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PROOF OF INSURANCE (2024 - 2025) CLOSED
S&SLA-1 9E 1 : A CERTIFICATE OF LIABILITY INSURANCE LDATI (MMIDDfYYYY) 05121/2024 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 endorsements . 877-242-96 0 CONTACT Central Insurance A enc PRODUCER AAE _ .... CentralInsurance Agency, Inc. PHONE FAX MaiNl.I E certofcates fClalnsures.com"sAIC... No);87 .243 8995 PO Box 1047 ( i „me . _ . .� 'Smithtown, NY 11787 5-M _ George Gavaris aor Force, Inc DBA JRM Mc1{illop Bouquet Canyon, Rd. #413 is, CA 91350 - IN Rg AFfPRpING Cuv�'= Insurance 134118 do' rePoint Insuraince Company 10499 SE ..__ ntlnel Insurance Company 11000 -- --- 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. NSR X COMMETYPE OF INSURAN RC AL GENERAL LIABILITY L SUER POLICY NUMBER-PMI ImminarYYYY OLICY EFF POLICY EXP �_bkmA6r`f6kbwfED EACH qQLIMITS .,000 A OCCURRENCE ... 300,000 CLAIMS -MADE X OCCUR GLV0001060 08130/2023 08/30/2024 LX' Assault & Battery MED EXP (Any one person) 5,000 X Professional Liab (PERSONAL 8 ADV INJURY $ 1,000,000 iEN`L AGGREGATE LIMIT APPLIES PER: f POLICY I X PRO- J ECT �1 LOC GENERAL AGGREGATE PRnr)I ICTS - r.nmP/nP AGC LIMIT AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUUTOS ONED AUTOS ONLY " ! NV ONLY A X UMBRELLA LIAB� „X OCCUR EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,000 B : WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / hI ANY PROPRIETOR/PARTNER/EXECUTIVE %�p�F.1 ER/MEMBER EXCLUDED? N / A (Manafatory in NH) If ves, describe under [S. 060 002017 08/30/2023 08/30/2024 BODILY 08/30/2023 08130/2024 1X 01/05/2024 01105/2025 04/22/2024 04/22/2025'Contents Leaslrent DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo Its officers, Officials, employees agents, and Volunteers are Includea as an additional insured, Under the general, liability With respect to the liability created, by the negliEnt, acts, errors and omissions of the named insured herein as required by Written contract. 3,000,000� ,0001 CITELSE 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 El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE l ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD