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<br />.--- DATE (MMIDDNYYY) <br />ACDRDM CERTIFICATE OF LIABILITY INSURANCE OP 10 J1 <br />TRIUM-l 10/24/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />MARCO Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />10777 Northwest Frwy. , #800 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Houston TX 77092-7339 <br />Phone: 713-681-2500 Fax:713-684-1600 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A 8urlington Insurance Company <br /> Frozen Water <br /> Triumph Services INSURER B _ Int.rsta~. Fire .a.n~~sualty __H_ <br /> DBA Ice of Texas "--------- ~-- ---~ ~-~ f- - <br /> Ice Rink Events INSURER C American Home Assurance <br /> PO Box 9419 INSURER D <br /> The Woodlands TX 77387 <br /> INSURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTVVITHSTANDING <br />NJY REQUIRcMEIJT IERM OR COI'Jl) IT ION Or ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT ro WHICH THIS CERTIFICI\TE MAY BE ISS~ED OK <br />MAY PEPTAIN, THE INSURAN:E AFFOPDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS S~OWi, MAY HAVE BEEN RDUCED BY PAID CLAIMS <br />I'''~'' NSRi: TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYYI DATE (MMIDDIYY) LIMITS <br />LTR <br /> GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 <br />A ~l"CC'" "'''''~ "n'" HGLOOl7169 J 10/24/0' 10/24/08 UAMAC,t $ 50,000 <br /> PREMiSES (Ea occuronce) <br /> , <br /> ! CLAIMS MADt ~ OCCUR MED EXP (AnyonE person) $ Excluded <br /> APPRO' ED AS TO F ORt.,,\ PERSONAL & ADV INJURY $1,000,000 <br /> ~ t'~ ~ rA.~/1I1 GENERALAGGR[GATE $2,000,000 <br /> f--- ~_. <br /> GEI'l'L AGGREGJlTE LIMIT APPliES PER (RISK PRODUCTS - COMPIDP AGC. $ 2,000,000 <br /> !Xl n PRO- nLOC MANAGefi <br /> X POL ICY JECl <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I $ Included <br /> o ANY AUTO In <br />A HGLOOl7169 10/24/07 10/24/08 (Ea aCCident) <br /> I ALL OWNED AUTOS E'ODllY INeil I .. t <br /> tJ SCHEDULED AUTOS ,;e' $ LJ.mJ. s <br /> X I HIRED AUTOS I E,ODILY INJURY I $ Above <br /> f-=-J <br /> ~ ~JOI+OWNED AUTOS (Per 8ccJdent) <br /> I <br /> I PROPERlY DI\MAGt 1$ <br /> I (Per aCCIdent) <br /> GARAGE LIABILITY I I\U1O ONL Y EA I\CClDcN' $ <br /> H ANY AUT':' -,._- ----- . . ~.. <br /> OTHER lWIIJ EA ACe $ <br /> i\UTO ONL Y AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $5,000,000 <br />B [J C((iUR D Cl AIMS MADE PFX1003284 10/24/07 10/24/08 AGGRE GATE $5,000,000 <br /> $ <br /> ~i DEDUCTIBLE I $ <br /> X RETENTION $10,000 $ <br /> WORKERS COMPENSATION AND 1 W("STAnJ- I lUfR= <br /> X TORY LIMITS ER <br />C EMPLOYERS' LIABILITY 01/19/07 01/19/08 <br />)lNY PROF.RIETORJPARTNERIEXECUTIVE WC18692S7 TX VA co LA NY E L EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCllIDED? WC1889258 CA 01/19/07 01/19/08 E L DISEASE- EA EMPLOYEE $1,000,000 <br /> lit '.'P' <br /> I SPECIAL below E.L DIS::I\Sc POLICY L1MI r $ 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS I lOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Blkt Additional Insd & Blkt Waiver of subrogation As Required By Written <br />Contract With Respects To General Liabili ty Subject To Policy Conditions. <br /> <br />CERTIFICATE HOLDER CANCELLATION <br />CITYRIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 <br /> <br />DAYS WRITTEN <br /> <br />City of Riverside <br />Margie Haupt <br />3900 Main Street <br />Riverside CA 92522 <br /> <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />TI:U <br /> <br /> <br />@ACORD CORPORATION 1988 <br />