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PROOF OF INSURANCE (2020 - 2020) CLOSEDDATE(MM/DD/YYYY) 16/3/2019 ,. 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 CONY ACNAPFO 22850 Crenshaw Blvd., Ste. 203 A E �' �� N (s=o) 325-7037 F , (310) 325-4343 Bornstein Insurance PHONE Torrance, Ca 90505 INSURERS) AFFORDING COVERAGE NAIC# NSI aR q Arch Specialty Insurance Company 21199 INSURED EAGLE PROTECTION SERVICE, INC. INSURER Integon Nation]_ Insurance Company 29742 DBA: EAGLE PROTECTION OF CALIFORNIA INSI IRFR r. PO BOX 1428 INSURER D Torrance, CA 90505 (310) 320-9100 NSIIRFRF COVERAGES CERTIFICATE NUMBER, R'E'VISION NUMBER, 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 BYPAID CLAIMS ILTR TYPE OF INSURANCE Ad., s66. ' Acx'lo' FFF w:Yu l Lxp Mtp— POL,If;,YINNIMBER ihA lA y4ry v"r"r"V i�I MN 'I"U:'n,y,ro"wj LIMITS X COMMERCIAL GENERALLIABILITYpLIABILITY = CLAIMS -MADE 17 OCCUR A Y GEN'L ArG'REr'AIE LIMITAPPLIES PER RO- PRO- R 7X LOC J.ICI^ JECT S 5 0,x,.00 _ ,5,000,000 , AUTOMOBILE LIABILITY S 5,000,000 I DU PRODUCTSOM /OP A .. S 5,000,000 ANYAUTO S i ALLOWNED SCHEDULED B AUTOS X AUTOS R NON -OWNED X HIREDAUTOS AUTOS I $ UMBRELLA LIABOCCUR - HCLAIMS-MADE- EXCESS LIAR WORKERS COMPENSATION S 1,000,000 AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) S 5 0,x,.00 _ Ify es, describe under ,5,000,000 , 1 ,. ,RIPTJON nF OPFRATIl elr�v S 5,000,000 I BAPKG0002710 2003901412 EACH OCCURRENCE S 1,000,000 100,000 PPEMISFSCF.a ncoltrfm"@) $ 04/13/2019 ,)4/13/2020 MED EXP (Anvoneoerson) S 5 0,x,.00 _ PERSONAL B ADV INJURY ,5,000,000 , GENERAL, AGGRFGATF S 5,000,000 I DU PRODUCTSOM /OP A .. S 5,000,000 S i r �V.rINC,;i,IC �VRII.T 1,uuu,Oulu i BODILY INJURY (Per person) S 06/01/2019 76/01/2020 BODILY INJURY (Per accident) $ PROPERTY DAMAGE 5.. Pqr �,Cr,JdFnl� EACH OCCURRENCE S AGGREGATE S e S L........ Q� PERY ' r I STATUTE ` E L EACH ACCIDENT $ E L DISEASE SEASE P Q, EMPLOYEE, F DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) - Coverage afforded by this policy is Primary and Non -Contributory - Certificate Holder is named as Additional Insured with respect to Commercial General Liability for services performed by the Named Insured, per Blanket Additional Insured Endorsement Form 00 GL0486 00 07 08 - 30 day notice of cancellation - 10 day notice of cancellation for non-payment CE'RTIRCATE HOLDER City of E1 Segundo its officials, and employees City Clerk 350 Main Street, Room 5 E1 Segundo, CA 90245-3813 CANCEIIATION 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 REPRESENTATTIIVV,EE �f. ©1988-2014 ACORD CORPORATION. All rights reserved, ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section II — Who Is An Insured is amended by adding the following: Any person(s) or organization(s) whose liability you have assumed under a valid written contract but only for that person(s) or organization(s) liability arising solely out of your operations. In no event, shall coverage afforded to any additional person(s) or organization(s) be broader than coverage for the Named Insured. Section I — Coverages, Coverage A Bodily Injury and Property Damage Liability, Paragraph 2., Exclusions is amended by adding the following: This insurance does not apply to: 1. Any customer or a user of your goods or services who does not have a "standard contract", 2. Person(s) or organization(s) who are contractors for whom you are a subcontractor or for whom you are otherwise providing services unless a "standard contract' has been effected. Services include but are not limited to leasing, maintaining, servicing, or monitoring of alarm systems. 3. Person(s) or organization(s) who is a manager, owner or lessor of premises leased to you for: (a) "bodily injury" or "property damage" occurring after you cease to be a tenant; or (b) "bodily injury" or "property damage" of those acting on your behalf. 4. Person(s) or organization(s) who is an owner or lessor of leased equipment for: (a) "bodily injury" or "property damage" occurring after the equipment lease expires; or (b) "bodily injury" or "property damage" arising out of the sole negligence of the owner or lessor. 5. "Bodily injury" or "property damage" the person(s) or organization(s) has assumed from another person(s) or organization(s) other than liability the person(s) or organization(s) would have had if it had not been assumed. All other terms and conditions of the Policy remain unchanged. 00 GL0486 00 07 08 Page 1 of 1 ATE (MM/DDNYYY) AC R" CERTIFICATE OF LIABILITY INSURANCE D 12/12/2019 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(les) 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 CONTACT PHONE, Automatic Data Processing Insurance Agency, Inc. (AIC QNN�€�Sl, E•C ,ADORE 1 Adp Boulevard INSURER(S) DING COVERAGE NAIC# Roseland NJ 07068 INSURER A: NorGUARD Insurance Company 31470 INSURED INSURER B EAGLE PROTECTION SERVICE INC INSURER c: 2700 W 182ND ST STE 201 INSURER D: INSURER E: Torrance CA 90504 INSURER F: COVERAGES CERTIFICATE NUMBER: 1329672 REVISION NUMBER: 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 .... .......4 L"kJBB� Y NUMBER (MMIDDYIVYVY). IM...-.... LTR D WVD POLICmN .....,. ... "'.... .' POLICY EXP - TYPE OF INSURANCE i MlDpryyyY" LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ . CLAIMS -MADE n OCCUR ...'..R..E.M.S,E� Nit o nca),„ $aooc�rr MED EXP (Any one person) $ PERSONAL $ ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ II PRO" M GG $ P POLICY ❑ JEC•f' � LOC u -PRODUCTS..:..�.�....P�.�P..A.. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This certificate has a blanket Waiver of Subrogation for the following state(s) :CA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of EI Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street, Room 5 AUTHORIZED REPRESENTATIVE EI Segundo CA 90245 v11��'+ I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD $ II, OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT' $ IE49 aCP�idi[frMt) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED IAUTOS .$ ........ accident) ,,,,•„� AUTOS ONLY HIREDI ............................. gipDt.INJURY kbM(dE PROP$ ..........._1 AUTOS ONLY AUTOS ONLY ........(..P......racc (REq....)...... $ LIAB OCCUR EACH OCCURRENCE $LAIMS-MADE UMBRELLApp EXCESS LIAB AGGREGATE $ „ DED N RETENTION $ $ WORKERS COMPENSATION 1PER OTH- STATUTE ( ER YIN N _ EMPLOYERS'BLU $ ANY PROPRIETORIPARTNERIEXECUTIVE A jJ.Y NIA Y EAWCO28982 J 05/01/2019 05/01/2020 ...E,,,,,L,EACHACCIDENT _ OFFICER/MEMBER ERE CD? 1,0000 00 (Mandatory m NH) E.L. DISEASE - EA EMPLOYEE $ ,000 If yas, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This certificate has a blanket Waiver of Subrogation for the following state(s) :CA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of EI Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street, Room 5 AUTHORIZED REPRESENTATIVE EI Segundo CA 90245 v11��'+ I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be i -o? _% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Blanket Waiver - Any person or organization for whom the All CA Operations Named Insured has agreed by written contract to furnish this waiver. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. EAWCO28982 Endorsement No. Insured Insurance Company Countersigned By 01998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved.