SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A : NAIC #
NAME: CONTACT
(A/C, No): FAX
E-MAIL ADDRESS:
PRODUCER
(A/C, No, Ext): PHONE
INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR WVDADDL
INSD
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. $
$
$
$ PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person) COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEEE.L. EACH ACCIDENT EROTH- STATUTE PER
(MM/DD/YYYY) LIMITS POLICY EXP(MM/DD/YYYY) POLICY EFFLTR TYPE OF INSURANCE POLICY NUMBER INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $
$
OCCUR
CLAIMS-MADE DED RETENTION $
PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $
EACH OCCURRENCE $ DAMAGE TO RENTED
PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
01/06/2022 MARSH USA INC 1717 Arch Street Philadelphia, PA 19103 Attn: [email protected] / Fax: (212) 948-0360 CN118025105-ALL-STAND-22-23 Marsh | U.S. Operations 866-966-4664 [email protected] Indian Harbor Insurance Company Greenwich Insurance Company XL Insurance America National Fire & Marine Insurance Company N/A N/A 20079 24554 22322 36940 Allied Universal Topco, LLC (See Attached for Additional Named Insureds) 161 Washington Street, Suite 600 Conshohocken, PA 19428 CLE-006453532-18 0 Attn: [email protected] / Fax: (212) 948-0360 X X CONTRACTUAL LIABILITY X SIR $1,750,000 X
X X
RES943799402 01/01/2022 01/01/2023 30,000,000 30,000,000 30,000,000 B X
RAD943781805 01/01/2022 01/01/2023 5,000,000 D
X
X
Auto Liability, and Workers Comp Excess of General Liability, 42XSF10009009 01/01/2022 01/01/2023 10,000,000 10,000,000 C C
N
RWR300120406(WI) RWD3001203-06(AOS) 01/01/2022 01/01/2022 01/01/2023 01/01/2023 1,000,000 1,000,000 1,000,000 A Professional Liability RES943799402 01/01/2022 01/01/2023 SIR Limit 1,750,000 2,000,000 Re: As Per Contract or Agreement on File with Insured. City of Redondo Beach is included as additional insured where required by written contract with respect to General Liability and Auto Liability. Liability coverage shall be primary and non-contributory where required by written coverage shall be primary and non-contributory where required by written contract. Waiver of subrogation is applicable where required by written contract with respect to General Liability, Auto Liability, and Workers Compensation. 40,000,000 40,000,000 X A
City of Redondo Beach of Marsh USA Inc. 415 Diamond Street Redondo Beach, CA 90277 ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
MARSH USA INC 2 2
Allied Universal Topco, LLC (See Attached for Additional Named Insureds) 161 Washington Street, Suite 600 Conshohocken, PA 19428 25 Certificate of Liability Insurance CN118025105 Philadelphia Excess Workers Compensation Policy No.: RWE943548206 Insurer: XL Specialty Insurance Company Effective Dates: 1/1/2022 - 1/1/2023 Limit: Employers Liability Each Accident: $1,000,000 Employers Liability Disease-Policy Limit: $1,000,000 Employers Liability Disease-Each Employee: $1,000,000 SIR: $1,000,000 Crime Policy No.: 01-602-29-33 Insurer: National Union Fire Insurance Co. Effective Dates: 09/15/2021 - 09/15/2022 Limit: Employee Theft or Dishonesty: $2,000,000 Clients Property: $2,000,000 Deductible: $1,000,000 Contractors Pollution Liability Policy No.: CPO13303734 Insurer: Commerce and Industry Insurance Company Effective Dates: 11/01/2021 - 11/01/2022 Limit: $5,000,000 Deductible: $250,000 The General Liability and Professional Liability policies evidenced above share in the limits shown. The limits do not apply separately to the individual coverages Cypress Private Security LP, Cypress Security LLC as an additional insured as required by written contract.u0000 coverages Cypress Private Security LP, Cypress Security LLC as an additional insured as required by written contract.