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ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID TL I DATE (MM/DDIYYYY) ._-.;:.- WARRE 1 09/02/08 PRqpUCER , CITY OF RIVERSID THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Alliant Insurance Services Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Gaddy-Ward & Co. Lic.#OC36861 SEP () 8 2008 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 West Walnut Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lodi CA 95240-3537 Phone: 209-333-1136 Fax: 209-333-R$S1( MANAGEME~ 1NSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Wesco Insurance Company, Inc. 25011 INSURER B: State Compensation Ins. Fund 35076 Warren E Gomes Excavating, Inc INSURER c: P.O. Box 369 INSURER D: Rio Vista CA 94571 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01WITHSTANDING 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. LTR NSR POLICY NUMBER N DATE (MM/DDIYY TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ~ OCCUR EACH OCCURRENCE A X 09/01/08 WPP1011608-00 09/01/09 PREMISES (Ea occurence) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG Emp Ben. A X Per Project Aggre GEN'L AGGREGATE LIMIT APPLIES PER: ~~C?T LOC AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) 09/01/08 09/01/09 COMBINED SINGLE LIMIT (Ea accident) WPP1011608-00 BODILY INJURY (Per person) GARAGE LIABILITY ANY AUTO PROPERTY DAMAGE (Per accident) EXCESS/UMBRELLA LIABILITY OCCUR D CLAIMS MADE AUTO ONLY - EA ACCIDENT $ EA ACC $ AGG $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ DEDUCTIBLE RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, descnbe under SPECIAL PROVISIONS below OTHER EL DISEASE - POLiCY LIMIT 10/01/07 PREVIOUSLY SENT 10/01/08 $ E.L DISEASE - EA EMPLOYEE $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Transportation Permit. Certificate Holder is named additional insured per the attached endorsement. *Subject to 10 days notice of cancellation for non-payment of premium. CERTIFICATE HOLDER CANCELLATION LIMITS $1,000,000 $ 100,000 $ 5,000 $1,000,000 $2,000,000 $2,000,000 1,000,000 $1,000,000 $ $ $ City of Riverside 8095 Lincoln Ave. Riverdale, CA 92504 RlVERS2 SCANNED SEP 1 7 2008 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 REPRESENTA IVES. AUTHORIZED Finance/Risk M mt. ACORD 25 (2001/08) @ ACORD CORPORATION 1988