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
9/9/2025
IMA, Inc.
3475 E. Foothill Blvd., Suite 100
Pasadena, CA 91107
(626) 799-7000 (626) 583-2117
www.imacorp.com 0H64724 Fortegra Specialty Insurance Company 16823 American Zurich Insurance Company 40142
Zurich American Insurance Company 16535
Texas Insurance Company 16543
MS Transverse Specialty Insurance Co 41807
A FAU1000104-00 3/9/2025 3/9/2026 1,000,000
100,000
✓
10,000
✓
1,000,000
✓ $20,000 BI/PD Deductible
2,000,000
✓ 2,000,000
B BAP106298907 10/1/2025 10/1/2026 1,000,000
✓
✓ ✓
✓ Comp 1,000 Ded Coll 2,500 Ded
D ✓ JTR25XCAN-03907-01 3/9/2025 3/9/2026 4,000,000
4,000,000 E ✓
0 C WC106298807 10/1/2025 10/1/2026 ✓
1,000,000 Y
1,000,000
1,000,000
Cory Hospedales
✓
Slater Waterproofing, Inc.
5577 Arrow Highway
Montclair CA 91763
87084741
✓
GL, Auto & WC Cancellation Clauses apply per IL00171198 & WC040601A attached.
City of Redondo Beach
415 Diamond Street
Redondo Beach, CA 90277
GL Additional Insured applies per CG20101219 &CG20371219 attached, as required by written contract/agreement.
Additional Insured(s): City of Redondo Beach, its officers, elected and appointed officials, employees and volunteers. 87084741 | SLATWAT-C1 | 25-26 GL & Excess; 25-26 WC & Auto | IMA Certificate Processing | 9/9/2025 1:18:44 PM (PDT) | Page 1 of 9 IL 00 17 11 98
IL 00 17 11 98 Page 1 of 1
COMMON POLICY CONDITIONS
A. Cancellation
1. 2.
a.
b.
3. 4.
5. 6.
B. Changes
C. Examination Of Your Books And Records
D. Inspections And Surveys
1. a.
b.
c.
2. a.
b.
3. 1. 2.
4. 2.
E. Premiums
1. 2.
F. Transfer Of Your Rights And Duties Under This
Policy
BAP106298907
87084741 | SLATWAT-C1 | 25-26 GL & Excess; 25-26 WC & Auto | IMA Certificate Processing | 9/9/2025 1:18:44 PM (PDT) | Page 2 of 9 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 20 10 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 3 ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s)
designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
As required by written contract with the Named
Insured that is executed by the parties to the
contract prior to the commencement of work
that is called for in the contract
All locations as required per
written contract
FAU1000104-00
87084741 | SLATWAT-C1 | 25-26 GL & Excess; 25-26 WC & Auto | IMA Certificate Processing | 9/9/2025 1:18:44 PM (PDT) | Page 3 of 9
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by or
on behalf of the additional insured(s) at the
location of the covered operations has been
completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
87084741 | SLATWAT-C1 | 25-26 GL & Excess; 25-26 WC & Auto | IMA Certificate Processing | 9/9/2025 1:18:44 PM (PDT) | Page 4 of 9 CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 3 of 3 C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
87084741 | SLATWAT-C1 | 25-26 GL & Excess; 25-26 WC & Auto | IMA Certificate Processing | 9/9/2025 1:18:44 PM (PDT) | Page 5 of 9 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 20 37 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location And Description Of Completed Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and included
in the "products-completed operations hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
As required by written contract with the Named
Insured that is executed by the parties to the
contract prior to the commencement of work
that is called for in the contract.
All locations as required per
written contract
FAU1000104-00
87084741 | SLATWAT-C1 | 25-26 GL & Excess; 25-26 WC & Auto | IMA Certificate Processing | 9/9/2025 1:18:44 PM (PDT) | Page 6 of 9
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
87084741 | SLATWAT-C1 | 25-26 GL & Excess; 25-26 WC & Auto | IMA Certificate Processing | 9/9/2025 1:18:44 PM (PDT) | Page 7 of 9 IL 00 17 11 98
IL 00 17 11 98 Page 1 of 1
COMMON POLICY CONDITIONS
A. Cancellation
1. 2.
a.
b.
3. 4.
5. 6.
B. Changes
C. Examination Of Your Books And Records
D. Inspections And Surveys
1. a.
b.
c.
2. a.
b.
3. 1. 2.
4. 2.
E. Premiums
1. 2.
F. Transfer Of Your Rights And Duties Under This
Policy
FAU1000104-00
87084741 | SLATWAT-C1 | 25-26 GL & Excess; 25-26 WC & Auto | IMA Certificate Processing | 9/9/2025 1:18:44 PM (PDT) | Page 8 of 9 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 06 01 A
CALIFORNIA CANCELATION ENDORSEMENT
This endorsementapplies only to the insurance provided by the policy because California is shown in Item 3.A. of the information page.
The cancelationcondition in Part Six (Conditions) of the policy is replaced by these conditions:
Cancelation
1. You may cancel this policy. You must mail or deliver advance written notice to us stating when the cancelation is to take effect.
2. We may cancel this policy for one or more of the
following reasons:
a. Non-payment of premium;
b. Failure toreport payroll;
c. Failure to permit us toaudit payroll as required
by the terms of this policy or of a previous
policy issued by us;
d. Failure to pay any additional premium resulting
from an audit of payroll required by the terms
of this policy or any previous policy issued by
us;
e. Material misrepresentation made by you or
your agent;
f. Failure tocooperate with us in the investigation
of a claim;
g. Failure to comply with Federal or State safety
orders;
h. Failure to comply with written recommendations of our designated loss control representatives; i. The occurrence of a material change in the
ownership of your business;
j. The occurrence of any change in your business or operations that materially increases the hazard for frequency or severity of loss;
k. The occurrence of any change in your business or operation that requires additional or different classification for premium calculation;
l. The occurrence of any change in your business or operation which contemplates an activity excluded by our reinsurance treaties.
3. If we cancel your policy for any of the reasons
listed in (a) through (f), we will give you 10 days
advance written notice, stating when the cancelation is to take effect. Mailing that notice to you at your mailing address shown in item 1 of the Information Page willbe sufficient to prove notice. If we cancel your policy for any of the reasons listed in
items (g) through (l), we will give you 30 days
advance written notice; however, we agree that in
the event of cancelation and reissuance of a policy
effective upon a material change in ownership or
operations, notice will not be provided.
4. The policy period will end on the day and hour
stated in the cancelation notice.
WC106298807
10/1/2025
87084741 | SLATWAT-C1 | 25-26 GL & Excess; 25-26 WC & Auto | IMA Certificate Processing | 9/9/2025 1:18:44 PM (PDT) | Page 9 of 9