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PROOF OF INSURANCE (2013) CLOSEDA� ® CERTIFICATE OF LIABILITY INSURANCE e�ii2oi2 I 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 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 Lorri Horton Lucchese Insurance Agency, Inc. PHONE Elgl, (818) 767 -5552 FAX , (818)767 -5554 9795 Cabrini Drive lorri @lia- ins.com Suite 206 INSURERS AFFORDING COVERAGE NAICA Burbank CA 91504 NSURERA:Peerless Ins Co 4198 _______.____m ..___...__._______________..... �_. INSURED INSURER B Chuck Renta, DBA: C Enterprises INSURER C: 5424 Laurel Canyon Blvd, #131 E: [INSURER URERFq Valle Villa e CA 91607 COVERAGES CERTIFICATE NUMBER:12 -13 CERTS 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY--Err YYYYJ POL11 Y EXP IMMiDD1YYYY1 LIMITS EACH OCCURRENCE $ 1,000,000 GENERAL LIABILITY }� COMMERCIAL GENERAL LIABILITY DAMA-G -� PREMISE'S E o urrenca $ 100 , OOO A � CLAIMS -MADE I X 11 OCCUR X L 8439460 4/1/2012 4/1/2013 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1 , OOO , OOO GENERAL AGGREGATE _0 , 000 1­$__­­­2­,­0.0. n GEN'LAGGREGATELIMITAPPLIESPER. PRODUCTS -- COMP /OPAGG XPI»)LBCY PRO" LOG ......... ............................... $ ....... ............................... AUTOMOBILE LIABILITY COMBINED SINGLE LIMRr ANY AUTO BODILY INJURY (Per person) $ ......... ALL OWNED SCHEDULED .. ............ BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED I C ' wen DAMAGE $ HIRED AUTOS AUTOS ii UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DED I I RETENTION WORKERS COMPENSATION W0 S "Y`A "r'U'- OTH- AND EMPLOYERS' LIABILITY Y / N ''�"• "�'••- - - - - - -• ANY PROPRIETOR /PARTNER /EXECUTIVE EL, EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A E L, DISEASE - EA EMPLOYE' $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) It is understood and agreed that certificate holder is named as Additional Insured in respects to the operations of the named insured. *30 days notice of cancellation except 10 days for non - payment of premium, CERTIFICATE HOLDER CANCELLATION (310) 640 -7720 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. E1 Segundo Club House 300 E. Pine Ave AUTHORIZED REPRESENTATIVE El Segundo, CA Mario Lucchese/GABBY �- • "� °�� -'�- �- �� � ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. INSn25 tgninnsi ni The Arr1Rrl nmma nnri Inn^ orn rcnie4crnrl morirc ^f A! r1Rr) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL LIABILITY GOLD ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION I — COVERAGES COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions Item 2.g. 2) is replaced with the following: 2.g. 2) A watercraft you do not own that is: a) less than 50 feet long; and b) Not being used to carry persons or property for a charge. Item 2.g. 6) is added: 6) An aircraft in which you have no ownership interest and that you have chartered with crew The last paragraph of 2. Exclusions is replaced with the following: Exclusions c. through n. do not apply to damage by fire, explosion, sprinkler leakage, or lightning to premises while rented to you, temporarily occupied by you with the permission of the owner, or managed by you under a written agreement with the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits of Insurance. SECTION I - COVERAGES COVERAGE C. MEDICAL PAYMENTS If Medical Payments Coverage is provided under this policy, the following is changed: 3. Limits The medical expense limit provided by this policy shall be the greater of: a. $10,000; or b. The amount shown in the declarations. Coverage C. Medical Payments is primary and not contributing with any other insurance, even if that other insurance is also primary. The following is added: COVERAGE D. PRODUCT RECALL NOTIFICATION EXPENSES Insuring Agreement We will pay "product recall notification expenses" incurred by you for the withdrawal of your products, provided that: a. Such withdrawal is required because of a determination by you during the policy period, that the use or consumption of your products could result in "bodily injury" or "property damage "; and b. The "product recall notification expenses" are incurred and reported to us during the policy period. The most we will pay for "product recall notification expenses" during the policy period is $100,000. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B Item b. and d. are replaced with: b. The cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit' including actual loss of earnings up to $500 a day because of time off from work. Includes copyrighted material of Insurance Services Offices Inc., with its permission, GECG 602 (01/11) Page 1 of4 INSURED COPY 04/01/2012 8439460 NPC650P 1702 PGDM060D J28993 GCAFPPN 00001896 Page 27 SECTION II — ❑ HO IS AN INSURED Item 4. is replaced with: 4. Any subsidiaries, companies, corporations, firms, or organi❑ations you acquire or form during the policy period over which you maintain a controlling interest of greater than 5011 of the stock or assets, will qualify as a Named Insured if: a) you have the responsibility of placing insurance for such entity; and b) coverage for the entity is not otherwise more specifically provided; and c) the entity is incorporated or