City of Redondo Beach, its officers, officials, employees, and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability policy.
POLICY
PROJECT LOC
OTHER:
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
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.
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).
PRODUCER CONTACT
NAME:
PHONE
(A/C, No,Ext): FAX
(A/C, No):
E-MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
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 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.
INSR
LTR TYPE OF INSURANCE ADDL
INSD
SUBR
WVD POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO BODILY INJURY (Per person) $
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON-OWNED
AUTOS ONLY
BODILY INJURY (Per accident) $
PROPERTY DAMAGE
(Per accident) $
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-MADE
EACH OCCURRENCE $
AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
PER
STATUTE
OTH- ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
2,000,000
California Insurance Pool Authority
7/1/2024 7/1/2025 2,000,000
4,000,000
CIPA-023 7/1/2024 7/1/2025 1,000,000
CIPA-023 7/1/2024 7/1/2025
1,000,000
1,000,000
1,000,000
CIPA-023 7/1/2024 7/1/2025
9/11/2024
E&O
California Insurance Pool Authority(CIPA)
And Member Agency of:
City of Whittier
13230 Penn Street
Whittier, CA 90602
California Insurance Pool Authority(CIPA)
366 San Miguel Drive, Suite 312
Newport Beach, CA 92660
City of Redondo Beach
415 Diamond St.
Redondo Beach, CA 90277 USA
1123079
N/A
N
24-25 GLALEXE&O
CIPA-023
City of Redondo Beach, its officers, officials, employees, and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability policy.
General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions.
X
X
X
X
X
E&O CIPA-023 7/1/2024 7/1/2025 2,000,000
Limits shown are as requested
1123079
COVERED PARTY: CALIFORNIA INSURANCE POOL AUTHORITY
MEMORANDUM OF COVERAGE NUMBER: CIPA-023 COVERAGE
PERIOD: JULY 1, 2024 TO JULY 1, 2025
ADDITIONAL INSURED ENDORSEMENT - PRIMARY AND
NONCONTRIBUTORY
Section IV – WHO IS A COVERED PARTY
1(j) Any person(s) or organization(s), when the Covered Party is required in a written contract to provide coverage to them, but only for Bodily Injury or Property Damage liability which:
(1) Is covered by this Memorandum; and
(2) Is caused, in whole or in part by:
(a) The normal course of the Covered Party’s operations; or (b) Ownership, maintenance or use of that part of the premises or land rented to or leased to and occupied by, the Covered Party; or
(c) Work performed for that person or organization by the Covered Party; or (d) The maintenance, operation or use by the Covered Party of any equipment or Auto leased to Covered Party by such person(s) or organization(s).
The limits of coverage afforded to such person(s) or organization(s) shall be (a):
The minimum limits of coverage which Covered Party agreed to provide, or (b) The Limit of Liability under this Memorandum, whichever is less.
Upon written request made prior to the assertion of any Claim, coverage provided under this paragraph j shall be primary and noncontributory over any applicable insurance when expressly required by written contract or agreement with the Covered Party.
Upon written request, the Authority shall provide an additional insured endorsement, primary and noncontributory endorsement, notice of cancellation and/or a waiver of subrogation when required by written contract.
Coverage provided under this paragraph expires: (a) when the written contract or agreement ceases; or (b) when the Covered Party ceases to be a tenant in the premises, or the operations or work or usage cease, whichever is earlier.