4 West Pipeline Inc. (2020-2021)

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4WESTPIPE- TWANG �►co�ro,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/20/2020 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 License # OC36861 CONTACT Wilhem Morelos NAME: PHONE FAX (A/C, No, Ext): (760) 304-7120 (A/C, No):(760) 304-7748 San Marcos - Escondido Alliant Insurance Services, Inc 570 Rancheros Dr Ste 100 E-MAIL WMorelos@alliant.com San Marcos, CA 92069 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Kinsale Insurance Company 38920 INSURED 100,000 $ INSURER B: West American Insurance Company 44393 APPROVED INSURER C : State Compensation Insurance Fund of California 35076 4 West Pipeline Inc. P.O. Box 3277 Sun City, CA 92587 INSURER D : GENERAL AGGREGATE INSURER E PRODUCTS - COMP/OPAGG $ 2,000,000 INSURER F: $ 5,000,000 B 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 CLAIMS -MADE X OCCUR Owner's & Contractor X X 01000464813 1/11/2020 1/11/2021 EACH OCCURRENCE $ 1'000'000 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ X GEN'L MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ 1'000'000 AGGREGATE LIMIT APPLIES PER: POLICY LX JECT El LOC OTHER: GENERAL AGGREGATE $ 2'000'000 PRODUCTS - COMP/OPAGG $ 2,000,000 AGGREGATE MAXIM $ 5,000,000 B AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDX NON -OWNED AUTOS ONLY AUTOS ONLY X X BAW58191851 8/8/2019 8/8/2020 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X 01000464843 1/11/2020 1/11/2021 EACH OCCURRENCE $ 1'000'000 AGGREGATE $ 1'000'000 DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A X 916112220 6/18/2020 6/18/2021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1'000'000 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) City of Riverside is named as Additional Insured. 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. Risk Management 3900 Main Street 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