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PROOF OF INSURANCE (2025)VANLING-01 JHOMPSQ. ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)10/23/2024 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 cONTTAACT GregHanen � PCF Insurance Services of the West, LLC 18 N )A 703-0935 alc°NN EXt) (m ) I Foy Associates 2'1300V6Ctor)+Blvd.Ste.700 _ � ... re cfo com ._. .. �i g Woodland Hills, CA 91367 ERLSJ AFFORDING COVERAGE INR, .....�__... .................�,,.... INSURER wA,:_National Interstate, Insurance Company- y, 32620 —____ INSURED INSURER ............. ......................-.,-... . Van Lingen Body Shop Inc. 1NSURERC; 2755 Lomita Blvd. INSURER D �..... ....... Torrance, CA 90505 -•--••-•••----..,...m. 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDH. SUBR �........... - �� TYPE OF INSURANCE POLICY NUMBER POLICY E.F'F POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ....... CLAIMS -MADE [�] OCCUR X TPC 4400004 11/1/2024 11/1/2025 DAMAGE TO RENTED _PB��548Q50 100,000 ._ MED EXl?m(AnYone arson _.._ ._ 5,000, _.._. _....... w-.. 1,000,0000 PERSONAL. tt ADV IN.iURX $ 3,000 00 G N AGGRFGA"6'E LIMIT APPLIES PER. GENERAL AGGREGATE X PROW POLICY LOC ippef TS COMP/OP AGG PRODUCTS 3,000 000 $ m '�� OTHER: $ A COMBINED INGLE LIMIT 1,000,000 AUTOMOBILE ............. LIABILITY t� $ ANY AUTO X TPC 4400004 11/1/2024 11/1/2025 BODILY.„11N i1RY..(?g.E,,.Lgrson OWNED X AUTOS ONLY SCHEDULED X H X AS ONLY NON OWNED AUTOS ONLY PROPERTY DAMAGE PeracFrlen4J $ _ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE , $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION TPW4400004 11/1/2024 11/1/2025 X PER OTH- A AND EMPLOYERS' LIABILITY/T' 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? N / A E m ACCIDENT $ Mandatory In NH) E 1 DISC �.,.EA.G.4.SE EA EMPLOYEP._$ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 A Garage Keepers TPC 4400004 11/1/2024 11/1/2025 Limit 500,000 A On Hook TPC 4400004 1111/2024 11/1/2025 Limit 200,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo, its officers, agents, employees, and volunteers are listed as Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Dept 350 Main St. AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD