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PROOF OF INSURANCE (2022) CLOSED
SANDIEG-19 KLOSCH DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 7113/2022 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 endorsements . PRODUCER CONTACT Fusco & Orsini Insurance Services, Inc. 5095 Murphyy Canyon Road, Suite 200 PHONEA/co Ext) /�858) 384 1506 _ �.^Ic,Nol;(800) 209-9298 San Diego, CA 92123 p p %, !ni0e foa n-': om INSURED San Diego310 Miramar Road ntre r Organization Effectiveness INSURER ee.TeChnolo,g�/. Insurance Gompany_Inc.,,,,,,, 80 San Diego, CA 92126 E INSURER E ; INSURER F : COVERAGES 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. LTR TYPE OIL�tCY�I Y E'XP IN SR ADD4 SIJRR P E OF INSURANCE _ POLICY NUMBER .......�_ ��,e. -�..,.m.,,,,,-.�..,,�,,,,m..............._ LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCl1RRFNOE $ 1,000,000 CLAIMS -MADE �J OCCUR :)L( PHPK2339499 1217/2021 12/7/2022 . _DAMAGE '. O RENTED �" O RENTS �. �. m 100,000 5,000 L y P_J 1,000,000 ..9 .. _ .._.._ .mY „wPT,RS 2,000,000 GENLAGGREGATE LIMIT APPLIES PER: „GENERAL.AGRE(;ATE $ .. — �y, X POLICY L_,,, I JP07° LOG PRf,�L1UG7S OQ,N,IP/ 1P AGE,_ $......_ 2,000'006 OTHER, $ A AUTOMOBILE LIABILITY COMSINED SINGLE LIMIT AE0Lt1G °+ - 1,000,000 $ ... " .-- ANY AUTO PHPK2339499 12/7/2021 12/7/2022 BODILY INJURY Perperson) $ _w-r..,...,....�...................._ ........ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident - $ X , . .... HIRED X NON -OWNED AUTOS ONLY mm AUTOS ONLY PROPERTY AMAGE SPer Mcp1 $ $ UMBRELLA LIAB OCCUR EACH OCCURRENOE $ EXCESS LIAB CLAIMS -MADE G E $ DED RETENTION $ $ AND EMPLOYOERSCMPENSATIN L ABILOITY PER �(" .STT..TF "" OTH- ... _ --- Y I N TWC4054734 12/10/2021 12/10/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEIM BE EXCLUDED? NIA _E.L. . EACH,. ACCIDENT $ in _.. _ , �mm _ ___ YE 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L. DISEASE -POLICY LIMIT $ A I Professional Liabill PHPK2339499 1217/2021 1217/2022 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Verification of Coverage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI Of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE n,! ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD