CERTIFICATE OF LIABILITY INSURANCE
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.
DATE (MM/DD/YYYY)
5/3/2022
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
LaBarre/Oksnee Insurance 30 Enterprise, Suite 180 Aliso Viejo CA 92656
CONTACT NAME:
PHONE FAX
(A/C, No, Ext): 800-698-0711 (A/C, No): 949-588-1275
INSURED
555 Esplanade COA C/O Scott Management PO Box 3159
Torrance CA 90510
555ESPL-01
ADDRESS: [email protected] NAIC#
INSURER A : PMA Insurance Group. 12262
INSURER(S) AFFORDING COVERAGE
INSURER B : Philadelphia Indemnity Ins. Co. 18058
INSURER C : Fireman's Fund Insurance Co. 21873
INSURER D : Lio Insurance. 40550
INSURER E :
INSURER F :
COVERAGES
CERTIFICATE NUMBER: 887439499 REVISION NUMBER:
D
C
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 TYPE OF INSURANCE ADDL
LTR
INSD
X
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE X OCCUR
UMBRELLA LIAB X OCCUR
EXCESS LIAB
CLAIMS-MADE
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y/ N
SUBR WVD
POLICY NUMBER
COA1000009927-00
USL01482121U-6344-9
POLICY EFF (MM/DD/YYYY)
5/14/2022
5/14/2022
POLICY EXP (MM/DD/YYYY)
LIMITS
Y
5/14/2023
EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence)
MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG
$ 1,000,000 $ 100,000
$ 5,000
$ 1,000,000 $ 2,000,000
$ 2,000,000 $
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO- LOC JECT
OTHER:
D
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY X HIRED
AUTOS ONLY
SCHEDULED
AUTOS
X NON-OWNED
AUTOS ONLY
COA1000009927-00
5/14/2022
5/14/2023
COMBINED SINGLE LIMIT (Ea accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE (Per accident)
5/14/2023 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000
$
PER OTH- STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DED X RETENTION $ 0
D A B
Property Crime/Fidelity Directors & Officers
Y Y
COA1000009927-00 4122011084847Y PCAP006608-0518
5/14/2022 5/14/2022 5/14/2022
5/14/2023 5/14/2023 5/14/2023
$10,000 Deductible** $5,000 Deductible $1,000 Deductible
$15,527,575* $1,200,000 $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
HOA consists of 54 units. Located in Redondo Beach, CA 90277.
Management Company is Additionally Insured on the General Liability, D&O Liability, and Fidelity Bond. See 2nd page of certificate of insurance for further coverage information.
See Attached...
CERTIFICATE HOLDER
ACORD 25 (2016/03)
CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
Scott Management P.O. Box 3159 Torrance CA 90510 USA
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
AGENCY CUSTOMER ID: 555ESPL-01 LOC #:
ADDITIONAL REMARKS SCHEDULE
Page 1 of 1
AGENCY
LaBarre/Oksnee Insurance
NAMED INSURED
555 Esplanade COA C/O Scott Management PO Box 3159
Torrance CA 90510
POLICY NUMBER
CARRIER
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
Bare Walls (Interior Coverage Excluded)
Coverage Includes:
Special Form with 100% Replacement Cost
*Extended Replacement Cost increases the property limit to $23,291,362
Wind/Hail
Equipment Breakdown
Building Ordinance or Law A+B+C
Inflation Guard and/or limits are reviewed yearly to ensure 100% Replacement Cost Severability of Interest / Separation of Insureds
Computer Fraud & Funds Transfer Fraud
Waiver of Rights of Recovery
No Co-Insurance
D&O is a Claims-Made Policy
Earthquake Coverage:
Earthquake Carrier: Lloyds of London/National Fire & Marine/RSUSL Earthquake Policy Number: 04-7500174062-S-00
Policy Term: 5/14/2022 - 5/14/2023
Limit: $16,270,161
Deductible: 20%
Excess Crime/Fidelity Bond:
Excess Fidelity Bond Carrier: ACE American Insurance Company Excess Fidelity Bond Policy Number: G72524524 002
**Property Deductible: $10,000 all other perils / $10,000 PER UNIT for Water
ACORD 101 (2008/01)
© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD