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PROOF OF INSURANCE (2022 - 2024) CLOSED (2)
Erie Insurances 100 Erie Ins. PI • Erie, PA 16530 NAME A. ... ................. ND NUMBER OF AGENCY BOYLES INSURANCE AGENCY 400 S ATHERTON ST STATE COLLEGE , PA 1680 1 -4047 NAME AND ADDRESS OF NAMED INSURED ALL TRAFFIC SOLUTIONS INC 14201 SULLYFIELD CIRCLE SUITE 300 CHANTILLY VA 20 151-1687 CERTIFICATE OF INSURANCE - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY AA4408 DATE ISSUED 08/28/2022 NAME AND ADDRESS mm OF CERTIFICATE HOLDER 814-234-1991 CITY OF EL SEGUNDO 348 MAIN ST EL SEGUNDO CA 90245— This Is to certify that policies, as indicated by Policy Number below, are in force for the Named Insured at the time that the certificate is being issued. ..... DAM _. t ° emu,,... ,_.-._... - ..,... . R u P1Erf i$k�CE p1LtlCYHUq�NS tdt$1T�FI"1c GENERAL LIABILITY — Q460154717 10/01/2022 10/01/2023 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABILITY ,. OCCURRENCE FORM FIRE DAMAGE GEN'LAGGREGATE LIMIT APPLIES (Any one premises) $ 1000000 PER: POLICY ADDITIONAL INSURED MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY I . 1000000 GENERAL AGGREGATE p$ 2000000 $ 2000000 BODILY INJURY $ (EACH PERSON) BODILY INJURY $ (,EACH ACCIDENT _.. . PROPERTY DAMAGE r' IN . PROPERTY DAMAGE S C MBINED EACH OCCURRENCE ........ _ .... ........m.i AGGREGATE TATUTORY _ _ �.....—._ ACCIDENT $ "�� BODILY EACH ACCIDENT INJURY DISEASE S POLICY LIMIT BY DISEASE $ EACH EMPLOYEE Ili 30 DAYS CANCELLATION NOTICE APPLIES TO THE GL POLICY CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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). THIS CERTIFICATE IS ISSUED FOR INFORMATION PURPOSES ONLY AND CONFERS NO RIGHTS ON THE CERTIFICATE HOLDER. IT DOES NOT AFFIRMATIVELY OR NEGATIVELY LIST, AMEND, EXTEND OR OTHERWISE ALTER THE TERMS, EXCLUSIONS AND CONDITIONS OF INSURANCE COVERAGE CONTAINED IN THE POLICY(IES) INDICATED ABOVE, THE TERMS AND CONDITIONS OF THE POLICY(IES) GOVERN THE INSURANCE COVERAGE. AS APPLIED TO ANY GIVEN SITUATION. LIMITS SHOWN MAY HAVE BEEN REDUCED BY CLAIMS PAID. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU'RER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND {CERTIFICATE HOLDER, ERIE INSURANCE GROUP SEE REVERSE SIDE AUTHORIZED Ae,kREPRESENTATIVE IF-156SE 0912 ^.1 CERTIFICATE OF LIABILITY INSURANCE °ATE`MM,D°"YYY' 9/9/2022 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 naAME Certificate IOe artrneni Preferred Ins. Services, Inc PHONE FAx mm ° AIL REse referrns com µnnw 4035 Ridge Top Rd MkQ_f — � Fairfax VA 22030 7 5940 AFlC Npt 703 991 4836 Ste 150 'NSUREMS) AFFORDING COVERAGE NAIL 4 : INSURER B Continental CaSU I.IySYRFff,A; Erie Insurancexman a 26271 AF _e.. 7 INSURED ALLTR-D1 IT mmaCDmlt an 20442 All Traffic Solutions, Inc. Y p y mm 14201 Sullyfield CIT., Ste., 300 INSURERC Chantilly VA 20151 INSURERD: r nVPRAnPA rf,»R7"tlPmir AT= htlilU10lo 10- Ilaan�97DO nr_^s xres .' . 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. _.�.. ... ,,,,,,, .. A L.#k..-.,.,.,... POLICY NUMBER .... �... .,-_ TN —SR T TYPE OF INSURANCE i'MOILICYIXXYI'... MPINOEL.71'tiI'Y. .. LIMITS e. ,, .. _.__,.. ..... A COMMMI X RCIALGENERALLIABILITY Q97-1393611 9/16/2021 9/16/2022 EACH OCCURRENCE $2,000,000 � X� .... CLAIMS -MADE OCCUR PRE�MPSFS EwENrEn a mm � ....1, $2,000,0 --- OD .., person) $ 5,000 PERSONAL 8 ADV INJURY ... -� $ 2 000 000 ..._._--_... GEN'L AGGREGATE LIMIT APPLIES PER �_.... GEN ERAL AGGREGATE $4000.000 ,�. LOC PRODUCTS COMP/OP AGG $ 4,000 $.............00D.........................._�, C'7•I HER: B $ A AUTOMOBILE ABILITY Q97-1393611 9/16/2021 9/16/2022 COMBINED $50LE LYMIT �... mmmm $1,000.000 AUTO BODy'9kmrH LY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY .'AUTOS I BODILY INJURY Per accident ( ) $ mmmmm .. _.. �mmmITITITmm X X NON -OWNED _....a..... PROPERTYO'13ddEAh.