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PROOF OF INSURANCE (2022) CLOSED
BOBHALL-02 1.iP ACOROA CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)512 12022 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 CON ACT Marta Fleming HUB International Insurance Services Inc. c Nam ..._m PO Box 4047 EX.A!,.OPN 1 Hu6r--2159 (/ N-51mm231 2572 Concord, CA 94524-4047 �Pd0 66, ... � nati nal.Com INSURED Bob Hall Associates 21050 Pacific City Circle #5123 Huntington Beach, CA 92648 B Hanover lAmer can Insters at Llo urance 1,3 INSURER F a.. nnti.rr ry .. r*r ery r+!=MlrnCrr w'TC Mf IANMCM 7=%IIS`.lnkl KIII11finizo. 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. �................._.. . ' POLICY NUMBER I _ LIMITS INSR TYPE OF INSURANCE ADDL SLIER - - PWO ICY P POLICY EXP 1- LTR T. A X COMMERCIAL GENERAL LIABILITY EACH DGCURRENcE,,, 1,000, 000 CLAIMS -MADE �� OCCUR PSK0232659518 8/15/2021 8/15/2022 �mmm DAMAGE TO RENTED _$..... 25Q 666 0 MED EXP (Any one person] . $-...-� 1,000,00 PERSONAL, & ADV INJURY 1,000,000 GN EX L AOGR( ATE LIMI T APPLIES PER: „GENERALAGGREGATE S ....... POLICY JE �y LOC PRODUCTS - COMP/OP AGG_ 2,000,000 OTHER $ A INa'.,L.ELIMIT 1,000,000... AUTOMOBILE LIABILITY YAICOMBINED $ ANY AUTO PSK0232659518 8/15/2021 8/15/2022 BODILY INJURY (P�r m rson $ INED AASOONLY TOS IJ' accident), FSCHEDULED XHLR PrRODIPLE;YR„INTiwJf MACE ittlgrut� $ ONLYAOONU ..., __IP ,rwar _...--..... S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE . X — A GREGATE ,,,, DEDmm RETENTION $ S B WORKERS COMPENSATION PER X OTH ER AND EMPLOYERS' YIN WZFH79492700 11/1/2021 8/15/2022 1000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE r � FFICE�iW MBER EXCLUDED N / A E 1... EACH ACCIDENT S�, I anda ory n NH) u E.L, DISEASE EA EMPLOYEE 1000,000 S If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below I E..L. DISEASE - POLICY LIMIT S A E&O/Cyber PSK0232659518 8/15/2021 8/15/2022 '$1M Ea Claim/Agg: 1,000,000 A E&O/Cyber PSK0232659518 8/15/2021 8/15/2022 Retention 2,500 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) For Information Purposes Only. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD