The URL can be used to link to this page

PROOF OF INSURANCE (2016) CLOSEDClient#: 1255108 30SA1 ENT .... YY DATE (MwoorrY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 11/30/2015 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: H the certificate holder Is in' DDITIONAL INSURED, the polcy(lea) must be endorsed. If SUBROGATIONW ISWAIVED, 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 ondotsoment(SL. PRODUCER... t. Allle Mosier BB&T Insurance Services FA7i tI 714 941 2900 jai e 877-297-1116 of Orange County E , " AMMOS BBand T com _.... 2400 Katella Avenue Ste 1100 �F Sy° ... _ MSURER(S) AFFORDING COVERAGE NAIL N Anaheim, CA 92806 INSURER River .... "" � � � 203 _ _ er Insurance Company '12203 INSURED�� INSURERS :TOp8111SUrenC @COm�an'�_.�...�.� _...... Company 8031 A -1 Enterprises Inc. INsuRuRc Zurich "American Insurance Compa X16536 dba A -1 Fence Company ` """ - INSURER e 2831 E. La Crests Ave., lNSURER Anaheim, CA 92806 Il. INSU ER P 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 CONTRACTOR 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. TYPE OF INSURANCe INSR I'MN1t POLICY NUMBER P I OMITS l COMMERCIA� U" LI 000202729 2/01/201 GENERAL LUIBILITY � �.�� 5 17J01 ►�� . _ .m , _ n .. .. ... .... w EACH OCCURRENCE $1,00 QOO CLAIMS -MADE ❑X OCCUR 1�1 S5Ar0Q;Omw ".__._ X BI /PD00„ mm wm.." MEDE (Any one noel sExcluded PERSONAL ADV IN uuRY. . sS .1 00MOO . AGGREGATE LIMIT I . GREG s2 000 POLICY PRO, LOC � X JECT ROOV0 -.SOMPOPAGG S 0&0— OO QTIrR AUTOMOBILE UABILITY ED SCE LMT 0 ...._ „ , '.. ANY AUTO SODILY INJURY (Per person) 5 ALL O SCHEDULED INJURY (Parecutlent) S .,.,,..., AUTOS ....... N ON -OWNED PROPERTY E7A At HIREDAUTOS aUros s C , " g MAUa . occuR XL660 584602 2/01 ►2015 12/01 ►201 EACH OCCURRENCE $5 000 X EXCESS LIAe ) CII AIUAS MADE AGGREGATE s6 000,,000 N „ VlORIDi FkS COMP rERS XIdiN _ ... mm ..� PER ..._ 5TH— AND EMPLOYERS' LIABILITY ..ST;fJZ ER ._ ... �....,„ �,„. ....,�,�„„».,.,..........., A "I P �{TOR4PhR.TN@ r 1raVE E.L EACHAaCI I Nr n"99-0,I) 00 C?FbfC'�E��EN1TONW[NuR NIA j (Mandatary In NH) E L DISEASE - EA EMPLOYEE s1000000 Nt os ddson�do uralar El, DISEASE POLICY LIMIT , .�1,OOOISiO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, AcIftonal Romania Schedule, may be attached N mare apace Is requlredl RE: Covered CA Operations Performed By Or On Behalf of the Named Insured. The City of El Segundo, its officers, officials, employees, agents, and volunteers are named additional Insured as respects general liability and this insurance Is primary and noncontributory with any other Insurance of the additional Insured; and waiver of subrogation applies as respects workers compensation as required by written contract, per endorsements attached. (See Attached Descriptions) CI Of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 160 Illinois Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE �wk 01968 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 1 of 2 The ACORD name and logo are registered marks of ACORD #S16166876/M15188868 ACMOS POLICY NUMBER: 000202729 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered O erations Where required by written contract or agreement All operations of the Named Insured's. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does noFapply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment fumished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its In- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a prin- cipal as a part of the same project. CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: 000202729 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURE - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Opera - Or Organization(s): tions Where required by written contract or agreement All operations of the Named Insureds. Information re uired to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tion(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location desig- nated and described in the schedule of this endorse- ment performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 O Policy #000202729 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AN ON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Orcianization(s): Blanket as required by written contract no entry appears above, this endorsement applies to all Additional Insureds covered under Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 r D': I .11ABILSTY" DISURANCE CEi�R ru!�ICATE I` ThilS CRTIFICATE !S ISSUED AS A MAFTER OF INFORMATION ONLY AND CON9!ERS NO RPGHTS UPON 1HE CER11FiCA �E CERTIFICATE DOES NOT Al-`F�RMA'f'iVELY OR NEGATIVELY AMEND, EXTEND OR Ai.I-Erl Tm COVER'AGE-. A"FFORDED PC� ICNES RE'LOW, THIS CERTIFICA7rE OF WSURANCE I-00ES NOT COI'ISTICUTE A CONTRACT BE`TVVEE�� THE VDSWHG WV1PERg,�,, REPRESENTATIVE OR PRODUCER, AND 711E CERTIFICATE HOLDER --i—MPORTAiTT' t-b USLI C5:—thW7,;TFT(—Na)mU, the taffns and conditions of the policy, certain i)(ACL`4 may require an endorserncr0t ' A stuternent on thle certifleWe does not c*wer righ13 to ffic CONIfIcMe I40110ar 111 flau 01 uuch ond Un PR DUCER ----5 1 a r" ' -'Faul Kl'nan Business & HeaM ins Svcs 1206 E. Yorba Linda Blvd. W 5 �7, 0 0 , 7 Placentia, CA 92870 UWSU: '4-1, FENCE COMPANY 2831 E. La Cresta Ave. Anaheim, CA 92806-1817 onv,Jda ins Co of r'rnerk.a Q14RTIFICATE 114UMBER: 71 W , tl a (,EiWnpy TKA THE POLICIES OF IMSURANCE LLSTED acId0V FV-.VE art'14 VA"E.0 TO 11-11- NAME0 6,01VE F0 11'� INDICAFEL NOrWl'ri-M�ANUNG ANY REOUREMENT, TERM Ord Comxnoj� OF ANY CONTPACI Ord OTPER vkGre MAY BE 118,1,'GED 01H �'AAY PE.,MAM, THE INSURANCE i4A-Fa3RD�.C,, r3y ''dE POHME; )r'rl W l H :1CUM1!:S 11�FF) By I "W3 CL" %$l V9r OF M 'I'FIDL rURAN CE A C XUAMERrML GENEWM, UAMILOY C�INMSI W110C. GrOUR F 'r LOG 1. jI n x 'CHEVAJU. D 0J%*" AU708 Notq-OwNco 511 XAVAB LA W01 L_,� ca rear 'Uls UAS 'i INN IOD KIIIM� �JJL' BAZ 2574460196 i OCI CO 1 U11 r 0&2912016 0812912016,9001LY WURY (Per pmrml. i""T 7`f�.' ZIAV"' avq IM101111 U wln dX" 0 1r10TI AU-OPFTWUOW:�, FS OFHCI;"aI-S AND F&I FLOYE U1 Y Or EL SEGUNDO RECREAflON1 & PARKS R',AX` '3 1 Q-6474223 ,i si�iEi-mm srREE'r ....... 0, VA 00145 38OULOANYUPTHEASOW' BkCANCL2kJ-WBErMjr VM? RKPIRAMN nAT'V 'NIMI&OV, NuTtWE IMLL ULF, MvHV%RED M Wh V,.') 1988-2014 ACORD CORIPORATIOK All nUhta ACORD 26 (20141011) C'Iw ACORD rwrj o anul wc�fj[ °j toroa(j u,)�aarjtu W ACORD Client#: 11256108 30SAl ENT DATEIMINIMONMI ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 1212212015 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 pollcylles) 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 ondomement(s). PRODUCER C N?AiAc' Allie Mosier FAX BB&T Insurance Services N 11 N - 'I (Np,y9): 877-297-9116 g.jj� 714 941-2900 of Orange County EAWL ,so 'm amosler@bbandtcom 2400 Katella Avenue Ste 1100 WSURARISy AFFORDING COVERAGE NAIC 0 Anaheim, CA 92806 INSURER A: Cypress Insurance " . - " , Company , , " , , " (CA) 10866 1 1 INSURED INSURER Enterprises, Inc. dba A-1 Fence . ..... Company INSURER �_ "- 2831 E. La Cresta Ave. INSURERD: Anaheim, CA 92806 INSURERE: INSURERF; 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 CONTRACTOR 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. TYPEOFIN Fiame 6 SUIRANCE POLICY.. W `RN"4 LIMITS - -, ' _ "" " -, - Q, -Y NUMBER ..... . ..... (M COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS.MADE OCCUR I RAA I ...5__ . ......... PERSONAL & ADV INJURY 3 GEN`L AGGREGATE LIMIT APPLIES PER* POLICY 0 PRO� F — , PROnUCTS - roMPMP AGG S JECT _'LOC L ALITT`diEfi LIABILITY SINGLE LOA, ANY AUTO BODILY INJURY (Per porsw) 5 ALL OWNED SCHEDULED BODILY INJURY (Par avAorill S AUTOS AUTOS HIREDAUTOS NON-OWNED ='0A)AAGC �AUTOS . .... ........... . . . UMBRELLA C.0 UR EACH OCCURRENCE 6 EXCESS LIAR CLAIMS MADE AGGREGATE S S iPER OT A WORKERS COMPCNSA'n ON AOWC707929 01101/2016 01101/2017 X '0TATUTf_._ AND EMPLOYERS* LIABILITY YIN ANY opts EI R 1000,000 OFFI R EXCLU NIA (Mindstory In NH) If .64scobo Wolof D n u OW TION Op Om, ft"'T W)Ns balo", E 1. OfSEASE -POLICY UWT, ii,9001000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) This certificate Is for the workers compensation renewal only. Please retain previous certificates and endorsements for all other coverages. RE: Covered CA Operations Performed By Or On Behalf of the Named Insured. The City of El Segundo, Its officers, officials, employees, agents, and volunteers are named additional insured as respects general liability and this Insurance is primary and noncontributory with any other (See Attached Descriptions) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 160 Illinois Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE 01996.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) 1 of The ACORD name and logo are registered marks of ACORD #S15297278/M15296010 ACMOS WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 0410B (Ed. 9-14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA BLANKET BASIS 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 frorn us.) The additional premium for this endorsement shall be 2% of the total manual premium otherwise due on such remuneration. The minimum premium for this endorsement is $350. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE BLANKET WAIVER Person /Organization Blanket Waiver — Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Job Description Waiver Premium All CA Operations This endorsement changes the policy to which it Is attached and is effective on the date issued unless otherwise stated. (The Information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/15/2016 Insured A -1 Enterprises, Inc. Insurance Company Cypress Insurance Company WC 99 04 10B (Ed. 9 -14) Policy No. AOWC707929 Countersigned by Endorsement No. Premium $