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Crosby Insurance, Inc. P.O. Box 31150 Anaheim CA 92809 Phone: 714-221-5200 Fax:714-22~~5210 MAY 2:2. 200B OP ID RR \ DATE (MMIDD1YYYY) PALOM-M OS/21/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI\ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ACORD.. CERTIFICATE OF LIABILITY INSURANCE PRODUCER r(t::_L;t:IVI::U ..:ITY OF RIVERSiDE ,^--- --. INSURERS AFFORDING COVERAGE INSURER A STEADFAST INSURANCE CO. INSURERB: PROGRESSIVE INSURANCE NAIC# INSURED J,C.Palomar Construction, Inc. 2627 South Main street Santa Ana CA 92707 INSURER C: INSURER D: INSURER E: NAT. UNION FIRE INS. CO. PITTS STATE COMPENSATION INS.FUND 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSRD POLICY NUMBER POLICH, EF EC::!:lYE PgkfEY(~~b~~~~N LIMITS LTR TYPE OF INSURANCE DATE MM/DDly'yf GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 f---- A ~ COMMERCIAL GENERAL LIABILITY GPL5437251-03 10/02/07 10/02/08 UAMAGt:: $100,000 tJ CLAIMS MADE ~ OCCUR PREMISES (Ea occurence) - MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X Pollution Liabili GENERAL AGGREGATE $ 2 ,000 ,000 GEN'L AGGREGATE LIMIT APn PER PRODUCTS. COMP/OP AGG $ 2 ,000,000 I IxI PRO- -- POLICY X JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1,000,000 B ~ ANY AUTO 083184982 10/02/07 10/02/08 (Ea accident) ALL OWNED AUTOS ~FC BODILY INJURY - $ SCHEDULED AUTOS (Per person) - AB ROV RM HIRED AUTOS - /9 BODILY INJURY $ NON-OWNED AUTOS 1 L -:; ), (Per accident) - - PROPERTY DAMAGE $ ---7 -/~ (Per accident) GARAGE LIABILITY ....... ./ ' Risk M anager AUTO ONLY - EA ACCIDENT $ =l ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 C ~ OCCUR o CLAIMS MADE BE6849822 10/02/07 10/02/08 AGGREGATE $ 4,000,000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X I TORY LIMITS I 10J~ D EMPLOYERS' LIABILITY 0442115207 10/01/07 10/01/08 ~_1 ,000 ,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ~.1 ACCIDENT __ --- OFFICER/MEMBER EXGLUDED? EL DISEASE. EA EMPLOYEE $ 1,000,000 If yes, describe under $ 1,000,000 SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *Ten Days Notice of cancellation will be given for non-payment of premium. Re: Arco It 6345, 2624 E. Alessandro Blvd., Riverside, CA Certificate holder is named as additional insured per the attached endorsement. COVERAGES CERTIFICATE HOLDER CANCELLATION SCANNE&RIVE City of Riverside MAY 29 2008 3900 Main Street Riverside CA 92522_. IR" k. M t finanCe IS gm. 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 REPRESENTATIVES. AUTHORIZED REF! ENT E @ ACORD CORPORATION 1988 ACORD 25 (2001108)