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PROOF OF INSURANCE (2025) CLOSED
0p DAl'C(MM/IDD1YYYY) „' CERTIFICATE OF LIABILITY INSURANCE I I 2N912024 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. m 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 CONTACT NAME: Aon Risk Services, inc of Florida PHONE FAx 701 Brickell Avenue (Afc.No. Eat) (866) 263 7122 (AIC.N ) (800) 363-0105 .. ..�..... _.""""........_ ....._ Suite 3200 EMAIL Miami FL 33131 USA ADDRESS: INSURER(S) AFFORDING COVERAGE 11 NAIC p INSURED INSURER A: Safety National casualty Corp 15105 Landcare USA L.L.C. INSURERB.. Federal ".... I ............. nsurance Company 20281 5295 Westview Drive ®®®®® suite 100 INSURER C: Frederick MD 21703 USA -....m _..." .,_- INSURER D: ..INSURER E:,.�.. ..............�........_ ......... ........ INSURER F:...... COVERAGES CERTIFICATE NUMBER: 570109943697 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, Limits shown are as requested ILTR TYPE OF INSURANCE AINSO WVD POLICY NUMBER POLICY EFF (POLIDl'EFF POLICY X (MM/DDIYYYY) LIMITS A X. GENERAL COMMERCIALIM 1 77524 0 SIR applies per policy terns & ondi onsl/2 P�ieMlsEs 'Eaf $1 000" 0,00�. AryG�F..CUR ccu re ce) MILD EXP (Any ar,e Person) $ 5 , 000 v PERSONAL B ADV INJURY ...... $2 000,000 r OIIWIPCaCLI`Y CAiIUIII"NPNLII-,ZL.00 GE ATE .....".". $4 OOO 000 PRO IT� JECT P ROD UCTS COMPlOPAGG ....,... $4 OOO OOO ........,.�.,_ rn o OTHER: A AUTOMOBILE LIABILITY CA 6675529 03/01/2024 03/01/2025 COMBINED SINGLE LIMIT $S,000, O00 N (E. a¢:cideilt) X ANYAUTO BODILY II`iJURY Pc, I s. n „ ITITm o "— 'SCHEDULED UODHY INJURY (Pere cd nt) Z OWNED AUTOS ONLY AUTOS ......."."............ ... - ........ PROPIY DAMAGE:', I::IY .. w t0 HIREDAUROS NOWOWNED (Per accsdeoTyll) U ONLY ........ AUTOS ONLY Y B X UMBRELLA LIAR X OCCUR 79836604 03/01/2024 03/01/2025 EACHOCCURRENCE $2,000,O00 01 AC..... I"I $2,000,000 FXCESS LIAR CLAIMS -MADE GAFILk '. RETYC4tl'F'df„Iti':r' A WORKERS COMPENSATION AND LDC4058321 03/01/2024 03/01/2025 x PI It SI"AY'1.7 Y'E vl Pi- EMPLOYERS°LIABILITY Y,rN .�_-. ANY PROPRIETOR I PARTNER I �, E L EACH ACCIDENT $1, 000 , 000' EXECUTIVE OFFICERIMEMBER (Mandatary In NH) NIA E,L. DISEASE -EA EMPLOYEE $1, 000 , 000 If yyes describe under DESdRIPTION OF OPERATIONS below . Wl.. DI SEA ............... M. ...... .POLICY I_IYvYI1" ,..................._..._. $1, OOO , OOO16 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space ,s required) City Of El Segundo is included as Additional Insured in accordance with the policy provisions of the General Liability policy. 11, 42 CERTIFICATE HOLDER CANCELLATION ri rr; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS„ 56 City Of El Segundo AUTHORIZED REPRESENTATIVE 350 Main street rwt: E1 Segundo CA 90245-3895 USA c�ia ' ✓nct a��C�E�iC ©1988-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD