Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PROOF OF INSURANCE (2026 - 2026)
DATE (MM/DD/YYYY) A4 40REP CERTIFICATE OF LIABILITY INSURANCE 10/22/2025 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 pol'lcy(les) 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($), PRODUCER CONTACT Serve Sinanian MBISI - Meridian Brokerage Insurancea Services PHON E (818) 225-7025 No): (818) 225 7026 x 18980 Ventura Blvd., Suite 330Nao r ss: serge@mbisi.com INSURER(S) AFFORDING COVERAGE NAIC # Tarzana CA 91356 INSURER A: Hartford Underwriters Insurance Company INSURED INSURER B : Underwritten by certain underwriters at Lloyd's GOvinvest Inc. INSURER C : 8605 Santa Monica Blvd. PMB 52465 INSURER D : INSURER E West Hollywood CA 90069-4109 INSURER F : womAGES CERTIFICATE NUMBER: LL OIUZZOI4cs r(tvibluNt� Numocrs vw THIS IS TO CERTIFY THATTHE 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 I POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE I yyyD POLICY NUMBER IA ADDLSUBRMM/DD/YXYY '.. MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence '... $ 1,000,000 MED EXP (Any one person) $ 10,000 A Y N 72 SBM BCOBOK 06/25/2025 06/25/2026 PERSONAL, gADV INJURY $ 2.000,000 N'I.AGG�REGATELIMIT APPLIES PER: GENERAL. AGGREGATE $ 4,000,000 PRODUCTS -COMP/OPAGG $ 4,000,000 POt..U(:.YEl PRO. LOC .IEC'C M OTHER: '.. Ea amideantSINGL "' LIhNNT $ 1,000,000 AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ ANYAUTO BODILY INJURY (Per accident) $ A OWNED SCHEDULED N N 72 SBM BCOBOK 06/25/2025 06/25/2026 AUTOS ONLY X, AUTOS HIRED NON -OWNED PRC?P,ER.TYOAMA £. Per accidenntl $ X AUTOS ONLY AUTOS ONLY I$ X UMBRELLA LIAB*OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1.000,000 A EXCESS LIABCLAIMS-MADE Y N 72 SBM BCOBOK 06/25/2025 06/25/2026 DER I X RETENTION $.. 10,000 JJ_J $ WORKERS COMPENSATION STATUTE ER" ,... AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ---I E.L, EACH ACCIDENT $ E.L.. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N / A E.L.. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below Aggregate 2,000,000 g Professional Liability Y N ESN0040333159 04/23/2025 04/23/2026 Each Claim 1,000,000 Deductible 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Application Service Provider. The City of El Segundo, its elected and appointed officials, employees, and volunteers are included as additional insureds. 30 Days Notice of Cancellation Or Reduction of Coverage. 10 Days. Notice of Cancellation for Non -Payment of Premium. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street .AUTKOORa [REF,RESENTATIVE ElSegundo CA 90245 IhlrY�✓ 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Policy Change: THE I; Policy HARTF r D Business Owner's The following Additional Insured has been added as an Additional Insured - State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations. The City of El Segundo its elected and appointed officials, employees, and volunteers, 350 MAIN ST, EL SEGUNDO, CA 90245 Policy is amended to revise the following Endorsement Forms reflecting the changes made to your policy. SC00061018 POLICY CHANGE Premium associated with this Policy Change has pro rata factor 0.668. Common Form SC 00 06 10 18 Page 2 of 2 Process Date: 10/24/2025 © 2018, The Hartford Policy Expiration Date: 06/25/2026 (May include copyrighted material of Insurance Services Office, Inc., with its permission) Policy Change: rp+Business ll�THEOwner's HARTFO r Policy Number: 72 SBM BCOBOK Policy Period: 06/25/2025 to 06/25/2026 Named Insured and Mailing Address: GOVINVEST INC, TrueComp, 8605 SANTA MONICA BLVD PMB 52465, WEST HOLLYWOOD, CA 90069 Policy Change Number: 004 Policy Change Effective Date: 10/24/2025, Effective hour is the same as stated in the Declarations Page of the Policy. Coverage Parts Affected: Common Insurer: Hartford Underwriters Insurance Company, a property and casualty company of The Hartford One Hartford Plaza, Hartford, CT 06155 Name of Agent/Broker: TRUCORDIA INSURANCE SERVICES LLC 18980 VENTURA BLVD STE 330 TARZANA, CA 91356 Code: 72251521 This is NOT a bill. However, any changes in your premium will be reflected in your next billing statement. You will receive a separate bill from The Hartford. If you are enrolled in repetitive EFT draws from your bank account, changes in premium will change future draw amounts. `Price is subject to fees and surcharges Countersigned by: e--Flr4e� Ce C�zv Authorized Representative 10/24/2025 Date Form SC 00 06 10 18 Page 1 of 2 Process Date: 10/24/2025 © 2018, The Hartford Policy Expiration Date: 06/25/2026 (May include copyrighted material of Insurance Services Office, Inc., with its permission) GOVINVE-01T - CERTIFICATE OF LIABILITY INSURANCE [�DA,TE(M�M/DDNYYY) t2025 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 ri itts to the certificate holder in lieu of such endorsements PRODUCER.... g y CIS T CT V3Insurance A encHONE � Ne � 2990 39 Public Square i servicef«er�ter via ertcy.com Wilkes-Barre, PA 18702 .� 0:��a .._. �. _...� � ... .-. .•....• INSURED Govinvest, Inc DBA TrueComp 532 Lexington Ave Clifton, NJ 07011 ura COVERAGES CERT FIXATE NUI1lECER: REVIIaN NUIiIIRER: 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 EDUCED BY P AID CLAIMS. W4oR SUBR INSR TYPE OF INSURANCE ...m.� �....��.,.—�r��,..., POLICY' E..FF POUCY EXP POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITYAE I N1... DAMAG $ CLAIMS-MADE l OCCUR . GENPtl. AGGREGATE'LIMIT APPLIES PER: GENg& L_A OREGA_Lr POLICY' spra LOC PRODUCTS CQM?IOP AGG OTHER° '$ COMBIN�DSiNGUEwmjr AUTOMOBILE LIABILITY ...� /-Mi,i1.�.475,1�—.. N •• ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BO'.IN#.Y pN:J�URY,(f?arurcudgeal;� ,,, .. ...p,,,,,, .......... H REAU"IO PROPER Ad�IA E AGOD S ONLY m UMBRELLA L[AB OCCUR .CAI „'9•I A:YCCLPRR R�Irk:E.. 4 .„„.,,... _,-,,,., .,,,,m,......., EXCESS LIAB CLAIMS -MADE AG'K- ATE DED RETENTION $ A X F ANDEMPL YERP Blu°TNY iN �IT,E .....„ ... .,.m.....1,000,000LL GOWC6059..d54 8/27/2025 8/27/2026 FACHACCIDEdgL s My }3OERtPARTNERdE EC'UTIVE O PFICER1hV MbtlWl EXC'LUDED'i N / F' Li 1 OOO O'.00 fiE A,C �� ' w nd0 dd NH IP asdescribe under ID SCRdPT'IOhI OF OPERATIONS Iaexl w E,4,, OISE --. _ .. _ 1,000,000 E.4 . MSEASE -POLICY Lima r S DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Included: Ted Price Excluded: Jasmine Nachtigall-Fournier SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of EL Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 1.02 _% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Blanket Waiver - Any person or organization for whom the All CA Operations Named Insured has agreed by written contract to furnish this waiver. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective 08/27/2025 Policy No. GOWC605954 Endorsement No. 0 Insured Insurance Company AmGUARD Insurance Company GovInvest, Inc. Countersigned By 01998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved.