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PROOF OF INSURANCE (2013) CLOSEDDATEjMMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 4/6/2012 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 _ H° Chris Be8UVdYs.,,,. ....,,,,-..�.,.,�,.,.,.....�.,. ......_.,... The Liberty Company Insurance Brokers, Inc. PHO (888) 918 -3 . 960 X. JMM& F.11! (866)556 -3388 CA License No. OD79653 -MAIL 21820 Burbank Blvd Ste #269 INSURER1s�AFFORDINGCOVERAGE NAICS Woodland Hills CA 91367 .... INSURED INSURER.B : General Lighting and Electric, INSURERC W _ ......_.. ... .- ....._ ._.._ DBA: Strom Lighting Services INSURERD 8132 Firestone Blvd #814 INSURER E:_ Downs CA 90241 INSURER F, COVERAGES CERTIFICATE NUMi' ER :CL12.11303239 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. IN '.. _ ....... ......._ LTR TYPE OF INSURANCE _..._ -... _ POUCY EPF POLICY EXP LIMITS POLICY NUMBER, t& R Y GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 COMMERCIAL E RA LIABILITY x10 XP CL11IS EOCCUR X /2012 1/15/2013 onnepersonl 5,000A HP8747942 M 6 ' Y PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN °L A001'dEGA'TE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 "x I POLICY PRO° LOG S AUTOMOBILE LIABILITY C MWNED SINGLE LIMIT (Fpnoc t 1J000,00 A ANY AUTO BODILY INJURY (Per person) $ _AUTOS ALL OWNED SH EDULED C 721561 2/22/2012 /22/2013 BODILY INJURY (Per accident) S NON -OWNED JX PROPERTY DAMAGE $ HIRED AUTOS AUTOS . I'm nc m HI2dical oymonts $ 5.000' X UMBRELLA UAS X OCCUR EACH OCCURRENCE S 1,000,000.-1 A EXCESS LIAR CLAIMS -MADE _,_- -_ AGGREGATE S 1,000,000 .mm.�......W. - DED RETENTIONS 08748842 1/15/2012 1/15/2013 S WORKERS COMPENSATION WC SLATIJ- OTH- LIM T:S.. ER_ - AND EMPLOYERS' LIABILITY YIN - ANY PROPRIETORIPARTNERIEXECUTIVE E EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? NIA Ham..... ( Mandate ry in NH) E L S ....DISEASE - EA EMPLOYEL If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMB 5 DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of E1 Segundo is additional insured as respects General Liability per blanket commercial liability gold endorsement GECG 602 09/04. CERTIFICATE HOLDER CANCELLATION (310) 414 -0911 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, City of El Segundo Attn: Yvette Simonean 150 Illinois Street "'^'' AUTHORIZED REPRESENTATIVE E1 Segundo, CA 90245 � r Chris Beauvais /CLEACH ,- "mil! �•--= ^-�`-'�-'� - -_- -- ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. INS026 (201005).Ol The ACORD name and logo are registered marks of ACORD Policy #:CBP8747942 TW yam-- NEW CHMOES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL UANUTY GOLD ENDORSEMENT Nom 24 2) 1s with ft UbwkW 24 2) A wahnalt you do not own that b: aj 1968 em ae feet ba and 1* Not b6t uu d do my persons or ppoperW tt r a oha�ge. Nem 2.®. 6q � added: 6) An obw In which you hwe no ownwddp bin s mi end thatym hm a dwrea wah chew. The bd p a 19 Bpi oft BMknk m b Npiesed wah the MMbV '�; �ry iu G4 M d 94 a M ..n 01 � ,�N k, •u1 = 9 n� " "i AF 4 WIM —CMRAM C.1MA1. PAYMENTS g tit Paym ft Cm~ 19 provided undm ft pd* the Is dm9ed & Lbnlhs Spam �X hvm ow PLOD J9N78 OoAH" 91e6➢We Pds a SECTION N —WHO 18 AN INSURED Item 4. Is replaced with: 4. Any subsldledes, companies. owpor+afions, f m, or oW&Aftu You acquire or form during the policy period over which you maintain a corrbr a ft InWW of greater than 50% of the stock or assets. Will Gueffy as a Named Insured It a) you have the responsibility of placing Insurance for such enttiy; and b) ooverege for the entity Is not otferwrlse more speciftell► provided. and c) to entity Is incorporated or organkmd under the Maws of the United States of America. The Fie Damage Lira provided by this policy shell be the greater or. & $500,004, or b. The amount shown In the Declarations. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS Item 2. a. Is replaced with: 2 Duties In The Evsrut of Oca mnc% Offense, Claim or Su0 a. You sprat promptly notify us. Your duty to pmng* no* us Is effective when any of your executive ottioers. parbers. nonbers. or legal represeiftfives Is awe of the boccmence aflense, claim, or °suit". Knowledge of an'occumenoe'. offense, claim or'suk" by other employee(s) does not imply you also have such knowledge. To the extent possible, notice to us should include: 1) Now, when and where the "occurrence" or offense took place: 2) The names and addresses of any injured persons and witnesses; and S) The nature and location of any krry 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 Wnkler Leakage Insurance for premises while rented to you, temporarily ooarpied by you with pembsion of the owner, or managed by you under a written agreement with the owner; or Item S. Is amended to Include: & Representaliorrs Item a is replaced wft 6. Tarls%r of Rids Of ReoomyAAabuet Odom To Us !tern 10. and kam 11. are added: 10. Canoetion Co mmm J771 7761�Mlri-ffa 11: 19fefa�Or1 d we adopt a ctmr In our forma or rules which would bwden your coverage w0out Sn aft fie, the broader ooverage will apply to this poky. This extension is o Upon ft appmval of such broader coverage in your stele. SECTION V — DEFINITIONS The foOO m ft dWb*bm are sodded or chmigad: 9. 'Insured con"W a. Is changed to: The foNwAg Provisl M WO also added iotMa Coro mp Part A. ADDMONAI. INSUREDS — BY CONTRACT, AGREMBIT OR PERMIT m a. Your aigoklg gmaVm performed fbr that person or mgankAdW or b. Prermisas orfec Nies owned or used by you. Wkh respect to provision 1.a. above, a parson's or OM1101MIONS SMUS 08 an IMUMd Under this andorsomt ends when youroperdions WOW person or fl . VM rasped to provision 1.b. above, a person's or agerkAWS status as an Insured under ft miommo t ands when #m* =*ad or a "wrieni we you for such or fadrdes ands. OECG 602 (01H1) OrNG=2 6 44942 b dWn CDVP W m- I I I d ftmm a BOOM 0ftW Ina. VM 1b Pwml lbm Papa 3 d4 NECLXTNVTM WOURED COPY PGMOM JM175 GCAFPPN 0000r412 PIP 57 I This endow meat p Dion A. does not apply: M Supervisory. Inspection, architectural or engineering acflAuw; 8. ADDITIONAL INSURED — VENDORS w 5 t �• � w: .�; ►�� '• w ��i i w; wrr�w w � xac� +u `w-+�r � w �w: T M4 1. The kwance afforded the vendor does not apply to: .wr•w r w awn. way ��r, wr r �� ra w �w w+ �� r :w« � � � bL Any "ess warranty unw8wrized by yotr, a Any physical or chernical change In the product nude Intentionally by the vendor, olnsaolz 874MC IM MMKJRW OOPY MUM= ,101176 GCAFPPN 00WT413 POP eH GENELIG -01 JAGU CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 51114/21412012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Automatic Data Processing Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 ADP Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Roseland, NJ 07068 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. WI NOTTHSTANDING 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. A p AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rNERR TVPF OF INSIIRANCF.. „.,. ,,....,.POLICY NUMBER DATE IMM /DD /YYYYI TE IMMIDDIVVVVI ...... LIMITS . .. . IN §R DD'L Vp POLICY EFFECTIVE POLICY EXPIRATION I TR GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY -,J CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS EACH OCCURRENCE $ nAMACC "110 F� I M!5 ... MED EXP (Any one person) $ $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION City of El Segundo Attention Angelina Garcia 350 Main Street El Segundo, CA 90245- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2009101) © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,,, ... PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ .. ANY AUTO EA ACC OTHER THAN .,. $ .,.,. ..,.,.,. ..,_ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ ,I OCCUR EI CLAIMS MADE AGGREGATE . ___ $____ _ ..... ...... -- ---... DEDUCTIBLE ....... ._ .... ..... ............ $ ............ ............... RETENTION S'. $ WORKERS COMPENSATION X I WCSTATU- OTH -, EMPLOYERS' LIABILITY YIN TORY LIMITS A ANY PROPRIETOR /PARTNER/EXECUTIVE 76WEGES6580 3/31/2012 3/3112013 E L EACH ACCIDENT NT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ... 1,000,000 NHS' (Mandatory . ) E,L, DISEASE -ID LOYE $ if yYes, describe under 1 000 SPECIAL PROVISIONS below S E DISEASE - POLICY LIMIT $ ,000 OTHER � DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION City of El Segundo Attention Angelina Garcia 350 Main Street El Segundo, CA 90245- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2009101) © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GENELIG -01 JAGU IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01)