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PROOF OF INSURANCE (2016) CLOSED'' CERTIFICATE OF LIABILITY INSURANCE DATErMMIDDIYYYY) _ 1 1124/20 1 5 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 hideIs an ADDITIONAL INSURED, the policy(ios) 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 andors ment( ). PRODUCER N.�k, TA Auto Club Agency Services Auto Club Services, LLC -- q E PHONE U8-a1s -2402 FAX 3333 Fairview Rd dlVO.Hsz,.Eatl. _._. na MAIL Costa Mesa, CA 92626 A999 Lic ## OF97770 INSUR'E,IitS) AFrORE�;IN.v:� COVE'6'�.,AO._.._._� ....,. .,.. NAIG 11__......_..... INSURER A : HARTFORD INSURED HIGH POINT STRATEGIES LLC� _.m.... _ FIN �� 4NSURFR 9 ANCIAL INDEMNITY __ 23720 POS EY LN INSURER 0 , HARTFORD ..... _ .._ .......... , . , D ^ WEST HILLS, CA 91304 INSURER E: HARTFORD _ -.. 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. _ .... ... _ ...................... POE.IC f .... c�oa l rxP 1 TYPE OF INSURANCE POLICY NUM BE MJDrk LIMITS WVn Wqn COMMERCIAL GENERAL LIABILITY — X 72SBAAR6200 1v1s/2015 11/19/2016 �A (i�Lft� $s000aD EACH OCCURREN -k $1000000 _.�YJ� CLAIMS -MADE OCCUR 1 BUSINESS OWNERS __. /� ®�I � COMMERCIAL GENERAL LIABILITY PERSOI �I nee r�,tyn g 10000 w. LI & ACYV INJURY S 1000000 _ PROOUCTSGCCIMPIOP AfzCi $200 ..✓ OE:aLA.0 REGA"t "E LIMIT APPLIES PER: 0000 10 1 01 '01.8'RY [nLj JERCOT- a LOC ' 2000000 UTOMOBILE LIABILITY COMBINED SINGE UMlr X 386945400 �_n.�trs��.�... ..... _5107_ ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED ... AUTOS 08/23/2015 08123/2016 BODILY INJURY (Per acadenl) S HIREDAUTOS AUTOS NON-OWNED _ PROPERTY 1 WXa E'. AUTOS S ' S UMBRELLA LIAB OCCUR EACHOCCCURRENE.E S EXCESS LIAR G,EA6Ma MA AGGREGA EE, S I O'EO _ _ RFT WTION S _ _ $ WORKERS COMPENSATION PLR �!tl l ANYCEERP RIFT mRk-ARTNrRJ5 EI'L1TIVE Yaaa 72WECPK7673 EL EACHACLNDENT 51000000 IOFnCE IMEMB I�EXCLUDE NIA 11/1912015 11/19/2016 ,Mandatory In N'H) DE'.. descr1 N OE";7t" OPERATIONS 7 #C7N E E ndS SE EA EMPI UY( $ 1000000 s esra rtrr urn1 S helcw__ E.L E)IEhSE . NC4Ld "Y LIMIT 51000000 A PROFESSIONAL LIABILITY x 72SBAAR6200 11/19/2015 11/19/2016 LIMITS $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, AddlUonal Remarks Schedule, may Im attached it more space Is required) THE CITY OF EL SEGUNDO IS NAMED AS ADDITIONAL INSURED. 10 DAY NOTICE OF CANCELLATION ONLY APPLIES TO NON- PAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO „ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: CITY CLERK THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 MAIN ST ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGUNDO, CA 902455-0989 AUTHORIZED REPRESENTATIVE @) 1988-20144eORD CORPORATION, All rights reserved. ACORN 25 (2014/01) The ACORD name and logo are registered marks of ACORD I MA e Select Customer Insurance Center 3600 WISEMAN BLVD. SAN ANTONIO TX 78251 Policyholder, please callus at: (866) 467 -8730 Agent, please callus at: (866) 467 -8730 SERVICE.TX ®THEHARTFORD.COM INSURANCE ENDORSEMENT ATTACHED * ** PLEASE REVIEW THE CHANGE * ** Enclosed is an endorsement for your business insurance policy. Please review it at your convenience. If you have questions or need to make further changes: Policyholder, please call us at: (866) 467 -8730 Agent, please callus at: (8 6 6) 467-8730 between 7 A. M. and 7 P . M . CENTRAL TIME The premium billing will be mailed to you separately. You can expect to receive it soon. Thank you for allowing us to service your business needs. AUTO CLUB INSURANCE AGENCY LLC /PHS THE HARTFORD SELECT CUSTOMER INSURANCE CENTER The Hartford Hartford Flre Insurance Company and its Affiliates One Hartford Plaza, Hartford, Connecticut 06155 im �u THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. POLICY CHANGE This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated below: Policy Number: 72 SBAAR6200 DX Named Insured and Mailing Address; HIGH POINT STRATEGIES LLC 23720 POSEY LN CANOGA PARK CA 91304 Policy Change Effective Date:. 11/25/15 Effective hour is the same as stated in the Declarations Page of the Policy, Policy Change Number: 001 Agent Name: AUTO CLUB INSURANCE AGENCY LLC /PHS Code: 253682 POLICY CHANGES: SENTINEL INSURANCE COMPANY, LIMITED ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS. THIS IS NOT A BILL. NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE. IH12001185 ADDITIONAL INSURED - VENDOR PRO RATA FACTOR! 1.000 THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. Form SS 1211 04 05 T Page 001 Process Date: 11/25/15 Policy Effective Date: 11/19/15 Policy Expiration Date: 11/19/16 POLICY NUMBER: 72 SBA AR6200 -X THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - VENDOR CITY OF EL SEGUNDO, IT'S OFFICERS„ OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS 350 MAIN ST EL SEGUNDO CA 90245,M1, CITY OF SOUTH PASADENA 1414 MISSION ST SOUTH PASADENA CA 91030 LOS ANGELES COMMUNITY COLLEGE DISTRICT 770 WILSHIRE BLVD LOS ANGELES CA 90017 MERCURY PUBLIC AFFAIRS, LLC ATTN: MARY ULBRICH 14502 N. DALE MABRY STE 104 TAMPA FL 33618 VALLE PRESBYTERIAN HOSPITAL 15107 VANOWEN ST VAN NUYS CA 91405 Form IH 12 00 1185 T SEQ. NO. 001 Printed In U.S.A. Page 001 Process Date: 11/25/15 Expiration Date: 1.1/19/16