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PROOF OF INSURANCE (2019) CLOSED
IDDffYYY r:� CERTIFICATE OF LIABILITY INSURANCE DA TE ) 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(les)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 endorsc�ment(si, PRODUCER CON,TAC1 NIAME; 3rielr,t:^lt.;,T',aul MCGRIFF,SEIBELS&WILLIAMS,INC. PHOINE9'00 76-?3"I', FAX P.O.Bax 10265 (ArC:,No Exit iA'"C,rte)' AAIL Birmingham.AL 35202 E"rDRE ot'aul rr,,c nff.com 9 ADDRESS! g _ gNSURt„.l^Po r�S^AFFORDING COVERAGE NAI '0 INSURER A^•��ex�irwgtcnin++drrt.ina;t C.�varrl,n6brro',C 'ir.„;��" INSURED INSURER a:H3rt'fnrd Fi=i�i,ns;itance Company 19682 JJ Kane Associates Inc,d.b.a,Ken Porter Auctions 1730 Vanderbilt Road t'NSUR£'R c,,rtrai'atri,lq liISuranr:e Cor„pttM 27120' Birmingham,AL 35213 INSURER,[J—U1eVW0 iCaquaaliV IP1r--U aiMCZ CcWP,rtPy' 29424 INSURER'I- I i INSURER F COVERAGES CERTIFICATE NUMBER:9WRPBD7q REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS"ITED 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 1 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. lr�s A COMMERCIAL NERALTYPE OF ABILITY G4O4o.1�L"J'iJr7�IICi131369;1'POI..tCY PthilF/hDER I rMG.C4�1013YYY�1 I VFUOV2O B�I EACH CC'"RIE"8T LIMITS R, POLICY EFr POUCY EXP SCI A �( � .�»r $ 6,000,000 P sf EC,. c 3,000,000! ....� CLAIMS-MADE L accuR �.•zrs.,,;y;Es;r�:w�;:,';r�°••-il MED EXP;'a"wrvlone::rvruariy s n/a _ PERSONAL&ADV INJURY $ 5,000,000 " , (ry I.,. li/GENERAL AGGREGATE S 10,000,000 i„�;1. ,. m AGG 10,000,000 Pol. g;,;.T LOC .ar, .,w is c yri ER B AUTOMOBILE LIABILITY C” C:�eS,rJO'3 CE10 .' A iS (P9:,flJ%,"r0 9 (:,1Mlidfd'r;LSC +e',::;,1 q1 :d,70'J.u00 )( ANY AUTO I 80DI1.Y INJURY(Prat i plwn) S OWNED FaCHELj I, I�Y'i'ei acocwlt) $ X HIRED AUTOS ONLY ,.X...�A01\W.S t NIY nGi:i',..`'INJURY °t,�;a�"w ",... 5 _ AUTOS ONLY .,I S UMBR.....�-, ELLALIAB k acCU,R . I EACH OCURRENCE_ S EXCESS LIAB 5 D AND EMPLOYERS�Sr LIABILITYI ,_.. C r NYORM4.ERSCOP9PE.N5ATtOf. ' "r,'''•''f+lS"w°'"0'0(3;,A." 'SY g6PO",1[Cb'48 06!012019 j._�( PER 1 YIPJ I L ?IX'4ru2:5279(V„"?(AL�1>a(',C).NC'i E L EACASF EAC:rtrtp�,S"Nr�E:'s . 1,000.000 i1fr,I! I'i , ANY EErMPL �Y.Ta.:SiP+,a r.<Ckt,. �.;C„ .?r � E_EACH ACCIDENT OFFurO6RMAt_tRS3Ei�EXCLUDED? I f N/A t 1,000,000 tM'andatnr In NH, D�SE _rF -- rf a'ti^,onsc^itro 191,10 , E L DISEASE-POLICY LIMIT ?: 1,000,000 Y C.. C;r u,4 ACt"J"i r.ai",;Y' n,l6i"tldl''d oWowPA DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If mora space is required) Certificate Holder is Aoditionai Insured under General Liability and Automobile LiaotAy as required by written contract.Waiver of Subrogation applies in favor of the Certificate Holder with respects to Workers'Compensation as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of EI Segundo J.Richard Hogate Purchasing Finance Dept AUTHORIZED REPRESENTATIVE 350 Main Streetij1,, m a. El Segundo,CA 90245-3813 Page 1 oft O 1988-2015 ACORD CORPO'RA'TION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Altec, Inc. Policy No. 21 CSES27903 THIS °T CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional on file with the agent of record will be sufficient Conditions: proof of notice. If this policy is cancelled by the Company, other Any notification rights provided by this than for nonpayment of premium, notice of such endorsement apply only to active certificate cancellation will be provided to the certificate holder(s) who were issued a certificate of holder(s) with mailing addresses on file with the insurance applicable to this policy's term, agent of record. Such notice will be provided Failure to provide such notice to the certificate within 30 days of the Company's receipt of holder(s) will not amend or extend the date the certificate holders) information from the agent of cancellation becomes effective, nor will it negate record. cancellation of the policy. Failure to send notice If notice is mailed, proof of mailing to the last shall impose no liability of any kind upon the known mailing address of the certificate holder(s) Company or its agents or representatives Form IH 03 10 06 11 Page 1 of 1 © 2011, The Hartford Page 2 of 4 M6CHKZBD AGENCY CUSTOMER ID: LOC#: rN ACCW? ADDITIONAL REMARKS SCHEDULE Page 2 of 2 11#�- — PR DUCER �'INSURED M RRIFF,SEIRELS&VOLLIAMS,INC. JJ Kane Associates Inc,d.b.a.Ken Porter Auctions POLICY NUMBER CARRIER NAIC CODE ISSUE DATE; 11/021201B ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ........... Ya!,c,l, Number 2 11 C�LS2'7 9 P,-1 CarT%LM': Hact-ford ri're p 1 i L.I f.a c C. : j2 0-1� I Policy Expiral.iom 6/.1/2019 Auto Ll'abilt'.y00,() ACORD 101 (20081011) Q 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE NUMBER:9VVRPBD7Q Altec, Inc. Policy No. 21 CSES27903 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional on file with the agent of record will be sufficient Conditions: proof of notice. If this policy is cancelled by the Company, other Any notification rights provided by this than for nonpayment of premium, notice of such endorsement apply only to active certificate cancellation will be provided to the certificate holder(s) who were issued a certificate of holder(s) with mailing addresses on file with the insurance applicable to this policy's term. agent of record. Such notice will be provided Failure to provide such notice to the certificate within 30 days of the Company's receipt of holder(s) will not amend or extend the date the certificate holder(s) information from the agent of cancellation becomes effective, nor will it negate record. cancellation of the policy. Failure to send notice If notice is mailed, proof of mailing to the last shall impose no liability of any kind upon the known mailing address of the certificate holder(s) Company or its agents or representatives. Form IH 03 10 06 11 Page 1 of 1 © 2011,The Hartford Page 2 of 9 4G5T5YGP POLICY NUMBER:013136094 COMMERCIAL GENERAL LIABILITY CG 2010 04 13 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 Organization(s) Location(s) Of Covered Operations Additional Insured named on the attached Certificate of Insurance. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "boddy injury":, "properly This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" 1°property damage"occurring after: caused, in whsle or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf-, maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) iocation of the covered operations has been designated above. completed;or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 04 13 C Insurance Services Office, Inc., 2012 Page 1 of 2 Page 3 of 9 4G5T5YGP C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 10 0413 Page 4 of 9 4G5T5YGP POLICY NUMBER: 013136094 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations V Additional Insured named on the attached Certificate of Insurance. 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is 'property damage"caused, in whole or in part, by required by a contract or agreement, the most we 'your work' at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 C Insurance Services Office, Inc., 2012 Page 1 of 1 Page 5 of 9 4G5T5YGP AGENCY CUSTOMER ID: ................ ........... LOC#- ADDITIONAL REMARKS SCHEDULE Page 6 of 9 PRODUCER INSURED MCGRIFF,SE113ELS&WILLIAMS,INC JJ Kane Associates Inc,d.b.a.Ken Porter Auctions POLICY NUMBER ......................... CAR...... NAIC CODE ISSUE DATE: 11/02/2018 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: Garagekeepers Coverage Auto L:Labilfty L..mit: $.1,000,000 ACORD 101 (2008/01) 9 2008 ACORD CORPORATION, Ail rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE NUMBER:4G5T5YGP ENDORSEMENT# 038 Forms a part of policy no.: 013136094 Issued to: ALTEC, INC. ATTN. MARK BERTOVIC By: LEXINGTON INSURANCE COMPANY ADVICE OF CANCELLATION TO ENTITIES OTHER THAN THE NAMED INSURED UMITED TO E-MAIL N071FICATION This policy Is amended as follows: In the event that the Insurer cancels this policy for any reason other than non payment of premium, and 1, The cancellation of factive date is prior to this policy's expiration date, 2The First Named Insured Is under an existing contractual obligation to notify a certificate holder when this policy is canceled 1herein after, the 'Certificate Holder(s)'); an provided to the Insurer, either directly or through Its broker of record, the email address of the contact at such entity, and the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that Is acceptable to the Insurer, the Insurer will provide advice of cancellation (the 'Advice') via e-mail to such Certificate Holders. Proof of the Insurer emelling the Advice, using the Information provided by the First Narned Insured, will serve as proof that the Insurer has fully satisfied Its obligations under this endorsement. This endorsement does not affect, In any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement Invest any rights In any entity not Insured under this policy. The following Oaf Initions apply to this endorsement; 1. First Named Insured means the Named Insured shown on the Declarations Page of this policy, 2. Insurer means the insurance company shown In the header on the Declarations Page of this policy. All other terms and conditions remain unchanged, T 1W_j Rlu� Authorized Representative OR Countersignature (in states where applicable) L 2 LX0404 Page 7 of 9 4G5T5YGP ENDORSEMEW"I" # 005 Forms a port of policy no.-. 013136094 111azued to:ALTEC, lINC. ATT'W if BERT OV I C Sy.1-EXINOTD11 INSURANCE COMPANY WAIVER OF SUBROGA'nON (OLMKETI it Is agreed Omn wa, in the event of a payment under ft polk-.y, vAW our r1ght of subrogetion against any person or organization Wwre the Insured has walved flabirdy of$uch person or aMe as Pon of a witten contractual agreement betwoen the insured and such person or organizalon entered Into prior to ft woccurrence*or nee® Ali other terms and conditions remain unchanged. Authorized Representative OR Countersignature(in states where applic"I LEXOCC234111i= LX0495 Page 8 of 9 4G5T6YGP Waiver of OurRight to Recover From rs Endorsement Policy Number Named Insured and Address 27 WN 827900 TNendomernent fom)s a part of the policy as numberedTEC, INC above, Issued by THE HARTFORD INSURANCE GR 210 INVERNESS CENTER DRIVE company desIgnated designatedtherein, and lakes effect as of the IINN , AL 3 242-48® effective date of said policy unless another effectivedate Is stated herein, VVe have e right to recover our payments from anyone liable r an injury covered by this pollwill not enforce our right against the person or organization narned in the Schedule. This agreement shall not operatedirectly or indirectly to benefit anyone not named In the Schedule. SCHEDULE ANY ON OR ORGANIZATION FROM WHOMYOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS OF RIGHTs FROM us Fonm WC 00 03 13 Printed In U.SA. Countersigned by Authorized Representative Page 9 of 9 4G5T5YGP