PROOF OF INSURANCE (2024) CLOSEDDATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 1 07/17/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTICATE 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 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 NAME: Alice Smith
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Westland Insurance Group LTD PHONE: �. mmmmmmm+1mmm(604)m543Ty77m88mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmm+1 (866) 775-6859
Suite 1500 -9850 King George BLVD CONTACT EMAIL: alismith@westlandinsurance.ca
Surrey, BC, V3T OP9 CUSTOMER ID #.___
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INSURED
FARONICS CORPORATION
#1400-609 Granville St. P O Box 10362 Pacific Cntr
Vancouver, BC, V7Y 1135
INSURER(S) AFFORDING COVERAGE
INSURER A: Chubb Insurance Company Of Canada
..,_
INSURERB.............._._._................
...... ................................................................................................................................
INSURER C:
._........................................................................................��..........��...........
INSURER D:
INSURER E:
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 ANYREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OF 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 ADDk SUBIt POLICY NUMBER POLICY EFF POLICY EFF LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 5,000,000
A
X COMMERCIAL GENERAL LIABILITY
X
36027756
04/21/2023
04/21/2024
DAMAGE TO RENTED
MISE.S. Ea accutrenca)....................
$ 1,000,000
.._.
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CLAIMS -MADE L.- _ ll OCCUR
mmm
MED EXP (Any one person)
$
EMPLOYERS LIABILITY
PERSONALm& ADV INJURYmmmmm
...........................................................................
$
CONTRACTUAL LIABILITY
GENERAL AGGREGATE
$ 10,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 5,000,000
X POLICY PRO.. LOC
$
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 2,000,000
(Ea accident)
ANY AUTO
36027756
04/21/2023
04/21/2024
-•••••--
BODILY INJURY (Per person)
$
ALL OWNED AUTOS
""_
BODILY INJURY (Per accident)
$
SCHEDULED AUTOS
•••••�•••�m•�•---
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-••••
PROPERTY DAMAGE
$
HIRED AUTOS
(Per accident)
$
X
NON -OWNED AUTOS
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
--,......
EXCESS LIAB CLAIMS -MADE
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AGGREGATE
$
.......................
DEDUCTIBLE
EXCESS OF CGL
$
-,_.............................................
_........,
RETENTION $
EXCESS OF NOA
$
C STATU- OTH-
WORKERS COMPENSATION
7. Y I. 1T5. Q
AND EMPLOYERS' LIABILITY Y / N
..IT,..ITITITITITITITITITITITITITITIT,.�,,,IT,,.,
ANY PROPRIETOR/PARTNER/EXECUTIVE I"�"""
OFFICER/MEMBER EXCLUDED? IL�II
N / A
E.L. EACH ACCIDENT
$
"""""""""""""""""""""""""^^^
(Mandatory in NH)
E.L. DISEASE- EA EMPLOYEE
$
Ifyes, describe under
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SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
S
CONTRACTORS EQUIPMENT
C.E,F. LIMIT
$
LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES
All operations of the Named Insured with resepect to Ongoing Operations It is hereby understood and agreed that City of El Segundo is added as an Additional
Insured but only insofar as the legal liability arises out of the operations of the Named Insured.
CERTIFICATF I401 OFR CANCELLATION
City Of El Segundo
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
350 Main Street
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
El Segundo, CA, 90245
POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
U 1988-ZO09 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD