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2020/04/02 Advance Refrigeration & Ice Systems, Inc. Certificate of Liability InsuranceACORON ADVRE-3 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 04/03/2020 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 ri this certificate does not confer hts to the certificate holder in lieu of such endorsement(s). PRODUCER 909-980-4211 TACT Silverstone Insurance Services PHONE 909-980-4211 FAX Advantage Insurance C. No, Ext ; iAr- No 1_ PO Box 1200 sara i verstone ns.com Rancho Cucamonga, CA 91729 SSM Robert W. Young INSURE S AFFORDING COVERAGE NAIC # INSURER A: Insurance Com Danv of the West 127847 INSURED Advance Refrigeration & Ice Systems, Inc. 1433 W Linden St Ste A Riverside, CA 92507-6816 INSURER B : INSURER C INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: RFVISI0N NI IMRFR• 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 INSRI TYPE OF INSURANCE ADDL SUBR: POLICY NUMBER POLICY EFF POLICY ExPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR $ DAMAGE TO RENTED PREMISES (Ea a=rence MED EXP (Any oneperson) PERSONAL & ADV INJURY CRY of EN'LAGGRE ATE LIMIT APPLIES PER: PO- PPOLICYJERCT � LOC GENERAL AGGREGATE $ Flnanc 1nifee PRODUCTS - COiVIPlOP A G $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT cciden $ BODILY INJURY (Perperson) $ . ANY AUTO OWNED SCHEDULED SAUTOS CHEDULED Received AUTOS ONLY UOTOSONLD ONLY AU BODILY INJURY Peracciden $ DAMAGE (per UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAR CLAIMS -MADE DED I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY yl ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? l.._! (Mandatory in NH) If yes, describe under DESCRIPTION F OPERATIONS be N / A Y 'WSA505482600 04/0212020 04IO2I2021 X PER UTF OTH- EL EACHACCIDENT 1,000,000 $ EL DISEA E - EA EMPLOYEE 1,000,000 I- p y I7 1,0��,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Contract #5285. WCWOS per #WC990634 800 attached. *10 Day notice of cancellation in the event of non-payment of premium. *30 Day written notice for policy cancellation. CITMENI City of Menifee and its officers, employees,agents and authorized volunteers 29714 Haun Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE c V.-r- ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON/ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 04/02/2020 Policy No. WSA505482600 Endorsement No. Insured Advance Refrigeration & Ice Systems, Inc. Premium $ INCL . Insurance Company INSURANCE COMPANY OF THE WEST �� Countersigned By WC 99 06 34 (Ed. 8-00) INSUFEO