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" CERTIFICATE OF LIABI <br />DATE <br />Yy <br />LITY INSURA <br />PRODUCER Phone: 877-587-4999 Fax: (877) 373-5&08 <br />BACCARELLA INSURANCE SERVICES, INC. <br />/23/2009 <br />NCE <br />10/23/2009 <br />THIS CERTIFICATE IS ISSUED A MATTER OF INFORMATION <br />6864 INDIANA AVE. # 201 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />RIVERSIDE CA 92506 - <br />RS I s FtS(€ti. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW, <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED ..SK %,,'A A GFAAF <br />G.K. BACKLUND, INC. & RSM RENTALS <br />INC <br />INSURER A: United Specialty Insurance Company 12537 <br />, <br />. <br />C/O ANDREW BACKLUND <br />INSURER B: Mercury Casualty Company <br />19907 TEMESCAL CANYON ROAD <br />E <br />INSURER C: National Union Fire Ins. Co <br />CORONA <br />92881 <br />INSURER D: Majestic Insurance Company <br />INSURER E: Peerless Insurance Company [THSTAN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER NAMED RESPECT FOR WTHE HICH LLI S CERTIFICATE INDICATED BE ISSUED ORDINI <br />DOCUMENT WITH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />wsR ADD' TYpE OF INSURANCE <br />LTR INSR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />)A F <br />GENERAL LIABILITY <br />DATE (MIMM=- LIMITS <br />FEC61000959 10/19/09 10/19110 EACH OCCURRENCE $ <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />CLAIMS MADE OCCUR PREMISES Ea occurence $ <br />A :f--, MED. EXP (Any one person) $ <br />GEN'L AGGREGATE LIMIT APPLIES PEF <br />POLICY X PRO- L01 <br />OX OMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />B SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE LIABILITY <br />R ANY AUTO <br />Z-XCE S / UMB RELLA LIABILITY <br />CCUR Q CLAIMS MADE <br />EDUCTIBLE <br />ETENTION $ 10,000 <br />WORKERS COMPENSATION AND <br />WURY $ <br />ATE $ <br />) P AGG. $ <br />06/15/09 <br />06/15/10 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />BODILY INJURY <br />(Per person) <br />A O <br />ORM <br />BODILY INJURY <br />(Per accident) <br />7 <br />PROPERTY DAMAGE <br />(Per accident) <br />RIS <br />Manag-r <br />AUT <br />O ONLY - EA ACCIDEN <br />OTHER THAN EAi <br />AUTO ONLY: <br />10119/09 <br />10119/10 <br />EACH OCCURRENCE <br />AGGREGATE <br />$ <br />$ <br />$ <br />I WC $ <br />EMPLOYERS' LIABILITY 2 11/01/08 11/01109 X ORYTLIM TS OTHER <br />D ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 <br />OFFICERIMEMBER EXCLUDED? <br />It yea, describe under E.L. DISEASE-EA EMPLOYEE $ 1,1 <br />SPECIAL PROVISIONS below <br />OTHER: Scheduled Equipment E.L. DISEASE-POLICY LIMIT $ 1 I <br />E Leased/Rented Eugipment CBP8298898 07/10/09 07/10/10 $924,521 Total Limit, $1,000 Ded <br />$300,000 Aggregate limit, $2,500 Ded <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />*10 DAY NOTICE FOR NON PAYMENT OR NON REPORTING OF PAYROLL* <br />RE: Airport Industrial @ 6421 Central Ave., Riverside, CA City of Riverside is hereby named as Additional Insured per form CG033 <br />(07/04) attached. <br />1, <br />1,000,000 <br />CITY OF RIVERSIDE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />3900 MAIN STREET EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS <br />RIVERSIDE, CA 92522 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS <br />AGENTS OR REPRESENTATIVES. <br />Attention: I I G <br />beth Van On c7XR1'"fe <br />ACORD 25 (2001/08) Certificate # 59242 <br />© ACORD CORPORATION 1988 <br />AC11066310 <br />BE086309669 <br />02007043470 <br />