PROOF OF INSURANCE (2025)-•ter AMERSUB-01
� �T CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDmYY)
7/18/2024
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
WSMT Insurance
1614 E Churchville Rd
Bel Air, MD 21015
INSURED
American Substance Abuse Professionals, Inc.
10151 York Rd, Suite 120
Cockeysville, MD 21030
INSURER F :
4101803-8590 I ('A"I'c. No1(410) 803-8598
The Hartford �19682
o+,rr,ws w..^ee PCOVICrr-at.YE: Ri"fifiC =0— RFVl: ]C)N 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 BEENREDUCED BY PAID .
_
� m
POLICY EFF POLICY
• ' ADDL SUBR POLICY NUMBER
INSR TYPE OF INS LIMITS
COMMERCIAL GENERAL LIABILITY
R
._ 1,500,000
CLAIMS -MADE X OCCUR
S 2363975
5/1/2024
511/2025
DAMAGE TO RENTED
AEA E { C 1
500,00
^A
10,000
M1EA.
S
— ..... ,.„ .,.._.
PEIR,SONA�Lr�,ADVIURY
�_
'$ �1,000000
_
3,000,000
E�N 1. A2r4xRE:GfdT E LIMIT APPLIES PER:
GENERAL AfjGREGATE,_,w,m_
A,—
3,000,000
PNYLICY �� JT LOC
PRODUCTS COMP/OP AGG
$
OTHER:
OCbMDIt^ICI� SINGLE LIMIT
1,000,000-
A
AUTOMOBILE LIABILITY
.AEaA.sua oqU-.m.-_$
ANY AUTO
S 2363975
5/1/2024
5/112025
g4DILY_INJURY..(PeUe,rson_
$ ............................
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY -(Per accident
_
$ _
.,,-..... m.._.
� {+�
ARJIS ONLY AUOTNOS UNIIY
W�ROPEf�R p AMAGE
Prr accndant ---$_
r
A
X
UMBRELLA LIAB X OCCUR
EACH OCCURRENCE
„„ 2,000,000
EXCESS LIAB CLAIMS -MADE
S 2363975
5/1/2024
51112025
AGGREGATE,,,,,.,...,.,.._..
-..,..
2,000„000,
..........,. .
DED RETENTION$
B
COMPENSATION
AND EMPLOY
X ST.�.I,�T�R--
�.
Y f
ANY PROPRIETOR/PARTNER/EXECUTIVE RBTI ER/EXECUTIVE
AFFICER/MEMBER
30WECALSELK
5/1/2024
51112025
A
E,. EgCH CCIpENT
1,000,000
.. ,.. -- w,.,,,.,,
EXCLUDED?
aa:4datory in NH)
NIA
E. L. DISEASE - EA EMPLOYEE.._,
1,000,000
If es, describe under
OE r"RIPTIO.N.OFOPERATI N below
E..L.DISEASE-POLICY LIMIT
1,000,000
C
Professional Liab.
IMEO413253624
5/112024
511/2025
$2,500 Deductible
1,000,000
D
ICyber Liability
�AB668886603
511/2024
5/112025
$2,500 Deductible
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space Is required)
The City of El Segundo, its official's, and employees are an Additional Insured on the Commercial General Liability and Auto Liability when required by written
contract or agreement regarding activities by on behalf of Named Insured.
City of El Segundo, California
350 Main Street
El Segundo, CA 90245
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) U 1955-ZU15 AGUKU GUKI'UKA I IUIV. Au rignis reserveu.
The ACORD name and logo are registered marks of ACORD