ERIK HOGE & JESUS CAMACHO DBA MASTER WASH- CGL 20-21

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ACCORD® CERTIFICATE OF LIABILITY INSURANCE `....•�� DATE(MM/DD/YYYY) 7/16/2020 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). PRODUCER Liberty Mutual Insurance CONTACT NAME: PO Box 188065 Fairfield, OH 45018 PHONE A/C, No Ext): 800-962-7132 FAX No): 800-845-3666 E-MAIL ADDRESS: BusinessService@LibertyMutual.com INSURER(S) AFFORDING COVERAGE NAIC # BKS56461090 4/15/2020 INSURERA: Ohio Security Insurance Company 24082 $1,000,000 INSURED Erik Hoge, A Partner Jesus Camacho Jr., A Partner PO Box 11835 INSURER B INSURERC: INSURERD: San Bernardino CA 92423 INSURER E MED EXP (Any one person) INSURER F: COVERAGES CERTIFICATE NUMBER: 56603058 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 EFF POLICY NUMBER MM/DD POLICY EXP MM/DD LIMITS A �/ COMMERCIAL GENERAL LIABILITY / �/ BKS56461090 4/15/2020 4/15/2021 EACH OCCURRENCE $1,000,000 CLAIMS -MADE 11/1OCCUR DA AGE ToRENTED PREMIS ES (E. occurrence) $1,000,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER:APPROVEDJ GENERALAGGREGATE $2,000,000 GEN'L ✓ POLICY ❑ PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEE.L. EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Riverside Public Utilityis Additional Insured if required by written contract or written agreement subject to General Liability Blanket Additional Insured Provision. This Policy is Primary and we will not ask for Contribution of the policy issued to the Additional Insured. Waiver of Subrogation Applies. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 56603058 156461090 120-21 GL I Jose Rodriguez 17/16/2020 2:22:04 PM (EDT) I Page 1 of 9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Clty of Riverside Public Utility THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3900 Main St ACCORDANCE WITH THE POLICY PROVISIONS. City Hall Riverside CA 92522 AUTHORIZED REPRESENTATIVE a Jose Rodriguez ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 56603058 156461090 120-21 GL I Jose Rodriguez 17/16/2020 2:22:04 PM (EDT) I Page 1 of 9