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PROOF OF INSURANCE (2023 - 2023) CLOSED
SANDIEG-19 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)3/31/2023 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 Fusco & Orsini Insurance Services, Inc. 5096 Murphy Canyyon Road, Suite 200 San Diego, CA 92123 384-1606 209-9298 myyy INSURER A;_Philade hia, IndemnityIns. Co. 1SOS8 INSURYYYYYYYYY --- ED ..-..-�......-.. �. - � INSURER B:Technology Insurance Co many Inc ..� .. 42376 San Diego Centre For Organization Effectiveness .IMku,c: —........................................... e. __... .............,.. 3914 Murphy Canyon Rd #A164 San Diego, CA 92123 INSURER F ; _._._._- ......... COVERAGES CERTIFICATE NUMBER _ REVISION PIUMBER: 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 TYPE OF INSURANCE _ ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS ...._..... 0.0E A X COMMERCIAL GENERAL LIABILITY .. A H C,CIIRRENCE g. 1,000,000,y CLAIMS -MADE �mX occuR PHPK2495480 12R/2022 12R/2023 nunFaNExapd $ , TO RENTED 105OOd ......_ w...... , .._.... . „ ... 1,000,000 PERSONAL. & ADV INJURY JET ... m _, xENh AGLaRD TL LIMIT APPLIES PER. tpENERALAGGREGATE $ 2'000'000 �� PRO- 2,000,000 X POLICY LOC PRODUCTS COMP/QP AGG $ OTHER. mmIT COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY - ., a..0tn,Ri ANY AUTO PHPK2495480 12/712022 1217/2023 „mgQDILV IN IURv {perperson ,,. s _,,,, _..... OWNED SCHEDULED AUTOS ONLY AUTOS BODIL Y INJURY (Per accident $ �m.. Ep Pr� Wry� pp 'PROPERTY FtiR�k4GE.�� I X..AUTOSONLY X.NOVO'L7 `��-(PeLa�rsAonl� UMBRELLA LIAB OCCUR EACH QCCURRENGE� EXCESS LIAB I J CLAIMS -MADE _ _ DED .RETENTION$ .. AGGREGATE - QTH_.. $.... _W.....eee,,.. .FT, rt .........._ B AND EMPLOYERS' COMPENSATIONILIT TWC4180400 12/70/2022 12/10/2023 X T w� R AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ( _ NIA A mE L. EACH ACCIDENT _w $ wwwww0 1 000,000 OFFICER/MEMBER EXCLUDED Y � (Mandatory In NH) EL. DISEASE EA EMPLOYE $ ' If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below ............ E L DISEASE -POLICY LIMIT S A Professional Liab PHPK2495480 1217/2022 12R/2023 Aggregate Limit 2,000,000 A Professional Liab PHPK2495480 1217/2022 12R/2023 Each Incident 1,000,000 DESCRIPTION OF OPERATIONS / 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 City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY g ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD