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PROOF OF INSURANCE (2021 - 2022) CLOSED
Client#: 475947 ALLCITYMAN ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/30/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nick Newell Marsh & McLennan NAME;' Marsh &McLennan ns. Agency CLLC v"MCO IvExt;. 949 425 7312 (F"" (A/c. No Agency A IL r 350 S Grand Ave, Ste 3410 DDrt'Es: nick.neweil@marshmma.co m Los Angeles, CA 90071 INSURED All City Management Services, Inc. 10440 Pioneer Blvd., Suite 5 Santa Fe Springs, CA 90670 NAIC # 33138 14478 20044 19437 10120 12203 COVERA ".. GES_ 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. ArYGI 'sUBR POLICY EFP P UdY EX TYPE OF INSURANCE IN$R� POLICY NUMBER (MM/DD/YYYY) �MMPYtIYYYRY) LIMITS LTR. ...- ...- A X COMMERCIAL GENERAL LIABILITY LHA141150 08/01/2020 08/01 /2021 EACH OCCURRENCE $11000'000 X DAMAGE TO RENTED $50,00 O u PREMISES (Ea occurrence) CLAIMS -MADE MAD.E.................. OCCUR_............. _..., MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000000 GEN'L AGGREGATE LIMIT APPLIES POLICY JECT 4 PER: PRODUOTSGCOMPAOPAGG s2,000,000 X PRO - LOC e _ OTHER: ECF8CA00199201 AUTOMOBILE LIABILITY .............. F INSURER(S) AFFORDING COVERAGE INSURER A: Landmark American Insurance Company ............................ .... .................... _ INSURER B: Mercer Insurance Company INSURER C: Berkshire Hathaway Homestate Ins Co INSURER D: Lexington Insurance Company INSURER E: Everest National Insurance Company INSURER F: James River Insurance Company NAIC # 33138 14478 20044 19437 10120 12203 COVERA ".. GES_ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ArYGI 'sUBR POLICY EFP P UdY EX TYPE OF INSURANCE IN$R� POLICY NUMBER (MM/DD/YYYY) �MMPYtIYYYRY) LIMITS LTR. ...- ...- A X COMMERCIAL GENERAL LIABILITY LHA141150 08/01/2020 08/01 /2021 EACH OCCURRENCE $11000'000 X DAMAGE TO RENTED $50,00 O u PREMISES (Ea occurrence) CLAIMS -MADE MAD.E.................. OCCUR_............. _..., MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000000 GEN'L AGGREGATE LIMIT APPLIES POLICY JECT 4 PER: PRODUOTSGCOMPAOPAGG s2,000,000 X PRO - LOC e _ OTHER: ECF8CA00199201 AUTOMOBILE LIABILITY .............. F ANY AUTO CA43601328 OWNED X SCHEDULED AUTOS ONLY ,,,,,,, AUTOS HIRED NON -OWNED X X AUTOS ONLY AUTOS ONLY ..........� B. . .......... ....................... ppp UMBRELLA LIAR OCCUR ... 27307647 EXCESS LIAB CLAIMS -MADE —..... DED RETENTION .$ ..................................... C WORKERS COMPENSATION ALWC238792 AND EMPLOYERS" LIABWLWTY Y / N ANY PROPRIETOR'ePART'NI:RIEX''ECUTIVE OFFIC'EMMEMSER EXCLUDED? NI N/A (Mandatory In NH) If yes describe under 08/01/2020 08/01/2021 EaacIdenlq $1,000,000 2 MI'T COMBINED SINGLE � .t,., 08/01/2020 08101/2021 BODILY INJURY (Per person) $ BODILY INJURY (Per accident)..$.................................................................. PROPERTY DAMAGE ............................................................. m. RRENCE 08/01 /2020 08/01/2021�................................................................................................................................. ex a. EACH V AGGREGATE $3 oo0.._0 0 1....�.. 0...........................�... 01 /01 /20.2.1.......0 ..................... PER OTH- 1/01/2022 . L. EACH. A emsa..... $1..,.000,000 X . E. .. UT �..!.�.E.NT......................._ . E.L. DISEASE - EA EMPLOYEE, ,.11 $110001000 ....�- __ _RDESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 .............................._..............w............,.,._:................ -..._m W..Y..�................. �......... D Excess Layer 080877908 08/01/2020 08/01/2021 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Coverage EI Se undo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g 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 I Pruk, k4o "41 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD AQARRIAAA1IU1IRRO Wnenw INSURED: All City Management Services, Inc. POLICY#: LHA141150 POLICY PERIOD: 08/01/2020 TO: 08/01/2021 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 or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or iagreement that such person or organization be added ias an additional insured on your policy. Location(s) 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 B. 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) desig- nated above. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 INSURED: All City Management Services, Inc. POLICY#: CF8CA00199201 POLICY PERIOD: 08/01/2020 TO: 08/01/2021 COMMERCIAL AUTO ECA 24 503 02 14 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: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM SCHEDULE Name of Person or Organization: ALL PERSONS OR ORGANIZATIONS AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE "ACCIDENT'. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for an "accident" or "loss", provided that you are required under a written agree- ment to waive your rights of recovery. The written agreement must be made prior to the date of the "accident' or "loss". This waiver applies only to the person or organization shown in the Schedule above. ECA 24 603 02 14 Copyright, Everest Reinsurance Company, 2014 Page 1 of 1 O Includes copyrighted material of Insurance Services Office, Inc., used with its permission. INSURED: All City Management Services, Inc. POLICY #: ALWC238792 POLICY PERIOD: 01/01/2021 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY TO: 01/01/2022 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT WC 00 03 13 (Ed. 4-84) 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Where required by written agreement signed prior to loss. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. W 1983 National Council on Compensation Insurance.