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CEWILSI OP ID: C2 ACORO' DATE (MM DDYYYY) CERTIFICATE OF LIABILITY INSURANCE 08/1012017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemenllsl. U1.111117.1 Insurance Services ento Valley Rd. Chuck Battin .,.858-200-3381 INSURER A: Continental Ins. Co. 35289 INSURED C.E. Wilson Corp INSURER B: Valley Forge Insurance Co. 20508 662 Grand Ave INSURERC:Continental Casualty Co. 20443 Spring Valley, CA 91977 INSURERD: State Compensation lns.Fund 35076 INSURER E: INSURER F: CnVFRAGFS CFRTIFICATFNIIMRFR- RFVLCIrIN full IMRFR- THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS I�TRR. TYPE OF INSURANCE CITY OF RIVERSIDE ACCORDANCE WITH THE POLICY PROVISIONS. POLICY NUMBER MMI F MW P LIMITS _ B 7t COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR X 6042934898 08/19/2017 0811912018 EACH OCCURRENCE $ 1,000,00 PREMISE$ Ea ccvnen e $ 100,00 MED EXP (Any one person) s 5,00 INJURY $ 1,000,00 /� r� rr�� /fit nI' )'IrTIOn /j�D GEN'POLICY GATE LIMIT APPLIES PER'. POLICY JEST FI LOC GENERAL AGGREGATE GENERAL AGGREGATE /(�t1 illrlll„J III ✓11(11 V II S 2,001,00 PRODUCTS - COMP /OP AGG $ 2,000,00 Emp Ben. $ 1,000,00 OTHER. A AUTOMOBILE LIABILITY X�ANY AUTO X 6042727587 08/1912017 08/1912018 COMBINED SINGLE LIMIT Ee. =dart S 1,000,00 BODILY INJURY (Per person) $ ALL OWNED ❑AUTOS SCHEDULED AUTOS . I ' X HIREDAUTOS X - NON -OWNED AUTOS BODILY INJURY (Per account) $ PROPERTYDAMAGE Paremdent S S UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 5,000,001 C X �uAB CuIIMS -MADE 6042727556 08/1912017 08/19/2018 AGGREGATE $ 5,000,00 _E_ 0!D X I RETENTIONS $10000 1 S WORKERS COMPENSATION ANDEMPLOYERSLIABILITY D ANY PROPRIETOR/PARTNER/EXECUTNE YIN OFFICER/MEMBER EXCLUDED? NIA 90822D417 01/0112017 01/0112018 X I PER OTH. STATUTE I ER E L. EACH ACCIDENT $ EL. DISEASE - EA EMPLOYEE $ (Mandatory In NH) 'If ,desmbe under CRIPTION OF ORERAII bx EL. DISEASE - POLICY LIMIT $ B Equipment 6042727573 08119/2016 08/19/2017 Leased 8. Rented 200,0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Ramarb Schedule, may be attached If mom space is required) Liability and Auto Liability Certificate Holder is named as an Additional Insured as respects General RECEIVED Hauling Equipment on City Roads, AUG 17 2017 CFRTIFICATF Mnl nFR r:A1Jr:91 I ATInhJ 11. . 1. 1 : � 0 A /A W Il1P RIVE021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF RIVERSIDE ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PUBLIC WORKS AUTHORIZED REPRESENTATIVE 8095 LINCOLN RIVERSIDE, CA 92522 • m 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD i'