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BRINT -2 OP ID: TC <br />ACORO" CERTIFICATE OF LIABILITY INSURANCE <br />/2015 Y) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />09/15/2015 <br />09 /15 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Daniel Brock <br />Sierra Oak Insurance Services <br />Lic# OC97528 <br />1C. Ext : 9I6- 364 -7380 A/CC No): 916- 364 -7381 <br />E -MAIL <br />ADDRESS: <br />9700 Business Park Dr. Ste 105 <br />Sacramento, CA 95827 <br />$ 100,000 <br />Daniel E. Brock <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Associated Industries Ins Co <br />23140 <br />MED EXP (Any one person) <br />INSURED Brinton's Plumbing <br />INSURER B: State Comp Ins Fund of Ca <br />35076 <br />dba B&D Plumbing <br />P.O. Box 3508 <br />INSURER C <br />$ 2,000,000 <br />San Bernardino, CA 92413 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />$ 2,000,000 <br />$ <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR: <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. <br />INSR TYPE OF INSURANCE ADD S BR POLICY EFF POLICY EXP <br />LTR POLICY NUMBER MM /DDNYYY MM /DD/YYYY LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />City of Riverside <br />EACH OCCURRENCE <br />$ 1,000,000 <br />Riverside, CA 92522 <br />CLAIMS -MADE F11 OCCUR <br />X <br />AES102445703 <br />09/13/2015 09/13/2016 DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 100,000 <br />$ 1,000 <br />MED EXP (Any one person) <br />$ 1,000,00 <br />PERSONAL 8 A_D_V INJURY <br />GENT AGGREGATE LIMIT APPLIES PER: <br />$ 2,000,000 <br />GENERAL AGGREGATE <br />POLICY —X' JE 0 " LOC <br />/ PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />$ <br />OTHER, <br />s: <br />AUTOMOBILE <br />LIABILITY <br />''' <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER /MEMBER EXCLUDED? <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />City of Riverside is named additional Insured for all liability arising out <br />of the operations by or on behalf of the named insured if required by <br />contract per attached endorsements. <br />Job: All Operations within the City of Riverside, CA <br />CERTIFICATE HOLDER CANCELLATION <br />CITYRIV <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Riverside <br />3900 Main St <br />AUTHORIZED REPRESENTATIVE <br />Riverside, CA 92522 <br />©1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />