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PROOF OF INSURANCE (2024 - 2025)ALOHDOO-01 ERIDDI. A�+IIRO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDmYY)4111/2024 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 License # 0633339 CO TACT Elbe Riddles ... .... FAX Olson Duncan Insurance Service, Inc. PHONE N Ext ^^ IA C, Noy Olson Hawthorne Blvd. Suite ice ..................... Torrance, CA 90505 _ADE-MAIL eriddles@olsonduncan.com INSURED INSURER B : L alliTOrnla FiuLO insuranuv 4S7 .# Aloha Doors, Inc. jNSIJRER C 214 Main St #119 INSURER D El Segundo, CA 90245 _............... INSURER E INSURER F COVERAGES CERTIFICATE NUMBER wawa ..... 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. _mW _ ........ ._.,..,... INSR ADDL SUER '..... POLICY' EFF POLICY' EXP 181 TYPE OF INSURANCE LN p rpy POLICY NUMBER I!A-i..7�" LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 2,000,000 CLAIMS -MADE X OCCUR L262004111-0 311412024 3114/2025 d DAWAGE TO RENTED P.II 1" rEaasccuarlI, I _ 100,000 $ 5,000 MED EXP An one qLr 2nj $_ .� 2,000,000 PERSONAL & ADV INJURY $ 2,000,000 G................0 EN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ X POLICY Ik LOC PRODUCTS - COMP/OPAGG $ 2,000,000 OTHER $ B COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY Ia $ ANY AUTO BA040000054325 11/7/2023 11/7/2024 BODILY INJURY„V,,(Perperson $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per acciden[ $ X HIRED X.- Nt»N� WN ( PROPER T"YDAQ47AG Pr:aac,r;dd�en_YJ, $ AUTOS ONLY _.. A TiC'3`OY ....._...� ,_. $ _....... UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE _4 '.... AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- STA T, AND EMPLOYERS' LIABILITY YIN _,„_,,,,,,,,,,,,, ANY PROPRIETOR/PARTNER/EXECUTIVE L. EACH ENT M M EXCLUDED' N / A SEASE�EDA Maiden H� L. EMPLOYEE, $ If yes, describe under DESCRIPTION OF OPERATIONS below ............... ._' E.L. DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) re: operations as Usual to named insured City of El Segundo has been named as additional insured if required by written contract per endorsement AGL-153 08 14 attached. Waiver of subrogation applied per endorsement CG24 04 05-09 attached. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY 9 ACCORDANCE WITH THE POLICY PROVISIONS. 150 Illinois Street El Segundo, 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 ATLANTIC CASUALTY INSURANCE COMPANY ENDORSEMENT # 2 This endorsement, effective 12:01 A.M., 03/14/2024 forms a part of Policy No. L262004111-0 issued to Aloha Doors, Inc. By Atlantic Casualty Insurance Company. IN CONSIDERATION OF NO CHANGE IN PREMIUM, IT IS HEREBY AGREED THAT THE FOLLOWING FORMS ARE ADDED AND ATTACHED TO THE POLICY: AGL-153 - ADDITIONAL INSURED - PRIMARY & NON-CONTRIBUTORY CG2404A - WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED, SIG GND 003 10/97 03/28/2024 KD DATE SIG 1997 All Fights Reserved POLICY NUMBER: L262004111-0 COMMERCIAL GENERAL LIABILITY AGL-153 08 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom the insured has agreed within a written contract or written agreement; provided such written agreement is executed prior to the loss. A. Section II -Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. This insurance is Primary and Non -Contributory, but only for the Additional Insured shown in the schedule and only for liability arising from the Insured§ negligence for ongoing operations. C. With respect to the insurance afforded to these additional insureds, the following exclusion is added 2. Exclusions This insurance does not apply to " bodily injury" or "property damage" occurring after: (1) 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 site of the covered operations has been completed; or (2) 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. AGL-153 08 14 Includes copyrighted material of the Insurance Services Page 1 of 1 Office, Inc., used with permission. All rights reserved. POLICY NUMBER: L262004111-0 COMMERCIAL GENERAL LIABILITY CG 24 04A 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization with whom the insured has agreed within a written contract to waive rights of recovery, provided such written agreement is executed prior to the loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To US of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or " your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04A 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 1 0 POLICYHOLDER COPY SC P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 02-29-2024 CITY OF EL SEGUNDO SC 150 ILLINOIS ST EL SEGUNDO CA 90245-4311 GROUP: POLICY NUMBER: 9333038-2024 CERTIFICATE ID: 10 CERTIFICATE EXPIRES: 02-10-2025 02-10-2024/02-10-2025 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement„ term or condition of any, contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain„ the insurance afforded by the policy described hereon is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1651 - TYSON DOROHA VP - EXCLUDED. ENDORSEMENT #1651 - WHITNEY CARMAN P,S,T - EXCLUDED. EMPLOYER ALOHA DOORS, INC. SC 214 MAIN ST EL SEGU EL SEGUNDO CA 90245 [P13,HO] (REV.7-2014) PRINTED : 02-29-2024