`,E ..... AUTOS ONLY. AUTOS ONLY P $ .._...,. $ A " X UMBRELLA LIAB X OCCUR Q33-1670301 9116121121 911612122 EACH OCCURRENCE $,0'CN0,C4K60 EXCESS LIAR CLAIMS -MADE AGGREGATE $ 5 000 D00 DED X RETENTION $ $ _ WORKERS COMPENSATION .PER 01H STATUTE �,, ER AND EMPLOYERS' LIABILITY YIN _, ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? �, NIA E L EACH ACCIDENT ..... $ ry ) (Mandatory In NHDISEASE... EL.. -EA EMPLOYEE $ If es, describe under D ESCRIPTION OF OPERATIONS below E..L. DISEASE -POLICY LIMIT $ B Professional Liability 6024610700 5/3/2D-- 5/3/2023 Each Claim 2,000,000 Aggregate 2,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Traffic Safety Equipment and Software I;LK 11FIL:A I E t1ULUEK CANCELLATION City of El Segundo 348 Main Street El Segundo CA 90245-3713 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 9)1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF NpABILITY pp DATE (MM/pD/YYYY) INSURANCE 05/03/2023 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, EXTENT] 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(les) 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 ONTACT NAME: Mary Storti PHONE c/o Paychex Insurance Agency, Inc. E-MAIL Ext) (877) 266 6850 (AIc 150 Sawgrass Drive ADDRESS;pbscerts@paychex.com Rochester, NY 14620 INSURERS) AFFORDING COVERAGE NAIC {8 -- INSURER A: American Zurich Insurance Com�ar� 40142 —- - -- — - INSURED INSURER B Paychex PEO Holdings LLC Alt, Emp: All Traffic Solutions Inc 911 Panorama Trail South INSURER C ;_..-_--_---- ------- .__.._--__ -- Rochester, NY 14625 INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 23FLO951017915 REVISION NUMBER: 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. lNSR i ACDOL SUER LTR ' TYPE OF INSURANCE INSO WV®; POLICY NUMBER EXP -- ---. -� (MMlDDlYYYY MM/DDNYYY LIMITS GENERAL LIABILITY GENE OCCURRENCE $ .COMMERCIAL CLAIMS -MADE } _.__ .._._, - �.. ...� OCCUR i DACH i DAMAGE rORGNTFb ` f PREMiSFS (Ea occurrence)_ MED FXP (Any one person) 9_ _ PERSONAL & ADV INJURY { $ GEN L AGGREGATE LIMIT APPLIES PER: C'ENERAL AGGREGATE $ _1 !PRO- n . POLICY [ l JECT 1.- ] LOC . -- - GR --� ---- ---------- L PRODUCTS - COMP(OP A_GU $ OTHER- $ AUTOMOBILE -- LIABILITY COMBINED SINGLE LIMIT $ (Ea_aocii �___ ANY AUTO BODILY INJURY (Per personj}j $ ! OWNED j I SCHEDULED AUTOS ONLY AUTOS r F BODILY INJURY Par accident $ ( HIRED 7 NON -OWNED _ __) PROPERTY DAMAGE $ - AUTOS ONLY AUTOS ONLY jeer accident—_ ...__ - I UMBRELLALIAB r i OCCUR - EACH OCCURRENCE $ EXCESSLIAB - CLAIMS MADE -___r._--._GGR --_ _ TE A��GREGATE DED RETENTION$ -- I $ WORKERS COMPENSATION X PPR OTH- STATUTE-L A AND EMPLOYERS' LIABILITY ANYPROPRIE"I"ORtPARI"NER/EXECUTIVE= Y (N 0 N/A � WC 12-68-329-03 06/01/2023 06/01/2024 E.L. EACH ACCIDENT $ 2,000,000 — — -- -- OFFICER/MEMBEREXCLUDED9 (Mandatory in NH) DISEASE -EA EMPLOYEE, $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below _--.-_ —_-- E.L. DISEASE - POLICY LIMIT $ 2,000,000 ' I I i Location Coverage Period: I 06/01/2023 06/01/2024 ' � Client# 20013546-VA DESCRIPTION OF OPERATIONS ( LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Traffic Solutions Inc Coverage is provided for 14201 SUL_LYFIELD CIR STE 300 only those co -employees of, but not subcontractors CHANTILLY, VA 20151 to: TE HOLDER CANCELLATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 348 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segundo, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered (narks of ACORD