Loading...
PROOF OF INSURANCE (2020) CLOSEDilCORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 04/13/2020 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). .... ea PRODUCER CONTACT NAML Annette Lop... .....-................ .... ... Jones & Maulding Insurance PHONE , t ,.E t'. 1.0 )...4.8.6-470.1....xZ.Z.S...............................................................1 WC, NOL (8 5�...4.8.6:.20.8.7. P.O. Box 1312 MAm anne!tBTjandminsurance.com IL u ................................................................ Oxnard CA 93032tRERtRI AE GROIN.C?.Gs9v.ERc?.PFe............................................... .....................NAIC. ,.,.........,. )NsuRER A , Travelers Casualty Insurance Co. of America INSURED Boiling Point Creative Group -1932-Curtis Avenu' IN,$41RER D Redondo Beach CA 90278 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 INSR �,ADDL,' UBR POLICY EFF POLICY EXP J TR TYPE OF INSURANCE INS %�.rvn POLICY NUMBER IMM/DOdYYYYI dMM/DD(YYM LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $$_ 1,000,000 DX DAMAGE TO RENTED A —... CLAIMS -MADE OCCUR' $ 300,000 P@EpidiES lEa.pC WLt�Ge................................ X 680-5D878300 0912112019 09/2112020 MED EXP rAny one person) S 5,000 C'£N L R,GGREC,ATE LIMIT APPLIES PER: POLICY FRO -LOC ECT OTHER AUTOMOBILE LIABILITY ANY AUTO AO WNED OS ONLY SCHEDULED AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY C - UMBRELLA LIAB OCCUR ....,, �........�m[CLNM§-"MAqE,pEpESLI�9.... -. , RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y,1 N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below PERSONAL & ADV RY S 1,000,000 II GENERAL AGGREGATE $ 2.000.000 „PRO. �.,. ,.,.-...,.,.COMP/OP AGG ...�..?t DUCTS - _.,.�.,...� ..S._ ,000,0,..... 00 .,.,.,.,.,.,. .,.,.,.,., o-;G7urffi£:•Y�INEDti9h;C�m7�.E��'�:.ItlolT $ iFn of pr. rrrrGj ................................................. ,BODILY INJURY (Per person) $ L............................................................................................................................................................... $ PROPERTYDAMAGEaoadenQ ROPERTY . .,,. .... P t� $ EACH OCCURRENCE S AGGREGATE $ $ STATIITP FORH E L EACH ACCIDENT S EL DISEASE - EA EMPLOYEE S EL DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is named as an Additional Insured in accordance with the policy provisions of the General Liability per form CG D2 47 0419 - Scheduled Additional Insured CERTIFICATE HOLDER CANCELLATION The City of EI Segundo, its Officers, Officials, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Employees, Agents and Volunteers ACCORDANCE WITH THE POLICY PROVISIONS. 401 Sheldon St. EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ©1988 20W ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 680-5D878300-19-42 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 04/10/2020 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULED ADDITIONAL INSURED (Includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE OF ADDITIONAL INSUREDS AND COVERED OPERATIONS NAME OF PERSON OR ORGANIZATION: THE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS 401 SHELDON ST EL SEGUNDO CA 90245 PROJECT/LOCATION OF COVERED OPERATIONS: GRAPHICS DESIGNS PROVISIONS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization shown in the Schedule Of Additional Insureds And Covered Operations that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" on or for the project, or at the location, shown in the Schedule Of Additional Insureds And Covered Operations, to which the written contract or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Of Insurance. b. The insurance provided to such additional insured does not apply to: (1) Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: CG D2 47 04 19 © 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 COMMERCIAL GENERAL LIABILITY (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an 'occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the 'occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the 'occurrence" or offense. (2) If a claim is made or "suit' is brought against the additional insured: (a) Immediately record the specifics of the claim or "suit' and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit' as soon as practicable. (3) Immediately send us copies of all legal papers received in connection with the claim or "suit', cooperate with us in the investigation or settlement of the claim or defense against the "suit', and otherwise comply with all policy conditions. (4) Tender the defense and indemnity of any claim or "suit' to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. Page 2 of 2 © 2018 The Travelers Indemnity Company. All rights reserved. CG D2 47 04 19