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PROOF OF INSURANCE (2024 - 2024) CLOSEDAC"Rtf 1114.� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDfYYYY) F 10/13/2023 THIS CERTIFICATE 13 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(les) 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 CON ACT ie Crawford___. Pacific Libra Insurance Agency, Inc. PHONE 6330 San Vicente Blvd, Ste. 401E-MAIL Los Angeles, CA 90048 AQDR—ksS:-a nncifitlibrair*urance-coal ...... CUSEIt D INSURERS) AFFORDING COVERAGE AIC NAIC INSURED INSURER A � The Burili ��nce Company 0 23620 1�3� Mr, Fish Aquarium & Pond Service, Inc. INSURER B: Infinity Select InsuranceCorn �Aqy­ 20260 622 N, La Brea Avenue INSURER c: AIG Spp any 194" Inglewood, CA 90302 INSURER D: Security National Insurance Compa ry . . . ....... — - ----- 19879 -- --- ------ I INSURER F., %-VVt:KA9.!t:b CERTIFICATE NIJIMPIER* DMIlictinvi KII llU1M=0 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. TN-S7R LTR TYPE OF INSURANCE ADDLSUBR INSR VVVn POLICY NUMBER— POLICY EFF (MMIODNYYYI I (40MMANSM" I LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY F;Z;l CLAIMS -MADE OCCUR X Deductible: -0- Fy F 798BOO7263 09/22/2023 09/22/2024 EACH OCCURRENCE DAMAG'P�RENTEU PREMISES (Ea occurrence) $ 0 1-A-0,000- $ 100, Ono MED EXP (Any ,cntperson) 000 PERSONAL & ADV INJURY ..... . ..... $ �=OUQIL GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I POLICYF--] J'FRO- FX7 LOC CT PRODUCTS-COMPIOP AGG $ $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS f —Y 504-61006-2672-001 01/20/2023 01/20/2024 COM 3INED SINGLE LIMIT (Ea accident) $ 1,000,00 X X BODILY INJURY (Per person) --0 - $ 1,000,600 BODILY INJURY (Per accident) $ 1,000,000 -�R-6�ER��--DAMAGE (Per accident) $ 1,000,000 X NON -OWNED AUTOS Uninsured Motorist $ 1,000,000 C X UMBRELLA LIAR OCCUR BE 025060101 0912212023 09/22J2024 EACH OCCURRENCE $ 2'000,00p- ------ ------ AGGREGATE S 2,000,000 EXCESS LIAR _1_1 CLAIMS -MADE F- F X DEDUCTIBLE ,RETENTION $ 0 Prod -Comp Ops Aggr $ 000,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA ly SWC1440985 06/0712023 ' 024 WC I - 0TH.r X WC STATUTOR! LIMITS _E_L, EACH ACC!DENT 1,000.000 E.L. DISEASE - EA EMPLOYEE -JLMD-(=­ UMandatory In NH) yes, describe under SPE .161 MPQVISIMS h,I.V1 I 5.L, DISEASE - POLICY LIMIT $ 1 000 Onfl --T DESCRIPTION OF OPERATIONS LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Waiver of subrogation applies for general liability and workers Compensation. Coverage is primary and non-contributory over any insurance maintained by Additional Insured, Cancellation notice is 30 days, cancellation for non-payment is 10 days. Certificate Holder is an Additional Insured. 11MAVI City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 360 Main Street POLICY PROVISIONS, El Segundo, CA 90246 AUTHORIZED REPRESENTATIVE Angle Crawford - - ------ Aich 1988- 2009 ACORDfCORPqfJATION. All rights reserved. AUUML; zo (ZUUUIUU) The ACORD name and logo are registered marks of ACORD Mr. Fish Aquarium & Pond Service, Inc. Burlington GL Pollc7 # 798BOO7263 Eff. 9122/23 to 9/22 24 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1 0 0 i , : 0, a This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other Insurance available to the This insurance is primary to and will not seek additional insured. contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 Mr. FlshAquarium & Pond Service, Inc. Burlington GL Policy # 798BOO7263 Eff, 9/22/23 to 9/22/24 POLICY NUMBER. 798BOO7263 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY® ''WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO U (WAIVER OF SUBROGATION) This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s). Any person(s) or organization(s) that are shown in the applicable Declarations for this endorsement. Information re aired to complete this Schedule, if not shown above, will be shown in the Declarations, The fallowing is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions. We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Fart. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 @ Insurance Services Office, Inc., 2018 Page 1 of 1 Mr. Fish Aquarium & Pond Service, Inc. Burfin ton GIL PoIi7 # 798BOO7263 Eft. 9112/23 to 9/22 24 COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. log - JAL, This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 — Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting an your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1, Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury' arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even N the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damagd', or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 12 19 Q Insurance Services Office, Inc., 2018 Page 1 of 2 Mr. Fish Aquarium & Pond Service, Inc. BurlinggtonGLPo1V#7Q8B0072$3 Eff. 20 to 9/2 24 2. "Bodily injury' or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project, C. With respect to the insurance afforded to these additional insureds, the following is added to Section III —Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable limits of insurance, whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 @Insurance Services Office, Inc., 2018 CG 20 33 1219 WC Policy # TWC4280946 Effective 0/7/23 Expires 617124 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04.84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. 011171�=- Person or Organization Job Description Any person or organization as required by written contract, This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated, (The information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 6/7/2023 Policy No, TWC4280946 Endorsement No. 0 Insured Mr Fish Aquarium & Pond Service, Inc. (A Corp) Premium $ 13,530 Insurance Company Technology Insurance Company, Inc. Countersigned by WC 04 03 06 (Ed, 04-84)