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PROOF OF INSURANCE (2020 - 2020) CLOSED
0 I DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE V 5/2/2019 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 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 I UANPIAUI Certificat,,, .. e Desk Knight Insurance Services PH'rsNE (818)662-4200 PAX n„rnrca-91 L.2 g Al!EAfI!tloN: 535 North Brand BoulevardE"MAIL Certs@KnightIns.net ADt?RE'SS: Suite 1000 INSURER(S) AFFORDING COVERAGE ^ NAIC # Glendale CA 91203 INSURER A: Landmark American Insurance Company Q33138 INSURED INSURER B: Everest Indemnity Insurance Co, 110851 All City Management Services Inc INSURERC:Allied World National Assurance Co. 110690 10440 Pioneer Blvd # 5 uINSURER D:Houston Casualty Company 142374 I INSURER E: Santa Fe Springs CA 90670 1INSURER F: COVERAGES CERTIFICATE NUMBER:19/20 Master REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 1710 6 (NSR TYPE OF INSURANCE 11. L� POLICYEFFPOLICY EXP LIMITS LTR TYPE POLICY NUMBER IMMIDDlYYYYI I (MMIDO/YYYY.I.... .,. X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE OCCUR DAMAGE _._MAG r.NILD __I&rA"„ 9Lffon5M . $ 50,000 .............................. X LHA140537 5/1/2019 5/1/2020 MED E+,I' (Any and I.)cmon) $ 5,000 PERSONA( & Al:)V INJURY $ 1,000,000 ' GENERAL AGGREGATE $ 2,000,000 G1i::1•dLAGI.�yhJ:GATl..: LIMITAPPI WS PER ECT -,Of' PRODUCTS - COMP/OPAGG 5 2,000,000 01HER, > AUTOMOBILE LIABILITY -� CI:1Kw'9 Fdrul 'F'IP„CLE t.IP�II ”' Pe"":ra�i�cc,co+rni $ 1,000,000 BODILY INJURY (Per person) tl B ANYAUTO ALL OWNED X SCHEDULED X 111CA00167-191 b/1/20'19 5/1/2020 I:J(")f.)cr IL'( INJURY (I'acddenl) $ AUTOS AUTOS NON -AWNED PROPE:RIY DAMAGE $ X HIREDAUTOS X F4URDSI1d..nT.acodon" 5 UMBRELLA LIAR HCI OCCUR 1st Layer (Primary) EACII OCCURKr N(",F $ .............. 3,000,000 C X EXCESS LIAB /ilM;i-MADE. AGGREGAf E $ 3,000,000 _ OED I X I RI,..TLNfIUN $ 10,000 5/1/2019 5/1/2020 $ WORKERS COMPENSATION ,0311-8404 yyPER 1 H p STATUTE k G �. R AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORlPARTNERlEXECUTIVE�, Not Applicable i I:i L EPoCH AC.C.:IDII'V Y' $ OFFICERIMEMBER EXCLUDED N /A -(Mandatory in NH) I. [I 01,51":ASr FA I"MPLOYEL: S If yes, describe under F L DISCA' IE " POLll„,Y LIMI I' S DFSCRIPTION OF OPERATIONS below D I Excess Liability 2nd Layer (Secondary) 5/1/2019 5/1/2020 Finch OCCUErem"e of E�m ,uY 1 $5,000,000 Occ $0 Retention I H19xC50744-02 5310 Pnma,y l nnil $5,000,000 Agg DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) As respects General Liability and required by written contract; Certificate Holder is named as additional insured. Insurance is Primary & Non -Contributory. Waiver of Subrogation applicable. Sexual Abuse 6 (Molestation not excluded with respects to General Liability. Auto Liability Additional Insured included as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE E1 Segundo ; I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Finance Director 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE I ©19'88-2014 ACORD CORPORATION. All rights reserved'.. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) POLICY NUMBER: LHA140537 EFFECTIVE: 05/01/2019 - 05/01/2020 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. weiel I r • • IL I. • "` r MrAIA IONF This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Org.anization(s): ANY PERSON(S) OR ORGANIZATION(S) TO WHOM OR TO WHICH YOU ARE OBLIGATED BY VIRTUE OF A WRITTEN CONTRACT OR BY THE ISSUANCE OR EXISTENCE OF A WRITTEN PERMIT, TO PROVIDE INSURANCE SUCH AS IS AFFORDED BY THIS POLICY. Location(s) Of Covered Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 0704 © ISO Properties, Inc., 2004 Page 1 of 1 LANDMARK AMERICAN INSURANCE COMPANY POLICY#: LHA140537 EFFECTIVE: 05/01/2019 - 05/01/2020 This Endorsement Changes The Policy. Please Read it Carefully. RIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE µms" Name of Person or Organization: " Any Person or Organization As Required By Written Contract The following is added to SECTION IV — CONDITIONS, 8. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payment we make for injury or damage arising out of your ongoing operations, "your product" or "your work" done under a written contract with that person or organization and included in the "product -completed operations hazard". This waiver applies only to the person or organization shown in the SCHEDULE above. This endorsement effective 5/1/2019 forms part of Policy Number LHA140537 issued to All City Management Services Inc by Landmark American Insurance Company RSG 14048 1008 Includes copyrighted material of Insurance Services Office, Inc. 1992 with its permission. LANDMARK AMERICAN INSURANCE COMPANY POLICY* LHA140537 EFFECTIVE: 05/01/2019 - 05/01/2020 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Al - PRIMARY NON-CONTRIBUTORY - WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Blanket Additional Insureds - As Required By Contract A. Subject to the Primary and Non -Contributory provision set forth in this endorsement, SECTION II -WHO IS AN INSURED is amended to include as an additional insured any person or organization whom you have agreed in a written contract, written agreement or written permit that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury" or "property damage" or, to the extent applicable under the Coverage Part to which this endorsement applies, "personal and advertising injury" caused, in whole or in part, by: 1. Your ongoing operations, "your product", or premises owned or used by you; With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or, to the extent applicable under the Coverage Part to which this endorsement applies, "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services by or for you, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrong -doing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or, to the extent applicable under the Coverage Part to which this endorsement applies, the offense which caused the "personal and advertising injury", involved the rendering of, or failure to render, any professional architectural, engineering or surveying services. 2. Your maintenance, operation or use of equipment, other than aircraft, "auto" or watercraft, rented or leased to you by such person or organization. A person or organization's status as an additional insured under this endorsement ends when their contract, or agreement with you for such rented or leased equipment ends. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the rental agreement or equipment lease expires. The provisions of this coverage extension do not apply unless the written contract or written agreement has been executed (executed means signed by the named insured) or written permit issued prior to the "bodily injury" or "property damage" or, to the extent applicable under the Coverage Part to which this endorsement applies, "personal and advertising injury". MUS 01 01 20128 0316 Insured Copy Page 1 Of 2 Primary and Non -Contributory Provision The following is added to Paragraph 4. Other Insurance, b. Excess Insurance under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance shall be excess with respect to any person or organization included as an additional insured under this policy, any other insurance that person or organization has shall be primary with respect to this insurance, unless: 1) The additional insured is a Named Insured under such other insurance; 2) You have agreed in a written contract, written agreement or written permit to include that additional insured on your General Liability policy on a primary and/or non-contributory basis; and 3) The written contract or written agreement has been executed (executed means signed by the named insured) or written permit issued prior to the "bodily injury" or "property damage" or, to the extent applicable under the Coverage Part to which this endorsement applies, "personal and advertising injury". Waiver Of Transfer Of Rights Of Recovery The following is added to Paragraph 8. Transfer of Rights Of Recovery Against Others To Us under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: We will waive any right of recovery we may have against a person or organization because of payments we make for "bodily injury" or "property damage" arising out of your ongoing operations or "your work" done under a written contract or written agreement and included in the "products -completed operations hazard", if: You have agreed to waive any right of recovery against that person or organization in a written contract or written agreement; 2. Such person or organization is an additional insured on your policy; or 3. You have assumed the liability of that person or organization in that same contract, and it is an "insured contract'. The section above only applies to that person or organization identified above, and only if the "bodily injury" or "property damage" occurs subsequent to the execution of the written contract or written agreement. All other terms and conditions of this policy remain unchanged, MUS 0101 20128 0316 Page 2 of 2 EVEREST INDEMNITY INSURANCE CO. POLICY# CFICA00167-191 EFFECTIVE 05/01/2019 - 05/01/2020: COMMERCIAL AUTO ECA 04 521 04 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. � 'IIM Ili • � � �! M � � • �" � This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART SCHEDULE Name Of Additional Insured Organization Blanket where required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. - -- ........................................................._..