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PROOF OF INSURANCE (2023 - 2023) CLOSED
ACORD.- CERTIFICATE OF LIABILITY INSURANCE °01/301202'3 PRODUCER Costanza Ins. Agency, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 3010 LBJ Freeway ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Suite 925 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dallas TX 75234- (972)991-6084 INSURERS AFFORDING COVERAGE NAIC # „... ... ..... ..... A — -------------------- _ ......._ INSURED INSURgR,,� Summit Specialty - GL — �16889 Arroyo Ba ckground Investigations Eric Arroyo INSURER B- — ._ 7891 Mission Grove Pky #C wsuRERc: Riverside CA 92508- jNSURER D: __.......... COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. „.„._.. IRA- ,.,, INSR DD' .... .....,m.. ......-„ .............POI..... CY EFFECTIVE PO ICY EXPIRATI..........„..„.„ON ..,. ..._...�.................„ ..m,,,,, POLICY NUMBER. LIMITS A SCGL005000024400 03/19/2022 03/19/2023 GENERAL LIABILITY EACH OCCUR, ENCE S 1,000000 „„„„„„„.. R "" X AMA EE�T1�OE�NTff�t-"e DAMAGE�NTwmD 00 � 100 0 COMMERCIAL GENERAL.LIABILITY �...---_.... 0 CLAIMS MADE OCCUR M„m.w .„„ . PERSONAL&ADV NdURY S 000, 1 00 0 - X ERRORS AND OMISSIONS -„_.....m.. G E"�1ERA4 AGGREGATE � ....2 000 000 ER. GEhk'LAGGRE�tiTB LIMITAT"Pa„tr'S PER: r opu Ts coru�Plo�„A �` s�2 000 000 pOL.IC'Y ( PRE IOC A AUTOMOBILE LIABILITY SCGL005000024400 10/12/2022 03/19/2023 COMBINED SINGLE LIMIT 1 000 0 00 (Ea accident) $ ANY AUTO ................ _. __ ... ALL OWNED AUTOS BODILY INJURY _ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Per accident) ........_.._, , .......... ... .... PROPERTY DAMAGE $ (Per accident) GARAGE ...., LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT ACC OTHER THAN �-•-� S AUTO ONLY: A G $ E:XCESSIUMBR LLA (LIABILITY EACH OCCURRENCE �_. � .-..-------- .._,„.,, ..... OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RELENT WC STATU- OTH- WORKERS COMPENSATION AND _1ORYIJM11S. „„„.J-E.R".- _--"„„„................ EMPLOYERS' LIABILITY E;l,„,, EACH ACCIDENT ANY PROPRIETORIPARTNERIEXECUTIVE m „8 OFFICERIMEMBER EXCLUDED? ,, . DISEASE -Fro EMPLOYEE' $ If yes, desca under P AL DISEASE-,S,E,- EL POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION hl V Ili I V V SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN El Segundo Police Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 348 Main St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR El Segundo CA 90245- REPRESENTA'TIV'ES AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) © ACORD CORPORATION 1988 POLICYHOLDER COPY SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 02-03-2023 EL SEGUNDO POLICE DEPARTMENT SP 348 MAIN ST EL SEGUNDO CA 90245-3813 GROUP: POLICY NUMBER: 1853950-2022 CERTIFICATE ID: 44 CERTIFICATE EXPIRES: 09-01-2023 09-01-2022/09-01-2023 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING: THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER; EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW. EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE, ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-01-2022 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER ARROYO, ERIC (AND) ARROYO, TERISIA SP 19510 VAN BUREN F-3-192 RIVERSIDE CA 92508 [P19,SK] (REV.7-2014) PRINTED : 02-03-2023