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CERTIFICATE OF LIABILITY INSURANCE °ionsizo;s' <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 BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), 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 1S WAIVED; subject to <br />the terms and conditions of the policy certain nnlic-_iPS may rt=m drP an Anrinrcr=mpnt A ctatarr�ant nn thin rartifirnta rfnac not rnnfnr rinhtc to tha <br />vv... r,r. I.Z0..kr.r •ter 411v <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT Richard Eichhorn <br />NAME: <br />Breckenridge Insurance <br />3870 S. Lindbergh, Ste 100 <br />St. Louis, MO 63127 <br />(A/C, No, Ext ): 314- 725 -8394 (AI�C. N 314 - 7.25 -4317 <br />E -MAIL reichhorn @breckis.com <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE NAIC # <br />INSURER A : United States Fire Insurance Company 21113 <br />INSURED 15591 <br />Sports & Recreation Providers Assn. Risk Management, Inc. INSURERB - Great American Insurance Company <br />INSURERC: <br />Ice Cold Entertainment, Inc. <br />4 Gleneagles Dr. INSURERD: <br />Newport Beach, CA 92553 iiNSURERE: <br />INSURERF: <br />COVERAGES 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 RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SIJCH PCH IC:IFS I IMIT� SHnwN MAY HAVF RFFN RFni lr.pn RY PAin Cl AIMR <br />ISR <br />FIR <br />TYPE OF INSURANCE <br />ADDL <br />1NSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MMIDDNYYY) <br />POLICY EXP <br />(MWDDlYYYY) <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERC #AL GENERAL LIABILITY <br />CLAIMS -MADE 1 ! OCCUR <br />�� <br />X INCLUDES ATHLETIC PARTICIPANTS <br />GEML AGGREGATE LIMIT APPLIES PER: <br />PRO- LOC <br />X POLICY <br />FIJECT <br />SRPGAP-101 -0715 10/20/2015 10/20/2016 <br />12 :01 AM <br />APPROVEE <br />SRPGAP- 101 -0715 10/20/2015 10/20/2016 <br />12:01 AM <br />GENERAL AGGREGATE <br />$ 2,000,000.00 <br />PRODUCTS - COMP /OP AGG <br />$ 2, 000, 000.00 <br />PERSONAL ADV INJURY <br />$ 1 ,000,000.00 <br />EACH OCCURRENCE <br />$ 1,000-000.00 <br />FIRE DAMAGE (Any one fire) <br />$ 300,000.00 <br />MED EXP (Any one person) <br />$ 5,000.00 <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />A <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />ALTOS AUTOS <br />HIRED AUTO NON -OWNED <br />AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accident} <br />$ 1,000,000-00 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per arddent) <br />$ <br />$ <br />B <br />UMBRELLALIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />XS 3717685 <br />Cert #3075 <br />1 0/20/2015 <br />10/20/201 <br />12:01 AM <br />EACH OCCURRENCE <br />$ 3.00 D00.00 <br />AGGREGATE <br />� 3 000,000.00 <br />DE❑ RETENTION � <br />$ <br />$ <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more space is required) <br />POLICY DEDUCTIBLE- $0.00 PER EACH BODILY INJURY OR PROPERTY DAMAGE CLAIM. <br />Certificate Holder is An Additional Insured, But Only As Respects The Operations Of The Named Insured . <br />CERTIFICATE HOLDER CANCELLATION <br />City of Riverside <br />3903 Main St. <br />Riverside, CA 92522 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />John W. Frazier <br />Q 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) Tha ArnRn nnma and Innn Ira ranictari=H mnrice of ArnRn <br />