PROOF OF INSURANCE (2022 - 2023) CLOSED0 DATE (MM/DDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 05/10r2022
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 CONTACT Elizabeth Gomez
NAME:
Public Insurance PHONE (10) 234-8600 rA'� Iaa (924) 248 1291 _....
Imo, ttA..Iab1}..._. h_±
10941 W. Pico Blvd. m
IL onica@ publicinsurance rom
...., iuenooersi et:GnRnlNr. rnvF..,,.,�__.... . ..,�,.m._, .....__..........._....._..
_ enrr NAIC 9
Los An
INSURED
Advanced Party Rentals, Inc.
11962 Prairie Ave
CA 90INSURER B t Progressive Insurance SPECIALTY.
064 _ mm I INSURERA: _MESA_UNDERWRITERS SP
D:
State Fund Compensation Insurance
Hawthorne CA 90250 !INSURER F:
"ETrsanM71 *A^ram u11■AMeo. WR9/I In1d isIIMRl=R
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.
INSR I � A,Dphr•, � �-�.....��.. POLIOY' EFL POLICY EX'P
LIMITS
T ,. TYPE OF INSURANCE t POLICY NUMBER MIA70D 'Y MMlDD
IABILITY
COMMERCIALERAL..,LI1
CH OCCURRENCE
0
I
..... _.... _..
0OOO
CLAIMS-MADEOCCUR
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„-n........mmv..
I
MED EXP (An one oerso ..
._...__.
$ 5 000
A
�.
X
MP0004007019892
03/0112022
03/01/2023
PERSONAL & ADV INJURY
00
E 1O00000
GENT
AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
. _.
$...,2,000,DOOm .....
POLICY 0 PR11 LOC
JECT -__.....
, PRO . PRODUCTS -
'PRODUCTS - COMPIOP AGG
�._._�.
$ Included
$
OTHER:
AUTOMOBILE LIABILITY
�
COMBINE.Db11NisLELIMIT
i.�.�',i��'��r?Yw0_ .$._1,_000 000
ANY AUTO
BODILY INJURY (Per person) i $
..
aONLY
x
03709978-0
04/20/202210/20/2022
..
BODILY Y(Per.acadent) i $
HIRED NON -OWNED
U
..... .u...m_
DAMAGE
.....mm-
AUTOS ONLYATOS ONLY
U
q�6 �
UMBRELLAOCCUR
CURRENCE
Iy -
EXCESS BCAIMS-MADE
..Y'
_
DED RETENTION$
$ •-•
WORKERS COMPENSATION
tl STA UTOTH-
"
"
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE Y I N
C '.. ❑ NIA
9268081-22
01/16/2022
01 /16/2023
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
A EMPLOYE
E.L. DISEASE - EA -
$ 1 m000,000
M
if yyes, descr be under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$ 1 000,000
DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
The Certificate Holder below is also listed as Additional Insured, all persons or organizations as required by a written contract or agreement with the named
insured, 30 Days Notice Of Cancellation, 10 Days For non Payment Of Premium Applies.
IN;
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
V T`JtR/-LUIbAGUKU 6UKYUKAIIUN. All 1`19FUb reservcU-
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD