Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
PROOF OF INSURANCE (2020 - 2021) CLOSEDy DATE (MMIDDIVYYY)
CERTIFICATE OF LIABILITY INSURANCE utl
5/2/2019
THIS CERTIFICATE IS ISSUED ASA 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 IN'SU'RED, 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 NlAiVf til Certificate Desk
..........�
pllo'I'E(B18) 662-4200 °`AX
Knight Insurance Services IArp,. No EkIY' IArc, n;'.
535 North Brand Boulevard
A'II CerteeKnightIns.net
Suite 1000
INSIJ I AFFORDING COVERAGE
..... . .......
NAIC p
'Glendale 91203
YNSUReR A : Landmark American Insu............
ranee Corelrsany
3313'8
INSURED
INSURER a �: Everest Indemnity Insurance
.....:
All City Management Services Inc
"'tO.,.H........._._............_..
INSURER C ;141.�11Od World t�ratl0a Co.
.... nalAs
10 651
_ 90
10440 Pioneer Blvd # 5
�9tY1"�
1NSURCRDaHouston Caalaalty Cois
42374
INSURER . �
.............
Santa Fe Springs CA 90670
INSURER 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,
BY PAID CLAIMS
OFSUCH POLICIESLIMITSSHOWN MAY HAVE BEEN REDUCED BY -
EXCLUSIONSoMM
IRSR ' POLICY NU ?AD r: R.
ITR TYPE OF INSURANCE ,teF'.'...
PO4RCY E'FP POLIOYEXP'I ..
YMMPDDNY'YYY'Y °YMVMID17fV'YYYY V
11
X COMMERCIAL GENERAL LIABILITY
..LIMITS
EACH .�. _
�.....
1, ODD, 000
--- ....-....
A CLAIMS -MAGE X OCCUR
r�R'tI",IIt.1ir:`rE
� (,IPI", r�r �,r5
DC+R.Id",Cit nosy w�rar 1
�....., _..._.
5 0, 00..
..� �.......,�..........
..�
X LHA140537
I..
5/1/2019 5/1/2020 I u,J trm
NIL` rr �,n�, w�.rr:, .�ru1
5,000.
_.
:rq,Id,;,• r"�r,',�nr.,ur1,,, I
1,000,000
€'�aENEn+`il frE'J71$I�•,hIF $
2,000,000
�II'Lp
Pi L7
'Itr.la
R DUC7S- COMPIOPAOG S
2,000,000
....J ECT re,
L._.X
I�
tr $
1,00o,000l
AUTOMOBILE LIABILITY
d . nlM Cori r,
BODILY UJJURY (Per person)
aNYAu7o
OWNED EDULED CF1CA00167-191
AUTOS AUTOSX
NON -OWNED
UXHI,
5/1/2020ud'"I
4 "n
'-
IrIP[w„�r' 1hi1ami
"4m1,A UIO r "
X HREDTOS
I'
rr
_
q`
5
UMBRELLA LIAR let Layer LPxin y)
�..1ll"�� ill '1 5
3,000 000
X EXCESS LIAB 1 1V r:a,•�,,_
dll
�� III II 5
3,000 000
C _......
p
DIED I X N R lfl.'I: I'q1 Yu.1'd s 3-11,000 0311-11404
.9/3-/2619 5/1/2020
WORKERS OOF+IPENSATIOId
AND EMPLOYERS° LIABILITY YIN
ANY PROPRIETORIPARTNERdEXECUTIVE NIA Not Applicable
OFFICERIMEMBER EXCLUDED9
L, I II r1 r, II I' 11 -
(Mandy°ory In NH)
I 1=�,,q C, 'e L,P° S
Ir yrs, describe under
r 4. V ', "JvI ,V I74Z1 S,
DF$."F 1p QIION1'00v.'
.
.,,..,
D Excess Liability y (secondary)
y
5/1/2019 5/1/2020 1.,1 1.,��� SII ""' $5,000,000
Occ
$0 Retention 1119XC50744-02
o. l Fillpi 11JI $5,000,000
Agg
DESCRIPTION OF OPERATIONS f LOCATIONS r VEHICLES (ACORD i01, Additional Remarks Schedule, may be attached If more space Is requited)
As respects General Liability and required by written contract; Certificate Holder is named as additional
insured. Insurance is Primary I 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
THE EXPIRATION DATE THEREOF, NOTICE
WILL BE DELIVERED IN
E1 Segundo ; } n^ ACCORDANCE WITH THE POLICY PROVISIONS.
Finance Director
350 Main Street
AUTHORIZED REPRESENTATIVE
E1 Segundo, CA 90245
. I
I
0 1988 2014 ACORD CORPORAT .,
ION. All rights re'sOrYed'.
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.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(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.
