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PROOF OF INSURANCE (2021 - 2021) CLOSEDT alb � DATE (MM/DD/YYYY) e...,'" R"'� CERTIFICATE OF LIABILITY INSURANCE 9/21/2020 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). PRODUCER ... ... CONTACT' Jones Blchlmeler Insurance Services P 11 HONE 2 FAX �� 22 730 S. Pacific Coast Hwy Suite #201 ��,gCh3101376-8852 IAC,Not. 15 Redondo Beach CA 90277 ADDRESSMAIL chaneIJJ@5bi%1 A cc�pro I INSURER F COVERAGES CERTIFICATE NUMBER: 1153651369 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. R klL1CP .................... — .. INSi2 TYPE OF INSURANCE A'DDL SUBS fnC11.MIC'Y EFF' POV.ECb° EiC�P LIMITS LTR IN POLICYNUMBER IMM1DD1YYY'Y3,,,,,J,MM0DNYYY) A COMMERCIAL GENERAL LIABILITY Y Y 2AA335337 9/18/2020 9/18/2021 EACH OCCURRENCE I $ 2,000,000 CLAIMS -MADE � OCCUR 0 4MA E T6 RENTF�ti,,,,,,, — PREM „(,�a occurrence) I../ AFFORDING COVERAGE INSURER 5 ................... ............................. NAIC # Any one person) MED EXP (., n) INSURER A: A : Evanston Insurance Co. 35378 INSURED ALPHOME-0... 2 IMsuRe B. CO CALIFORNIA AUTOMOOM $3,0 Omega Fish Venture, L LC INSURECOMPANY RC: AN WESTERN SURETY CNY „ 334.2 13188 dba Fish Window Cleaning UMBRELLA OTHER, 1, _ 17252 Hawthorne Blvd., #101D: [INSURER 7/16/2020 7/1612021 COMBINED SINGLE p. MiT (� ,I:cidanr'1 .............._. Torrance CA 90504 m $ I INSURER F COVERAGES CERTIFICATE NUMBER: 1153651369 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. R klL1CP .................... — .. INSi2 TYPE OF INSURANCE A'DDL SUBS fnC11.MIC'Y EFF' POV.ECb° EiC�P LIMITS LTR IN POLICYNUMBER IMM1DD1YYY'Y3,,,,,J,MM0DNYYY) A COMMERCIAL GENERAL LIABILITY Y Y 2AA335337 9/18/2020 9/18/2021 EACH OCCURRENCE I $ 2,000,000 CLAIMS -MADE � OCCUR 0 4MA E T6 RENTF�ti,,,,,,, — PREM „(,�a occurrence) $10D 000 -- Package Policy x 0...... .. X-- cka .... U Any one person) MED EXP (., n) ` V $ 6,000 .� .. .. .------ X Blanket Al PERSONAL &ADV INJURY $2,000,0,0,0 GE.N'L, AG'GREG'ATE LIMIT APPLIES PER:000 LAGGREGATE $3,0 -- PRO• LOC POLICY yECT PRODUCTS Included $, .......„ C UMBRELLA OTHER, AUTOMOBILE LIABILITY BA040000053604 7/16/2020 7/1612021 COMBINED SINGLE p. MiT (� ,I:cidanr'1 $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNEDAUTOS X SCHEDULED BODILY INJURY (Per accident) $ ONLY HIRED AUTOS NON -OWNED fTL7PERTY DAMAGE $ XAUTOS ONLY X „ AUTOS ONLY I �?�ar,,scu14tl�n�_ .... $ UMBRELLA OCCUR EACH $ EXCESS L ABAB CLAIMS -MADE IS D RETENTION $ -AGGREGATERRENCE $ WORKERS COMPENSATION ( PER I 1O'T'H- TAT.. !g ANO EMPLOYERS' LIABILITY YIN „ ANYPROP'RIETOR/PARTNI.RIEKECt17➢VE ACCIDENT $ ......................... OFFICERWFMBBREXCLUDED'P NIA (Mandatory in NH'p E......,, . E,L DISEASE EMPLOYEE ..DISEASE.-....... ........................... .. - It ns, describe under DESCRIPTION OF OPERA'T'IONS' below E L POLICY LIMIT $ C Bond 63343945 9/12/2020 9/12/2021 Employee Dishonesty 50,000 it ... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Window Cleaning. The City of ElSegundo per endorsement MEGL 0009-01 09 18 is named additional 'ins'ured, Primary & Non -Contributory CG 20 01 04 13 Waiver of Subrogation per MEGL 0241-01 05 16 apply for General Liability when required by written Contract or agreement. The City of El Segundo, its officers, officials, employees, agents and volunleers are narned additional i'n'sured, 30 day notice of cancel applies or 10 day notice for non-payment. CERTIFICATE HOLDER 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. City of EI Segundo 350 Main Street AUTHORIZED REPRESENTATIVE EI Segundo CA 90245 �� / ©1988-2015 ACORD CORPORATION. All rights reserved„ ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 2AA335337 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $0.00 (Check box if fully earned ❑) Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. Who Is An Insured is amended to include as an additional insured any person or entity to whom you are required by valid written contract or agreement to provide such coverage, but only with respect to "bodily injury", "property damage" (including "bodily injury" and "property damage" included in the "products -completed operations hazard"), and "personal and advertising injury" caused, in whole or in part, by the negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. The insurance afforded to such additional insured will not be broader than that which you are required by the valid