PROOF OF INSURANCE (2013) CLOSED" INSURANCE Date Entered: 0
12
ACC)R CERTIFICATE O LI BI IT /o' 2 Y�
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.
IMPORTAXT If the certificate holder is an ADDITIONAL. INSURED, the policy(ies) must be endorsed. If SUBROGATION I'S 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 endo en ,
PRODUCER
bICIS LOS l0 A S INI_........_
13900 TAHITI WAY $327 PHONE Frdli•.. ) 823 -2767 FAX • ('310) 448 -9509
0,. . -- - . .....aOM
MARINA DEL REY 90292 LOLITA@MANATEKINS C.. �......,.�...�.
2IID CENTURY INSURANCE COMPANY 21687
INSURED RAM3EY MOTORS INC.
DBA: MANHATTAN BRACE TOW
4622 MARINE AVENUE
LANNDALE, CA 90260
A KCMAUI_, $:tKilt 11:IsA IE INUM K: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
—. _ — -, —
R TYPE OF INSURANCE P2UCY NUMeIIR --- - - - - -. . N9rA1 Y E,. LASTS
CEN
ERAL LIAaNLITY
A _ I cer u rvr�RREE I 000 000
COMMERCIAL. GENERAL LIABILITY X
CLAIMS -MADE E OCCUR
GARAGE LIAB. 1 1605083779
WORKERS COMPENSATION
AND EMPLOYERS' UABILnY Y 1 N
ANY PROPME'TOOPJPARTNERPEXECUT NE
OFFICE `rUMMEMSER EXCLUDED? f7 NIA
ikNeNyNwuv� Auw OLiLES
18/2012 /18/2013
18/2012 0/18/2013
s$ 1..100, 000.
;rxarsumr�9os
..±? $5,000.
$ADNVINJURY $1,000,000.
.......... -- __
CrGIIE,GiATE $2,000,000 .
COMPC_P AGG $1, 000, 000 .
S e
siRUM I IT e1, 000,000
BODILY INJURY (Per person) S
INJURY BODILY (Per So
i5' TY nde_ _ a
'k_6 .
EACH OCCURRENCE Is
- EA EMPLOYEE I S
E.L. DISEASE - POLICY I.IMVT s
A PHYSICAL DAI�4GE 605083779 /16/2012 /10/2013 COIF, i COLL. $1„,000 DED.
A GKD]? 605083779 /1e/2012 /18/2013
A ON -HOOK $1,000,000 $1,000 DED.
605083779 /18/2012 /16/2013 $50,000 $1,000 DED
DESCRIPTION OF OPERATTons a LOCATIONS I VEHIC LES Itaoh ACORD 104. AddMonal Remarks fthod^ n mwo apeee le mgairad)
CL SEGO POLICE DEPT., its o icisl, employees as "additional insureds" under said insurance Coverage
.Tnder said insurance coverage and to state that such insurance will be deemed "primary'r such that any
ether insurance that may be carried by City will be excess thereto.. Such insurance will be on an made,
"occurrence," not a "claims made," basis and will not be cancelable or subject to reduction except upon
thirty (30) days prior written notice to City.
ML 310 524 -2200 s FAX 310 640 -8648
EL SEGUNDO POLICE
ATTN: TOW DIVISION
348 MAIN STREET
EL SEGUNDO, CA 90
ACORD 25 (2010145)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE W iTH THE POLICY PROVISIONS..
AUTHORIZED REPRESENTATNE 0 LITA SA14RRINI e-
®1988 -2010 ACORD CORPOR.0
The ACORD name and logo are registered marks of ACORD
'roduced using Forms Boss Plus software. www.FormsBOSS.COm; Impressive Publishing 800- 2MI977
All rights reserved.
GEN'LAG'GREGATE, UmrrAPPLIIES PER:
POLICY M LOG
AUTOMOBILE LIABILITY
ANYAUTO
X
ALL OWNED SCHEDULED
AUTOS AUT08
A
NON-OWNED
E � S
605083779
VIM
$100,000/1K DED
UMBRELLA LIAO OCCUR
.
EXCESS LIAR na AU10 e.xwrxrt
WORKERS COMPENSATION
AND EMPLOYERS' UABILnY Y 1 N
ANY PROPME'TOOPJPARTNERPEXECUT NE
OFFICE `rUMMEMSER EXCLUDED? f7 NIA
ikNeNyNwuv� Auw OLiLES
18/2012 /18/2013
18/2012 0/18/2013
s$ 1..100, 000.
;rxarsumr�9os
..±? $5,000.
$ADNVINJURY $1,000,000.
.......... -- __
CrGIIE,GiATE $2,000,000 .
COMPC_P AGG $1, 000, 000 .
S e
siRUM I IT e1, 000,000
BODILY INJURY (Per person) S
INJURY BODILY (Per So
i5' TY nde_ _ a
'k_6 .
EACH OCCURRENCE Is
- EA EMPLOYEE I S
E.L. DISEASE - POLICY I.IMVT s
A PHYSICAL DAI�4GE 605083779 /16/2012 /10/2013 COIF, i COLL. $1„,000 DED.
A GKD]? 605083779 /1e/2012 /18/2013
A ON -HOOK $1,000,000 $1,000 DED.
605083779 /18/2012 /16/2013 $50,000 $1,000 DED
DESCRIPTION OF OPERATTons a LOCATIONS I VEHIC LES Itaoh ACORD 104. AddMonal Remarks fthod^ n mwo apeee le mgairad)
CL SEGO POLICE DEPT., its o icisl, employees as "additional insureds" under said insurance Coverage
.Tnder said insurance coverage and to state that such insurance will be deemed "primary'r such that any
ether insurance that may be carried by City will be excess thereto.. Such insurance will be on an made,
"occurrence," not a "claims made," basis and will not be cancelable or subject to reduction except upon
thirty (30) days prior written notice to City.
ML 310 524 -2200 s FAX 310 640 -8648
EL SEGUNDO POLICE
ATTN: TOW DIVISION
348 MAIN STREET
EL SEGUNDO, CA 90
ACORD 25 (2010145)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE W iTH THE POLICY PROVISIONS..
AUTHORIZED REPRESENTATNE 0 LITA SA14RRINI e-
®1988 -2010 ACORD CORPOR.0
The ACORD name and logo are registered marks of ACORD
'roduced using Forms Boss Plus software. www.FormsBOSS.COm; Impressive Publishing 800- 2MI977
All rights reserved.
POLICY NUMBER: 605083779
Endorsement Effective: 3/18/2012
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED ENDORSEMENT
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in
the schedule but only with respect to liability arising out of your ongoing operations performed for that insured.
It is further agree that such insurance as is afforded by the policy for the benefit of the additional insured shown
above shall be primary insurance, subject to all policy provisions, including the deductible clause, but only with
respect to liability arising out of "your work" for the additional insured by or for you within the above described
job. Any insurance maintained by the additional insured as respects to liability arising out of "your work" shall
be excess and non - contributing.
This endorsement does not increase our limits of liability.
Additional Insured Owners, Contractors or Lessees
EL SEGUNDO POLICE DEPARTMENT
C /O: TOW DIVISION
348 MAIN ST.
EL SEGUNDO CA. 90245
ALL OTHER TERM'S AND CONDITIONS OF THE POLICY REMAIN UNCHANGED