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NSURANCE DATE (MWDDNYYY) <br />CERTIFICATE OF LIABILITY I 1/11/2010 <br />A CORD <br />M <br />PRODUCER (661)834-6222 P'AX: (661~2f~~/[y <br />8 <br />aA <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> <br />D;._,, . _ <br />OF <br />Walter Mortensen Insurance <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />CA License #OD44424 JAN 2 0 2010 <br />~-it <br />8500 Stockdale Hwy., #200 <br />Bakersfield CA 93311 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED %JCIVItN 1 <br />INSURER A: Praetorian Insurance <br />DBA: 21st Century Solar <br />Inc <br />MohrPower Solar <br />INSURER B: Allstate Insurance <br />19232 <br /> <br />, <br />1452 Pomona Rd <br />INSURERc:Majestic insurance <br />INSURER D: <br />Corona CA 92882 <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />REQUIREMENT <br />, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />TE LIMITS SHOWN MAY HAVE BEE 4 REDUCED BY PAID CLAIMS, <br />INSR <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MWDD/YY <br />POLICY EXPIRATION <br />DATE MWDD/Y <br />LIMITS <br />RAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />GEN <br />X <br />E <br />IAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />irrencel <br />$ 100,000 <br />A <br />COMMERC <br />Fx_] <br />H010001325 <br />1/1/2010 <br />1/1/2011 <br />MEDEXP (Any one person) <br />$ 5,000 <br />CLAIMS MADE <br />OCCUR <br />PERSONAL INJURY <br />$ 1,000,000 <br />GENERAL AGGREGAT <br />$ 2,000,000 <br />REGATE LIMIT APPLIES PER: <br />' <br />PRODUCTS A <br />$ 2,000,000 <br />GEN <br />LAGG <br />X POLICY PRO LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />X <br />(Ea accident) <br />ANY AUTO <br />B <br />ALL OWNED AUTOS <br />048785487 <br />6/15/2009 <br />6/15/2010 <br />BODILY INJURY <br />$ <br />(Per person) <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />TROT , <br />r <br />TO ~ <br />RM <br />(PBODILY er ac INJURY <br />(Per accident) <br />$ <br />NON-OWNED AUTOS <br />PROPERTY DAMAGE <br />$ <br />(Per accident) <br />GARAGE LIABILITY <br />j <br />AUTO ONLY - EA ACCIDENT <br />$ <br />R <br />k <br />X <br />OTHER THAN EA ACC <br />ANY AUTO <br />1S <br />61 <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />AIMS MADE <br />FIC <br />AGGREGATE <br />L <br />OCCUR <br />$ <br />EDUCTIBLE <br />$ <br />D <br />RETENTION <br />C <br />WORKERS COMPENSATION AND <br />X WC STATU- OTH- <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />020070393703 <br />6/1/2009 <br />6/1/2010 <br />E.L. DISEASE - EA EMPLOYEE <br />1,000,000 <br />If yes, describe under <br />SPECIAL PROVISIONS el <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />$ <br />OTHER <br />*10 Day Cancellation <br />Notice Applies for <br />Non-Pa nt <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: Casa Blanca Solar Carport Photovoltaic Installation The City of Riverside,its officers & employees are added as <br />additional insured on the general liability policy per the attached CG2010 07/04 endorsement and on the auto policy <br />per policy contract subject to the terma,conditions & exclusions of the policy.Waiver of subrogation applies per <br />attached CG2404 10/93 A written contract is required for additioanl insured & waiver of subrogation endorsements to be <br />valid. <br />PAN(`CI I ATInW <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Riverside <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />C/O City Attorney <br />30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />City Hall 3900 Main Street <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />Riverside, CA 92522 <br />INSURER ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE O <br />/ <br />r <br />Ronald Burcham/JFRENC <br />- <br />ACORD 25 (2001/08) <br />INS025 (0108).08a <br />WA.-UMva,VnrVnM1"ly 1V00 <br />Page 1 of 2 <br />