PROOF OF INSURANCE (2013) CLOSEDCERTIFICATE OF INSURANCE
This cer'tom a that 0
01 STATE FARM FIRE. AND CASUALTY COMPANY Bloorningt IfinoiS
M ; ;< i n�y ifr , Blpinois.
STAT E FARM FIRE AND CASUALTY COMPANY, Scantxarough, Ontario
S1 ATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida
El STATE FARM LLOYDS, Dallas. 'texas
insures the Following policyholder for the coverages indicated below.
Policyholder VISION ADELANTE DBA PARTY POSIES
Address Of policyholder 23753 MADISON ST TORRANCE CA 90505 - 6006"
Location of operations mm "
. —
nofoperations
Thla °e0f to all time harms exclusions, and oondtllorltha policyhaolder for the policy perir� &shown. The insurance described i
Policies listed below have been Issued to in these policies is
t s of those polocres Tl1a Iwrri115 Of liabl shown ma have been reduced by any paid claims.
POLICY NUMBER TYPE OF INSURANCE E' eCtiq.1 Dal
PERIOD �( S OF LIABILITY _) .
POLICY
e�ctiva Date ; Expiration Date at inning of policy parlocl
91A,1 o�T / Comprehenslvei- 2 1G %D1 /i3 BOEitLYINJ
B
waslness i,.Iabltilr A
This insurance includes: M Prodnr`,ts 6mppWed Operations
Contractual Uabllity
Undargrrlund Hazard Coverage
Personal lrrkur'y
Advertlsing Injury
Explosion Hazard Coverage
Collapse Hazard Coverage
El
POLICY PERIOD
EXCESS LIABILITY Effective Date Expgaatir
Umbrella
.......... __ n Other
Workers' Compensation
and Employers Liability
POLICY NUMBER TYPE OF INSURANCE POLICY
-- . __ Effective Date
Each Occurrence
General Aggregate
Products — Completed
Operations Aggregate
URY ANl7
PROPERTY DAMAGE
$lEu r�tknw� ,r'k(piic %r
$ 2„ Loc, gouts
$ 2, 06U, < p
BODILY INJURY AND PROPERTY DAMAGE
Dale (Combined Single Limit)
Each Occurrence $
Part f STATUTORY
Part 2 BODILY INJURY
Each Accident $
Disease - Each Employee $
Disease - Policy Limit $
V LIMITS OF LIABILITY
Date I (at faeppinnlnq of pollcv vol
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY PO +'rpmmmerwr r imsarr nt5 aAttYELY
LICY DESCRIBED HEREIN.
If any of the described policies are canceled before its
expiration date, State Farm will try to mail a written
notice to the certificate holder 30 days before
Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice,
CITY OF EL SEGUNDO V, no obligation or liability will be imposed on State Farm
`
350 MAIN STREET agen o its ts or re {a osenlatives.
r
EL SEGUNDO, CA 90245 f`��7 fl�M��.a.".i..�i
ixerg Repro serila( r
fccl TT eefAialhar 10/30/2012
... _.,. -.. ,n... - glMea..
Agent's �e Stamp
AFO Code F793
558.994 a 4 11- 12.2002 Printed in U.S.A.
Reproduction of Momnw Uvom Mm. Inc. pwm
INSVRER.vATE FARM GENERAL INSURANCE COMPANY
ENDOMEMENT NoM ,.
bEk'
7W KfIDORUMENT CHANCES TH C POLICY, PLIKASE READ IT CAMFULLY.
ADMIONAL INSURED — OWNERS, LESSM OR
CONTRACTORS (FORM B)
This 000--i modifies Wwww Provided wtdw the fonowi.V
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEIN"
The Clty' Ift offim'4 officials, employees, ftmab, OW vdknteen
(1f 110 m""Y aPPe= ObWm- tW 14161mdom mqmired to 0—pkme lhk ando"maw
Wit l be Shown in *9 DmbwX&aS a applicable to tick codommem�
"(01 IS AN INSURED (Sation it) is atoaded to kd0&Wa0maned the pefsoa Orotgankuion
sww" in the Schedule, but only Wm nmpm so
for you, "W* -a" Ow Of -YOW w0ft- for That iffiwad by or
C-C. 20 10 11 m
7- nis itmra000 shell be ptijmq a respcls the hwand sho" to the acked"It ab
- it MOSS, shalt stand in an 0abm*en chain of coverage excess lot the Nal
IAPJrW$ Wbadillod underlying prboagy coverW. In tigm owml, 4,1y odw insw,
014i"Wecd by OW JuSurcd schedt*4 above "I be in ex*m of this jrmm"Ce
SWI: not be tallod upon to cowrlbote with jL
3. The inmAntwe afforded by this policy :hell not be cameded except aft *Any d
Prior wnum mfim by candied emit rattan moqpt avinewed has been given mo
Entity.
4. Coverage shall not extend to any indemnity covarap for the vaj%v tnqjiwte of
additional hunred In any Om WhOw an Wemm 10 4vkowify the additional insu
Au tixtx
CG 20 10 It PS Insurance serAm 0111m Inc. Fora (M[edified]