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PROOF OF INSURANCE (2023) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 01/20/2022 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMAVVELY 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 case ` Rebecca Zannetti h9A11T STERLING INSURANCE GROUP PHONE (586) 685 0152 AX (SS6) 323.5703 AA'" 13900 Lakeside Circle . AIL _.._ Raanr,uRf'r'rtabcRsrYYnamarsr nrerr+.rvnm m INSURER(S) AFFORDING COVERAGE NAIC # .......... Sterling Heights MI 48313-1318 INSURERA: Amerisure Insurance Company 19488 INSURED INSURER B Fire -Call LLC INSURER C : 3250 W Big Beaver INSURER D : INSURER E : Troy MI 48084 INSURER F COVERAGES CERTIFICATE NUMBER: CL221427074 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 MAYBE 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. lNbR LTR TYPE DFINSURANCE 'FNWL. pNSD bulcu< VyyD POLICYNUMBER POLIwY EFF (MM)DDIYYYYL POLIdY EXP IMMIDONYYY1LIMITS .............. ......... .......... ` '' GOfd M ERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS dOCCUR _...... S"0i $ 1,000,000 -MADE PRMEa orrarrenco MED EXP (Any ons person) $ 10,OOD A CPP21110210102 01/11/2022 01/11/2023 PERSONALBADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGG_REGAT_E $ 2,000,000 PRL 2,000,000 POLICY .}lI;T LOC PRODUCTS-COMPIOP AGGW ,$ OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE ... ...._.._.._. LIABILITY SoRCA.f d..Pit $ 1.000,000 Ee r�rmBarA °, ANYAUTO BODILY INJURY(Perperson) $ A OWNED AUTOS ONLY SCHEDULED . AUTOS CA21110200102 01/1112022 01/1112023 BODILY INJURY (Per accident) s HIRED NON -OWNED I'NCA1-"n1Y ORldvtA as $ �.... AUTOS ONLY AUTOS ONLY Pftrarmdo Y $ X, UMBRELLA LIAR X - ._........................ . 5,000,000 OCCUR FACH OCCURRENCE $ A EXCESS LIAB C 1,AIMS-MADE CU21110220102 01/11/2022 01/11/2023 AGGREGATE $ 5,000,000 I X1 10,000 DED RETEN'Y ON 9 $ WORKERS COMPENSATION PER OTH- X AND EMPLOYERS' LIABILITY YIN .STATUTE ER A ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA WC211101101 01/11/2022 01/11/2023 EL EACHACCIDENT _ S 1,000,000 (Mandatory In NH) EL. DISEASE -EAEMPL.OYEE.,$ 1,00D,000 If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo, its officials and employees are named as additional inusred with respect to general liability as required by written contract Coverage is primary and non-contributory. City of El Segundo 350 Main Street, Room 5 E) Segundo ACORD 25 (2016/03) 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 CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD