<br />I
<br />\
<br />i
<br />'J... CERTIFIC~A~E OF LIABiliTY INSURANCE :A/!7:8Q8"1
<br />..~" UCIIl (909)794-9'100 'P1 (.9~}1" D THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />. ':f)F RIVERSIDE ONLY AND CONfERS NO RIGHTS UPON THE CERTIFICATE
<br />SC Insurance Service., ,nc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />3lp86 Yucaipa Blvd \ {\PRl 1 2008 AlUR THE COVERAGE AFFORDED BY TM! POLICIES BELOW.
<br />
<br />~cai'D. CA 119ta39i9 INSURERS AFFORDING COVERAGE MAIC'
<br />INIUIlED In,.:>1\ .. ,........MENT INSURIiRA:Netherlands Insurance Co.
<br />Louie Giannini III, DlIA! ~.Q. Bngineering INSIJRI'RB I
<br />PO. Box 3.1 INSUR~RC'
<br />'I I
<br />INSURER D:
<br />CA~~J~ ~~~
<br />
<br />Yucaipa
<br />
<br />THIPOllCIES OF INSURANCE liSTED B L~ ~VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOmTHSTANDING ANY
<br />RE~UIREMENT. TERM OR CONOIT1ON 0 NY CONTRACT OR OTHER DOCUMENT 'MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
<br />'!Hit IN5URAl'lCE AFFORCED BY THE_ pC ICIEs DESCRIBED tlEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOIllONS OF SUCH POLICIES.
<br />'-....If ......Vl' ~c .. ' ......
<br />
<br />111M "DO'L TY"E 0' lNSUlVoNCI ! "OL.IC'\' NUMBER Pfk~:=~'1' ,,""ICY Pf'IM'11ON
<br />
<br />I O~EIVoL UAalun t=
<br />...--- 0 E TO RENTED
<br />-10 COMM ERe1l\l.GENERAL~tAlll\lT'
<br />
<br />I--- CLAllolS MADE 0 ac ~ M ton' 5
<br />
<br />I _____..,
<br />
<br />LINITS
<br />
<br />s
<br />
<br /> \ ~~u".., 5
<br />\ nLAGG~En ~IMlT nS 'II: -- .-- I
<br /> I Pl'II toy I P,t~ III t
<br />[ ~TOUO.IU UAlllIW I I CQNBINED SINGLE I.IIoIIT S 1,000.000
<br /> lea ecciOInll
<br /> I ~ ANY AUTO \ I
<br />A ! AU. Q\'lHED AUTOS u.!lJ90991 3/12/200B 3/12/2009 Bool!.Y INJURY
<br /> ~ APPR7v TO fORM (p.. p.......) s
<br /> i ~ SCHt:DUI..~OAUTOS , \
<br /> , ~ HIRED AUTOS I BOOll Y INJIJRY 5
<br /> I ~ tlOIol-OIMlED IlUTOS I I (P...~II
<br /> , L(z::V;~ ~ PRopE"n DAMAGE
<br /> ; 1-- 5
<br />Ii I (Per .......nlI
<br />11 ROE UAIIUT'i 7::/-7/ RJaIj Manager i ."""'CNlY-UACCrDENT ,
<br /> I "NY AUTO \ I OTHER Tt1AN .. .~~ I.
<br /> AUTOON.'\', AGe s
<br /> , .
<br /> \ OEUlUlIllll.ELLA LIAIIUT'i \ $
<br /> OCCUR. 0 Cl.AINSWPE ,\-At' t>fl,"'Jt..~ 6"'~nt A"'''RFt'.A,TF $
<br /> \ .\ it'I_ EndOroe ot\C8 $
<br /> H DEDUCTIat.E I ~ Go'd L\a~\i Ca.nce\\atiO ~ N 'b\e" 5
<br /> R~romno. .. '" \t1e e"e..~t...~.. ~, -Hi\\ ne re~ on&' :..:... Is.
<br /> r.oltll.lllt' COUH.NIA11C)N AND "'"'1 -,fie f'\'l:l,''': e en p..u~' p~ { ~ST~l\l.: 1 10Jt'-
<br /> .....L.OYER'. UAatUTY \ \ 'Of no\~\"9 ~-C lBrt\1\ca\8 ~O\ e. I "I. EACH Al'lCIDEWT Il
<br /> ~Y pROPRIElORiPAATHEAlEXECUlNE end/ot
<br /> fflCEMIlfM61!1I EXCLIIOED? I E.\. o",,,..~c:.~'" ~UPLnYEE S
<br /> ::''':I~~N''''''- I I " L. DISEAS". l>t'lllr.y liMIT S
<br /> ~1ltl~ I
<br /> , i
<br /> I
<br />
<br />I
<br />on ~"Oll 0' OI'EM T10NIII\.OCA'1101I$lVE)tI~L ~~UaI0"I ADDEO I" ENDORSEMENT/SPECIAL PROVIIIONI
<br />U: ~1d. "Q. 6592 _ B&nb~~ Ddlia StJnl Drain. cert1.f1cat:a holdar and 1.t:. o~f;.car. and .mploy... ara included .a
<br />-t.~. ,~- .,'" ~........ <0 <_0<" ..... .... "'. at...... ....,._.t OS'" ,,<,'iI'''. ,. "".. ,,,,,... .,..
<br />ON '1'ION EXCUT 10 nAYS' 1'('" irON PAno:N'f 01' l'1\DaUM
<br />
<br />\
<br />CERTIFICATE HOlD!;~
<br />-r
<br />
<br />I
<br />I
<br />city of River.ide \ I
<br />I C/O City Attorney ! ED
<br />I it~~r:~~;: ~oo 9~:~~ 'SeANN
<br />I bu~ 2. 6 100~
<br />\ . /0' II Mgrot-.,
<br />, r\Oance n\SI'
<br />
<br />I
<br />I
<br />
<br />CANCELLATION
<br />
<br />tHOUl.tI ANY Of THE AIOI/E DISCRI81!.D fOLICIES IlE eANc.u.I:O 8E.-ORE ~I
<br />
<br />&IlPIMTlOfl DATE THEREOf', TNE ISSUING INSIJI\ER WI..\. ENDIAI/OR TO IIIAIL
<br />
<br />~ DA'l'I WItlTTlN NO"TlC1 TO TliE CEI\T1P1CATI "OLDIER NAMED TO TNI LEPT. BUT
<br />
<br />'A1L.U.... TO gO 10 IHA..\, IlIIl'OSE NO 08UOATlON OR UABIUTY 0' AllY KIND UPON TliE
<br />
<br />INIU"'IL I'" AOEN'" OR REPIlIEIElITA11VES.
<br />AUTliOft1l;EO IlEPIIEUNTA'l1I1E" ,... IlA_ ~~~ ~
<br />I . '\ Oi I l _ ,^^. y- ~-
<br />IJttt' -
<br />e>ACORO CORPORATION 1988
<br />
<br />Pa~ 1 al2
<br />
<br />ACORD 25 (2001/08)
<br />lNS016101011\.llIIa
<br />
|