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PROOF OF INSURANCE (2022 - 2023) CLOSED-ryr y. 1 0' DATE (MM/DD/YYYY) Lam/ " CERTIFICATE OF LIABILITY INSURANCE 05/24/2022 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 NAME: CONTACT Kimberly Heller John P Meehan Agency, Inc PHO � (610) 853-2220 FAX WC, No East .. AIC. Not. 1 N Belfield Avenue E-MA$Es's; kheller@meehaninsurance.com ADDRINSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Selective Insurance Co. ofAmerica 12572 Havertown PA 19083 INSURED INSURER B : Rated by Multiple Companies 00914 SKILLSURVEY INC INSURER C : INSURER D : 1 COUNTRY VIEW RD INSURER E : SUITE 102 INSURER F c MALVERN PA 19355-1438 COVERAGES CERTIFICATE NUMBER: CL2232121064 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. I�N.TRADDLSUHR TYPE OF INSURANCE �Iy � WVD�. POLICY NUMBER MM DDY EFF POLICY EXP MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR NAB';' ,f PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ A S 1981662 04/15/2022 04/15/2023 GENERAL AGGREGATE $ 3,000,000 GEN"LAGGRFGATF LIMITAPPLIES PER: POLICY NPEC"fRO LOC J PRODUCTS - COMP/OP AGG $ 3,000,000 OTHERS State surcharge 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ecrlen a a :t.. $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS '... S 1981662 04/15/2022 04/15/2023 BODILY INJURY (Per accident) $ +�,,,r ✓" PROPERTY DAMAGE „SPe-r accident $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY Auto Elite Pac $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE S 1981662 04/15/2022 04/15/2023 AGGREGATE $ 2,000,000 DED RETENTION $ $ B _ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERNEMSER EXCLUDED? (Mandatory in NH) N /A i 39WBCBU3785 09/30/2021 09/30/2022 X1 STATUTE EOR E.L. EACH ACCIDENT 1,000,000 $ E,L.DISEASE - EA EMPLOYEE $ 1,000,000 0 vas, descr±be 'under DESCRIPTION OF OPERATIONS. below E.L., DISEASE - POLICY LIMIT 1,000,000 $ �m DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Corporate Officers are excluded from Worker's Compensation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE ElSegundo CA 90245t1 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD