MICHJAR-01 TYANG
ACORD DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 5/20/2022
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
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 endorsements).
PRODUCER License # 0757776 CONTACT
HUB International Insurance Services Inc. (AC, No, Exe: (916) 974-7800 (AX. No): (916) 974-6120 PO Box 255387
Sacramento, CA 95865
INSURERS) AFFORDING COVERAGE NAIC #
INSURER A : Sentinel Insurance Company, Ltd. 11000
INSURED INSURER B:
Michael J. Arnold & Associates, Inc.
INSURER C
1127 11th Street
Suite 820 INSURER D
Sacramento, CA 95814-3811 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 POLICY PERIOD
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 LIMITS
1,000,000
EACH OCCURRENCE
CLAIMS-MADE OCCUR x 57SBABL7112 6/1/2022 6/1/2023 1,000,000 10,000
PERSONAL & ADV INJURY 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000
POLICY PECT LOC 2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMI
(Ea accident
ANY AUTO BODILY INJURY (Per person)
AVIS ONLY
BODILY INJURY (Per accident) $
AS NEE ROPERTY DAMAG
AUTES ONLY Per accident)
UMBRELLA LAB OCCUR EACH OCCURRENCE
EXCESS LIAB C_AIMS-MADE len an en un
AGGREGATE
DED RE ENTORS
STATUTE
Y N
E.L. EACH ACCIDENT
BUL.
E.L. DISEASE • EA EMPLOYEE $.
E.L. DISEASE • POLICY LIMIT $
Aodibonal Remarks Schedule, may be attached if more space is required
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Redondo Beach ACCOEDANCE WITH THE POLICY PROSIONSE WILL BE DELIVERED IN 415 Diamond Beach
Redondo Beach, CA 90277
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD
POLICYHOLDER COPY
STATE
P.O. BOX 8192, PLEASANTON, CA 94588
FUND
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 11-21-2022 GROUP:
POLICY NUMBER: 0744288-2022
CERTIFICATE ID: 50
CERTIFICATE EXPIRES: 04-01-2023
04-01-2022/04-01-2023
CITY OF REDONDO BEACH
415 DIAMOND ST 08-01-2022
REDONDO BEACH CA 90277-2838
half arnie insurace Come isine to needlever named belong for the policy peried indicated approved by th ommissioner to the employer name This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. tant RVa lanf Vermon Have
Authorized Representative President and CEO
EMPLOYER'S LIABILITY LIMIT INOLUDING DEFENSE OOSTS: $1,000,000 PER DOOURRENON.
ENDORSEMENT
EMPLOYER
MICHAEL J. ARNOLD & ASSOCIATES, INC. NF
1127 11TH ST STE 820
SACRAMENTO CA 95814
[P16,H0]
(REV.7-2014) PRINTED : 11-21-2022