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04/29/2024
B H Gold Insurance Agency
9699 Tierra Grande St.
Suite 100
San Diego CA 92126
Thomas Kleinsmith
(858) 578-0020 (858) 578-0059
[email protected]
Dan Boyle and Associates, LLC
1111 Oronoco Street, Unit 124
Alexandria VA 22314
Century Surety Insurance Company 36951
Philadelphia Indemnity Insurance Co. 18058
23/24
A Y CCP1185310 10/29/2023 10/29/2024
1,000,000
100,000
5,000
EXCLUDED
2,000,000
EXCLUDED
B
Errors & Omissions
PHSD1789878 05/29/2023 05/29/2024
Each Occurrence $1,000,000
$1,000 Deductible
General Aggregate $2,000,000
The City, its officers, elected and appointed officials, employees, and volunteers shall be covered as insureds with respect to liability arising out of work performed by or on behalf of the Consultant
City of Redondo Beach Community Services
Transit Division
Attention: Transit Manager
Redondo Beach CA 90277
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
WVD
ADDL
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 EMPLOYEE
E.L. EACH ACCIDENT
ER
OTHSTATUTEPER
(MM/DD/YYYY) LIMITS
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
LTR 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
PROJECT 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
Personal Auto Policy Declarations
Notice of Renewal Policy
This Declarations Page Replaces Any Previous Declarations Page Please Read and Attach to Your Policy
POLICY NUMBER:
PROGRAM:
VASS222514908
AAA Select
Sales Rep Name & Address 500016576
ACA Club Insurance Agency, Inc./Kendall Bram
1405 G St NW
Washington, DC 20005
(202) 481-6822
POLICY PERIOD
FROM:
12/15/23
TO:
12/15/24
TIME:
12:01 A.M.
AAA Insured Since 2022
Named Insured(s) & Mailing Address
JUDITH BOYLE, DANIEL BOYLE
1111 ORONOCO ST
UNIT 124
ALEXANDRIA, VA 22314-2275
AAA Insurance
underwritten by CSAA General Insurance Company
PO Box 24511 Oakland, CA 94623-9865
For claims call 888.222.0086
For customer service call 888.222.0094
AA02VA 01 20 SEE BACK OF THIS FORM FOR ADDITIONAL INFORMATION DESCRIPTION OF VEHICLE (S) YOU WILL BE BILLED SEPARATELY FOR ANY BALANCE DUE.
VEHICLE YEAR MAKE MODEL VEHICLE IDENTIFICATION ZIP CODE 1 2015 TOYO RAV4 WAGON 4 DOOR JTMWFREV1FD045466 22314
Insurance is provided only with respect to the following coverages for which a specific limit of liability is shown. Subject to all conditions of this policy.
COVERAGES LIMIT OF LIABILITY VEHICLE INFORMATION
1 DED
Bodily Injury $500,000 / person
$1,000,000 / accident
335.00
Property Damage $100,000 / accident 276.00
Uninsured Motorists Bodily Injury $500,000 / person
$1,000,000 / accident
80.00 Uninsured Motorists-Property Damage $100,000 / accident 4.00 Medical Expenses $5,000 / person 57.00
Income Loss Benefits Rejected No Cov.
Other Than Collision (Less deductible) 66.00 250
Collision (Less deductible) 246.00 500
Excess Electronic Equipment INCL
1,000
Transportation Expenses Option 2 $1,200 / occurrence 31.00 FULL TERM PREMIUM $1,095
TOTAL CHARGES: $1,095.00
FORMS AND ENDORSEMENTS
FORMS AND ENDORSEMENTS MADE PART OF THIS POLICY:
PP 13 48 01 20 AA52VA 01 22 PP 01 99 01 22 PP 03 27 01 20 PP 00 01 09 18 PP 13 58 12 20 PP 03 01 09 18 PP 05 96 01 20 AAAEVA 12 18 PP 14 03 07 23 AA11VA PP 43 20 11 20 PP 13 52 10 20
NOT AVAILABLE FOR RATING INDIVIDUALS
The Named Insured has identified the following individuals as Not Available for Rating and does not wish coverage to apply to these individuals:
NONE
The following endorsement applies when a lienholder is shown on the declarations page:
Loss Payable Endorsement
PP 03 05 08 86
Loss or damage under this policy shall be paid, as interest may appear, to you and the loss payee shown in the Declarations or in this endorsement. This insurance with respect to the interest of the loss payee, shall not become invalid because of your fraudulent acts or omissions unless the loss results from your conversion, secretion or embezzlement of "your covered auto". However, we reserve the right to cancel the policy as permitted by policy terms and the cancellation shall terminate this agreement as to the loss payee's interest. We will give the same advance notice of cancellation to the loss payee as we give to the named insured shown in the Declarations.
When we pay the loss payee we shall, to the extent of payment, be subrogated to the loss payee's rights of recovery.
Copyright, Insurance Services Office, Inc., 1986
AA02VA 01 20
Lienholder information: L=Lienholder A=Additional Insured/Interest C=Certificate Holder Driver # Name Birthdate Marital Status Gender Auto Death Indemnity/Specific Disability Total Disability 1 judith boyle **/**/1947 Married Female No No
2 daniel boyle **/**/1952 Married Male No No
DISCOUNT INFORMATION
Policy: Multi-Policy Discount; Advanced Shopping Discount; Membership Discount; Payment Plan Discount; Loyalty Discount; eValue Discount Driver:
Vehicle:
Driver # Date Violation Driver # Date Violation