30/2020
<br />BODILY INJURY (Per accident)
<br />A
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIREDAUTOS NON -OWNED
<br />ONLY AUTOS ONLY
<br />MA
<br />CA 299-19-15
<br />VA
<br />See Next Page
<br />06/30/2019
<br />06/30/2019
<br />06/30/2020
<br />06/30/2020
<br />PROPERTY DAMAGE
<br />Per accident
<br />LAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />4DEUMBRELLA
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />D RETENTION
<br />B
<br />D
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBEREXCLU DED? F9
<br />(Mandatory in NH)
<br />N/A
<br />Y
<br />WC014649148
<br />ADS
<br />WC014649146
<br />CA
<br />06/30/2019
<br />06/30/2019
<br />06/30/2020
<br />06/30/2020
<br />X PER STATUTE I OTH-
<br />ER
<br />E. L. EACH ACCI DENT $1,000,000
<br />E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />The city of Riverside, its officers, employees, and agents are included as Additional Insured in accordance with the General
<br />Liability and Automobile Liability policies. A Waiver of Subrogation is granted in favor of The city of Riverside, its
<br />officers, employees and agents in accordance with the policy provisions of the General Liability, Automobile Liability, and
<br />Workers' Compensation policies.
<br />General Liability and Automobile Liability evidenced herein is Primary/Non-contributory to other insurance available to an
<br />Additional Insured, but only in accordance with the policy's provisions.
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<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />5e—
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />The City of Riverside
<br />AUTHORIZED REPRESENTATIVE
<br />Attn: Risk Management
<br />3900 Main St
<br />Riverside CA 92501 USA
<br />('�,rf�' �(I�I�'/�f���� �,�✓'"��
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<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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