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PROOF OF INSURANCE (2015) CLOSEDCHPEN -1 OP ID: JR DATE (MM /DD/YYYY) CERTIFICATE 01/29/15 .- ...... ..... ..... � . _m .. _ . ._................ 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). _ .._.. �. ...........��_..._.__.. ........................................_....... .........._- ..�......-- ., —..m�� CONTACT PRODUCER 800-800-5880'', NAME: _ United Agencies Inc. PHONE FAX CA License # 0252636 877- 901 -5522 ( R% ext)e _ (!±rcr No). _ 100 No. 1 st Street, Ste. 301 E'MAiL Burbank, CA 91502 ADDRI ss' Jeff Ramirez INSURER(S) AFFORDING COVERAGE 1 NAIC # _ INSURER A : Great Divide Insurance Co. 125224 INSURED ------- -------- ---- -......... ,-........_._ C.H.P. Enterprises, Inc. INSURERS: Chubb Group of Ins. Companies 10052 Cinema Vehicle Services - - - - - -- - - - -- - -- - - - - - -- __ -- — - - - -- - Ken Porter Auctions INSURER C 12580 Saticoy treet _ _ Y INSURER D N. Hollywood, CA 91605 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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. LTR �,.._. --�.. ............ N ..POLIC.. ......._.... FF PM /DD/ EXP ........ LIMITS. ...... ..... INSR ADDL S'UBR' POLICY E A X COMMERCIAL GENERAL LIABILITY X O6 /16/ MMIDDrrvYv TYPE OF INSURANCE Y NUMBER .�. MMImDOmmmm � GENERAL LIABILITY G EACH OCCURRENCE $ 1,000,000 �CPA1023043 -18 CY,.fwtll4 ES RENTED 100,000 fEa CLAIMS -MADE X OCCUR MED EXPH (Any one person) $ 4 06!16!15 PRq rmcur pp /Any one erson} $ -... ed X _ PERSONAL & ADV INJURY $ 1,000,000 k GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP /OP AGG $ 1,000,000 PRaJ- POLICY JECT LOG $ .. _..... ................. ....�- __..... COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY r 1,00- - �....... (Ea arsa�7;en1�1 ------- -.0 A ANY AUTO CGA1023044 -18 06/16/14 06/16/15 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) a m „X AUTOS' AUTOS _ NON -OWNED X HIRED AUTOS X, I AUTOS (PLw�,aa,CCial1� , A X EXCESS ABIAB X QLAIMS -MADE CUA1023045 -17 06/16/14I 06/16/15 AGGREGATE 5,000,000 OCCUR EACH OCCURRENCE $ 5 000,000 DED F X l RE- TENTION$ -- 10,000 N M1 $ WORKERS COMPENSATION --- j_--- ._..----- -.._ -- X QCSIAIIU- __ OT .. _ Y AND EMPLOYERS' LIABILITY IN A ANY PROPRIETOR /PARTNER /EXECUTIVE "/ N X CA 2007167 -12 12/01/14 12101/15 E L EACH ACCIDENT $ 1,000,0001 OFFICER /MEMBER EXCLUDED? N / A 4 - - -- -- --- -- E L DISEASE EA EMPLOYE ? $ 1 000,000 DESCRIPTION under OPERATIONS below ... _.„ _ -- ... .... ........ ..... ...... (Mandatory B `Crime 8170 -4256 06/16/14 06/16115 Crime A � PIy LI �Y LIMI i $ 1,000,000 d � 1,000,000 B Professional 16804 -7741 07/05/14 07/05115 Auctionee 1,000,0001 I ( I DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of E1 Segundo, its officials, employees, and volunteers are named as Additional Insured per the attached endorsement. Waiver of Subrogation endorsement attached. Primary and Non - Contributory endorsement attached. 30 day notice of cancellation applies. k �' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of El Se undo w r V THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY g ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk'` 350 Main Street, Room 5 t AUTHORIZED REPRESENTATIVE El Segundo, CA 9 024 5-3 81 3 "L I ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CPA1023043 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following:�� ,* COMMERCIAL GENERAL LIABILITY COVERAGE PART ° SCHEDULE Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 11 COMMERCIAL GENERAL LIABILITY CG E25 AS 08 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE - NON-CONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other In- surance, subparagraph a., Primary Insurance is amended as follows: a. Primary Insurance This insurance is primary except when b. below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then we will share with all that other insurance by the method described in c. below. If the Named Insured has entered into an "insured contract' requiring that this insur- ance be primary and non - contributory, we will abide by that contract requirement. CG E25 AS 08 04 Includes copyrighted material of ISO Properties, Inc., Page 1 of 1 17 with its permission. co n M O H 0 0 w �a 0 w 0 R' r, N a c Ln M s i� i� s a� nta!". THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 72 WE OG8066 Endorsement Number: Effective Date: 12 / 01 / 11 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: CHP ENTERPRISES, INC. 12580 SATICOY ST BLDG A NORTH HOLLYWOOD, CA 91605 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER OF RIGHTS FROM US r4W Countersigned by0�" Authorized Reprdsentative Form WC 04 03 06 (1) Printed in U-SA. Process Date: 12/01/11 Policy Expiration Date: 12/01/12