organi❑ed under the laws of the ❑nited States of America. ❑owever; coverage under this provision does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the entity, or "personal injury" or "advertising injury" arising out of an offense committed before you acquired or formed the entity. Coverage under this provision is afforded only until the end of the policy period, or the twelve F12) month anniversary of the policy inception date whichever is earlier. SECTION III — LIMITS OF INSURANCE Paragraph 2 is amended to include: The General Aggregate Limit of Insurance applies separately to each "location" owned by you, rented to you, or occupied by you with the permission of the owner. Paragraph 6. is replaced with the following 6. Subject to 5. above, the Fire Damage Limit is the most we will pay under Coverage A for damages because of "property damage" to premises while rented to you, temporarily occupied by you with permission of the owner, or managed by you under a written agreement with the owner, arising out of any one fire, explosion or sprinkler leakage incident. The Fire Damage Limit provided by this policy shall be the greater of: a. $500,000; or b. The amount shown in the Declarations. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS Item 2. a. is replaced with: 2. Duties In T❑e EE0nt of Occurrence❑Offense❑Claim or Suit a. ❑ou must promptly notify us. ❑our duty to promptly notify us is effective when any of your executive officers, partners, members, or legal representatives is aware of the "occurrence ", offense, claim, or "suit ". ❑ nowledge of an 'occurrence ", offense, claim or "suit" by other employee CS) does not imply you also have such knowledge. To the extent possible, notice to us should include: 1) Low, when and where the 'occurrence" or offense took place; 2) The names and addresses of any injured persons and witnesses; and 3) The nature and location of any injury or damage arising out of the 'occurrence ", offense, claim or "suit'. Item 4. b. 1) b) is replaced with: b. Excess Insurance 1) b) That is Fire, Explosion or Sprinkler Leakage insurance for premises while rented to you, temporarily occupied by you with permission of the owner, or managed by you under a written agreement with the owner; or Item 6. is amended to include: 6. Re❑resentations d. If you unintentionally fail to disclose any haC:grds existing at the inception date of your policy, we will not deny coverage under this Coverage Part because of such failure. ❑owever, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non [renewal. Includes copyrighted material of Insurance Services Offices Inc., with its permission. GECG 602 (01/11) Page 2 of 4 INSURED COPY 04/01/2012 8439460 NPC650P 1702 PGDM060D J28993 GCAFPPN 00001897 Page 28 Item 8. is replaced with: EL Transfer of Rig❑ts Of Reco❑er ❑Against Ot❑ers To Us a. If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. b. If required by a written "insured contract', we waive any right of recovery we may have against any person or organi❑ation because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under that written "insured contract' for that person or organi❑ation and included in the "products [completed operations haCard ". Item 10. and Item 11. are added: 10. Cancellation Condition If we cancel this policy for any reason other than nonpayment of premium we will mail or deliver written notice of cancellation to the first Named Insured at least 60 days prior to the effective date of cancellation. 11. LiberaliEation If we adopt a change in our forms or rules which would broaden your coverage without an extra charge, the broader coverage will apply to this policy. This extension is effective upon the approval of such broader coverage in your state. SECTION V — DEFINITIONS The following definitions are added or changed: a "Insured contract' a. Is changed to: a. A contract for a lease of premises. ❑owever, that portion of the contract for a lease of premises that indemnifies any person or organiClation for damage by fire, explosion or sprinkler leakage to premises while rented to you, or temporarily occupied by you with permission of the owner, or managed by you under a written agreement with the owner is not an "insured contract'. 23 and 24 are added: 23. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or rightCofCway of a railroad. 24. "Product recall notification expenses" means the reasonable additional expenses Including, but not limited to, cost of correspondence, newspaper and magadne advertising, radio or television announcements and transportation cost), necessarily incurred in arranging for the return of products, but excluding costs of the replacement products and the cash value of the damaged products. T❑e follo❑ ing Pro ❑isions are also added to t❑is CoEorage Part[] A. ADDITIONAL INSUREDS — BY CONTRACT❑AGREEMENT OR PERMIT 1. Paragraph 2. under SECTION II — 1❑ HO IS AN INSURED is amended to include as an insured any person or organiEation when you and such person or organi❑ation have agreed in writing in a contract, agreement or permit that such person or organiEation be added as an additional insured on your policy to provide insurance such as is afforded under this Coverage