Loading...
PROOF OF INSURANCE (2024 - 2024) CLOSEDHARRSTE-01 AKA '4`�RDD � CERTIFICATE OF LIABILITY INSURANCE 2/28/2024 ATE MMID 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 Paramount Exclusive Insurance Services, Inc. 15760 Ventura Blvd. Suite 500 Encino, CA 91436 18) 986-7283 ntexclusiveins.com 986-4949 INSURER B; fornia Harris Steel Fence Co. Inc. INSURERC Tec',hnolo y InsuranlCo."e Ins. Co138342 INSURED � I,ce "Company, Inc 142376 8728 S. San Pedro St. _IRsuRwERID, Nautilus nsurance Company 117370 Los Angeles, CA 90003 INSURER E ....---- ...................... ®... .......... ............ _...............__..................,,......".._._._._.-......... ., INSURER F ...._....., ..............................._. OVERAE$ 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 -........ .,w... ,,,,,...." INSR� �ADDL�SUBR OILICYF POLICY EXP LIMITS �, _ ........��..�. �dl�lDDtyxxxa I 1,000,000 COMMERCIAL GENERAL LIABILITY ANPiBk'5 RNCrf�PeBY,S"S """"" $ DAMAGE TO RENTED 100 000 J CLAIMS -MADE X occuR 600GL0028867-04 5/1/2023 5/1/2024 _ X c0 e...,..� — 5,000 U)EDEXP�AnyonepersonJ $ ......... .. .,PERSONAL B AD,V INJURY.... $ 1,000 ��� X NQ AGGREGATE LIMIT APPLIES...PER: „GENERAL AGGREGATE $ 2,000 ��� { EO1:1 _. - Y — $ 2,000 000 POI IQ."'W� LOC _---------,,... .. ....,. $ CY'6}'r"R PRODUCTS COMP/OP AUTOMOBILE LIABILITY COMBINED SINGLE LINK 1,000 000 X ANY AUTO „BODILY INJURY iPerpelson} $ . . OWNED DONLY AUTOS i BODI4 Y INJURY (Per ac, Ir!en1) . BA040000014694 5/1/2023 5/1/2024 �..,... ..1. _P OPERTY ". H RHO d NONOWNEDDAkMALroI", VJ I % ONLY .... .... AUTOS ONLY ..-..... ti .. er nrrcrd�sruC) $.........__ . ,,,,,, ..,... UMBRELLA LIAB X OCCUR _ I. .. $ 000 UU0 A 1 E ;XS4288899 2/2012024 5/1 /2024 Ali RRENCE S EACH OCCU �.XEXCESS LIAB CLAIMS MAD �'A J DED RETENTION$ 99r T�!.hIT� C WORKERS COMPENSATION TE OTHAND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEYN/AXTWC4295206 7/29/2023 7/29/2024 E NT $ 1,000,000 Wm0 ER)M n NH) EXCLUDED? f L EP,S CID, .,,.. ... i"d C EMPLOYEE $ 1,000,000 If yes, describe under f 1 000 000 D IEquipmentFloater NN1542715ITITITIT.. 5/1%2023 5/1/2024 (Schedule ITProperIMIT DESCRIPTION OF OPERATIONS below Scheduled Property 23,290 DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES IACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waiver of Subrogation in favor of City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street ElSegundo, 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 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WCO4030G (G±O4-O4) 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 morganization named inthe Schedule. (This agreement applies only mthe extent that you perform work under mwritten contract that requires you mobtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described inthe Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Any person nrorganization esrequired bywritten contract. This endorsement changes the policy tnwhich it isattached and ioeffective onthe date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 7C29/2023 Policy No. TVVC4295206 Endorsement No. O Insured Harris Steel Fence Co, Inc Pnnmium$ 13.048 Insurance Company Technology Insurance Company, Inc. Countersigned by WC 04D3OG