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ACORDN CERTIFICATE OF LIABILITY INSURANCE OP 10 111 DATE (MM/DDIYYYY) B&BHO-1 03/31/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Raintree Insurance Agency RECEIVED ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License #0557773 ::nv OF RIVERSIDF HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2039 North D Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Bernardino CA 92405 APR 0 1 2005 Phone: 909-881-2654 INSURERS AFFORDING COVERAGE NAIC# INSURED RISK MANAGEMENT INSURER A; Scottsdale Insurance Company INSURER B; B & B Hotdogs INSURER C; 1651 N. Riverside Ave #822 INSURER D: Ria1to CA 92377 INSURER E: COVERAGES 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. ~QLJ!!,(. !'.'=!'_ES:_T"XE P~k\-CEY(~~b~J!r~N LTR NSR[ TYPE OF INSURANCE POLICY NUMBER DATEiMM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - A X X COMMERCIAL GENERAL LIABILITY CLS1091480 03/23/05 03/23/06 ~~~~~~s (Ea occurence) $ 100,000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 ,- GENERAL AGGREGATE $ 1, OOU , 000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 Xl .n PRO- nLOC X POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f----- $ ANY AUTO (Ea accident) I-- ALL OWNED AUTOS BODILY INJURY f----- $ SCHEDULED AUTOS (Per person) '-- HIRED AUTOS BODILY INJURY - (Per accident) $ NON-OWNED AUTOS I-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY APPRO V' -10 A5 -'r- "=( \;;, AUTO ONLY - EA ACCIDENT $ R ANY AUTO ....Vr p~ A \., ~~Ih -~, l t" l.... 1-" OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY V" Vf " "^" I :J I..... <J' ""---' EACH OCCURRENCE $ , tJ OCCUR D CLAIMS MADE U AGGREGATE $ $ ==l DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ITORy"LIMITS I 10J,H' ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ I ~~~~I~i.~PR~~s16~s below I E.L. DISEASE - POLICY LIMIT $ 1 OTHER I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 DAYS NOTICE WILL BE MAILED FOR NON-PAYMENT OF PREMIUM. Certificate Holder is named as Additional Insured with respect to the operations of the named insured. CERTIFICATE HOLDER CANCELLATION City of Riverside 3900 Main Street Riverside CA 925ffi"jance/Risk Mgmt SCANNErYIVER-1 APR 0 6 2005 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZE RE~R ACORD 25 (2001/08)