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J &LPR -1 OP ID: PRTR <br />DATE (MWDDIYYYY) <br />CERTIFICATE. OF LIABILITY INSURANCE 1 091141'12 <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 he 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 Phone: 951-685 -7478 NAME CT Trace Prieto <br />Loomis Insurance Services Fax. 95'1 685 0665 PHONE 951 - 685 -7478 FAX <br />PO BOX 3128 A/C, No Ext : AIC No 951 - 685 <br />Riverside, CA 92519 A DDRES S: Loomis Insurance Services rieto loom is4insurance.com <br />INSURED Louis R & Joan Tavagiione <br />J & L Properties <br />3405 Arlington Ave. <br />Riverside, CA 92506 <br />r.nVFRIl[-.FA r_i= RTII=Ir'_ATI` Ali IMRG0- <br />INSURER(5) AFFORDING COVERAGE <br />INSURER A . Travelers Property Casualty <br />INSURER 8 : <br />INSURER C : <br />INSURER D: <br />INSURER E <br />INSURER F <br />NAIC p <br />0c►11eEnK1 K11 taao=o. <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 I TYPE OF INSURANCE A L U POLICY EFF POLICY E P <br />LTR POLICY NUMBER MMIDDIYYYY ) IMMIDDIYYYYI <br />LIMITS <br />0ENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE F OCCUR <br />X <br />I- 680- 346C1141 -TI L "12 <br />09/15/12 <br />09/15/13 <br />300,00 <br />PREMISES R E NTED nce <br />MED EXP (Any one person} <br />$ 5,00 <br />�{ Bus iness Owners <br />PERSONAL & ADV INJURY <br />S 1 1 000,00 <br />GENERAL AGGREGATE <br />$ Z0 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />A A <br />AP <br />F <br />RM <br />PRODUCTS - COMPIOP AGG <br />$ 2 <br />F-1 PR <br />POLICY O- LOC <br />Z 70 <br />S <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Es accident <br />BODILY INJURY (Per person} <br />S <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON-OWNED <br />HIRED AUTOS AUTOS <br />ARfisk <br />BODILY INJURY Per accident) <br />( ) <br />$ <br />PROPERTY DAMAGE <br />_(P <br />$ <br />$ <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />DIED I RETENTIONS <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE 0 <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />WC STATU. , O <br />ITS R <br />E L EACH ACC {DENT is <br />EL DISEASE - EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />S <br />[Mandatory in NHI <br />If es, describe under <br />DESCRIPTION OF OPERATIONS below <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1101, Addltlonal Remarks Schedule, If more space Is required) <br />City of Riverside, its officers and employees are named as an additional <br />insureds. <br />Re: Canal <br />CERTIFICATE HOLDER CANCELLATION <br />City of Riverside <br />Public Utilities- Resources <br />3435 14th Street <br />Riverside, CA 92501 <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 />AUTHORIZED REPRESENTATIVE <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />