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PROOF OF INSURANCE (2024 - 2026)
ACC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/18/2025 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 pola+icy(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 CONTACT Bethany Hogue Merriwether &Williams Insurance Services PHONE (415) 9.8.,6-3999 .r -3999(415)986 E1"'oE a License No.: 0001378 . ADDRESSa _ 44 Montgomery St., Ste. 940 INSURER(S) AFFORDING COVERAGE NAII San Francisco CA 94104 INSURERA: ACE Property acid Casualty insurance Company ...... .... INSURED INSURERS, HISCOX Insurance Company Inc. Security Design Concepts, Inc. INSURER C r 17943 W. El Caminito Dr, INSURER D INSU RER. E z. Waddell AZ 85355 uu_... r COVERAGES CERTIFICATE NUMBER: CL2531822363 A THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED / INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR I AGREGATE LIMITAPPLIES PER: POLICY PR0. ❑ JECT LOC AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED H AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EXCESS LIAB car. 1„w WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOFVPAWNE'RIEXECg TIvE OF FICEiRIMEMBI(.R EXCLUDED?' N I A (Manddlory in NH) If yes, describe onoer DESCRIPTION OF CIPFRA'Il'MS holow I, � PROFESSIONAL LIABILITY B D96051785 N 04/14/2025 N 04114/2026 P100.206.684.5 1 04/14/2025 104/14/2026 REVISION NUMRFR- ,BOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS iUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE $ 2.000,000... , 100,000 I�REMISES iE'rt oaxr�rveruce $ MED EXP (Aviv one persone $, 5,000 'P�EIR"+SOMM,,.6AO'•VINJURY S 2,000000 1.ENERALACGREGATE. $ 4,000,000 PRODUCTS-COMP)OPAGG $, 4,000,000 COMBINED SINGLE LIMIT I $ Ea actowderol BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ P' OPER'tl"tdCNAM'AGE "a�:or nt,WrraF.. $ EACH OCCURRENCE S Airta"fRE'fa.AT'E. S s PER„aATIJ.I..E 11 ONH• E'..L FAGH' AC[,�IDEN"I . 5 ....� E.I. DISEASE :•EAEMPLOY'EE: $ E..L. DISE.A,SE - 6' OLICY LIMIT S EACH CLAIM $1,000,000 AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE ADDITIONAL INSURED'S AS RESPECTS THE NAMED INSURED'S OPERATIONS WHERE REQUIRED BY WRITTEN AGREEMENT. INSURANCE IS PRIMARYAND NON-CONTRIBUTORYAND WAIVER OF SUBROGATION APPLIES. CITY OF EL SEGUNDO 350 MAIN ST. EL SEGUNDO ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I w i pam)h- dMsp aaau%wm pp pun spe) mnwj'pry uo upw" W b ne wn maaovuP.a-. r 1ePwxue, *P4$-0y puextvp9aaxaXeujs}uno LJ Slate Farm Mutual Automobile Insurance Company M Rnr "M Bkomfnon IL 61702-2358 AT2 002158 0008 A-1357 RAMM, ROGER B Policy Number:—E29-03 PrAry Pwrirxt• NnvPmhar 24 2f123 to Mav 24 2f12d Vehicle: Principal Driver: ROGER RAMM A PAU IV Mr— HAL N'tt�tt��iPt C��C��t,c Your State Farm Agent ��INSURANCE AGCY INC Office. - Address: If you have anew ordMent cer, have added anydfiim orhae mowed, please corrfadyourwt I hanK you for choosing b'tate Farm. See yourpuGryfm en exp!ana:vn -fates= vte---s. H LI' Ilny Bodily Injury 250,0001500,000 Property Damage 100,000 �....-.�.. � ...___.�.._.__... ..�..a.,..m.,_$250.03 u 1,omplenenslve a 11 1 If G 500 Deductible Collision $148.93 RI VA Mwittal C IItlUCI C7lrRl1M Per flay„ $1,500 Max 518.91 - fcontr had on next ) Policy Number.—E29-03 Page number 3 of 5 Prepared October 6, 2023 10118123. 11.33 AM Policy Information 46 Policy Information Policy number 03-CD-D739-2 Policy type Personal Liability Umbrella Mailing address Phone number Email address U y"luciva'a aH ,v cficinm I I "urAaps�^ �91 rI'pdla'."yic Coverage Personal Ua !!-k Llmk E2,000,000 Self Insured ,,,. Retention Umft so Discount Class so ca Required Underlying Insurance Policies The Personal Liability Umbrella requires underlying insurance policies to be maintained at specific minimum limits that are listed on the Declarations page when the applications is accepted and the policy is Issued_ Failure to maintain the required underlying insurance at all times in an amount at least equivalent to the mlydmum underlying limits could affect your coverage in the event of a loss. Please contact yourAgent if you have any questions regarding these requirements. Declarations & Poft Informadon The IrtromtaGon presented In Ihl9 document is not a dedaration page, palmy, or endorsement. Recent changes to the policy may not be mnadod. It you have any prastions about ai's form or could We to obtnm a deciaraliai page or a copy or your poky, please contact you Stale Farm Agent for assistance, Contact Contact Us File a Claim https:llonline2.statelarm.comlapps/pvcMrelexecute.do?APPQS=ljS6KBKb6kLVHDnoeKOW591 q-xJfaKDulM-IG4smFggRTbes11 dS5zVyH4ONA-126o... 1 /2 ACCM,C� DATE 16/2025 R��6 CERTIFICATE OF LIABILITY INSURANCE 1/16/2025 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 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 NAEe Diana Spinoglio _MT ACT _. CFAX BMR Insurance Agency, Inc, PNONE (714) 838-1911 I. Na �('14)e3e-exsa AIL P.O. Box 1025 A0DRRFSS_ dianas@bnrins.com Tustin CA 92781 INSURED Security Design Concepts, Inc 17943 W E1 Caminito Dr Waddell AZ 85355 rn\icDer_Gc rI=RTIFIRATF NIIMRPR•25-26 INSURER(S) AFFORDING COVERAGE NAIC # .The Ohio Casualtv Ins. Co. 24074 F: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. XD_DLdNSR U'R POLICYEFF LIMITS TYPE OF INSURANCE iNsn POLICY NUMBER MIMADDA rM MMIJDWYYYY LTRvdvn COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ - AME 1 O N D CLAIMS -MADE OCCUR PREMISES Ea occurrence„),,,,,—„, f6 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ JE.C„I. POLICY ❑ PRO• LOC _PRODUCTS -COMP/OP AGG $ $ OTHER; hkfi:��f�) SINGLE LIMIT Ca $ AUTOMOBILE LIABILITY E ac cld.-,ruk� -„ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS - _$ NON -OWNED PROPERTY HIREDAUTOS AUTOS DDAMAGE Per 2Gciden UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB ''.. CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION X PER O i H- STATUTE ER AND EMPLOYERS' LIABILITY„,,,,, Y / NN A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E (Mandatory in NH) NIA y XWO60828126 1/17/2025 1/17/2026 E.L, EACH ACCIDENT '... E.L. DISEASE - EA EMPLOYEE $ $ 1,000,000 1,000,000 ''. E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, [dexac &m. under ''. DESCRIPTIONOF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 30 days written notice of cancellation except 10 days notice for non-payment of premium„ r�]a�ti Jia lJ.�l��I l��\yam Y.\.�rY���•\�1�1•� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo 350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. E1 Segundo, CA 90245 AUTHORIZED REPRESENTATIVE Gary Arch/DI N. I.TOO^&U'UY NVVRN a^u.u, rr�,y, wsa rcocr�c�. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)