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ACORL7` CERTIFICATE OF LIABILITY INSURANCE OPID PG ) T DATE(MM/DD/YYY ICONI-1 O1 19 09 9 PRODUCER RECEWED Glenn Goodwin & Associates THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GITY OF RIUERSIi ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 1897 (109 UU AN ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ~ Redlands CA 92373 J Phone: 909-793-8118 Fax: 909-793-4187 11 A KS A INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Mt. Hawley Insurance Co. I I G l INSURER B: Peerless Insurance CO an COn nc . enera Contractors Pat kopkins INSURER C: 1808 Commercenter West Ste. F San Bernardino CA 92406 INSURER D: INSURER E: l.UV CKAUt5 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X X COMMERCIAL GENERAL LIABILITY MGLO156230 09/24/08 09/24/09 DAMAUL 10 KEN I _U P REMISES Eaoccurence $50,000 CLAIMS MADE ® OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE , , s2 000 000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG , , s2,000,000 POLICY X PRO LOC JECT AUT OMOBILE LIABILITY B X ANY AUTO BA8312610 08/28/08 08/28/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) $ ) i 14 i PROP 0 ERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ' S OTHER THAN EA ACC $ rye' AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $ OCCUR F 1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER)MEMBER EXCLUDED? If yes describe under E.L. DISEASE - EA EMPLOYE $ , SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Riverside is named as additional insured as their interest may appear per form CGL216 04/98. l.tK 111- IL A I t NULUtK rANrFI I OTInIJ CITYOFR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO HALL City of Riverside y IMPOSE NO OBLIGATION OR LIABILITY O ANY KIND UPON THE INSURER, ITS AGENTS OR 3900 Main Street REPRESENTATIVES. / . ` Riverside CA 92522 AUTHORIZED REPRESENTATI f' Glenn T. Goodwi C P 1i r+%.vrcv 40 kcuv uuol © ACORD CORPORATION 1 588