PROOF OF INSURANCE (2025 - 2025)DATE (MMIDD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 11/2s/2oz4
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 acabNtAc�T Frankie Marc Anthony
-.-. ...
FAX
Harbour Village Insurance Agency lli*M5.1�__.
HONE (805)477 1334 ape) (805)477 1336
AIP. Ito .Ey* ...
frankie cr harboutvallaaeinsurance.com
1583 Spinnaker Dr Suite #211
Ventura Beach
INSURED
CA 93001
GEOEVENT LLC
D/B/A PRO AUDIO VISUAL RENTALS
7130 Hazeltin Ave Unit 217
Van Nuys CA 91406
INsuRERA LADELPHIA INDEMNITY INSURANCE CO 18058
LADELPHIA INDEMNITY
_ —I
RERB INSURANCE CO 1 18058
PHL............. ... _._ ---..
INSURER C
— EMPLOYERS PREFERRED
-
wsuRER D . RED INSURANCE CO 11512
INSURER E .
09ZVIKZIr`MKI IUI IMRFR
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.
_.. ._.I r4�tAL7Lj'waf, ..... .,MM
INSi ' �, M EXP LIMITS
gDYEFF
TYPE OF INSURANCE POLICY NUMBER ILC?b
LTRWVD
COMMERC IAL GENERAL LIABILITY
L
EACH OCCURRENCE �
...
$ 1000000
...... _
X CLAIMS -MADE OCCUR
5AMAGE YES"ktNf`L[J
PR
$ 1 00 0 OO
EIXPaur�
An M ( y oneperson)
I$ 5 OOO
A
Y
Y
PHPK2217289
01/01/2024
01 012025
ERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
„G AL ENERAGGREGATE
r
$ 2,000,000
PBCm
X POLICY LOC
P COMP/OPAGG
2 000 000
I -- JLOT
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i $
AUTOMOBILE LIABILITY
1CO OINED SINGLE LIMIT
m..
$ 1,000,000
-
�
...,.�
ANY AUTO
BODILY INJURY (Per per son
1 B )
$
B
T .
AUTOSONLY ..AUTOS
Y Y
PHPK2217289
01/01/2024
01/01/2025 F BODILY...INJURY(Peraccident)
$
HIRED NON -OWNED
X X I AUTOS ONLY
�P ROFERTY DA.NAA(,E.
$
AUTOS ONLY
Is
UMBRELLA LIAR OCCUR
EACH OCCURRENCE
$
EXCESS LIAB CLAIMS-MADE,
LAIMS MADE
I
AGGREGATE
$
DED RETENTION $
......
-
$
WORKERS COMPENSATION
1
�I
PER Oi H
X STATUTE, ER
AND EMPLOYERS' LIABILITY YIN
f
j
CIDENT
ACE
$ 1 000 000
D
ANYPROPRIETOR/PARTNERIF,CECUTIVE
OFFICER/MEMBEREXCLUI
NIA; Y
EIG5377650 00
}
10/01/2024
E..L EACH
10/01/2025 ---
DISEASE EA EMPLOYEE
$ 1,000,000 "
(Mandatory an NH)
If yes, describe under
�_,L
POLICY LIMIT .
$ 1 000,000
DESCRIPTION OF OPERATIONS below
r
.L DISEASE
I
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 , IT'S OFFICERS, OFFICIALS, EMPLOYEES, AGENTS & VOLUNTEERS are Named as Additional Insured under Commercial
General Liability fr Audio Productions Services provided on 5 December
CERTIFICATE HOLDER toAIVULLLA I IV N_
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
THE CITY OF EL SEGUNDO ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
350 Main St
Frankie Marc Anthony (agent)
EI Segundo CA 90245
V 1988-11.1115 AGUKU GUK1-UKA 1 IUN. All rlgnis reserveu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: PHPK2217289 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED — OWNERS, LESSORS OR
CONTRACTORS — (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL LIABILITY AND PROPERTY COVERAGE PART
SCHEDULE
Name of person or Organization :
The City of El Segundo, its officers, officials, employees, agents, and volunteers
If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the
Schedule, but only with respect to liability arising out of "your work" for that insured by or for you.
CG 2018 1185