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PROOF OF INSURANCE (2020 - 2021) CLOSEDCERTIFICATE OF INSURANCE I ISSUE DATE 8/20/2019 TRIS 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 INSURER(S) AFFORDING COVERAGE Northeast Agency Insurance Services 8209 IBM Dr., Bldg 102 Suite 100 Charlotte, NC 28262 Bayshore Water Conditioning, See Schedule of Named Insureds 10611 Calle Lee Ste 113 Los Alamitos, CA 90720 COVERAGES INSURER A: Colony Insurance INSURER B: N/A INSURER C: INSURER D: INSURER E: Colony Insurance 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 TYPE OF POLICY POLICY POLICY LIMITS LTR INSURANCE NUMBER EFFECTIVE DATE EXPIRATION DATE R GENERAL LIABILITY MP4249138 7/1/2019 7/1!2020 GENERAL AGGREGATE 2,000,000 PRODUCTS-COMIOP AGG. 2,000,000 PERSONAL & ADV. INJURY 2,000,000 EACH OCCURRENCE 2,000,000 DAMAGE PREM RENTED TO YOU 100,000 MEd EXPENSE (Any one person) 5,000 13 PERSONAL LIABILITY COMBINED SINGLE LIMIT MEDICAL PAYMENTS TO OTHERS C EXCESS LIABILITY EACH OCCURRENCE AGGREGATE D EPROPERTY MP4249138 7/1/2019 7/1/2020 BUILDING CONTENTS 100,000 BUSINESS INCOME DESCRIPTION OF OPERATI )NS / SPECIALTY ITEMS Plumbing commercial & industrial, Plumbing residential or domestic, Rental Stores, Banks and Offices other than Governmental - Los Alamitos RPG LLC and Unire Real Estate Group, Inc., are named as additional insureds with respects to general liability. Includes a waiver of subrogation (waiver of transfer of rights of recovery against others to us). CERTIFICATE HOLDER Los Alamitos APG, LLC and Unire Real Estate Group, Inc. 1800 East Imperial Hwy, #205 Brea, CA 92821 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 SIGNATURE CALIFORNIA INSURANCE IDENTIFICATION CARD COMPANY NUMBER COMPANY NAME AND ADDRESS 19232 Allstate Insurance Company 2775 Sanders Road Suite E1W Northbrook, IL 60062-6127 POLICY NUMBER 048308874 EFFECTIVE DATE EXPIRATION DATE 08-13-2019 08-13-2020 THIS POLICY MEETS THE REQUIREMENTS OF § 16056 OF THE CALIFORNIA VEHICLE CODE YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER 2005 FORD ECONOLINE 1FTNE24L95HA33157 AGENCY/COMPANY ISSUING CARD COMPANY PHONE NUMBER B T MCMAHON INS SVC 1-800.255-7828 309 MAIN STREET SEAL BEACH, CA 90740 AGENCY PHONE NUMBER 562-493-2963 INSURED BAYSHORE WATER CONDITIONING IN DBA ECHO WATER SYSTEM 10611 CALLE LEE STE 113 LOS ALAMITOS, CA 90720-6791 IDC.ARDCA 10-11 SEE IMPORTANT NOTICE ON REVERSE SIDE A0948-82-84 'I DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE A4.__- 04/28/2020 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). CONTACT PRODUCER Becky Huddle Insurance Agency I NAME: Rebecca Huddle 729 Sunrise Ave Ste 504 I (A//CC,NN , Ext1: 916-789-7500 FAX, No): 916-789-2545 Roseville CA 95661 I ADMDRESS: staff.rhuddle@farmersagency.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: MID CENTURY INSURANCE 21687 INSURED Bayshore Water Conditioning DBA Elite Water Systems I INSURERB: 10611 CALLE LEE SUITE 113 I INSURER C: LOS ALAMITOS, CA 90720 I INSURER D: I INSURER E: I 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYYI (MM/DD/YYYYI COMMERCIAL GENERAL LIABILITY LIF EACH OCCURRENCE $ CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ JECT PRO ❑ LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY �I I IJ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY $ AUTOS ONLY AUTOS (Per accident) _ HIRED NON -OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLALIAB OCCUR uu EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ F-1 DED RETENTION $ $ WORKERS COMPENSATION© PER I 1OTH- STATUTE ER AND EMPLOYERS' LIABILITY Y/N A ANYPROPRIETOR/PARTNER/EXECUTIVE A0948-82-84 OFFICER/MEMBER EXCLUDED? ❑ N/A 1/1/2020 1/1/2021 E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 �( LJD F7 F—F1 1 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All Operations WAIVER OF SUBROGATION: workers' compensation CERTIFICATE HOLDER City of EI Segundo Fire Dept. 314 Main St. EI Segundo, CA 90245 ACORD 25 (2016/03) CANCELLATION 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 Rebecca Huddle © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Ah FARMERS INSURANCE Named • BAYSHORE WATER CONDITIONING Insured (DBA) ELITE WATER SYSTEMS 10611 CALLE LEE STE 113 LOSALAMITOS CA907206791 NT[qP_1x1T-^1W* Agent Effective 01/01/20 95-39-136A A0948-82-84 2020 Date Policy Number Policy of the Company Year 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 for which you perform work under a written contract that req uires you toobtain this agreement from us. The additional premium for this endorsement shall be 3.0 %of the Workers'Compensation premium otherwise due for the state(s) listed below on such remuneration, subject toa minimum charge of All written contracts in the state(s) of. No This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all the terms of the policy. Countersigned Authorized Representative WC 99 06 19 9-07 Page 1 of 1 93-6369 J6369101