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PROOF OF INSURANCE (2019 - 2019) CLOSED +4c'+[�PlC" CERTIFICATE OF LIABILITY INSURANCE141 10/15/20 s°�"") 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 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). PRODUCER hCONTACT Joe Van Dyke Tailored Insurance Services Inc PHONEFAX 1AiC.No exv 866-8'22-8338 eXtt 80.._,,.1..........................................�twy 9L866-822-8338 23785 EI Toro Rd,#267 6 MAIL Lake Forest,CA 92630 ADDRESS: doe MYTailoredins.cc�alTr...................... 1p ''e ¢SYEtt ......... ............._ ........................ ��..CQS-TWqR ID 0: _ INSURERSAFFORDING RDING COV......... E ... •,•,•,• � .�. E � COVERAGE NAIC# INSURED .•. .... .•.•.•.........•.•. .....��.....INSU..... ......,_.,,..._.m..........ALOHA DOORS INC .. ��.... f R RA:`/t/e5C0 Insurance Company INSURERS: Interstate GFire&Casualty Company INSURER C:AmGuard ........................ ... 214 MAIN STREET#119 _ Insurance Company EL SEGUNDO, CA 90245 INSURERD: 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 POLICYPER IOD 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS pLTR, .... .�..,.... INSURANCE� Y.INSR WVD I ....PO .. ............•..............•......___. �...�.�........... � „�,.,........,�....,�. .—�.... ���i3R I� TYPE OF ADOL"� "••................�.............. POLICY EFF' POLICY'EXP LIMITS POLICY NUMBER q'MP',tlC7�D,pYVY^V) (MMIDDlVYYV) IGENERAL LIABILITY L.,1 l 1, �,!I,.l 11111 vI's 1,000,000 YR Il I 1 I+^a ul I1 mm $50,000 ✓ ;I Y ll, 111 ✓ I i'"1, 1111 ✓ 4 W'yf I I¢I,,L,II I' �rry,;,. ..$5,000 _ B MXC07011969 9/15/2018 9/15/2019 1°000,000 11"1 II I',',Y Y,.x,1 ;.a I1. s 2_00l 000.............. $1,,000 000 AUTOMOBILE LIABILITY (L.,.,),cld,.:1,,1 $1,000.000 I 1.1 „' II " 1,�1u1 , I I uu I u"1111.,,' 1,'.1I,..... . ... ....,,,......_ _._ C ALAU951133 10/18/18 10/18/19 ✓ 1 l70711 ✓ I iIw I�I, ,1,11111, 1, UMBRELLA LIABu47 1, 11I,II� .... ...._ ,,,..... ._.._. ...._ ..EXCESS LIAB ..�t.I ' 1'I"'f"' 1,�1,V;I'.+,,,^+1 h.. ,,,�� ......... .. .. _.._ I. ._. 11'"TIL I'•, °1p1 q: WORKERS COMI I T,,Tl 1 Gu „II IN1T1,1 � AH 'r1el'flFT-:lR/Al:gTiArlr/L>l ;I.JIi«L NIA VWUC3328237 2/1/2018 211/2019 J 1 1"000,000 0..0000. A rir I"xe l�larul 1 ❑ 0 (linaIrdzWrnn W-I;i YIN 1.1 III J"I 11Ll Y ✓ III! L! n l ,l'r l t F,nr.rla, G•I,a L: 1I1.:r Is 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) City of EI Segundo are named as additional insureds in regards to the general liability policy. I CERTIFICATE HOLDER CANCELLATION CI of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE •y gunTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. EI Segundo, CA 90245 AUTHORIZEDREPIRESE,NT4T1 ©1'989-2'009 A RD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo aree o ed marks of#CO A I Itoanz I , 3250 Grey Hawk Ct,Unit Z•Carlsbad,CA 92010 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, INTERSTATE FIRE&CASUALTY COMPANY COMMERCIAL GENERAL LIABILITY POLICY ADDITIONAL INSURED EC' I)ORSEl'Mr'IENT INCLUDING PRIMARY COVERAGE AND WAIVER OF SUBROGATION The section of the policy entitled III. — WHO IS AN INSURED is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in a legally enforceable written contract or agreement entered into before your work commenced, that such person or organization be added as an additional insured on your policy. The coverage afforded by this endorsement is only(1)with respect to liability in connection with the original Named Insured's ongoing operations performed for said Additional Insured during the term of this policy, and (2) only if the Additional Insured performs all obligations required under this policy. The coverage afforded to an Additional Insured is limited to a claim made for a Covered Loss not covered by other insurance available to an Additional Insured,and is limited by the provisions of the Insuring Agreement,Exclusions,Conditions set forth in the policy and all endorsements thereto. No coverage is afforded under the "products-completed operations hazard" for an Additional Insured pursuant to this endorsement. The coverage afforded to an Additional Insured under this endorsement ends as of the date of completion,abandonment,or termination of the work of the Named Insured at any jobsite,project,or structure. There is no coverage hereunder for any Additional Insured in connection with any claim or suit involving any claim for damage that takes place or is alleged to take place following completion of the Named Insured's work. The"work"of the Named Insured will be deemed completed as of the date all work,including materials,parts or equipment furnished in connection with such work,on the project or any structure therein(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 when that portion of`your work" out of which the injury or damage arises has been put to its intended use by any person or organization,including another contractor or subcontractor engaged in performing operations as part of the same project,whichever is earlier. The coverage provided for the Additional Insured is only to the extent that the additional insured is held liable for the negligence or strict liability of the Named Insured, and is only to the extent of and in the proportion Additional Insured is held liable for the negligence or strict liability/conduct/acts of the Named Insured. No coverage is provided for liability based upon the acts, errors or omissions of the Additional Insured_ If expressly required by a written and legally enforceable contract entered into by the Named Insured prior to commencement of work by the Named Insured for the Additional Insured,then the insurance afforded by the policy to the Additional Insured shall be primary insurance, and any insurance or self-insurance maintained by the above Additional Insured shall be excess of the insurance afforded to the Named Insured and shall not contribute to it. If expressly required by a written and legally enforceable contract entered into by the Named Insured prior to commencement of work by the Named Insured for the Additional Insured,then we waive any right of subrogation we may have against an entity that is an Additional Insured per the terms of this endorsement because of payments we make for injury or damage arising out of"your work" performed under such written and legally enforceable contract with that Additional Insured. Except as set forth above,all of the terms,conditions and exclusions of the policy apply and remain in effect. Policy No.: MXC07011969 Interstate Fire&Casualty Company 3250 Grey Hawk Ct,Ste.Z Date: 09/15/2018 C,rrd bad,, o�,Qolo By: Time: 12:01 a.m. itac�tiur'.�ea1 Representative ALZ AIE OPWS 00 01 0318 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.04-84) WAIVER Of OUR RIGHT To RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA 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 Penson or Organization Job Description Any person or organization as required by written contract. 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 2/112018 Policy No. WWC3328237 Endorsement No. 1 Insured Aloha Doors Inc Premium$ 4285 Insurance Company Wesco Insurance Company Countersigned by ..�.,_ WC 04 03 06 (Ed.04-84)