written contract or agreement to provide for such additional insured. Our agreement to accept an additional insured provision in a valid written contract or agreement is not an acceptance of any other provisions of such contract or agreement or the contract or agreement in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to such additional insured for injury or damage of any type to any "employee" of the Named Insured or to any obligation of the additional insured to indemnify another because of damages arising out of such injury or damage. B. With respect to the insurance afforded to these additional insured, the following is added to limits of insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the valid written contract or agreement; or 2. Available under the applicable limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable limits of insurance shown in the Declarations. All other terms and conditions remain unchanged. MEGL 0009-01 09 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. COMMERCIAL GENERAL LIABILITY CG 20 0104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 ©insurance Services Office, Inc , 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY 1111 POLICY NUMBER: 2AA335337 MARK'" EVANSTON INSURANCE COMPANY 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 GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Person Or Organization: Additional Premium: $ The following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV — Commercial General Liability Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule of this endorsement with respect to written contracts that exist between you and such person or organization, provided you have agreed in writing to furnish this waiver. This waiver applies only to the person or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged. MEGL 0241 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. „, DATE (MM/DD/YYYY) C CERTIFICATE OF LIABILITY INSURANCE Acct#: 2741131 9/22/2020 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 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 Willis Towers Watson Midwest, Inc. PHONEasoe FAX 5700 W 112th Street, Ste. 100 (AIC. Ns�° gxt) aaa-zsoInce° N°)'— E-MAIL r atfNrlii1,y corn Park, KS 66211 ADDRESS ....' G to INSURED Barrett Business Services, Inc. L/C/F ALPHA OMEGA FISH VENTURE, LLC DBA: FISH WINDOW CLEANING 15665 HAWTHORNE BLVD, STE D LAWNDALE, CA 90260 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. ILA'R ...TYPE OF I .. .NCE. .......—_iAM GA1. �,,,, 0606” EFF POL .. .- .. , .. ..... N' ' ... � � CEY EMIP S SURA POLICY NUMBER fMMfDOJYYYYri tMMlDDiYYYYtl LIMIT COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR,;bEhPoIaS.Iti.SN'pracqvcrencp) $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECt .......... PRO. LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS f AUTOS NON -OWNED HIRED AUTOS AUTOS VUMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/FXECUTIVE NIA X A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below MED EXP (Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ N O M�6 Ea S NPVGLE LIMIT I,. $ BODILY INJURY (Per person) ff6V $ BODILY INJURY (Per accident) $ FRbTE:ViT AMAGE --- }.$,,,,, -(Pier k'd XA9 n. $ EACH OCCURRENCE AGGREGATERRENCE $ E. STEAT TE (OTH XL EACH ACCIDENT ER _____ $ 2,000,000 068612214 7/1/2020 7/1/2021 �.E..L...DISEE-EA EMPLOYEE $ 2,000,000 DISEASE -POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Policy State = CA Waiver of Subrogation in favor of certificate holder when required by written contract El Segundo CERTIFICATE HOLDER City Of EI Segundo 350 Main Street EI Segundo, CA 90245 ACORD 25 (2014/01) 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. AUTHUnitcu mc—acm iATIVE 3, A Au— _ ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number Barrett Business Services, Inc. L/C/F ALPHA OMEGA FISH VENTURE, LLC DBA: FISH WINDOW CLEAN Policy Number 15665 HAWTHORNE BLVD, STE D Symbol: Number: C68612214 LAWNDALE, CA 90260 Policy Period Effective Date of Endorsement 7/1/2020 TO 7/1/2021 9/22/2020 Issued By (Name of the Insurance Company) Ace American Insurance Co. Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule Specific Waiver Name of person or organization: (x) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be INCLUDED percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: INCLUDED WC 99 03 22........ Authorized Agent A