Locations) 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 0 ISO Properties, Inc., 2004 Page 11 of 1
LANDMARK AMERICAN INSURANCE COMPANY
POLICY#: LHA140537
EFFECTIVE: 05/0112019 - 05/01/2020
This Endorsement Changes The Policy. Please Read It Carefully.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST
OTHERS TO US ............ .
This endorsement modifies insurance provided under the following.-
COMMERCIAL
ollowing:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
PROD UCTSICOMPLETED OPERATIONS LIABILITY COVERAGE FORM
SCHEDULE .
Name of Person or Organization:;w
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
S: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 Ser _.._.�_...._...
vices 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
i�
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:
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 0120128 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 B. 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;
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# CF1 CA001 67-191
EFFECTIVE 05/01/2019 .06/01/2020:
COMMERCIAL AUTO ECA 04 521 04 14
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED ORGANIZATION
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
SCHEDULE
Name Of Additional Insured Organization
Blanket where required by written contract
complete this Schedule, ' n in the Declarations.
Information require, to
i not shown above, will be shown
The following is added to the Who Is An Insured
paragraph under Section 11— 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#: 475947 ALLCITYMAN
ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY)
1 1/02/2020
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.
IM'P'ORTANT: It the certificate holder is an ADDITIONAL......._ .............
.......I andconditio s of the IloliceScerta certainDmalOreAu require ......................._
this If UcertificateRTI does WAIVED,
subject
fights to the certificate , policies Y 9 an endorsement. A statement ew....
p P Y( Y') INSURED provisions or........
any
h endorsed.
on
rtificate holder in lieu of such endorsement(s).
PRODUC
R C
Marsh & an Agency LLC C A O TACT 949-425-7312 _a A 1
ick
Marsh E& McLennan Ins. Agency LL NAME.
Nick.Newell@MarshMMA.com (Asp
ADpRESS.�I c ewell@MarshMMA.com 858 452-7530
g Y EMAIL
350 S Grand Ave, Ste 3410 _ INSURER(S;) AFFORDING COVERAGE
/ NAIC #
,.......,, INSURER A: Berkshire Hathaway omes..........I .. ,
Los t
Angeles, .... �........ 44
_ ... All City Managementna H _. .. 0
INSURED Y'.'.'.
e Ins Co
ED INSURER 6 1
Services, Inc.
10440 Pioneer Blvd., Suite 5 INSURER C: ._._........ _ ........ L ...........
Santa Fe Springs, CA 90670 INSURER D: - .........'.'�'' ............•
INSURER E:
1 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
AID CLAIMS.
iNSR............^ _
ADDLT!Ugff
LTR
_ OF INS IINSR !WVD POLICY NUMBER
^Y Y
ryyMDWYYYTYPE LIMITS
yx ( )
COMMERCIAL GENERAL ABILITY
EACH OCCURRENCE
- CLAIMS -MADE Ul OCCUR
RAV,101% RENTED
Ei5 iYC'akddenC��'........,...$
$.
............................
r, ..,. ..
MED E.�..W..._._...
(Any one person)
....................
$
_....... _. ...................-.
PERSONAL & ADV INJURY
$
E AGGREGATE LIMIT APPLIES
mmES PER:
GENERAL AGGREGATE
$
PRO-
_..��..........._._
_.
POLICY JECT LOC
-
PRODUCTS -COMP/OP AG
$....
-
,OTHER:
._. ..
........G
........
AUTOMOBILE LIABILITY
— --. ... ....... -- -- COMBWNED SINGLE LIMP 1
...Fr. S0, 0G . 'enI _... ...
(WJ
..-$
ANY AUTO
BODILY INJURY Per
Y( person)
(Per P.
....
$
OWNED _.....''
AUTOS ONLY
SCHEDULED
AUTOS
BODILY INJURY
Y� accident)
...........................
$
HIRED
AUTOS ONLY
NON -OWNED
AUTOS ONLY
PPROPERTYf5.AM.. AGr..
„P -r acct,
_
$
UMBRELLA LIAB
.
E..CH OCCURRENCE
$
�.....�CUR
EXCESS
SS LI AB
M CLAIMS ADE
AGGREGATE
$
DED RETENTION $.
.......... ...
,...
A ALWC132445
AND EM'PLOY'ERS'
............._._
01/01/2020 01/01/2021 X PER T OTH-
(EACH
LIABILITY Y / N
. _, J R. ...$,1,
OFF[ p�O'P ENISER'�VEXCLNE'F'&JEXECUTIVE
OPO PLS RIETO EXCLUDED? I NJ N / A
E L ACCIDENT
,OOU'..........._
000
(Mandatory In NH)
E.L, DISEASE - EA EMPLOYEE
$1,000,OUO
If yes, describe under
.........
.. •........
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$'1 ,0O0,QOO
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Evidence of Coverage
CERTIFICATE HOLDER
CANCELLATION
EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
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
#S4609337/M4609141 WOAQH