TRAUB-2 OP ID: MN .K
ACURD DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 04/19/2022
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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
Alliance Mgt. & Insurance Serv FAX, Noy: 760-471-9378
CA Agent/Broker LIc# 0737966 BlEss; [email protected]
INSURERS) AFFORDING COVERAGE NAIC A
INSURER A: Peleus Insurance Company 34118
YOUREI INSURER B:
lorman A Traub &
AssociAteS LLC INSURER O:
Brock Avery
2625 Townsgate Rd #33( INSURER D:
Westlake Village, CA 91361 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIC IDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH
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
INSR ADDL SUBR POLICY NUMBER
TYPE OF INSURANCE LIMITS
LTR INSD WVD
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PKV0000417 04/07/2022 04/07/2023PMSE50 a corence) 100,000 Errors & Omission 5,000
MED EXP (Any one porson)
1,000,000
PERSONAL & ADV INJURY
6,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
X POLICY | PECT 1.000.000
LOC PRODUCTS - COMP/OP AGG
OTHER: $.
A OMBINED SINGLE LIMI 1,000,000
AUTOMOBILE LIABILITY a acciden $
| ANY AUTO PKV0000417 04/07/2022 04/07/2023 BODILY INJURY (Per person) BODILY INJURY (Por accident) $
ROPERTY DAMA
er accide
UMBRELLA LIAB OCCUR LEACH OCCURRENCE
APPROVED AS TO FORM
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
MICHAEL E, GATES TATATUTE I
CITY ATTORNEY LE.L. EACH ACCIDENT $
N/ A CITY OF HUNTINGTON BEACH
LE.L, DISEASE - EA EMPLOYEE 5-
describe unde
DESCRIPTION OF OPERATIONS below 0470712022 04072023 POTLEASE: POLLY UNT, S A Professional Liab TPKV0000417 1,000,000
A Cyber PKV0000417 04/07/2022 04/07/2023 Cyber 300,000
DESORIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additonal Romarks Sohoduto, may be affaohed if moro spaoo is roquired) gents and volunteers are named as a retonal lured alert or ork performed by the named insure
Investigation, CA-.
CERTIFICATE HOLDER CANCELLATION
City of Huntington Beach
Kristin Miller
2000 Main St AUTHORIZED REPRESENTATIVE
Huntington Beach, CA 92648 Ichell a towell
ACORD 28(2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
• POLICY NUMBER: PKV0000417 COMMERCIAL GENERAL LIABILITY CIGL. 79 03 18
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifles insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Locations) Of Covered Operations Or Organization(s)
Blanket as required by valid written contract. Blanket as required by valid written contract.
Additional Information:
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 or organization shown in the Schedule, but only with respect to liability for "bodily injury" "property damage" or "personal and advertising injury" arising out of:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your behalf; in the performance of your operations for the additional insured at the location shown in the Schedule. a. The insurance afforded to such additional insured only applies to the extent permitted by law; b. If coverage provided to the additional insured is required by a contract or agreement, the insurance CIGL 79 03 18 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 2 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; and
c. Regardless of the date of occurrence or when the injury or damage first occurs or is first discovered, a person's or organization's status as an additional insured under this endorsement ends upon the earliest (1) The completion or termination of the contract or agreement between you and the additional insured for the location shown in the Schedule;
(2) The date you cease actively performing operations for the additional insured at the location shown in the Schedule; or
(3) The expiration or termination date of the policy or this endorsement.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This Insurance does not apply to liability or damages for "bodily injury", "property damage", or "personal and advertising injury":
1. Caused by, arising from, or included in the "products-completed operations hazard".
2. Arising out of the additional insured's sole negligence;
3. Arising out of work or operations performed by you that were completed prior to the effective date of this endorsement; or
4. Which continues or progressively deteriorates after you cease actively performing operations for the additional insured at the location shown in the Schedule, even if the injury or damage first occurred, or is alleged to have first occurred, during the course of your operations for the additional injured.
C. Solely for purposes of this endorsement, the following definition is deleted in its entirety and replaced by the following:
1. '''Products-completed operations hazard":
a. Includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising out of "your product" or "your work" except:
(1) Products that are still in your physical possession; or 2) Work that has not yet been completed or abandoned. However, "your work" will be deemec completed at the earliest of the following times
(a) When all of the work called for in your contract has been completed; (b) When all of the work to be done at the location shown in the Schedule has been completed if vour contract calls for work at more than one location: or (c) When that part of the work done at the location shown in the Schedule has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project.
Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed.
D. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill - Limits OfInsurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
C/GL 79 03 18 Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 2