PROOF OF INSURANCE (2025 - 2025)CERTIFICATE OF LIABILITY INSURANCE
6/13/2024 I
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 endors oment(s).
PRODUCERCONTACT
Dave Terpening Insurance Agency, Inc,
ExI �310 517 8222 ArD N� t ) 517 1702
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22850 Crenshaw Blvd. , Suite 206 ADDRES;DaveTexpenn nsaarance com
.. ..._ —....
Torrance, CA 90505 ORDIN6 COVERAGE NAIC2
Ir�de lei Mere
....
License G47857Certain t1ca� r�ara.t at 'Lloyd' a London 1579�
..... ,.. _ _ _.. .....INSURERI�eCypress
.... Tiffany Hom...Uw�.�...._..._.._„P.�....,. `�S Y'
INSURED y eCare , Inc. INSURER B ress Insurance Company1O855
,. ....... �
dba Always Right Home Care piNSURER c _,,.... _
9700 Reseda Blvd. Suite 105 INSURERD;
Northridge, CA 91324 INSURER E
INSURER F :�-
COVERAGES CERTIFICATE NUMBER: REVISION 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,
AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS
.,. N W_.—,,.mme�— .� , .,..w__ �.--..... �_� .....�..,........_—
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LTR TYPE OF INSURANCE spg POLICY' NUMBER MM,NDDTYY'YY' � MMdDO��"1`YYyyl LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH 1
.. CLAIMS -MADE „OCCUR
,'...
O99
MAGETO E $
. .I.
�W2B8EF240501
S/15/2124
E/15/2025
EXPt °"a on 5,000_,
MED , p. ..
A mm.Retro Date 6/15/03
PERSONAL & ADV INJURY S Included
gNL AGGREGATE I dMM APPLIES PER:
GENERAL AGGREGATE $ 3�, OOO, OOO
POLICY PRO.'Y .�JECT LOC
PRODUCTS-COMPlOPAGG $ 1,OOO,000
OTHER.
$
AUTOMOSILELIABILITY
l a eMttic1 $ 1 OOO OOO
ANYAUTO
OWNED SCHEDULED
W2B8EF240501
S/' 1/2D24
S/15/2025
BODILY ( person)
JURY (Perar -
Per `anCd $ f
JU
INJURY
A AUTOS ONLY AUTOS
.. HIRED NON -OWNED
X
X
K'E'�i0'I�Gf$i�iSt�Iu'��i .��,.� ._.. .. „..
$
AUTOS ONLY
L _ m AUTOS ONLY
Paccldmna
UMBRELLA LIAB '...00CUR
e....m�
EACH OCCURRENCE
$
A
.,,,,...EXCESSLIAB CLAIMS MDC
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AGGREGATE
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$ ,,.- ................. ..�,.-.. ...� .
DED I;ETEN'rION$
S
WORKER$, Cf)MPENSATION
AND EMPLOYERS' LIABILITY
tl ER
B
AN tlS,PRMRIETORIPPAART (EXECUTIVE Yj("
OFF( II
N/A
Y
TIWC531447
3/1/2024
'/1/2025
E.L. EACH ACCIDENT
$� 1,000� 000
mm.
(PkMro. v1gIGGy In NH)
EL. DISEASE-EAEMPLOtE
$ 1,000,000
II descrlbe� order
0 MPTION OF OPERATIONS bolowa+
E L. DISEASE, - POLICY LIMIT
$ 1 0 0 0 1 0 0 0
A Prof Liab RD 6/15/03
W2B8EF240501
s/15/2024 6/15/2025
1, 000 , 000
A Prof Liab RD 6/15/03
W2BBEF240501
6/15/2024 6/15/2025
13,000,000
DESCHIPTION OF OPERATIONS,I LOCATIONS / VEHICLES (ACORD 101, Additional Remerks Schedule, may be allached B more space is required)
Location: 9700 Reseda Blvd., Suite 105, Northridge, CA 91324
10 days' notice of cancellation for non-payment of premium, all others 30 days.
CERTIFICATE HOLDER CANCELLATION
Community Development Block Grant Consultant
Development Services Department 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 REPRESENTAT'
I
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