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PROOF OF INSURANCE (2026 - 2026)
DATE (MM/ A CERTIFICATE OF LIABILITY INSURANCE 08/28/2025DDIYYYY) 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 pollcy(Mfrs) must be endorsed. If SUBROGATION IS WAIVED, sub)act 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 ondorsome:nt(s). PRODUCER: CCONTACT NAME: Mark Andrew Mcclure Semsee' PHONE FAX (AAC, No, EXt): 855-566-1011 (AIC, Ira, Ealt): E-MAIL tivlyservicing@semseemap.com ADDRES& Suppoal.@colordefinsuuAnce.conY NSURED: INSURER(S) AFFORDING COVERAGE NAIC # Alea Fine Art, LLC NSURER A: Benchmark Insurance Company 41394 B: 45 MI Whitney PI INSURER C: ''. Alpharetta, GA 30022 .NSURER NSURER D: E: INSURER F: INSURER COVERAGES CERTIFICATE NUMBER REVISON 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. NSP LTD TYPE OF INSURANCE ADDISJUBR INSD VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 50,000 CLAIMS MADE F1CCCUR ED EXP (Any one person) '$5,000 A X .BG-00322795-00 08/27/2025 08/27/2026 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 ""EN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP GG $2 000,000 X POLICY PROJECT LOC L���JJJ Other: AUTOMOBILE LIABILITY: COMBINED SINGLE LIMIT Ea accident) BBODILY INJURY (Per $ ANY AUTO OWNED AUTOS ONLY 'SCHEDULED AUTOS person) BODILY INJURY (Per HIRED AUTOS ONLY NLY (NON -OWNED AUTOS accident) PROPERTY DAMAGE(Per ccident) UMBRELLA LIAB OCCUR -ACH OCCURENCE GGREG ATE $ EXCESS LIAR CLAIMS -MADE DED RETENTIONS $ WWORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N .�rry.P..��ru E.L, EACH ACCIDENT ANY PROPIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDER? N/A E.L. DISEASE - EA EMPLOYEE $ Mandatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below DISEASE -POLICY [IMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of EI Segundo, its elected and appointed officials, employees, and volunteers as additional insureds.. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED The City of El Segundo, its elected and appointed officials, BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN employees, and volunteers ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 '/`��- David McFarland roan 2s 12ni m31 The ACORD name and loco are registered marks of ACORD © 1988-2015 ACORD CORPORATION. All rights reserved. I'�,:�i i�;°�' 1'"�l�li if 1:f'w; �,�',�':�-• ,�, � ...°;.r„��i�°� C LUG S1 hi E S � �: OWN t III': Ili V: F 0,48 01 °i ;3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Of Person(s) Or -he City of El Segundo, its elected and appointed officials, employees, and volunteers nformation required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Liability is amended as follows: A. The following is added to Paragraph C. Who Is An Insured: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf in the performance of your ongoing operations or in connection with your premises owned by or rented to you. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Paragraph D. Liability And Medical Expenses Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:whichever is less. 1. Required by the contract or agreement; or 2. Available under the applicable Limits Of Insurance shown in the Declarations; This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations. '04.8 0 7 13 i��lr �ar,�i��-,., .� ���,�ir. , �.i�1`i�°, , li�h t�, 1 :' l,i' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Policy Change Number 01 POLICY NUMBER POLICY CHANGES COMPANY CBG-00322795-00 EFFECTIVE 08/28/2025 Benchmark Insurance Company NAMED INSURED AUTHORIZED REPRESENTATIVE Alea Fine Art, LLC David McFarland COVERAGE PARTS AFFECTED CHANGES Add additional Insured - The City of El Segundo, its elected and appointed officials, employees, and volunteers - Per form: BP 04 48 0713 Authorized Representative Signature IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Page 1 of 1 Copyright, ISO Commercial Risk Services, Inc., 1983 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 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 CONTACT NAME_ . PHONE biBERK (� Np„e)L $u tomers0ervlceE gA,Nri 203 654 3613 P O Box 11327 a °^AIL bIBERK com Stamford, CT 06911 ADD AFFORDING INSURERA: Berkshire Hathaway ) Insurance Company 10391COVERAGE S RR Direct Insu91 INSURED Alea Fine Art, LLC 45 Mount Whitney PI Alpharetta, GA 30022 r`nlippae_FC CFRTIFICATF AIIIMRFR• 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. INSR,,,,,, ,, ,,,,,,,,,,,,,,,,,,,............ ...... ,.ADDL SUBR...,,.,,,......................... .............. - L.TR I TYPE OF INSURANCE POLICY NUMBER POLICY MMIDDIYYYY � MMIDD/YY LIMITS 'MMERCIAL GENERAL LIABILITY EACH OCCURRENCE I $ 0 CLAIMS MADE OCCUR ... b �ZENTE1 ($ O PRFMA F,�, f9 psr�Iren& PREMIX SAny �. MED EXP one person) T $ 0 C ,1111, INJURY $ 0 . _ _ i j ^, I9gN L AGOREOATEPROT APPLIES PER: GENERAL AGGREGATE ,,,, $ , ,0 , I PBULkCY LOCn PRODUCTS COMP/OP AGO I $ 1 ,.. .� JEiC'i` I AUTOMOBILE LIABILITY I Q OMSINED SINGLE I IMIT 1$ I ANY AUTO 1 BODILY INJURY (Per person) f $ -- OWNED J 1 SCHEDULED INJURY(Peracadent)� $ AUTOS ONLY L AUTOS HIRED ' NGN-OWNED „BODILY ,.. . , PROPERTYDAMAC.E. , .. $ AUTOS ONLY ._._._� AUTOS ONLY -LP r ,wr4s;gt31 ,,,,, ,,, � , �$ UMBRELLA LIAB OCCUR � EACH OCC � I $_ r EXCESS LIAB ] CLAIMSMADE �.......... � AGGRE91AIE TENCE T _ $ - ( DED RETENTION S 7 r $ PER X $TAT OTH .,,fit ILITY Y / N FlCERIMEMBEREX aTf ,, --- $100,000 A /EXECUTIVE ANYICER/M OFFICER/MEMBER CLUODED? O EXCLUDED? � NIA N9WC659056 05/08/2025 05/08/2026 E L EACH CCIDENT (Mandatory in NH) E.L. DISEAs E EA EMPLOYEE $100,000 If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE- POLICY LIMIT s500,000 Professional Liability (Errors & Per Occurrence/ Omissions): Claims -Made i Aggregate DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Policy #N9WC659056 contains a blanket Waiver of Subrogation therefore the insurer agrees to waive its right to recover from the certificate holder to the extent required by written contract. CA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 '. AUTHORIZED REPRESENTATIVE � 6�� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CITY OF EL SEGUNDO WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECTS AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LABOR CODE § 3706, INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury under the laws of California one of the following declarations: LX_) I have and will maintain a certificate of consent of self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Labor Code § 3700 for the performance of the work set forth the agreement with the City of El Segundo. Policy No. LX_) I have and will maintain workers' compensation insurance as required by Labor Code § 3700 for the performance of the work for which the agreement with the City of El Segundo is executed. My workers' compensation insurance carrier and policy number are: Carrier biBERK Policy Number Expiration Date N9WC659056 Name of Agent Jerson Castellanos Phone # 1-844-472-0967 LX_) I certify that, in the performance of the work set forth in the agreement with the City of El Segundo, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Labor Code § 3700 1 must immediately comply with t os provisions or the agreement will automatically become void,. Signature of Applicant Date Q5107l2025 ---- Print Name Pavlina Alea Agreement for: Dated: Reviewed by: