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PROOF OF INSURANCE (2023 - 2023) CLOSED
A KRAME-2 CERTIFICATE OF LIABILITY INSURANCE OP ID- P4 DATE (MM/DD/YYYY) 0711812022 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 endorsements . PRODUCER C AcT Summer J. Gorsica N��... Ahern Insurance Brokerage PHONE FAX San Diego,�CA 92123 c, #500 E-MAIL ' sgorsica aheiif'u' ranc . """" ARIDRE'5S' � e.com Jo AlangLyonis-Herrera, CISR .. „IN&URE,R(S AFFQRDING.COVERAGE _ NAIC # ..., INs IR ,,_A,,Sentinel Insurance Company 11000 INSURED INSURERS , Hartford Accident & Indemnity 22357 Kramer Workplace Investigation P.O. Box 266 -INSURER_ s .... .. Danville, CA 94526 INSURER D ''.., RF E ,-INS INSURER F : d"*^IArIr:07rh e1 Q r=0TIGIf*A,TF MII IIXlIKY.MO. i r_VIq.InM Mil 11PA IMP, 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. ........ OF INSURANCE........,m,,..,..,.__.—. POLICY NUMBER__ ................ »..�,,,,,,m,,.m........... _._ .-.......,...--..........--..�,,,,,...__... INSR TYPE _ ADDL SUBR POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY .DAMAGETTORRENCE � WW _. 2,000,000 $ CLAIMS -MADE X OCCUR X 72SBATV7951 02/01/2022 02/01/2023 DAMAGE TO RENTED a3FM-E5iI-ag.rlvlm.n,9..9%..... $ �..........1,000,000 X Busi„Hess Owner IS MEaxnpp erson $ 10,000 .... __ PERSQNA.L.„8 ADV INJURY 2,000,000 $, , ,,. N'L AGGREGATE LI GENERALAGGREGATE g ................4,000,000 _ 'PIE POLICY[ RMpITAPPSPER: [..-I JECT LOC PRODUCTS COMP/QPAGG Y..... 4,000,000 OTHER: A AUTOMOBILE LIABILITY .,..... COMBINEDSINGLE LIMIT :.IIri919 2,000,000 S ANY AUTO 72SBATV7951 02/01/2022 02/01/2023 BODILYQIN,IURyjPerpersun)_ww . w..... OWNED SCHEDULED AUTOS ONLY AUTOS _BODILY INJURY Per accident,) _S ,_ „_______„ AUTOS X AUO PER DAM) AGE........ $.___ _.X.,. ONLY ONMi. 48 UMBRELLA LIAB OCCUR EACH OCCURRENCE - $ EXCESS LIAB CLAIMS MADE AGGREGATE DED RETENTION $ - B WORKERS COMPENSATION X I PER OTH- d..TATI.T.,.-� AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ FI E EXCLUDED? N / A yyyyEGAC6DBU..... 01/01/2022 01/01/2023 W- E L EACH ACCIDENT .1 000000�. ' WW . story in NH)BER XII in NH) E.L, DISEASE - EA EMPLOYER $ 1,000,000 IF esatory descnbe under D RIPTI N F PERATIO below ......E LEA - LIOY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Inlsured's Operations. Notice of Cancellation will be provided in accordance With Form SS1223, attached to this policy. City of El egundo, its officials, and employees are additional (Insured and coverage is grima' and noncontributo per the Business Liability ' Coverage Form'. SO00 attached to this Policy. f'r.0TI1=Ie%AT i.If"II I°1t:0 r AMI'"FI I ATInN 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 El Segundo 350 Main St. El Segundo, CA 90245-3813 AUTHORIZED REPRESENTATIVE .�;.1 11-; ray ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD