Loading...
PROOF OF INSURANCE (2025 - 2026)C CERTIFICATE OF LIABILITY INSURANCE DATE`MM/DD,rYY OB/04/2025' 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 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 Main Street. CONTACT - w Ed ewood Partners Insurance Center PHONE FAX Main Street West (A&,NO.E�l�,,, ... -J8 77)_... 0 AC Nnl w, 10877 White Rock Rd EMAIL_DDJ1$n .. smcermt. sweat@epicbrokera com Rancho Cordova CA 95670 tpt tl!NSURER@LAFFGIiCDtNCrCOVERAGE ....m NAIC# INSURENATIONAL INSURANCE CO _ 14167 RA cIIDDaN�. if7 ANCE ........_.. ..m. .^INSURER8:.�.. NCE 44776 4uINSURED p Robert's Liquid Disposal, Inc. '�ARS"IONE SPECIALTY INSURANCE mmITITmmmmmmm"' mmmmmmm 14018 Carmenita Road tNSUftER D Santa Fe Springs CA 90670 INSURERE ...._ ....- .w.............., ...... _ INSURER F wl�l n,0 Id'77. RFVISIAN NIIIVIRER' 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, CLAIMS. NSEXCLUSIONS TMPD CONDITIONS NCE OF SUCH PAOLtICIOES LIMITS SHOWN O MAY MHAVE BEEN REMDOR oUCcEYD B MM POLICY XP LIMITS ILTR 11 A X COMMERCIAL EACH OCCURRENCE 5 1,000 000 CLAIMS -MADE X OCCUR ENV562009332-03 05/04/202505/04/202�6 OAYnAG roNPFGYED PREMIS•S (rEa_dccarrrroncm ,'�_„... ,�,,,,,--, 50,000 MED EXP An one 17e.rs�rn) $' 5 000 PERSONALB w._ .....ADVINJURY S1, 000, 000.... m ,mmmm sEN L AGGREGATE ES PER: 4 REGATELIMIT APPLI GENERAL AGGREGATE S 2„000 000 POLICY........ JECT...._.W PRO - Loc PRODUCTS -COMP/OP AGG,mm .._.....��O ._ $ ... 2,000,000 ".__„_,m,m„m,ITIT"""",.- OTHER: CFOMBI IED INGE.EI IT $ AUTOMOBILE LIABILITY kqlj ANY AUTO BODILY INJURY (Per person) $ „mmm,m,mm . OWNED SCHEDULED BODILY INJURY (Per accident) 'M$ AUTOS ONLY „„„ AUTOS HIRED NON -OWNED PROt ER7Y DAMAGE $•_.. AUTOS ONLY AUTOS ONLY Pcr pr�,eru9)•••-'-� mmmm"m" "� ., „,,,.,,, UMBRELLALIAB X SSUX0040250AEM B OCCUR OS/04/202505/04/2026. EACHOCCURR ITmmm,mm ......... OCCURRENCE $ 4, 000, OOOmm mm X EXCESS UAB CLAIM&MADE. AGGREGATE $ 4, 0001OOOmm DED R _ ENTI ON R $ WORKERS COMPENSATION S1E`A'9"UTE. t. R H __...__ - ..... AND EMPLOYERS' LIABILITY Y / N a ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBEREXCLUDED? NIA E.L. EACH ACCIDENT _ m -, mmmmmm (Mandatory in NH) E.L. DISEASE EA EMPLOYEE S ____....... WW _ It yes, describe under DESCRIPTION OF OPERATIONS 4010w E.L. DISEASE -POLICY LIMtT' S A Pollution Liability ENV562009332-03 05/04/2025 05/04/2026Each, Limit S 5,000,000 Aggregate/Dad S SM/2500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) aNil -"L-iV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 1 & ., ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 -0 DATE (MMIDDIYYYY) CC>R " CERTIFICATE OF LIABILITY INSURANCE 08/04/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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(tes) 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 P N deS 9 Agency, CPOSusana It Benav10 r" .rtei... 56 809 9559 y taieFarm Beth Better Insurance A enc ONTEACT 562� S 20220 State Farm Road E MAS susanitis)ArFr)DINUCXv,EaetE 251c a bothtlott er corm Cerritos, CA 90703 INsuRER A Slalei=aunt Mutual AwlCorrge�bile Insurancp.amtpBr�,yu _ ..,_. 78 INSURED INSURERa ._.._. ...-. Roberts Liquid Disposal Inc. INSURER c 14018 Cannenita Rd INSURE RD,_ Santa Fe Springs, CA 90670 INSURER E .... �..,w ... � m.-_.. ..� _. U.. Rr COVERAGES CERTIFICATE NUMBER, REVISION NUMBED; 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 REOWREMENT„ 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, .. TYPE OF INSURANCE AGO 'SUBI POLICY NUMBER REDUCED BY PAID Ct.AIIMS.. ..0 S SHOWN MAY HAVE B EXCLUSIONS G CONDITIONS OF SUCH POLICIES, LIMITS � mO e, a. ... pdALICYII'dFt"""�"P�dl"ICYE9tP _ .. IINTsr TY INSO SUB LtMrTS MMIr81NYY MMfDDdY'YYY GENERAL LIABILITY EACH OCCURRENCE 5 _. 'MAGI=IF�RENTI"tt ... CLAIMS -MADE � OCCUR .MEDE((Any one Otperson) t..�.m ..... ..... ....m,.._. PERSONAL 8 ADV INJURY $ GEN'LAGGREGATE UMIT APPLIES PER; GENERALAS$C�RLraA . _s...... n , .._.-..w,. ..- r.._..... ---- J JET ❑ LOC PRODUCTS -COMP/OP AGG, POLICY[_ CSrktl R AUTOMOBILE LIABILITY C iNOL LIh •--H " 663 3372-FO6-75K O6l06l2025 � 12/O6l2025 „fie Ilrspl(zrsati... $ 2,000 000 - w.. ANY AUTO 4 FY IEIidtihdw`1Y .....W... otrvNEO scweouLEO Y 603 2889-A07-75P 07/07/2025 01l07/2026 Par Id cnaY t AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY AP UMBRELLALIAB ...00CUR CHOw"CU&'.R.Eiar,E ...- EXCESS LWB CILAIMS h1ADE .._ DED RETENTION „�.. ........... $ WORKERS COMPENSATION � STATUTE PER LERH S AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIE%ECUTNE YIN N E.L EACH ACT.XOENT S OFFlCERIMEMBER EXCLUDED? NIA � _ Mawfawy In NH) � EJ DISEASSEE EA YWMPLOYd $ I yao dooenbe ur dw E.L DISEASE . POLICY LIMIT $ DESC.RXPTION OF OPERATION'S boRaww i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addrdonal Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER CA TNCELLA I iON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo 350 Main Street AUTHORIZED REPRESENTA n El Segundo, CA 90245 1966-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD tXlotaes 132849.14 04-13-2022 SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 08-04-2025 CITY OF EL SEGUNDO SP 350 MAIN ST EL SEGUNDO CA 90245-3813 GROUP: POLICY NUMBER: 1446891-2024 CERTIFICATE ID: 494 CERTIFICATE EXPIRES: 12-31-2025 12-31-2024/12-31-2025 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described hereon is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-31-2024 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2024-12-31 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: CITY OF EL SEGUNDO EMPLOYER ROBERT'S LIQUID DISPOSAL, INC. SP 14018 CARMENITA RD SANTA FE SPRINGS CA 90670 (REV.7-2014) PRINTED : 08-04-2025