Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PROOF OF INSURANCE (2024 - 2025)
,4 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 04/02/2024 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 pollcy(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 CA LIC OB29370 1-925-798-3334 CONTACT Eunice Choi NAM1E _ ... ...... Edgewood Partners Insurance Center (EPIC) PHONE _ IF [Concord - Branch ID 15469] DIV# 401/406 IAi!0*.fal).'_ ("C")' EMAIL �e icbrokers.com P.O. Box 5668 ADORESS eunice cho p --- ,..� RDING COVERAGE ......_._ INSURERISI ArFO............. �� ACC A Concord, CA 94524 USA INSURED Hanna, Brophy, MacLean, McAleer & Jensen, LLP 180 Grand Ave Suite 750 Oakland, CA 94612 USA rnvnDAr-cc CPRTICICATF NIIMRFR• 750440506 F, VIGILANT INS CO ....... a ..... . FEDERAL INS CO REVISION NUMBER: 20397 20281 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. INSR --------- ....................... ..di©[7L°si9�tlRr --..... _- ...... .........,.. PdLICY EFF P•OdWI�CY EXI'� " .,.,.,. .... .....,.,.. .-- LIMITS POLICY......... LTR TYPE OF INSURANCE NUMBER MMI IYYYY V MMIP20 YYY A COMMERCIAL X CO X 35826012 03/14/24 03/14/25 EACHOCCURRENCE $ 1,000,000 r 'i�AMAO� *fo fffo ro 000 000 CLAIMS -MADE X OCCUR 111 PREMISES (Ea „occurr�noe,) $"„1. MED EXP.(Any one Person) $ 10,000 PERSONAL&ADVINJURY �$ 1 000,000 .��..,..........,a ...a........ ...... .....�. EN'LAGGREGATELIMITAPPLIESPER. GENERAL AGGREGATE .. ............. -.... $ 2 000 000 X � � (. O � LOC 0� PRODUCTS,,,,,,,, COMP/OPAGG $ 2 0 0 � OTHER: B ''. AUTOMOBILE LIABILITY 7983828 03/14/24 03/14/25 GCMBINEDSINGLELIMIT arac(d,eru(p,.. ................_.....__. $ 1,000,000 _. ANY AUTO BODILY INJURY (Per person) $ ( SCHEDULED__ BODILY INJURY (Per accident) $ R"OWNEDX AUTOS ONLY l AUTOS HIRED NON -OWNED PT.OPC,RTY C)ANrs'.AGE $ ._.. AUTOS ONLY AUTOS ONLY (P] ...�vr a�ruudont ..,.. ......� $ B UMBRELLA LALIAB X (OCCUR LLIrAB 79838282 03/14/24 03/14/25 EACH OCCURRENCE $ 15,000,000 ...-. �m... CLAIMS -MADE AGGREGATE .•...... ......._._._.__ ... . $ 15,000 000 .............. „ mm: ...� ..— r DED ME.... mf . .... TION $ $ WORKERS COMPENSATION PER I O"IH AND EMPLOYERS' LIABILITY YIN ,STATUTE „„„„„E.R ......... ,,,,,, ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICEREMBER EXCLUDED? /M (Mandatory in NH) NIA � L. DISEASE- EA E E,MPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E..L. DISEASE •POLICY LIMIT $ Business Personal Property 35826012 03/14/24 03/14/25 Blanket BPP 2,528,460 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: All Contracts/Written Agreements between the Certificate Holder and the Insured. When required by written contract, additional insured status with primary coverage and waiver of subrogation apply to General Liability and Automobile Liability, all per the attached endorsements. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo, CA 90245�.Mr r r USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ECHOI 750440506 CH U B B® Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured Name of Company Date Issued This Endorsement applies to the following forms: GENERAL LIAB1LrrY Who Is An Insured Additional Insured - Scheduled Person Or Organization Liability Insurance MARCH 14, 2024 TO MARCH 14, 2025 MARCH 14, 2024 3582-60-12 WUC HANNA, BROPHY, MACLEAN, MCALEER & JEIVSEN LLP VIGILANT INSURANCE COMPANY JANUARY 12, 2024 Under Who Is An Insured, the following provision is added Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Addilidnal Insured - Scheduled Person Or Organization Form 60.02-2367 (Rev. 5-07) Endorsement continued Page 1 CHUBB" Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative Q-0�V2 na Liability Insurance Additfonal Insured - Scheduled Person Or Organization last page Form 02-02-2367 (Rev. 5-07) Endorsement Page 2 .� 0 �;;� (MMIDDfYYYY) AC40,RL> CERTIFICATE OF LIABILITY INSURANCE 04/17/2023 1 Ill ..... . . .......... -1 - _1�� 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 enclorsement(s). PRODUCER M—h Affinitv Marsh Affinity a division of Marsh USA LLC, PO BOX 14404 Des Moines, A 50306-9686 IIIIW!I!� ADPTotalSourcegmarsh,com INSURER(S) AFFORDING COVERAGE INSURER A: AIU Insurance INSURED INSURER B: ADP TotalSource DE IV, Inc. INSURER C: 5800 Windward Parkway INSURER D: Alpharetta, CA 30005 L/C/F: INSURER E Hanna, Brophy, MacLean, McAleer & Jensen, LUP INSURER F: 1956 WEBSTER ST SUITE 450 Oakland, CA 946120000 NAIC # 19399 COVERAGES CERTIFICATE THIS IS TO CERTIFY THAT THE POLICIES INDICATED NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF SUCH POLICIES INSIR TYPE OFINSURANCE . . . .................... . . . . ...... COMMERCIAL GENERAL LIABILITY CLAIMS OCCUR OF INSURANCE PERTAIN, LIMITS ADOLSUBP INSD WV . NUMBER: LISTED BELOW HAVE BEEN ISSUED TO THE INSURED TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS POLICY NUMBER (POLICY EFF POLICY EXP M IDI �IY ........ REVISION NUMBER, ............ NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE $ DAMAGETO REN O ED $ -MADE PREM1111 S ......... MED EXP (Any one person) $ PERSONAL & ADV INJURY $ . ..... . . . . . . ........... . . . GEN1 AGGREGATE LIMIT APPLIES PER: ............................ GENERAL AGGREGATE $ . . ................ RO ❑LOC POLICY EC T. .... .............. . . PRODUCTS - COMP/OP AGG $ . ....... . . ....... . . . I OTHER $ . AUTOMOBILE LIABILITY .... ............. . ............... . ....... . ......... COMBccINdeffU ED SINGLE LIMIT �Ez a $ ... ............. . ....... . . . . . . . . .. . . . . . ANY AUTO BODILY INJURY (Per person) !B OWNED SCHEDULED BODILY INJURY (per accident) $ AUTOS ONLY AUTOS . . ..... . HIRED .... NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY . . . ..... !r UMBRELLA LU ...... . .... . ........ . . .......... EACH OCCURRENCE $ EACH EXCESS LIAB CLAIMS-MAD6 El $ . ......... ................ . . . . . ....... . . . . . . . . ....... ........... WORKERS COMPENSATION PST . ....... T_'_707Fr_ . . ......... . . . STATUTE ER AN D EM PLOYERS'LIABI L ITY YIN . ... . ANYPROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED9 NIA WC 034283955 CA 07101/2023 0710112024 E L EACH ACCIDENT $ 2,000,000 in NH) E L DISEASE - EA EMPLOYEE $ ZOE.n �fManddato yes . escrry ibe under DESCRIPTION OF OPERATIONS below .... ........ .... I ------ ....... ........ E L DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD . . . ............ 101, Additional Remarks Schedule, may be attached if more space is required) All worksito emplores woWnq for HANNA, BROPHY, TOTALSOURC . I C's payrd( are coverrid under I he MACLEAN, MCALEER above stated & JENSEN, LLP, paid under ADP policy. CERTIFICATE HOLDER .......... CANCELLATION I El Segundo City of "Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Segundo, CA 90245 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C 1988-2015 ACORD CORPOI16TION, All rights reserved. The ACORD name and logo are registered marks of ACORD