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2019/06/01 Raceway Ford, Inc. Certificate of Liability InsuranceA � �� DATE D/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/25/4l252019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 OWATONNA, MN 55060 Lity Ut INSURED fl -t /, RACEWAY FORD, INC 5900 SYCAMORE CANYON BLVD RIVERSIDE, CA 92507-0719 CONTACT NAME: CLIENT CONT ADDRESS: CLIENTCONTACTCENTER FEDINS.COM INSURER(S) AFFORDING COVERAGE INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 279-067-3 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 44 REVISION NUMBFR- n NAIC # 13935 THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR T TYPE OF INSURANCE �ADDL INSR :SUBR WVD POLICY NUMBER POLICY EFF M/ / POLICY EXP MMIDDIYYVV LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $500,000 � CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea ac rr nc $100,000 MED EXP (Any one person) EXCLUDED A N N 9829275 06/01/2019 06/01/2020 PERSONAL& ADV INJURY $500,000 GEN'L X AGGREGATE LIMIT APPLIES PER: iPOLICY ❑ JECT PRO- ❑ LOC GENERAL AGGREGATE $1,000,000 PRODUCTS - COMPIOP AGG $1,000,000 BOTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) BODILY INJURY (Per person) ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE r f X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $15,000,000 A EXCESS LIAB CLAIMS -MADE N N 9829278 06/01/2019 06/01/2020 AGGREGATE DED 'RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y I y PER STATUTE OTH- ER E.L. EACH ACCIDENT ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? .. NIA E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT AUTO DEALER LIABILITY N N 9829275 06/01/2019 06/01/2020 AUTO LIAB - EA ACCIDENT $500,000 A GENERAL LIABILITY - EACH ACCIDENT $500,000 -AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) FOR REASONS OTHER THAN NON-PAYMENT OF PREMIUM, 30 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE -HOLDER IN THE EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY. CERTIFICATE HOLDER CANCELLATION 279-067-3 440 CITY OF MENIFEE AND ITS OFFICERS EMPLOYEES AGENTS AND AUTHORIZED VOLUNTEERS 29714 HAUN RD MENIFEE, CA 92586-6540 SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD