Loading...
PROOF OF INSURANCE (2026 - 2026)=DATE(MWDD1rM) A "�" CERTIFICATE OF LIABILITY INSURANCE 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 Auto Insurance Specialists AONMiEACT Nicole Moreno PO BOX 10160 PHONI a 66-570-7335 PAX 600 496 3293 Santa Ana CA 92711-0730 1 .K9J t ° N° ... E-MAIL commercial@aisinsurance.com . - .. .......... - . INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A:U Specialty Insurance Company 1119 INSURED General Lighting and Electrical Services, Inc....... INSURE( a ..._ .. ..... 11823 Slauson Ave Unit 12 Santa Fe Springs CA 90670 INSURERC: _ INSURER O INstIRER E INSURER. F' --- •-- • --- ....-.,..,r,.r,,..,... «,»..,. �..r,�r.. R"ICIAW Kil IMRI=R,. V V Y LI V1V V V w.wwnx w n v:, •:.w.+.. ® w, .—�...��_ _. 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. AOOL SUDIt .._. ,.. POLCCY'EFF P�ILIC; ItiO .. ILTR ..... ..TYPE OFINSURANCE POLICYNUMBER MWDIDNV'Y MMIDDIYYYYY LIMITS ✓ PLIABILITY ✓ ✓ F�ACHOd CUHRENCE ( $1,0010,000 A COMMERCIAL EE ✓L occuR U24AC132227-03 01115/2025 01115/2026 DMA RENTED $100,000 MED EKP (Any one per an) $ 5,000 PERSONAL&ADV INJURY S 1,000,000 GENL AOGREGA I L LIMIT APPLIES PER: GENEPRODUCTSGCOMPIAiSIa ATE OP 52,000,000 POLICY PRO- LOC 2,000,000 JECT tJllit Fd ( UINE D 0.. SIN L m IMI %" $ AUTOMOBILE LIABILITY E.a s... . tr:a CCn[IrDl7() .... ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS " HIRED NON -OWNED (Per ac dent) %ritxl $ AUTOS ONLY AUTOS ONLY (Per accn Mnp) UMBRELLALIAB ✓ OCCUR EACHt',)CCURRENCE.. $2,000,000 A H EXCESS LIAB CLAIMS -MADE U24AC132227-03 01115/2025 101115/2026 ArARECATI 1 $ 2,000,000 OEL) RE1ENTlONS — $ WPER ORKERS COMPENSATION 1 ATU"1t OH^H AND EMPLOYERS' LIABILITYIN ANYPROPRuE'1'ORIPARTNER,EXECUTIV�E. Y� NIA EL EACH "ACCIDENT ... '$... .... 4,YF'Fe'If'EFEdpw6EWdBLPiE,kCL.l1CJ6:C3V (Mandatory in NIK) 9 L DISEASE- EA EMPLOYEE P YCW E S Ir yyr~wa s, des elk s uruiar E.L DISEASE -POLICY LIIJIII" S UnrRIPTION OF OPERA I IONS hdo IL_JI F DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re; Ongoing Projects Whereby required byy contract, the City of EI Se undo, its Officials and Employees are included as Additional Insured on the General Liability & Auto Liability policies, per attached forms C 20 10 0704. Waiver of Subrogation apply to General Liability. Excess Liability follows Form. tri=K 1 1rI1-A ll lt= 1"IUILUCK I City of El Segundo Its Officials and Employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segundo, Ca 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 3 I,r. 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Produced using Farms Boss Web software. www.FormsBoss.com; 7 Impressive Publishing 800-208-1977 tC R CERTIFICATE OF LIABILITY INSURANCE =DAE1, 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 INFINITY INSURANCE AGENCY INC "AE=�--•• .,..PHONE 900 E Laurel Ave .(JVC No,E McAllen, TX 78501-5792 EMAIL Alggmgs Infinity Select Insurance Company 20260 INSURED General Lighting & Electrical Services Inc. 11823 Slauson Ave, Ste 12 Santa Fe Springs, CA 90670 r^ 10MAr_oe CERTIFICATE NUMBER* REVISION NUMBER: CERTIFICATE NUMBER* vvra..w+vw 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 POLICY EFF POLICY EXP LTR 'TYPE Of INSURANCE MNSD WV'D POLICY NUMBER MMtDDfY MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OC�'�Rf�Ef{{.�mm C 1 ]:]CLAIMS -MADE OCCUR a ,, DAMAGE TO RENTED '... S ....... GEN'L LIMIT AGGREGATE .,. mmAPPLIESPER: ...,.., ' ❑ LOC COMBIN[D S4NGLE L➢M[i"..-. S ..-��_�... PRO - POTHER: OLICY ❑ JECTPRODUCTS CO dl M5F At is AUTOMOBILE 50004065901 01/15/2025 01/15/2026 � 5.1000000 ® AU Ea a��,dent . ANY AUTO ti5�(ROILY INJLtRY f�Pcnv,Pmrcl m.. OWNED X SCHEDULED BODILY INIJiURY gPnr'ttcd�.nl� S' ,. AUTOS ONLY ,,.„„„„„ AUTOS PROPERTY DAMAGE HIRED NON -OWNED ,Per a�%cid,ein9 . AUTOS ONLY ........ AUTOS ONLY COURRI 5 UMBRELLA LIAB OCCUR LACHOe �_.....„„.,„„„,... .. ....... ......_ ..,,GOREGATIE,.................................. EXCESS LIAB CLAIMS-MADE,�'�',,,,,,,,,„,,;,,,,,„,,,..,,�,�, ..... �__IDE'D RE EmNTtON S S E't. Ot"H-.. .....WORKERS COMPENSATION ,,. $'P'dk�"?r}!"GE .....R,.,, .._, ...... ....... AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE —1 N/A OFFICERIMEMBER EXCLUDED? LJ (MandatMin NH) L.L. DI LASE -POLICY S 6t yes„ doscd0e under ..�- .._ — DESCRIPTION OF OPERATIONS below LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project Number: Vehicle: City of El Segundo its Officials and Employees 350 Main St El Segundo, CA 90245 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 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD City of El Segundo its Officials and Employees 350 Main St El Segundo, CA 90245 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 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD -� 0 DATE (MMIDDNYYY) +" CERTIFICATE OF LIABILITY INSURANCE 10/10/2025 THI�RTIFICATE 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 GONTACT Automatic Processing Insurance Agency, Inc .... m9Automatic Data Processing Insurance Agency, Inc. FiCWE l804 7024VLAANLEXAI " , Not-- 1 Adp Boulevard Roseland NJ 07068 INSURED G._. ,,.,�....�,�,_...,............... _...�.........,m,.,,.....,�. eneral Lighting & Electrical Services Inc DBA: GENERAL LIGHTING & ELECTRICAL Services Inc 11823 Slauson Ave Ste 12 Santa Fe Springs CA 906706544 _ ,.. 1 AFFORDING COVERAGE NAIC # - mm�Hartford Casualty ����������•��-������� � � .....� N INSURER A • 29424 Insurance Company INSURER B : INSURER C.:.� � �.............. fNSURERD: ......................., INSURER E RFVIAIr1N N111VIRFR, 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, CONDITIONS OF SUCH POLICIES. LIMITSSHOWNMAY BEEN REDUCED BY PAID CLAIMS._.XP ww HANVE R ILTaEXCLUSIONSTMPD LlMlrs NCE IYYyY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -70- Q CLAIMS -MADE OCCUR �lTr.Dtl PRFM jA! y one perrso2 $ PERSONAL & ADV VN. URY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENE �.... TE — $ .. P'ROa POLICY � JEC`G ( � LOC ._... GG LL A ' PRODUCTS COMP/O,P m,m $ ...... $ OTHER: CO IN GLE Owl: : $ AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) ..... _........ $ - - OWNED SCHEDULED BODILY INJURY (Per a-ciden t) $ AUTOS ONLY AUTOS '�PRO&'ll Y DAM,AL;.F °° ... $$w HIRED NON -OWNED AUTOS ONLY AUTOS ONLY „"tPiar scc"Idt1+'rYF -. .. UMBRELLA LIAB EACH OCCURRENCE $ I.......[OCCUR EXCESSLIAB CLAIMS -MADE '.AGGREGATE $ DED RETENTIONS f•X.. $ WORKERS COMPENSATION STA"IUrE ''.. C.,R„_.,... AND EMPLOYERS' LIABILITY E L EACH ACCIDENT 1,000,000 $_ ANY PROPRIETORIPARTNERfEXECUTIVE _ N 76WEGAA8PJT 10/19/2025 10/19/2026 A OFFlCEWMEMBER EXCLUDED' N I A EA EMPLOYEE $ 1 �QQQ,QQQ (Mandatory In NH') E L. DISEASE - . mmm--.. 4lyySCRdPTIONOFO E.L. DISEASE - POL.GC:Y LIMIT "mm y, 1,000,000 t7ESCRpPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Ongoing projects CERTIFICATE HOLDER liN1Y IiCLLN I "JIY 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. Att: Jorge Prado AUTHORIZED REPRESENTATIVE 350 Main Street 7 ElSegundo CA 90245 �1� 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD