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ICONWES-01 CMOUNTZ ACORL7µ' CERTIFICATE OF LIABILITY INSURANCE `.�•-'' FWDATE(MM/DD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 6/4/2020 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: Alliant Insurance Services, Inc. PHONE FAX (A/C, No, Ext): (909) 886-9861 (A/C, No):(909) 886-2013 685 Carnegie Dr Ste 265 San Bernardino, CA 92408 ADDRESS: cmountz@alliant.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Evanston Insurance Company 35378 INSURED sen American Insurance Company 43460 35076 Icon West, Inc. to Compensation Insurance Fund of California 15792 520 S La Fayatte Park PI Ste 503 I, d derwriters at Lloyd's London Illinois APPRO Los Angeles, CA 90057 iC 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 CONTRACTOR 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 iC X MKLV5PBC001979 6/3/2020 6/3/2021 (RENTED PREMISES PREMISES Ea occurrence) 300 �� $ X MED EXP (Any oneperson) $ 5'000 BI/PD Ded $10,000 PERSONAL & ADV INJURY $ 1'000'000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 GEN'L POLICY � JECT El LOC PRODUCTS - COMP/OP AGG $ 2'000'000 EBL AGGREGATE $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10'000'000 X EXCESS LIAB CLAIMS -MADE CX008JY20 6/3/2020 6/3/2021 AGGREGATE $ 10'000'000 X DED RETENTION $ 0 Over GL/AL/EL $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A X 1960641-20 4/1/2020 4/1/2021 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 $ D Professional Liab ANE403962020 2/15/2020 2/15/2021 Each Claim/Aggregate 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Bid No. 7624, Construction of the New City of Riverside Main Library. Additional Insured Endorsement is granted as to General Liability policy, naming City of Riverside, its officers, employees and agents as additional insured, per attached endorsement # CG 2037 0704 & CG 2010 0704. Waiver of Subrogation Endorsement as to Commercial General Liability policy is granted as against City of Riverside, per attached endorsement # CG 2404 0509. Waiver of Subrogation Endorsement as to Worker's Compensation policy is granted in favor of City of Riverside, per attached endorsement # 10217 (REV 7-2014). Cancellation applies per policy provisions. 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. General Services Department Purchasing Manager, Finance Department 3900 Main St AUTHORIZED REPRESENTATIVE Riverside, CA 92522 �7 P t_s ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD