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VALICOO-01 PPALLAVI
<br />ACORO' DATE (MMYDaM -M —
<br />�� CERTIFICATE OF LIABILITY INSURANCE 12/30/2015
<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(les) must be endorsed. If SUBROGATION IS WANED, 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 Ucense # 0757776 CONTACT
<br />Concord, CA - HUB International Insurance Services Inc. PNONE (925k 609-6500 J 92 609.6550
<br />2300 Clayton Rd. L
<br />Concord, CA 94520 ADUM
<br />15.�:l--%l %Ott In= r—.4d INSURERRMAFPOMANGCOVERAGE NAIC#
<br />ll INSURER A: Hanover Insurance Company
<br />INSURED %Mf - V 121, - INSURER g :Massachusetts Bay Insurance Company
<br />Vail Cooper & Associates, Inc. 1NSURER C: NaV ators Specialty Insurance Company
<br />2000 Powell Street, Suite 550 INSURER D _Travelers Property Casualty Company of America
<br />Emeryville, CA 94608 INSURER S :Continental Casual Cam an
<br />_n y_.._
<br />INSURER F
<br />OVERAGES CERTIFICATE NUMBER- REVISION NUMBER:
<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 RESPECTTO WHIC H THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A LL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />R TYPE OF INSURANCE
<br />A Se LS SR fautNrErr P Policy NUMBER ' LIMA
<br />X COMMERCIAL GENERALLIABILITY EACHOCCURRENCE S 2,000,0
<br />CLAIMS-MADE ❑X OCCUR X ZHF897008906 12/30/2015 12/3012016 #REMISES Eaacamence S 1100010
<br />X Dad: 0 MED El(P (Any one person) S 1010
<br />PERSONAL&ADVINJURY S 2,000,0
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe munched it mon spats Is re¢drsd)
<br />Re: Professional Consulting Services for Various Capital Improvement Projects (VCA Project #2528).
<br />Solely as respects work done by and on behalf of the named insured for the City of Riverside, it Is agreed that the City and it officers and employees are
<br />named as Additional Insured as respects General Liability and Auto Liability per attached forme MAN -0426 0715, MAN-0427 0715, andCA2048 0299. Waiver of
<br />Subrogation applies as respect Workers' Compensation per WC990376. As required by written contract.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Riverside THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of
<br />Public Riverside
<br />Department ACCORDANCE WITH THE POLICY PROVISIONS.
<br />3900 Main Street
<br />Riverside, CA 92522 AUTHORIZED REPRESENTATIVE
<br />1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101 The ACORD name and logo are registered marks of ACORD
<br />POTHER:
<br />LAGGREGATELIMIT APPLIESPER:
<br />Policy 1K PRO- E LOC
<br />JECT
<br />ADF8952855 06
<br />SEISEXC7018581C
<br />I
<br />GENERAL AGGREGATE
<br />S R�� ,r,J
<br />PRODUCTS • COMPIOP AGG
<br />S 4,000,000
<br />$
<br />13
<br />AUTOMOBILE
<br />X
<br />X
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />ALLOSNED SCHEDULED
<br />AUTOS
<br />X NON43WNED
<br />HIREDAUTOS AUTOS
<br />Dad" 0
<br />X
<br />r
<br />12130/2015
<br />12/30/2016
<br />CEOs BIW INGLE LIMIT
<br />S 1,000,000'
<br />BODILY INJURY (Per person)
<br />S
<br />BODILY INJURY (Par accident)
<br />S
<br />araccident
<br />$
<br />S
<br />C
<br />X
<br />UMBREUAUAB
<br />ExcessuAa
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />12/30/2015
<br />12/30/2016
<br />EACHOCCURRENCE
<br />S 10,000,000
<br />AGGREGATE
<br />$ 1010001000
<br />DEO I X
<br />I RETENTIONS 0
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' UASnM YIN
<br />ANY PROPRIETORIPARTNERE)ECU IVE
<br />DFFICERMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />II yet, describe under
<br />DESCRIPTIONOF OPERATIONS below
<br />X
<br />PJUBS464LI6215
<br />12/30/2016
<br />12/30/2016
<br />)( I PER
<br />STATUTE ER
<br />E.L.EACH ACCIDENT
<br />S 1,000,000
<br />E.L DISEASE - EA EMPLOYEI
<br />S 1,000,000
<br />EL. DISEASE - POLICY LIMB
<br />s 11000,000
<br />rEPROFESSIONAL
<br />LIAR
<br />Cl aims -Made; 35k Dad
<br />AEH289342192
<br />AEH288342192
<br />12/30/2015
<br />12/30/2015
<br />12/30/2016
<br />12/30/2016
<br />Per Clalm 10,000,000
<br />Aggregate 1010001000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe munched it mon spats Is re¢drsd)
<br />Re: Professional Consulting Services for Various Capital Improvement Projects (VCA Project #2528).
<br />Solely as respects work done by and on behalf of the named insured for the City of Riverside, it Is agreed that the City and it officers and employees are
<br />named as Additional Insured as respects General Liability and Auto Liability per attached forme MAN -0426 0715, MAN-0427 0715, andCA2048 0299. Waiver of
<br />Subrogation applies as respect Workers' Compensation per WC990376. As required by written contract.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Riverside THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of
<br />Public Riverside
<br />Department ACCORDANCE WITH THE POLICY PROVISIONS.
<br />3900 Main Street
<br />Riverside, CA 92522 AUTHORIZED REPRESENTATIVE
<br />1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101 The ACORD name and logo are registered marks of ACORD
<br />
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