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CI Eent#: 289200 YMCARV ACO 1��3�� E ITT � F � DATE (Iw+�IDDmrr,ry CATE OF LIABILITY INSURANCE 8/0812012 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 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 Patricia Finnerty Hub International ° o Ext : 957 779 -,8545 Ax No : 951.231 -2572 HUB Int'! Insurance Sere. Inc. � 55. cal.cpu@hubintarnational.com 4371 Latham St, Ste #101 INSU AFFORDING COVERAGE HAIL � Riverside, CA 52501 INSURER A: Philadelphia indemnity insuranc 18058 INSURED INS URER B. New York Marine And General Ins 15608 YMCA of Riverside - 4020 Jefferson St. 'INSURER C 3 Riverside, CA 92504 INS URER 113: INSURER E iNSIJR>ER 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. R TYPE OF INSURANCE ADD POLICY NUMBER lyyllD LIMITS A I GENERAL uA ury P H PK889558 7101/2012 0710112013 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL L ABILITY ��5 a Rca $ 100 CLAIMS MADE a OCCUR MED EXP one rson) $5000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 1101, Add0lonal Remarks 11chadula, 9 more space Is "Nukes) - — The City of Riverside, Its Officers, employees and agents are additional insureds with respects to general Liability per attached endorsement form PICA -001 (05110). CERTIFICATE HOLDER _ CANCELLATION The City of Riverside SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VWLL BE DEUVERED IN 3900 Main Street ACCORDANCE VOTH THE POLICY PROVISIONS. Riverside, CA 52522 AUTHORS REPRESENTATIVE 0 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2110105) 1 Cq 1 The ACORD name and logo are registered marks of ACORD #S 17815821M 1742792 DS41 PERSONAL & ADV 'NJURY $ 1 OOO 000 GENERAL AGGREGATE s 2 OOO 000 Ll GERL AGGREGATE LIMIT APPLES PER. PRODUCTS - COMPIOP AGG $2,000,000 jEcT F POL CY PRO LOC $ A AUTOMOBILE UABam PHPK889556 `°`� 7101!2012 07!011201 a MBINE 5iN LIMIT X ANY AUTO __1 190001000 BODILY 'NJURY (Par pan=) $ ALLOWN ALED AUTOS UTOS APP OVE AS F+ R NJIJRY (Pa acddam) $ HIRED AUTOS[ NON OWMED AUT Os X 1 PROPERTY DAMAGE Pet acdd®n! � $ $ - I I I UMBRELLA LIAB OCCUR � I/ EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE 2 ,AGGREGATE $ DED RETENTIO $ $ B er B WORKERS COMPENSATION AND EMPLOYERS" UABLIIY ANY PROPRIETORIPARTNER►EXECUTNE YIN OFFICERIMEMBER EXCLUDED7 NIA WC201200002061 0112012 07/011201 _ X1 sTATU- OTH- FR E.L. EACH ACCIDENT s1 DOO 000 E.L. DISEASE - EA EMPLOYEE $1, 000,000 (Msndslory In NH) If yep, dascribs tinder DESCRIPTION OF OPERAMONS below E.L. DISEASE - POLICY LIm T $1 ,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 1101, Add0lonal Remarks 11chadula, 9 more space Is "Nukes) - — The City of Riverside, Its Officers, employees and agents are additional insureds with respects to general Liability per attached endorsement form PICA -001 (05110). CERTIFICATE HOLDER _ CANCELLATION The City of Riverside SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VWLL BE DEUVERED IN 3900 Main Street ACCORDANCE VOTH THE POLICY PROVISIONS. Riverside, CA 52522 AUTHORS REPRESENTATIVE 0 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2110105) 1 Cq 1 The ACORD name and logo are registered marks of ACORD #S 17815821M 1742792 DS41