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PROOF OF INSURANCE (2025 - 2025) CLOSED
ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 8/28/2024 THIS CERTIFICATE 19 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 TIB Transportation Insurance Brokers, LLC 425 W. Broadway, Suite 300 Glendale CA 91204-1269 INSURED Inland Empire Stages, LTD 9567 Eighth Street Rancho Cucamonga CA 91730 anti'...Ha. ..... .w 818-246-2800 INSURERA: Lancer INLAN-1 INSURER B INSURER C : INSURER D : CnVFRAGFS CERTIFICATE NUMBER:679237690 REVISION NUMBER: 81 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 E,7�.`............ ......... ........�..._ ...__. ....... ILTR ....... .......... ...MMIDPY_ EFF 1 ISIb rL S1INE5 ...,......POLICY LIMITS NUMBER................... TYPE OF INSURANCE....... MdOY-Mdtli& INSD MP yY A X COMMERCIAL GENERAL LIABILITY Y GL156100#22 8/31/2024 8/31/2025 EACH OCCURRENCE $5000000 . fiJ1 Lt5 b� 1 $ 100 000 LAIMS MADE17 OCCUR -MADE PAMA�Et MI ESE M aoneurnce� ED EXP (An person) _ � $ 5 000 .. ..CLAIMS ------,..... -- ADV INJURY PERSONAL.&y $ 5 000 000 .. GEN ..... L AGGREGATE LIMIT APPLIES PER. � AGGREGATE GENERAL AG $ 5,0 00 000 X POLICY PRO-. LOC JEC..G _� ........ PRODUCTS COMPIOPAGG ] $ ......., _. _ ..... 07HER: A AUTOMOBILE LIABILITY Y BA157040922 8/31/2024 C 8/31/2025 Baa � p,kNd 6 INt'"'IE,iI.IMIT M $ 5 000 000 ANY AUTO ODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY _T-Y6RY Per accident) - $ X H �_X AUTOS ONLY X AUTOS ONLY PROPFRTY CrAlvbAf F tl�----- $ . --• _ J �- LLA OCCUR ACH OCCURRENCE $ __ _ EXCESS LIAR _ CLAIMS MADE AGGREGATE �....... $ DED � REBENTION $ � $ WORKERS COMPENSATION PER OTH ER AND EMPLOYERS'LIABILITY Y/'N ANYP OPRI TOR/PARTNE EXECUTIVE E..L EACH AC 1 ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) "" N/A E,,,,L DISEASE EA EMPLOYEE $ IF yes, describe under DESCRIPTION OF OPERATIONS below .: E.L. DISEASE -POLICY LIMIT $ 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, officials employees, agents, and volunteers are added as Additional Insured, but only as respects the operations of the named insured and only to the extent the additional insured is held liable for the conduct of the named insured. GtK I IFIGAI t HULULK City of El Segundo 350 Main St. 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 O 1 Vt$tf-ZUI0 AGUKU GUKYUKA I IUN. AU n9mL5 reserveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 9/19/2024 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 TIB Transportation Insurance Brokers, LLC 425 W. Broadway, Suite 300 Glendale CA 91204-1269 INSURED Inland Empire Stages, LTD 9567 Eighth Street Rancho Cucamonga CA 91730 rrr%WC0nr-cc f_EBTIEIPATE NUMBER: 21391421522 INSURER,B : INSURER C INSURER D t INSURER E Rdy..tja.. 818-246-2800 ISPIRER(S),AFFORDING.. is Indem Co of Ame REVISION NUMBER: 81 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. .... ..... .. .... ........... ................-...... ADDL�Sw.+3R ...........,......POLICY NSR ILTR .......,.- ... . -- .................. _. _.............. �..MMIDDY EFF 1 CY EXP LIMITS TYPE OF INSURANCE NUMBER COMMERCIAL GENERAL MM 0......� YYY) D EACH OCCURRENCE $ _ .••• CLAIMS -MADE „ OCCUR ] REt»G(SESLF�G�Wrvttugp�J. I $ ........ ... _ . fflMAA�a i`UER_G'1'AFD i ... � M ED EXP (Any one person) $ PERSONAL & ADV INJURY $ GE IN-L AGGREGATE LIMIT APPLIES PER: �.$..... � JEO .............. - COMPIOP AGG $ .---..� POLICY ...) B...C)C OTHER:COM mmP,RODUCTS ..... _ $ LIMIT $ AUTOMOBILE LIABILITY ANY AUTO IODIfLY �aaLol9INGLELVM� INDIJURY (Per person) $,•„•,�•, ............., ...... OWNED SCHEDULED I BODILY INJURY (Per accident) $ AUTOS ONLY y....,...... AUTOS HIRED NON -OWNED ..P �._,.� ,,..,-.......... �_ �RdihPtR1"YF1Afv6AGE ....._. $ i AUTOS ONLY AUTOS ONLY .Per atcr,,idau.47 ................_ ................__ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MAD E AGGREGATE $ •.• .• _••• ,,,- DED I RETENTION S $ A WORKERS COMPENSATION ''.. Y 15669023 10/1/2024 10/1/2025 X ...STATUTE AND EMPLOYERS' LIABILITY YIN RIPARTNERIEXECUTIVE Y „•„ER..,__ ID $ 1,'000 000 OFFICE /MEMB (Mandatory inN REXCLUDED? (Mandatory in NH) """' NIA E .L DISEASE EMPLOYEE $ 1,000,00 0 If yes describe under DESCRIPTION OF OPERATIONS below E L DISEASCCIDENT E POLICY LIMIT $ 1 000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Officer Exclusion Applies - Curtis Basey, Nicole Basey City of El Segundo 350 Main St. El Segundo CA 90245 ACORD 25 (2016/03) CANCELLATI 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 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD