ACORD® DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
09/04/2026
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 I 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 endorsements).
PRODUCER
NAME:
StateFarm STATE FARM PHONE
AC. NO): 562 905-7743
(AC. No. Extr
RANDY SCHAUER LIC #0661710 E-MAIL [email protected] ADDRESS:
2055 W WHITTIER BLVD INSURERS) AFFORDING COVERAGE NAIC # LA HABRA CA 90631 INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B: State Farm Fire and Casualty Company 25143 BERNIK,IGOR LIC #837517
INSURER C:
DBA SIGNATURE PAINTING INC INSURER D:
P.O. BOX 16562 INSURER E :
IRVINE CA 92623-6562
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERN ‹CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIN
INSR ADDL SUBR
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
POLICY L PRODUCTS - COMPIOP AGG
OTHER: $
AUTOMOBILE LIABILITY Y 11/27/2025 11/27/2026 COMBINED SINGLE LIMIT $ 1,000,000 794 3085-E27-75B (Ea accident)
ANY AUTO BODILY INJURY (Per person) $ 1,000,000
A OWNED SCHEDULED BODILY INJURY (Per accident) $ 1,000,000
AUTOS ONLY AUTOS
HIRED NON-OWNED PREEN DAMAGE $ 1,000,000
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE
RETENTIONS
Y/N $ 1,000,000
Y NIA Y 92-TC-D374-4 05/02/2026 05/02/2027 E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS beDW E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 'Rail Crossing Bridge Painting - Artesia Blvd
Located at the Artesia Boulevard Rail Crossing Bridge, between Condon Avenue and Firmona Avenue • City of Redondo Beach named as Additional Insured
CERTIFICATE HOLDER CANCELLATION
City of Redondo Beach
415 Diamond Street
Redondo Beach, CA 90277 AUTHORIZED REPRESENTATIVE
nermin ghobrial
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