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PROOF OF INSURANCE (2025 - 2025)
S&SLA-1 A-+Lc�ROw DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11119/2024 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 877-242-96010 COM(T 'T Central Insurance Agency Central Insurance A enc , Inc. PHO E FAX 9 Y 877 242 9600 877-243-8995 PO Box 1047 Yy ,Np,"Eatl..,.�, �.• ... gArc r e)... Smithtown, NY 11787 E•1A1 certlflbates�blaunsrares.com George Gavaris ADD6fSS, _.. LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST ._ INSURANCE 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. ... ,..POLICY _..... ........... .._ r ......._ pNSR 'ADDL iUBR POLICY NUMBER TYPE OF INSURANCE EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 1,"ADII I OCCI.UIIIRRENGI:::':: 'f 1'���'��� CLAIMS -MADE X OCCUR X ' IIWSGL002106 AMAG I(Mklgo� Ell 08130/2024 08/30/2025 300 000 X Battery MED EXP (A,nv one perso"nl $ .... 5,000 X Profess o I 11 Liab a RSCIaaAa 1N4URY $ 1,000,000 PER: "AGGREGATELIMITAPPLIESLO GI F kRODUC'rs- COMWOP,AGG 31000,000 AAUTOMOBILELIABILITY�ISINGLEdYM7f COMBINED 1,000,000 $ ANY AUTO WSGL002106 08/30/2024 08/30/2025 B DILY INJwdR �Par,p �� un� � ,,,,,,,„„„„, m �....... " OWNED SCHEDULED AUTOS ONLY AUTOS ODILY (Per a gent S ® „ X NON -OWNED DAMAGE PROPERTY AMAI E .XHIRED ..,;; AUTOS ONLY AUTOS ONLY NV ONLY A X UMBRELLA LIAB X OCCUR . EACH OCCURRENCE $ 5,000,000 � EXCESS LIAR CLAIMS -MADE j WSG0000490 08/30/2024 08/30/2025' ,. AGGREGATE. ........,_._ .r .. ......... 5,000,000 .......... ......_. -- ...__ DED '.. X RETENTION $ 10,000. B WORKERS COMPENSATION X PER OTIM ER AND EMPLOYERS' LIABILITY R CPW1002017 .. ".. ' 01/05/2024 01/05/2025 1_'000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A SFI EACH ACCIDENT _ �F�FICERYM'"MBEREXCLUDED? glNandatgry n NH) - E.I. DISEASE - EA EMPLOYEE $ 1,000,000 If yes describe under 4 DESCRIPTION OF OPERATI NS below 1 E.L DISEASE POLICY I,.WlT 1.,0010 000 s C 'BPP 12SBAF0808 04/22/2024 04/2212025 Contents 200,000 Leas/rent 20,000 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 officers, officials, employees agents, and volunteers are included as an additional insured under tke general liability with respect to the liability created by the negligent acts, errors and omissions of the named insured herein as required by Written contract. CITELSE City of El Segundo 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) ©1988-2015 ACORD GURPURAI IUN. All rlgnts reservea. The ACORD name and logo are registered marks of ACORD