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4c R CERTIFICATE OF LIABILITY INSURANCE
<br />1/10/19, 9:42 AM
<br />DATE IMMIDDIYYYY)
<br />01/10/2019
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsenten s .
<br />PRODUCERCornish Insurance NAME, BLAKE E. CORNISH
<br />8816 South Sepulveda Blvd, Ste 108 Pxor1E 310.215-3638 IV, Mel.310-496-0627
<br />Los Angeles CA 90045
<br />INSURED Constant d Associates INC. Y13U52Rs.FARN1ERS INSURANCE EXCHANGE 41452
<br />3635 Torrance Blvd STE 490 MID CENTURY INSURANE COMPANY 211#7
<br />Torrance CA 60503 ",ERo
<br />y,eU,E,p_STA FUND awls
<br />neURlse:RU 13051
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IN"
<br />LTR TYPE OFINSURANC!
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<br />WID "LICYNUMNBR
<br />POLICY EFF POLICY ENP 1
<br />fYWDQNyynLIMITS
<br />V COMWRCN GENEMLLMOIR
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<br />✓ 604655924
<br />P610412018 '0610412019 EACH OCCURRENCE $2,000,000
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<br />CWMS-MAGE OCCUR
<br />PREMIA SEAMAO
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<br />MED EXP (A, aN Ppna1) $ 5,000
<br />PERSONAL A ADV INJURY $2.000.000
<br />GENL AGORELLITE LIMRAPPLIE$PER:
<br />GENERAL AGGREGATE (4,000,000
<br />✓ POLICY❑EPRT ❑ LOCPRODUCTS-COMPIOPAGG
<br />s2r000,000
<br />OTHER:
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<br />AUTOMOaREWSS.RY
<br />✓ L✓J 604655924
<br />DOM412018 '.0610412019 M.I.t:US1mK-tL1NUI$1,000,000
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<br />ANY AUTO
<br />BODILY INJURY(Pra pMwnI $
<br />OWNED ✓ SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY(Paacideoq $
<br />HIREDC ✓ ✓ p�ON-0WNED
<br />Perr eEdard) OE s
<br />AUTOSONLY
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<br />UIMIIlLIA LMa
<br />OCCURLJ
<br />EACH OCCURRENCE s
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<br />CLUMS.MADE
<br />AGGREGATE s
<br />OED RETENTIONS
<br />S
<br />WORKERSCOMPENSATNIN
<br />V119150620-20119
<br />111112019 01/11/2020 ✓ I STA I I
<br />.ANO EMPLOYERS W8TJTY YIN
<br />TE ER
<br />E.LEACHACCIOENT $1,000,000
<br />'.OFFILERYAEM
<br />D
<br />EREXC UDEwE%EC�
<br />NIA
<br />:I1111an4atmin
<br />NH)
<br />E.L. DISEASE-EAEMPLOYE $1,000,000
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<br />dI,eObaentlar
<br />_.1,000.000
<br />IDES
<br />CRIPTIONOFOPERATIONSW.
<br />E. L. DISEASE - POLICY Lill f
<br />:ERROR
<br />AND OMISSIONS
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<br />F0011983
<br />01/10/2019 01/10/2020 Aggregate Liri 53,000,000
<br />E
<br />i
<br />Per Claim: 5 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES IACOAO tet, Atltlilional Remarha SCM1e4uN, mPPM seacM1atl it more apace is required)
<br />GL AND Auto Insurance deductible is $1,000.00. Error and Omissions deductible is $2,500.00
<br />Location: 3655 Torrance Blvd Ste 430, Torrance, CA 90503
<br />Certificate holder, Its officers, agents, and employee are named as additional insured in regards to general liability per BPO4470197
<br />10 Days notice of Cancellation for non payment.
<br />,agents, and employees.
<br />Center
<br />1a. CA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES aE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORQEDREPRESENTATNE
<br />3LAKE E. CORNISH
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