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)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
4/20/2023
Freidin INB Insurance Services
985 University Avenue
Suite 37
Los Gatos CA 95032
408-395-7900 408-395-3711 [email protected] License#: 0M15648 Berkshire Hathaway Group 10391 FISCCOM-01 Fischer Compliance LLC
2701 Del Paso Rd Ste 130 Ms360
Sacramento CA 95835
434510173
A X 2,000,000 X
10,000 2,000,000 4,000,000 X
N9BP379986 2/19/2023 2/19/2024
4,000,000
A 1,000,000 X X
N9BP379986 2/19/2023 2/19/2024
A Professional Liability N9PL387669 2/19/2023 2/19/2024 Occ Agg
1,000,000
1,000,000
30 day notice of cancellation.
District, its directors, officers, and employees named additional insureds The City of Redondo Beach, its officers, elected and appointed officials, employees, and volunteers are named additional insured.
The policy is Primary with written contact City of Redondo Beach 415 Diamond St
Redondo Beach CA 90277
POLICY NUMBER: N9BP379986 COMIERCIAL GENERAL LIABILITY
CG20101GG1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
Thi1 endorHm8nt modifi81 in1ul8nca plOlridad under 1118 folowing:
COMMERCIAL GENERAL UABILITY COVERAGE PART
SCHEDULE
Nule of Pet9on ar Olpnlzdon: Any pen10n or organization forwllam you .. ptllfonnlng operatlou whtln you and 1Uch parw or cqanlZlltion have 99reed in writing in a conl111Ct or eoreament tllat 1Uch ptnGn or nlzatlon be added a11111 additlanal in1Urad on r
(If no enby IISIPN,. � lnbmallan required to cmq,k"8 tllil endcnement wll ba 1hawn In the Dec:laratlam a applable to thll endomement.)
A. Section
llada • an
11-Who r. An l11911red ii amended to
lhown in the Sdledull,
lnlUAld the permn or
but only with
organization
l8lpect to
liability art1lng out d yaur angalng oparatiom perfonned for that ln1ured. a. With '91pect
added:
lldcltlanal ln1uradl,
to tlle lneu18nca
the following
afforded
exdu1lan
to tll8le
II
2. Excluelona
Thia in1uranca don not apply to ''badly injury'' or ''praperty damage" occuning •r:
(1) Al�. including materiall, part. or
equipment fumilhed In connactlan with
such
NIVlca,
work. on the project (other than
performed
maintenance ar nipal,.) to be
by or on bahal of the additlonal inlured(1) at the 11te d the cc,y. 8Nd aperationl 1181 been c:omplated;
or
(2) That pcHtion of "your wort<' out d which
the injury or dllmage aliNI II• been
apnlzltlon
put to Im Intended UN by any panan or
tracmr
other thin another cortparfonnlng
or
apera1o,.
1Ubcontractor engaged in
for a prt,q,al a
a part d the eame praject .
CG201D1001 O ISO Plopattlel, Inc., 2000 ..... 1of1 C