—.._.......__............................................................................................................................................................._- The following is added to the Who Is An Insured paragraph under Section II - Liability Coverage: The organization shown in the Schedule with respect to the operation, maintenance, or use of a covered "auto" if you are required to add such organization to this policy as an additional insured in order to comply with the terms of a written "insured contract" or written agreement. This does not apply when such contract or agreement: A. Involves the owner or anyone else from whom you hire or borrow a covered "auto" unless it is a "trailer" connected to a covered "auto" you own; or B. Is executed after the date of 'loss". This paragraph does not apply if: 1. The terms and conditions of the written "insured contract" had been agreed upon prior to the "accident" or 'loss"; and 2. You can definitively establish that the terms and conditions of the written "insured contract' ultimately executed are the same as those which had been agreed upon prior to the "accident" or "loss". ECA 04 521 04 14 Copyright, Everest Reinsurance Company, 2014 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., used with its permission Client#: 515739 ALLCITIES DATE (MMIDD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 1/04/2019 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(les) must have ADDITIONAL INSUREDrovision p s 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CNT'AC'1 Nick Newell Marsh & McLennan Agency LLC PFA E 73 858-452-7530 Marsh & McLennan Ins. Agency LLCE-MAIL n �WtN ck9Newe hMM (Apt No) I II 12 Way INSURER(S) AF Mars NAIC i@ 1 Polaris Wa #300 .... °� m E... .... Aliso Viejo, CA 92656 FORDING COVERAGE mmmmmm�,,, INSURER A;Casualty tante Co 673 INSURED , ' „ ... INSURER B : Berkshire Hlalhaway Home ale In2004_ ....,.._ Homeatele Ins Co 044 All City Management Services, Inc. INSURER C 10440 Pioneer Blvd., Suite 5 INSURER D;: Santa Fe Springs, CA 90670 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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 IF I N ISUBR' MDYEFF ,MJ�UYX P LTR ONSURA INSR WVD POLICY NUMBER IMIDIYY) (MIdNiYY ) LIMITS COMMERCIAL GENERAL ABILITY EACH OCCURRENCE $ V CLAIMS -MADE V, OCCUR PRF.,.,,IC�FREN aa aancal................... GENT AGGREGATE LIMIT APPLIES PER: PRO POLICY ,JECT V LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED I O SCHEDULED AUTOS ONLY AUTS HIRED NON -OWNED AUTOS ONLY ��, AUTOS ONLY UMBRELLA LIAB I OCCUR Yr, EXCESS LIAB CLAIMS -MADE RETENTION DIED M ION $ A WORKERS COMPENSATION ALWC921969 AND EMPLOYERS" LIABILITY B ANY PDGF'RIE'1'0h4A''PAf�kl lgERiC'X'ECUTIVE Y I N ALWC922043 OF ICERIIAEMBE'R EXCLUDED'? l N N / A (Mandatory in NH) I If yes, describe under DESCRIPTION OF OPERATIONS below MED EXP (Any one Derson) .PERSONAL ..$...............................-. ..... 0p $ & ADV IN,�U.R.Y.... AGGREGATEGENERAL $ PRODUCTSCOMPIOP G PA $ CO),^3N D"SINGLL.LIWT . j IEe,d6 r,ai'J�rP FP '� b BODILY INJURY (Per person) $ BODILY INJUR NJURPer accident $ ... . Per .m".[,alert"y EACH OC URRENCE .- C $ ... _. ____�._._..... _AGGREGATE ..._. $ 41/0112019 01/01/2020 X �-STATUTE i�T I LR 01/01/2019 01/01/2020 000,000 E....D; EASECEAEMPLOYEE L 001000 $1..4............................ . EL DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION EI Se undo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Deborah Cullen; Finance Director ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo, CA 90245-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD :ec,Aona7niIu,%onn4,2z Wnerlu INSURED: All City Management Services, Inc. POLICY #: ALWC921969 POLICY PERIOD: 0110112019 TO 01101/2020 WORKERS COMPENSATION AND EMPLOYERS LLA NJITY INSURANCE POLICY WC fl! 04103 (Ed. 9-114) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyone liablo for an injury oovored 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 con ract that requires you to obtain this agreement from us.) The addillonalppremium for this endorsement shall be of (he total manual premium otherwise due an such remuneration. The minimum premium for this endorsement is This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. BCHEDULE BLANKET WAIVER PersonlOrganlzetlon Blanket Waiver — Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Job Description All CA Operations This endorsement mwges" poky to which It Is attached and Is ~a on the data Issued unless otherwise stated, (The InfOrrns on below Is required only when this endoreeerent In Issued subsequard to preparation of the policy,) Counterelgned by WC 09 04108 (Ed. 9.14)