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
X
2,000,000 22322 A
CASUA 08/01/2025 XCN101925409-GAW-GAW-24-25 1,000,000 ATL-004364353-30 08/01/2024 X 2,000,000* 02/06/2025 * This coverage applies only if 25 2,000,000 1,000,000 1,000,000 A 08/01/2025 RAD943787007 08/01/2024 required by written contract. Excluded See Attached Excluded City of Redondo Beach, its officers, elected and appointed officials and employees are additional insured under General Liability and Auto Liability as their interest may appear, if required by written contract with the named insured. Re: Redondo Beach & Bank of America Contract.
and any and all subsidiaries
Bank of America Corporation
One Bank of America Center
Mail Code: NC1-028-17-01
Charlotte, NC 28255-0001 150 North College Street
2,000,000* Greenwich Insurance Company X
100 North Tryon Street, Suite 3600
MARSH USA LLC.
Charlotte, NC 28202 RGD300136507 See attached- Various N Redondo Beach, CA 90277 City of Redondo Beach
415 Diamond Street
08/01/2024 B
2,000,000 X
08/01/2025
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 LLC.� Effective/Expiration dates: 08/01/2024 - 08/01/2025� Carrier: XL Insurance America, Inc.� -------------------------------------------------� Carriers and Policy Numbers: � Workers Compensation and Employers Liability: � Additional insureds under the General Liability are included as their interest may appear, but only if required by written contract with the named insured and the amount afforded is ��limited to the value of the contract or the available limits, whichever is less.� Effective/Expiration dates: 08/01/2024 - 08/01/2025� UT VA VT WV� Carrier: XL Specialty Insurance Company� Effective/Expiration dates: 08/01/2024 - 08/01/2025� Including the following state(s): OH WA � Carrier: XL Specialty Insurance Company� Including the following state(s): AOS � Policy Number: RWE943546310� 2 Charlotte Certificate of Liability Insurance 150 North College Street� Policy Number: RWR943546210� Effective/Expiration dates: 08/01/2024 - 08/01/2025� This policy is subject to a Self-Insured Retention of $1,000,000 per accident. � ----------------------------------------� Policy Number: RWD943546110� Including the following state(s): AK, WI � Policy Number: RWG300136607� 25 Carrier: XL Insurance America, Inc.� Including the following state(s): AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX and any and all subsidiaries� Bank of America Corporation� Mail Code: NC1-028-17-01� Charlotte, NC 28255-0001 2 CN101925409 One Bank of America Center