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PROOF OF INSURANCE (2022) CLOSEDCERTIFICATE OF LIABILITY INSURANCE _._. ........ DATE (MMIDDIYYYY) ._. .......J.1Q/04/2022 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 be endorsed. If SUBROGATIONIS 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). . .w ... . _ m..- __- ....................... _....._..... PRODUCER CONTACT AUTO CLUB INSURANCE AGENCY LLC/PHS -NAM :..-- ...................... -- . .-......— 72253682 PHONE (866)467-8730 FAX (A/C, No, Ext): (AIC, No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS . ..�.. �•AFFORDING_C.._..�.._......,,,,. INSURERS OVERAGE NAIC# .,.............._.........................�............_... .._........._ INSURED ....... INSURER A : Sentinel Insurance Company Ltd,11000 HIGH POINT STRATEGIES LLC INSURER B : Hartford Accident and Indemnity Company 22357 ......................................... ........... _ 23720 POSEY LN .......... . INSURER C ^. CANOGA PARK CA 91304-5236 w___....................................................._.._..._....._ INSURER D ..INSURER E...._..... ..�...,...........�w............._................................._���.,. ...................... INSURER F : ........ COVERAGES...__. ............._.... _s. CERTIFICATE NUMBS. _.m..----- �w.....--......_................................ ... R. _.. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L ........._.....��.....................��..................H IC 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 ..... ..... ........................................................ SUER POLICY EFF POLICY EX._ L R TYPE OF INSURANCE POLICY NUMBER LIMITS .............................................................. ._._. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 ................................ C DAMAGE TO RENTED wLf{A SwMAD IOCCUR PREMISES aocc:urrenr. $1,000,000 �..Y X General) Liability MED EXP (Any one person) _ $10,000 .. ����....................... A X 72 SBA AR6200 11/19/2021 11/19/2022 PERSONAL 1, ADV INJUFCY $2,000,001 GEN'LAGGREGATELIMITHAPPLIESmmPER: GENERAL AGGREGATE $4,000,000' ...... .................... POLICY 1� PRO- X LOC PRODUCTS - CCMPlOPAGG $4,000,000' ..... C.......m.M JECT OTHER ..... . .... ........ ,.,.,.. ..... ................. .......................... COMBINED SINGLE LIMIT a ac •iden AUTOMOBILE LIABILITY $2,000 000! .. _m. ANY AUTO BODILY INJURY (Per person) P AUTOS AUTOS SCHEDULED SCHE72SBA AR6200 11/19/2021 11/19/2022 BODILY INJURY (Per accident) .�..�..... AUTOS (Per accident) ...............................� XHIRED X NON -OWNED PE DAMAt UMBRELLA LAB OCCUR EACH OCCURRENCE .... .............................. _........ __ EXCESS LIAB CLAIMS MADE AGGREGATE ED IRETENTION $ .. ... ...........ITIT WORKERS COMPENSATION X PER IOTm- AND EMPLOYERS' LIABILITY STATUTE FR ANY YIN E.L..EACH ACCIDENT $1,000,000 B OFFOICEIRMOEMBEREXCLUDED?TIVE NIA 72WECPK7673 11/19/2021 11/19/2022 E.L. DISEASE -EA EMPLOYEE W$1,000,000 (Mandatory in NH) If yes, describe under E L DISEASE - POLICY LIMIT $1 ,000,000 rIOERIPTION OF OPERATION...... wAESSIONAL LIABILITY 72SBA AR6200 11/19/2021 11/19/2022 �ggregate $2,000,0 Fccurrence 00 00 DESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES(AC�OR..101, Additiditi.�.�..��............................................onal Remarks S..._.�� �_�_�_......................................................... Schedule, maybe attached if more space is required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. Notice of Cancellation will be provided in accordance with Form SS1223, attached to this policy. Notice of Cancellation will be provided in accordance with Form WC990394, attached to this policy. CERTIFICATE HOLDER CANCELLATION NCELL.ATIO City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Its officers, officials, employees, BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED agents and volunteers ENS. IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 MAIN ST AUTHORIZED REPRESENTATIVE EL SEGUNDO CA 90245 .. ......... ._...................._......_....... ....... ........ ...................U.................... .......© 1988............._..., _W.. ........................... 2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD