-DATE (MM/DO/YYYY)
ACOR CERTIFICATE OF LIABILITY INSURANCE 05/03/2024
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.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain pollcies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lleu of such endorsements).
RUBIN INSURANCE AGENCY/PHS
(866) 467-8730
The Hartford Business Service Center
3600 Wiseman Bivd
San Antonio, TX 78251
INSURER(S) AFFORDING COVERAGE
INSURED INSURER A : Sentinel Insurance Company Ltd. 11000 JOSE MELD DBA MELAD ASSOCIATES INSURER B:
8907 WARNER AVE STE 161
HUNTINGTON BEACH CA 92647-5099 INSURER:
INSURER D:
INSURER E:
I 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 INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS COMMERCIAL GENERAL LIABILITY TEACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $1,000,000
x General Liability $10,000
72 SBA GE8240 $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 PRO-
POLICY | LOC PRODUCTS - COMP/OP AGG $2,000,000
JECT
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
LEn accident
ANY AUTO BODILY INJURY (Per person)
ALL OWNED SCHEDULED
A AUTOS AUTOS 72 SBA GE8240 06/01/2024 08/01/2025 BODILY INJURY (Per accident)
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS AUTOS (Per accident)
UMBRELLA LIAB X TOCCUR EACH OCCURRENCE $1,000,000
EXCESS LIAB CLAIMS- AGGREGATE $1,000,000
MADE 72 SBA GE8240 08/01/2024 08/01/2025
DED X RETENTION $ 10,000
WORKERS COMPENSATION TPER TOTH-
AND EMPLOYERS' LIABILITY ISTATUTE..L LER
ANY Y/N E.L. EACH ACCIDENT
PROPRIETOR/PARTNER/EXECUTIVE NIA
OFFICERIMEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE
(Mandatory In NH)
Il yes, describe under E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be alteched if more space la required) The City of Redondo Beach, its officers, elected and appointed officials, employees and volunteers are hereby named additlonal Insured with respect to any llability arising out of work or operations performed by or on behalf of the Insured.
CERTIFICATE HOLDER CANCELLATION
City of Redondo Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 415 DIAMOND ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED REDONDO BEACH CA 90277 IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Swand. Castaneda
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