PROOF OF INSURANCE (2024 - 2025)C CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
06/28/2024
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
MARSH USA LLC.
Japan Client Services
1166 Avenue of the Americas, 36th Floor
New York, NY 10036
Attn: NewYork.Certs@marsh.com Fax: 212-948-0500
INSURED
Sharp Electronics Corporation
100 Paragon Drive
Montvale, NJ 07645
INSURER B :
INSURER D :
INSURER F t I'
COVERAGES CERTIFICATE NUMBER: I NYC-011980392-01 REVISION NUMBER: 2
NAIC #
11126
25674
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.
.,........ UMBER MMIDD.. FF P'6LICYExP LIMITS
TYPE �..._ ...( ,.,.�...... POLICY ,L... .. ---- ....,. ..................._ ..
ILTR ADDLyBUBR@ N.. _. _ P�LiCY E. � MM/DD
A
X COMMERCIALGENERAL LIABILITY
TGL30045390100
10/01 /2023
10/01 /2024
O
000
(........�
bAMAGE To RENfEb
1 000 0
Il
PREMISS (Ea a cu enact )-
$
CMED EXP (Any one pe„rson)
._
—
15,000
.
._
PERSONALBADVINJURY
...
$
1,000,000
..
GEN'L AGGREGATELIMIT ........m..-, ....--....-_
APPLIESPER:
GENERAL AGGREGATE
$
1,000,000 m
X...
PRODUCTS COMPIOP AGG
1,000,000
J LOC
m
$ ..
OTPRO-
HER
A
LIABILITY
TAL30011561002
1010112023
1010112024
COMBiNFD rC01) IhkGLF.
1,000.000
XUTOMOBILE
ANY AUTO
BODILY INJURY (Per Person)
$
OWNED SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS ONLY AUTOS
HIRED
Y DAM,AG6
$
AUTOS ONLY AUTOS ONLDY
P
ti ergs
A
X
OCCUR
�
CPU40752A0
10101/2023
1010112024
EACH OCCURRENCE,
1 000
ExcEss LIABAB
CLAIMS -MADE
B X CLAIM
_AGGREGATE
AT
1Jm$ _
1,000,000
„
DE D V I! RETENTION $
$
B
WORKERS COMPENSATION
UB-6W750557-24-14-E
06101/2024
06/01/2025
PER OTH
STATUTE
EMPLOYERS'LIABILITY YIN
EACH ACCIDENT $
1,000,000
E/E7 ECUTAND
ANYP OPRIET IVE
A
/
,,.E.L.E
R CLNE
OFFICER/MEM NJ
N A
1,000,000
(Mandatory in NH)
E.L. DISEASE EA EMPLOYEEI $ ._
If yes, describe under
J
1,000,000
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $
OF OPERATIONS / LOCATIONS 1 VEHICLES ACORD 101 Additional Remarks Schedule may b attached if more ace is required)
DESCRIPTION ( Y P
CERTIFICATE HOLDER
CANCELLATION
City of El Segundo
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
350 Main Street
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
El Segundo, CA 90245
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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ACORD 25 (2016/03)
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