Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PROOF OF INSURANCE (2026)
CERTIFICATE OF LIABILITY INSURANCE DATE(M09/04//2025 Y, 025 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 Pamela Sancho NAME: PHONE 210 402-0288 FA210)402.4i732 Insurance One Agency, L.C. C *.t ( ) APC„ No 601 Embassy Oaks ADDR SSe psaraollo insurarlCeoneagenoyo rlTt Suite 101 INSURER(S) AFFORDING COVERAGE NAIC # San Antonio TX 78216-2019 INSURERA. Atlantic Specialty Co 27154 INSURED I INSURER B : Texas Mutual Insurance Company 22945 E.J. Ward, Inc. INSURER C : 12621 Silicon Dr INSURERD: Ste. 113 INSURER E .. San Antonio TX 78249 INSURER F ra 99Qd919R1 17FVISInN IJIIMRFR• THIS IS TO CERTIFYTHAT 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. -POLICY 8XP LTR TYPE OF INSURANCE IN WVD POLICY NUMBER MIM22 EFF MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PRISMISE.S,. -aewrtrellrn $ 500,000 CLAIMS -MADE ❑X OCCUR MED EXP (Any one person) $ 10,000 A 711-01-63-58-0007 09/01/2025 09/01/2026 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 BEN'l.AGORF'OATE- LIMITAPPLIES PER: PRODUCTS - COMP/OPAGG - $ 2,000,000 POLICY PROJECT F_� LOC Employee Benefits $ OTWIER� COMBINESE Lddenaq hl�at.E k.pMIT $ 1,000,000 AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ X ANYAUTO BODILY INJURY (Per accident) $ A OWNED SCHEDULED 711-01-63-58-0007 09/01/2025 09/01/2026 AUTOS ONLY AUTOS HIRED "" AU PROPFR11"Y DAMA..Ca-. ''. Per a-OWNEDw, denll $ AUTOS ONLY OS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 A EXCESS LIAB CLAIMS -MADE 711-01-63-58-0007 09/01/2025 09/01/2026 OED RFET'ENTION.:$ 10,000 $ WORKERS COMPENSATION v /� STATUTE ERH AND EMPLOYERS' LIABILITY Y / N $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE El NIA 0002133503 09/01/2025 09/01/2026 E.L. EACH ACCIDENT OFFICER/MEMBEREXCLUE (Mandatory in NH) E.L. DISEASE - EAEMPLOYEE $ 1,000,00066 E.L. DISEASE - POLICY LIMIT $ 1 000 000 ' If yes, describe under DESCRIPTION OF OPERATIONS below Each Claim Limit $10,000,000 Errors or Omissions, Information Risk, ACommunication T760-01-04-50-0007 09/01/2025 09/01/2026 Aggregate Limit $10,000,000 Liability Retention $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) 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 AUTHORIZED REPRESENTATIVE EI Se9 undo CA 90245-0000 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD