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PROOF OF INSURANCE (2017 - 2018) CLOSED ,a► CERTIFICATE OF LIABILITY INSURANCE 8022 1%30/201717' THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or 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). PNOtlU'CER " C ......._....................... ._.___.............. �, �ON"NAC'C; .............. INSURANCE MANAGEMENT ASSC INC/PHS A/C,N,Ed): (866) 467-8730 IiAC.NU): (888) 443-6112 .........._............ ............... 263311 P: (866) 467-8730 F: (888) 443-611211 ADDRESS: PO BOX 29611 INSURER(S)AFFORDING COVERAGE mm NAIC# CHARLOTTE NC 28229 U INSURER A: Sentinel,]Ins CO] LT D T }, 11000 INSURED INSURER B: Hartford Accident and lndetnni 22357 INSURER C: ALL AMERICAN LEADERSHIP, LLC INSURER D: _......_ ............. ._ 2625 GRAND CANAL INSURER E IRVINE CA 92620 I 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. IN.SR ADD D SI'M'� I' P4)l.ICY EFA" ...'� TYPE OFlNSURANCE PoLlCYNUMBER PoLlCYEXP LIMITS .1m................ ° S. AiNl1pLY)llaf'N"'S"1'T �,A•1 'I ... COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1, 000, 000 CLAIMS-MADE OCCUR PREMISES(Ea Eoccurrence) si, 000, 0 0 0 A X General Liab x X 20 SBA IA3273 12/31/2016 12/31/2017 M ED EXP(Any one person) $10, 000 PERSONAL&ADV INJURY 1$1, 000, 0 0 0 GE'N"L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I$2, 000, 000 PRO- .�..�.................. POLICY "f LOC PRODUCTS AGG 0 JECT _ RO............... �s2, 00, 000 OTHER: 1$ I I I AUTOMOBILE LIABILITY` COMBINED SINGLE LIMIT I$1, 000, 000 (Ea accident) ANY AUTO BODILY INJURY(Per person) 1$ p OWNED SCHEDULED AUTOS ONLY AUTOS 20 SBA IA3273 12/31/2016 12/31/2017 BODILY INJURY(Per accident) 1$ _ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) I'$ . ... .__.._._.w......... $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1, 000, 000 A EXCESS LIAB — CLAIMS-MADE 20 SBA IA3273 12/31/2016 12/31/2017 AGGREGATE $1, 000, 000 DE01 X(RETENTIONS 10,000 I$ .W......... RDR%ERS COMPENSATION X 1PER OT H- AND EMPLOYERS'GAEl1JTY STATUTE L1ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN EL EACH ACCIDENT '$1, 0 0 0, 0 0 0 OFFICER/MEMBER EXCLUDED? ......_.............. .. ....w- - B (Mandatory/n NH) NIA 20 WEC AS5836 01/23/2017 01/23/2018 EL DISEASE-EA EMPLOYEE $1, 000, 000 B yes,describe under ..___............................... .......� DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 11, 000,000 ............ ._.......................... Each Claim $1,000,000 Professional Liability -•••••••••••••• 20 SBA IA3273 Aggregate $1,000,000 A Coverage 12/31/2016 12/31/2017 Deductible $2,500 OESCRIPrION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured' s Operations . Certificate holder is and additional insured per the Business Liability Coverage Form SS0008 attaches to this policy. Waiver of Subrogation applies in favor of the Certii e Holder per Waiver of our Right to Recover from Others Endorsement WC040306. �� ' ' / Vi I a , � A CERTIFICATE HOLDER CANCE LLATO , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED THE CITY OF EL SEGUNDO BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN:CHRISTOPHER DONOVAN A U TH 0 R IZED nEi;R—r!F 314 MAIN ST EL SEGUNDO, CA 90245 ©1£66.2015 ACORD CORPORATION,All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD