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PROOF OF INSURANCE (2019 - 2020) CLOSEDOP ID: DR � CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 11/30/2018 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 CONTACT Michelle A Nowell Alliance Mgt. 8: Insurance Sery PHONE FAX 355 Via Vera Cruz #7 IL�C9_N21.760-471-7116fl„�); 760-471-9378 CA Agent/Broker Llc# 0737966 EMAIL Sart Marcos, CA 92078 ADOREss: mnoWell@amiscorp.com Michelle A. Nowell 4r1lcEax C'9§TPM9 isp;ANINIA 1 HIRED AUTOS mm NON -OWNED AUTOS UMBRELLA LIAB X OCCUR X EXCESS LIAB CLAIMS -MADE A -- XL00450542 11/11/2018 DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F N I A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below (PER ACCIDENT) p EACH OCCURRENCE 11/11/2019, AGGREGATE I WC STATU- I OTI-P- E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE' $ SEASE-POLICY LIMIT 1 $ $ 1,000,000 $ 1,000,000 DESCRIPTION OF OPERATRON I,LOCATIONS P VEHICLES Attach ACORD 101, Additional Remarks Schedule, if more space is required) Prot fof in rauunnce, 7 lis Cerci lc to it vo d if altered. Certificate Holder mai' be adl ed upon request, Investigations, CA -- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Barry Aninag Investigations ACCORDANCE WITH THE POLICY PROVISIONS. LLC 27758 Santa Margarita Pkwy 594 AUTHORIZED REPRESENTATIVE Mission Viejo, CA 92691 n A n a 17 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD AFFORDING COVERAGE NAIC # INSURED...... B.A. investigations, LLC INSURER A:cce ptance Casualty Ins Comp 10349 Barry Aninag Investigations """""""""..... °'°'°................"°” LLC INSURER B 27758 Santa Margarita Pkwy 594 INSURER C: Mission Viejo, CA 92691 INSURER D: 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 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 ADDL SUBR LTR TYPE OF INSURANCE INSR I.yVn POLICY NUMBER .........P IMMIDDNYYYI IMMIDDIYYYYI LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 COMMERCIAL A LIABILITY XCLAIMS-MADE GENERAL CP00961685 11/11/2018 11/11/2019 I?SES„DAMACETO{E„�, or�,u �,.on) ....,....ED.$ .......... .��..e ...... 100,000 .............................................000 ..____.,. S- ADEX I OCCUR MRDED EXP (Any one per X Errors 8: Omission ^ PERSONAL &ADV INJURY $ ...... ,..........................5,000,000 1,000,000 .........................................._........................................._............................................................................ GENERAL AGGREGATE $ ...................................,.,..............,.,.......,.,.,.,.,.,.,.....,.................,.,.,.,.,.... .....,.,.,.,.. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $ ................... 1,000,000 X1 POLICY I� arR 1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ -- (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ .�._. SCHEDULED AUTOS........ PROPERTY DAMAGE m HIRED AUTOS mm NON -OWNED AUTOS UMBRELLA LIAB X OCCUR X EXCESS LIAB CLAIMS -MADE A -- XL00450542 11/11/2018 DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F N I A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below (PER ACCIDENT) p EACH OCCURRENCE 11/11/2019, AGGREGATE I WC STATU- I OTI-P- E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE' $ SEASE-POLICY LIMIT 1 $ $ 1,000,000 $ 1,000,000 DESCRIPTION OF OPERATRON I,LOCATIONS P VEHICLES Attach ACORD 101, Additional Remarks Schedule, if more space is required) Prot fof in rauunnce, 7 lis Cerci lc to it vo d if altered. Certificate Holder mai' be adl ed upon request, Investigations, CA -- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Barry Aninag Investigations ACCORDANCE WITH THE POLICY PROVISIONS. LLC 27758 Santa Margarita Pkwy 594 AUTHORIZED REPRESENTATIVE Mission Viejo, CA 92691 n A n a 17 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CP00961685 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE P Name Of Additional Insured Person(s) Or Ornanization(s,) Automatic Status Included Where Required by Written Contract. All Where Required by Written Contract. "It is agreed, as respects the Policy, thirty (30) days notice of cancellation, except as respects non- payment of premium, for which ten (10) days notice will apply, or other regulatory requirements that may apply, will be given as respects the indicated certificate holder." Information reouired to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organ- izations) shown in the Schedule, but only with re- spect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE ENDORSEMENT This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART To the extent that this insurance is afforded to any additional insured under this policy, SECTION N - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, is deleted in its entirety ,and replaced with the following condltioM 4. other Insurance It all of the other insurance permits contribution by equal shares, we will follow this method unless the Insured fs required by written contract signed by both parties, to provide insurance that Is primary and non-contributory, and the "Insured oontracC is executed prior to any i'oss. Where required by a vidtien contract signed by both parties, this insurances will be primary and noir-contributing only when and to the specific extent required by that contract. However. under the contributory approach each Insurer contributes equal amounts unfit It has paidits applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other Insurance doss not permit contribution by equal shares, we will contribute by frog b. 'Linder this method, each insurer's share is based on the proportional ratio of Its applicable limit of Insurance to the total' applicable limits of Insurance of all Insurers. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement farts a part of the Policy to which attached, effective on the inception date of the Policy unless otherwise stated herein. (The following information is required only when this endorsement Is Issued subsequent to preparation of the Policy.) Endorsement effective Policy No. CP00961685 Endorsement No. Named Insured Barry Aninag Investigations, LLC Countersigned by CIGL 30 0114 VEHICLES ON POLICY PROOF OF INSURANCE YEAR MAKE VEH IA a Interinsurance Exchange of the Automobile Club 2009 ACM �YD2884 24 ,sc1MC F51FA16MI NAIL #: 15558 a�tiiiiil 1 ii m 111111111111 o 11 m m 11 Named Insured Policy Number: GAA 062277418 1 ANINAG. BARRY' x DRIVERS ON POLICY AWAG, Effective We: 01-2049 Expiration Date: 01-20-20 This policy pro0dw at WO IM Minknum emMnta 4i 4011W brad by the CA VEN COM SECTKW 16M to the and and may %r and other wbwka as provided by policy. CITY OF EL SEGUNDO WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECTS AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE -COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LABOR CODE § 3706, INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury under the laws of California one of the following declarations: (_,) I have and will maintain a certificate of consent of self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Labor Code § 3700 for the performance of the work set forth the agreement with the City of EI Segundo. Policy No. (_) I have and will maintain workers' compensation insurance as required by Labor Code § 3700 for the performance of the work for which the agreement with the City of EI Segundo is executed. My workers' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # U (certify that, in the performance of the work set forth in the agreement with the City of EI Segundo, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to a workers' compensation provisions of Labor Code § 3700 1 must Signature of c I cant visio or he agreement will automatically become void. immediately comply with th e pro /.,/ 9 PP Date �7 Agreement for: r.?� t� (l '' S Dated: Reviewed by:�'