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PROOF OF INSURANCE (2025 - 2025)A CERTIFICATE OF LIABILITY INSURANCE -;z-- M ""� `� Ii%�. 0810712024 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. the terms and conditions of the policy, certaln policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERNAA1E: ��� Deana Baiseri Ulta Insurance Age 4 ; Nag 909-435-4861,�..... kouttair� Kland DD oo1m 106-504 U.M.RERasg A. rf.ORDkMGCOYERAGE K Rancho Cucamonga CA 91739 INSIRERA AtalnSg ctiltylnsuraance�on)l ny M � m � 17159 INSURED INSURERs. NC�RTHFIELDINSCO 27987 _ _._..,. .._. All Purpose Safety Training Solutions, LLC INsuasE..._ RC 0 Brockton Ave INSURER E : Rnrerside CA 92501,3222 INSURERF: COVERAGES CERTIFICATE NUMBER- REVISION NUMBER: S IS T THE POLICIES INS UTHAVE BEENN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD i7, DCERTIFYTHA IN 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. y,.......... OISR ....... ,., ..... ... ..... ....tlULsue'It." ..... ..,,,,., POLICY EFF....,Po'LICYExP .. .... ....... ....... L1R TYPE OFINSURANCE pIS VJVD POLICY NUMBER dIMNYYY MMdDWYYYYI LIMns X ODMMERCIAL GENERAL UAMLrrY CHOCCLORENCE s 1,000000 ..w k':eL.dwfDl -3-AALXA N"�Y: C:UQ,Ta;N OC 73MT TMN7— _._.... _. A .. PRE"kI IS £5 yEa. roc• .mr .vrr:•, s 10Q000 MED EXP rAlyQ,pe pe,%w S 5.000 A y PLS05370 33i06d2024 03/061202S PEP_gcINm.. RAGv iu.AyRY s 1,000,000 ... ....... GEML AGGREGATE LIMIT APPLIES PER; '... '...... �..... .. �.. GENERAL AGGREGATE s 2,000,000PRO- 11Ii. POLICY JECT' Ltd '., ',,. 000,000 _ ,..... s 2 _ . Ts - ccu rer� o .�:. . ....i Ir, „ , Non awnea/wred $ i3Oo0,00o AUTOMOBILEUAetmr 19 ` s 1000.000 ..... ANY AUTO � I s DEYp�uIPer peno.......mm.., A ; ALL CVM o — SCHEIR.Lt_I PLS05370 03JOfi12024 03i0fi/2025 Auro3 �oEY Iw RwR"r iPe� a denLl s X AUCjTN�C')0SWNM HIRED AUTOS . UMaRR LA, LIAB DCCMR_ '.... EACH OGCU. AR ENCE '' s .....w,�.,............ .,, ........ ,.. .,.. ---"'...... EXCESS L1Aa "-P,d,AOE �._..,,..__.., __ .._- ......... : AGGREGATE I S DEC nONs s WORKERS COMPENSATION STA1f1.L�T'E 0 AND EMPLOYERS' LIAffiLffY Y 1 N �..... .... ,.µ. ..... .. .__,,,,.,.......'#,_._.....�_...� ,.. ... ......._... ANY PROPRJETORIPARTNERIEXECUTWE E. LE `I ITT 3 A '. OFFICWEE ER EXCLUDED? Nd, f3 �' ,,,,,, 'Into bey in W E.L DISEASE- EA EMPL.OYI " $ ......... ... U!dexa.t ba under O,rd 'TIO'.RJOF OPERATIONS below ,,,,..... .. __, ___ - E_L. DIS S'E- POUCYL IT "'.: s A Professional Liability PLS05370 03106/2024 03/06/2025 Limit:$$1,000,000 B Commercial Property WS548280 06117/2024 06/17/2025 Building Limit $1200,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Addkio ] Raueaft Schoduia. may be attached E more space is requindg Certificate Holder is listed as AdditionaI Irisured with respects to the operations of the Named Insured. '10 Day Notice ofCance llationapplies for non payment of the premium 30 Day Notioe in the event of Cancellation, Non Renewal, or Material Reduction in Coverage CERTIFICATEa HOLDER CANCELLATION City of 8 Segundo 350 Main St SHOULD ANY OF THE ABOVE DESC REED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ® Segundo CA 90245-3813 1 r 19988.2014ACORDCORPORATION. All rights ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD M�0, DATE (MMIDDNYYY) ACC>R " CERTIFICATE OF LIABILITY INSURANCE 8/8/2024 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 uaOuSAC US[ INSURANCE SERVICES LLC 8000 NORMAN CTR DR STE 400 BLOOMINGTON ...... INSURED MN 55437 (855) 478- 470 q ,N,1• (866) 828 2424 CB NSURIERISIlAFFO DING OVERAGE NA--� IC Massachusetts Bay Ins Co ALL PURPOSE SAFETY TRAINING INSURER G SOLUTIONS LLC INSURER D 3941 BROCKTON AVE INSURER E RIVERSIDE CA 92501 INSURERF: ! r%%IMDAP_`CC f`CDTICl/`ATC IUIIRA12cc• RFVICInN. NlIMRFR- 22306 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 _.... ......... .......... ...... A[}[MM. POLICY EFF POLICY EXP..,.,..... ..------- ...................�_ . L,TR ''... LIMITS TYPE OF INSURANCE POLICY NUMBER MMIOP MMIDD L. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ .... .._ � �(1. �f0,M7YEb� N ...� CLAIMS -MADE OCCUR PAI4bk I A ,�REMOSE9�,L occanrrraaucoy $... ,., f .............�.-.,...... ...._. �, ny one person) $__.. _ &ADVINJURY ..,PERSONAL.. $ ---. .,, --- ...... ......,. GEWL AGGREGATE: LIMIT APPLIES PER: GENERAL AGGREGATE ...�.,-.... $ ....._ .... POLICY PRK)- LOC �.. .� ,IECT � ..-....-... � RODUCTS-COMPIO„AGG .-.. $ ....� $ OTHE:R'. AUTOMOBILE LIABILITY COMBINED SINGLE. LIMIT $ ANY AUTO (Per e BODILY INJURY person) $ OWNED SCHEDULED BODILY INJURY (Perac" adept) $ ...� AUTOS AUTOS ONLY HIRED NON -OWNED � PROPFR'iY DAtJiAG'E .................... $ .......... AUTOS ONLY AUTOS ONLY Per a�,ctident ,.,.(.__ _ _ .____.� is UMBRELLA LIAR OCCUR --EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION $ $ . WORKERSCOMPENSATION PER OTH STATUTE AND EMPLOYERS' LIABILITY y'""'"I N ".ER $ 1,000,000 A ANYPROPRIETOR/PARTNERIEXECUTIVE � NIA N WDX900281113 02/01/2024 02/01/2025 E L. EACH ACCIDENT --- •• OFFICER/MEMBEREXCLUDED? 1,000,000 (Mandatory in NH) E,L, DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT '�. $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCLUDED OFFICERS: LUIS TRUJILO (OWNER), MARTHA GOMEZ (MEMBER) C;tK I IFIGA I t r1ULULK W AN%,C _w I IVIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF EL SEGUNDO AUTHORIZED REPRESENTATIVE 350 MAIN STREET EL SEGUNDO CA 90245 ©1988-2015 ACORD GOKPOKA I IUN. All rlgnts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD