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PROOF OF INSURANCE (2023) CLOSED
DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/15/2022 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 CONTACT NAMES Heffernan Insurance Brokers (HD) Heffernan Insurance Brokers PHONE g25 934-8500 FAX N 9? 934-82 8 1350 Carlback Avenue 6 ,__Nq.,Ext), . ,., 4 ,PI,,e,I E ss® HIB2 &_ MAIL 11etf4'ns.com Walnut Creek CA 94596 4irraw�E., 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. ...TYPE OF..M....., ...�,m POLICY Y EXP LTR .INSURANCE .. AODL'SU R POLICY NUMBER �,MWQI)(Y FF MMID fYYY e D/yyyy I LIMITS A X COMMERCIAL GENERAL LIABILITY B7013629227 11/16/2022 11/16/2023 EACH OCCURRENCE $1,000,000 '.. CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) $ 300,000 '.... '..... MED EXP (Any one person) ;... $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2 000 000 X '., POLICY F I Jifwr,„PRO.T D LOG j PRODUCTS COMP/OP AGG $ 2 000 000 OTHER. � � S A AUTOMOBILE LIABILITY B7013629227 11/16/2022 i 11/16/2023 COMBINED SINGLE LJMH $1,000,000 ''. '... ANY AUTO '.. '... BODILY INJURY (Per person) $ . �.. OWNED SCHEDULED BO INJURY (Per accidenl) S AUTOS ONLY ,,,, AUTOS HIRED NON -OWNED .BODILY FROPERTYDAMAG.E'.... $ X AUTOS ONLY X AUTOS ONLY .,.,, j - (Per accident) $ UMBRELLA LIAB OCCUR '.. " EACH OCCURRENCE ...AGGREGATE S I EXCESS LIAB CLAIMS -MADE '.., DED '.. RETENTION $ S B WORKERS COMPENSATION WC430813948 7/1/2022 7/1/2023 X PER OiH R AND EMPLOYERS' LIABILITY YIN -STATUTE ANYPROPECUTIVEr ACCIDENT $ 1.000 000 EXCLUDED?NIA (Mandin atory ELDISEASE EA EMPLOYEEYEE S 1.000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.LDISEASE POLICY LIMIT S 1.000.000 A PROFESSIONAL LIABILITY MCH276199824 11/16/2022 11/16/2023 PER CLAIM $1.000,000 '....... AGGREGATE '.,. $2,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER 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 Development Services Department 350 Main ,StreetCA v AUTHORIZED REPRESENT El Segundo, CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD