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PROOF OF INSURANCE (2020 - 2021) CLOSEDA41whiliti). PRODUCER Ranen Insurance Services, Inc. 22231 Mulholland Hwy. #209-A Calabasas CA 91302 (818) 222-9080 INSURED 'Van Lingen Body Shop, Inc. ,iba: van Lingen Towing 27'55 Lomita Blvd. Torrance CA 90503 (3 10) 370-453'3 c � " ISSUE DATE(MMIDDI a 04/15/20 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. COMPANY A LETTER National Interstate Ins. Co. COMPANY B LETTER Insurance Company of The nest COMPANY c LETTER COMPANY LETTER COMPANY E LETTER 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 TERM'S, EXCLUSIONS AND CONDITIONS OF SUCH 'POLICIES. LIMITS SHOWN MAY HAVE BEEN 'REDUCED BY PAID CLAIMS, CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIDD, DATE (MMIDONY) GENERAL LIABILITY COMM ERCIALGENERAL UABIUTY CLAIMS MADE r x r OCCUR, OWNER'S &CONTRACTOR'S PROT. j4i AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTO'S X SCHEOULEDAUTOS X HIRED AUTOS X NON.OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY K UMBRELLA FORM —II OTHER THAN UMBRELLA FORM B WORKEWS COMPENSATION AND EMPLOYERS' LIABILITY OTHER On - Hook. Garage Keepers DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESiSP'EaCIAL ITEMS rhe City of Sl Segundo, its officers, officials, employees, agent and. volunteers are additional insureds "City Of 21 Segundo Public Works Dept. 350 Main St. El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED EXPIRATION DATE THEREOF, THE ISSI MAIL 10 DAYS WRITTEN NOTICET k LEFT, BUT FAILURE TO MAIL SUCH OTI LIABILITY OF ANY KIND UPON THE O AUTHORIZED REPRESENTATIVE CANCELLED BEFORE THE NTO ENDEAVOR' T OLDER NAMED TO THE ;PSE NO OBLIGATION OR fS 0I3„8EPRESENTATN'ES. GENERAL AGGREGATE s3,000,000 PRODUCTS-COMPIOP AGG. s3,000,000 TPC -4400004-02 11/01/19 11/01/20 PERSONAL BADV. INJURY $1,000,000 I EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any ome IIro) $ 100,000 MED.EXPENSE(Anyoneperson) $ 5,000 I COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY (Per Person) S TPC -4400004-02. 11/01/19 11/01/20 �BODILYINJURY S (For accIdang! PROPERTY DAMAGE S EACH OCCURRENCE $1,000,000 TPC -4400004-02 11/01/19 11/01/20 AGGREGATE s3,000,000 STATUTORY UMITS WVE-5021332-08 04/01/20 04/01/21 EACH ACCIDENT $1, 000, 000 DISEASE --POLICY LIMIT $1,000,000 DGEASE–EACH EMPLOYEE S1, 0 0' 0 1 000 200,000! TPC -4400004-02 11/01/1911/01/20 $ 500,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESiSP'EaCIAL ITEMS rhe City of Sl Segundo, its officers, officials, employees, agent and. volunteers are additional insureds "City Of 21 Segundo Public Works Dept. 350 Main St. El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED EXPIRATION DATE THEREOF, THE ISSI MAIL 10 DAYS WRITTEN NOTICET k LEFT, BUT FAILURE TO MAIL SUCH OTI LIABILITY OF ANY KIND UPON THE O AUTHORIZED REPRESENTATIVE CANCELLED BEFORE THE NTO ENDEAVOR' T OLDER NAMED TO THE ;PSE NO OBLIGATION OR fS 0I3„8EPRESENTATN'ES. INSURANCE COMPANY OF THE WEST PO @x509 an [Wm. CA 92150-9039 Narned Insured, VAN. LINGEN BODY SHOP INC Agent Narm: ARTHUR J GALLAGHER a CO INS 001. VAN LINGEN BODY SHOP INC 2755 LOMITA BLVD TORRANCE CA 90505 002 VAN LINGEN BODY SHOP INC 20621 EARL ^9 TORRANCE CA 90503 0 0 3 B & H INGLEWOOD TOW INC 10219 HAWTHORNE BLVD IXGLEWOOD,CA 9030,4 WC 00 00 01A, (Ed. 6-16) Issue Date: 04-06-20 PoftyNumber: WVE 5021332 08 ' Poficy Period: 04-01-2020 o04 01-20 Risk ID 3246803 FEIN: 95-2564247 SIC Code; 7549 # EMP : IS PHONE # :(310)326-92 Risk ID 3256446803 21 FEIN: 95-2247 SIC Code: '7549 Risk ID 3246803 FEIN: 95-2693042 SIC Code: 7549 # Emp : 9 u3m WAJVER 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 named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires, you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY ing•Zia ZIM 2 % of the total California Workers' Compensation prerri urn W-4 JoDescription ALL CALIFORNIA OPM-NTIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsernent ishssued subsequent to preparation of the policy.) Endorsement Effective 04/01/2020 PolicyNo.WVE 5021332 08 InsuredVAN LINGEN BODY SHOP INC Insurance Company INSURANCE CompANY OF THE WEST FJ Countersigned By Prernium $ INCL. NATIONAL V INTERSTATE NATIONAL INTERSTATE INSURANCE COMPANY 3250 INTERSTATE DR. RICHFIELD,, OH 44286.9000 (330)659-8900 ADDITIONAL INSURED ,,25 NORTH 14A BR A, LLC ,2[0: TULLTUS LAW GROUP 515 S, FL6WER ST., 36TH LOS :UNGELES CA 90071 POLICY INTEREST SCHEDULE Policy Number: TPC 4400004 02 Named Insured: VAN LINDEN BODY SHOP, INC. DBA VAN LINDEN TOWING �, ent HAVEN INSURANCE SERVICE, INC POLICY INTEREST SCHEDULE ADDITIONAL INSURED CALIFORNIA DEPARTMENT OF MOTOR VEHICLES FLOOR P.O. BOX 932370 MS G875 SACRAMENTO CA 94232-3700 MOTOR CARRIER PERMIT BRANCH A1:301"TIONAL INSURED r:LIFORNIA HIGHWAY PATROL BUSINESS SERVICES SECTION P.0BOX 942898 SACRAMENTO CA 94298 CONTRACT SERVICES UNIT ADDITIONAL INSURED CAL:fFORNIA HIGHWAY PATROL CONTRACT SERVICES UNIT 60: N. 7TH STREET. SACRAMENTO CA 95811 ADDITIONAL INSURED CIT',r OF GARDENA POLICE 1. "/00 W: 162ND, ST. GARDENA CA 90247 ADDITIONAL INSURED CALIFORNIA HIGHWAY PATROL 19700 HAMILTON AVE. TORRANCE CA 90502 *ADDITIONAL INSURED CITY OF EL SEGUNDO PUBLIC WORKS DEPT. 350 MAIN ST. EL SEGUNDO CA 90245 ADDITIONAL INSURED DEPT. CITY OF MANHATTAN BEACH RISK MANAGER 1.400 HIGHLAND AVE. MANHATTAN BEACH CA 90266 ADDITIONAL INSURED CITY OF PALOS VERDE$ ESTATES 340 PALOS VERDES DR. WEST PALOS VERDES CA 90274 AODITIONAL INSURED CITY OF TORRANCE CITY CLERKS OFFICE 3031 TORRANCE BLVD. TORRANCE CA 90503 ADDITIONAL INSURED CITY OF TORRANCE FLEET SERVICES DIVISION 20500 MADRONA AVE. TORRANCE CA 90503 ADDITIONAL INSURED COUNTY OF LOS ANGELES SHERIFF DEPT. 4700 RAMONA BLVD. MONTEREY PARK CA 91754 issued Date: 11/27/2019 PCNTSCH-0101 INS Page 1 4110069 J Of 4 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 W L W . W L W k COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization(s): The Cit of EL Segundo, its officers, officials, employees, agents volunteers A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or orgqnization(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 your acts or omissions or the acts or cmis- sions of those acting on your behalf: 1. In the performance of your ongoing opera- tions; or 2. In connection with your premises owned by or rented to you. However: 'l. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2- If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance afforded to such addi- tional insured will not be broader than that which you are required by the contract or agreement to provide for such additional in- sured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Avaflable under the applicable Limits of in- surance shown in the Declarations; whichever is less. This endorsement shall not increase the applic- able Limits of Insurance shown in the Declara- tions. CG 20 26 04 13 Insurance Services office, Inc., 2012 Page I of I Wolters KJuwer Financial Services I Uniform FormsTM, El