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PROOF OF INSURANCE (2024 - 2024) CLOSED
----- ALOHDOO-01 CERTIFICATE OF LIABILITY INSURANCE DATE,M 5/23/202YYY) 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 Olson Duncan Insurance Service, Inc. 25550 Hawthorne Blvd. Suite 203 Torrance, CA 90505 Elke Riddles uncan.com INSURED INSURFRB.California Auto Insurance 38342 Aloha Doors, Inc. INSURER C : 214 Main St #119 INSURER D: El Segundo, CA 90245 .�.........�......................�.... _A,,......,..__...,.� INSURER E i ._.....�_�--....... INSURER F COVERAGES CERTIFICATE NUMBER: 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. . TYPE OF INSURANCE POLICY NUMBER .. .___-.-........................................................................................_----.. Y EXP LIMITS INSR ADDL SUBR POLICY EFF POLIO A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE OCCUR MP0004016007790 3/14/2023 3/14/2024 $ 100,000 DAMAGE TO RENTED Wyk-.................................. 5,000 mMEA FXP An one eraan . ...PERSONA7 L&AaV INJURY _.$ CXh, +GREGAfE.pEpIT APPLIESGENERAL..,.�,000 22,00O' OPOLICY C❑LOC PRODUCTSfQMP(QP AGG,000 ,0O0O0l1 OTHER'. $ B AUTOMOBILE COMBINEDSNN �Pe�e IT 1,000,000 .... ��._.�..... m ..,.... ANY AUTO BA040000054325 11f7/2022 11/7/2023 BODILY�IN_ rsanl $ OWNED SCHEDULED AU OS ONLY X AUTOS y BODILY INJURYLPer ac, qT $ X AUTOS ONLY-,.,�,,,,. ALIO 'S'' FsOscrtlel?f] AMAGE X ....... .. .__. .... UMBRELLA LIAB OCCUR µEACH OCgURRE_NCE $ EXCESS LIAB CLAIMS -MADE ..... AGGREGATE DEDLl RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y.I N 7ATL_ _F_ER - ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ Ifyes, describe under..._.._.,,_.,w.,��.,..,.....w_..,,,.,..�_-...._,�.u.�.._-----.....................................................�-�. DESCRIPTION OF OPERATIONS below EL DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOC'ATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) re: operations as usual to named insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Se THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 150 Illinois Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE r ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICYHOLDER COPY SC P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 05-23-2023 CITY OF EL SEGUNDO SC 150 ILLINOIS ST EL SEGUNDO CA 90245-4311 GROUP: POLICY NUMBER: 9333038-2023 CERTIFICATE ID: 7 CERTIFICATE EXPIRES: 02-10-2024 02-10-2023/02-10-2024 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 10 days advance written notice to the employer. We will also give you 10 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 EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1651 - WHITNEY CARMAN P,S,T - EXCLUDED. ENDORSEMENT #1651 - TYSON DOROHA VP - EXCLUDED. EMPLOYER ALOHA DOORS, INC. SC 214 MAIN ST EL SEGO EL SEGUNDO CA 90245 [P13,H0] (REV.7-2014) PRINTED : 05-23-2023