Part. Such person or organiEation is not entitled to any notices that we are required to send to the Named Insured and is an additional insured only with respect to liability arising out of: a. ❑our ongoing operations performed for that person or organi❑ation; or b. Premises or facilities owned or used by you. With respect to provision 1.a. above, a persons or organ il--Iations status as an insured under this endorsement ends when your operations for that person or organiEation are completed. With respect to provision 1.b. above, a persons or organi❑ationCS status as an insured under this endorsement ends when their contract or agreement with you for such premises or facilities ends. Includes copyrighted material of Insurance Services Offices Inc., with its permission. GECG 602 (01111) Page 3 of INSURED COPY 04/01/2012 8439460 NPC650P 1702 PGDM060D J28993 GCAFPPN 00001898 Page 29 2. This endorsement provision A. does not apply: a. ❑nless the written contract or agreement has been executed, or permit has been issued, prior to the "bodily injury", "property damage" or "personal and advertising injury"; b. To "bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, in the project [other than service, maintenance or repairs) to be performed by or on behalf of the additional insured CS) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organi[lation other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project; c. To the rendering of or failure to render any professional services including, but not limited to, any professional architectural, engineering or surveying services such as: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities; d. To "bodily injury", "property damage" or "personal and advertising injury" arising out of any act, error or omission that results from the additional insured CS sole negligence or wrongdoing; e. To any person or organi[:9tion included as an insured under provision B. of this endorsement; f. To any person or organi[ation specifically designated an additional insured for ongoing operations by a separate ADDITIONAL INS❑ ❑ED ❑ OWNE ❑S, LESSEES O❑ CONT❑ACTO ❑S endorsement issued by us and made a part of this policy. B. ADDITIONAL INSURED —VENDORS Paragraph 2. under SECTION II — ❑ HO IS AN INSURED is amended to include as an insured any person or organi[ation ireferred to below as "vendor ") with whom you agreed, in a written contract or agreement to provide insurance such as is afforded under this policy, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendors business, subject to the following additional exclusions: 1. The insurance afforded the vendor does not apply to: a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b. Any express warranty unauthori[ed by you; c. Any physical or chemical change in the product made intentionally by the vendor; d. ❑epackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the course of business, in connection with the distribution or sale of the products; f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendors premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or a To "bodily injury" or "property damage" arising out of any act, error or omission that results from the additional insureds sole negligence or wrongdoing. 2. This insurance does not apply to any insured person or organi[ation, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. Includes copyrighted material of Insurance Services Offices Inc., with its permission. GECG 602 (01/11) Page 4 of INSURED COPY 04/01/2012 8439460 NPC650P 1702 PGDM060D J28993 GCAFPPN 00001899 Page 30 3500 Packedatid Drive • Pere, Wl 54115-9070 Charles Renta NfIriam Renta -WA Lv-aeA-Q-.%m ., #txllv-f Uriit 131 Vallev Villa e, CA 9160- . . ........... — 11-11 1 I I � . 411— p.. - CALIFORNIA POLICY NUMBER: A101717720 POLICYPERIOD: 0612V20I2--l2/Z,5/2012 12: 01 AM Stal�(U-r� fi�i-e 2 1998 TOYOT i 3 2010 NISSA COROLLA VERSA A S ID illir coveraue is provided only when both a premium and limit are shown. ,oiwenieace Fcc is 54 per inardWy instal I rnellf irp;L,%7rwnc is made by credit/debi( card or S I pLr niondily in srAl It nent for a preatithorizcd witWra"81 11Lnhod, Mca0la (GUI) I IODILY INJURY LIABILITY $110.00 $392.W $250,000 EACH PERSON $500.000 EACH ACCIDENI ROPERTY DAMAGE LIABIL INCL INCL $100.000 EACH ACCIDENT IEDICAL EXPENSE - EXCESS COVERAGE INCL INCL $5,000 EACH PERSON WINSURED MOTORIST BODILY INJURY $31.00 5109. 00 S250.000 EACH PERSON $500,000 EACH ACCIDENT UNINSURED MOTORIST PROPERTY DAMAGE 52.00 $2.00 CAR 2-WAIVER OF COLLISION DEDUCTIBLE CAR 3-WAIVER OF COLLISION DEDUCTIBLE , 'OLLISION $53-00 $326.00 DEDUCTIBLES CAR 2-$500 34500 'OMPREHENSIVE $11.00 $70.00 DEDUCTIBLES CAR 2-$500 3-$500 'OWING AND LABOR COSTS $4 .00 $4.00 S75 PER DISABLEMENT :ENTAL EXPENSE $12.00 $13.00 S30 PER DAY/$900 PER OCCURRENCE NS LID VEHICLE ASSESSMENT FEE $0.90 $0.90 OTAL SEWANNUAL PREMIUM PER VEMCLE $224.90 S916.90 A S ID illir coveraue is provided only when both a premium and limit are shown. ,oiwenieace Fcc is 54 per inardWy instal I rnellf irp;L,%7rwnc is made by credit/debi( card or S I pLr niondily in srAl It nent for a preatithorizcd witWra"81 11Lnhod, Mca0la (GUI) I Date. AUG 7 2 2012 Sincerely Chuck Renta