PROOF OF INSURANCE (2025 - 2025)/
ACCOR " CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
01 /17/2024
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 Rebecca Zannetti
NAME:
STERLING INSURANCE GROUP
AICNN. Ext : (586) 685-0152 /X No : (586) 323-5703
13900 Lakeside Circle
E-MAIL rannetti@sterlingagency.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
Sterling Heights MI 48313-1318
INSURERA: Westchester Surplus Lines Insurance Company
10172
INSURED
INSURERB: Hudson Insurance Company
25054
Fire-Catt LLC
INSURER C : Burlington Insurance Company
23620
3250 W Big Beaver
INSURER D : Liberty Mutual Insurance Company
23035
INSURER E : Acceptance Indemnity Insurance Company
20010
Troy MI 48084
INSURER F :
COVERAGES CERTIFICATE NUMBER: CL2411734854 REVISION NUMBER:
THIS IS TO CERTIFYTHAT 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
UBR
WVD
POLICY NUMBER
MM/DD YYYYMPOLICY EFF
ICY EXP
O DD YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE � OCCUR
DAMAGE
PREM SESOEa occ"nonce
$ 1,000,000
_7RENTED
MED EXP (Any one person)
$ 10,000
PERSONAL& ADV INJURY
$ 1,000,000
A
G74395880001
01/12/2024
01/12/2025
GEN'LAGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY PRO- ❑
JECT LOC
PRODUCTS - COMP/OPAGG
2,000,000
$
Employee Benefits
$ 1,000,000
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
X
BODILY INJURY (Per person)
$
ANYAUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
HST00059400
01/11/2024
01/11/2025
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
C
EXCESSLIAB
CLAIMS -MADE
820BE09441
01/12/2024
01/12/2025
DED I X1 RETENTION $
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
WC533SB24X4B014
01/11/2024
01/11/2025
X STATUTE ER
E.L. EACH ACCIDENT
1,000,000
$
E.L. DISEASE- EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT
1,000,000
$
Excess Umbrella
E
EMM000210900
01/12/2024
01/12/2025
$3M x $2M
$3,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of El Segundo, its officials and employees are named as additional inusred with respect to general liability as required by written contract. Coverage is
primary and non-contributory.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of El Segundo
ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street, Room 5
AUTHORIZED REPRESENTATIVE
ElSegundo CA 90245
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD