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PROOF OF INSURANCE (2024 - 2024)�.w SANDIEG-19P. DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/12/2024 THIS CERTIFICATE IS ISSUED AS A MATTER R 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 end orsed. 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 holdin lieu h endorsement(s). ..................... �.. e certificate holder eu osuch _......._ PRODUCER "PACT Fusco & Orsini Insurance Services, Inc. PHONE I „I 506 iA—X ) 209 9298 San D5095 iego, A 92123 Road, Suite 200 A JaR B� a ..°°° y 384 1 C y E-MAlle w� aerwri envy com INSURERS] AFFORDING COVERAGENAIC # ____ INSURER:,A.:. Phila. .._... . �....w..... .. ­delPhia Indemn"ity,lns, Co -18058 INSURED INSURER em:_SiriusnolntAmerica,,,,,InsuranceCompany.... -........... M776 San Diego Centre For Organization Effectiveness INsuRER c,m,_ 3914 Murphy Canyon Rd #A164 INSURER mD _ San Diego, CA 92123�"� INSURER E ------- COVERAGES _.........._., CERTIFICATE NUMAE :; 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. _ .. ..... A X COMMERCIAL GENERAL LIABILITY LIMITS IN�SR ADDL SUM POLICY EFF f POLICY EXP TYPE OF INSURANCE J POLICY NUMBER (MM (MM99)8 YY] CITY e�rt+occu_RRFNCE..�._ ._s_ .. 1,0 . CLAIMS -MADE C X occuR PHPK2619252 12/712023 12/7/2024 DAMAGE TO RENTED 100000 MED EXP"fAny one pe son) _ $ 5 000 ...--.... 11000,000 SONAL & ADV INJURY 8 N (m AGGR_.. ! �.._ I 2,000 000 X PO4gCYE:GAR E: LIMIT APPLIES PER: G„EPJE___ AGGREGATE $ LOC P y 2,000 000 PECOT- RODUCTS -COMP/OP AGG 4 $ �...BIL._.. .. ......._. _������_.....�� ._ ......._ .. INED INULE LIMIT ...�..... 1,000,000 A AUTOMOBILE LIABILITY $ ,.,,,�,,,. OT11F ANY AUTO SCHEDULED PHPK2619252 12/7/2023 12/7/2024 B ell Y INduRv (Per person) 1..,.�OWNED ._. _ AUTOS ONLY y AUTOS BQDILY INJIJ,RY (Prr aaaident) $ -, O �y _PROPERTY DAMAGE X, AUTOS ONLY X ANJTNGJS fOJIGN P r acrlclenl) „.. __ .................. ...._ ... EXCESS LIABIAB OC UR MS-MADEn..,_............ _ .,.......-_............. .. _. ...... EACH, .P U RENDS -., I. $,.u. n.....,._.... ... _.. B �., WO ---. .. .......-._ DED � � RETENTION $ ION PER ANYOFFICER/MEMBEROPRII/EXCLNNERJE ECUTIVE "'�"N E L EACH ACCIDENT H 1,000,000 AND EMPLOYERS' LIABILITY STATUTE UDED? WC12861000 12/10/2023 12/10/2024 1 Y NIA 1,000 000 cr )DESr,RIPTION OF E L DISEASE -POLICY OYE $ ,0 f (Mandatory eNnder I mmE^ " m ---- IMIT ] $_ 1„000 000 A Professional Liab OPERATIONS below PHPK2619251 1217/2023 12/7/2024 Aggregate Limit 2„000,006 A Professional Liab PHPK2619252 1217/2023 12/7/2024 Each Incident 1,000,000 _ ......_._._._.,_.. ... ......... ....._ ... DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Verification of Coverage 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 El Segundo, CA 90245 ........ ....... '.. AUTHORIZED REPRESENTATIVE ra .......... ........ ........ .......,,.....,....... - _......._.. ...,,..,.....,.... ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD