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PROOF OF INSURANCE (2020 - 2021) CLOSEDUTILCOS-01 VPC CERTIFICATE OF LIABILITY INSURANCE DA4/1612020 MMIDDIYYYY) ................ . 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 polic,y(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 _..lcertificate does not confer rights o e certificate tca e o erneu o such en o�............e.....n.....t..(...s), PRODUCER License # 0757776 OACT Verity Ra cht HUB lntemationaInsurance Services Inc. FAX 548 W Cromwell Avenue AcNE)" .................._ ............T .(NctNek° Suite 101 A�?48 ... n erna �.;..vecity»racht�P1 u bi......tional.comt.............. Fresno, CA 93711 .._,...INSUR,ER(SIAFFORDING ,I,,,,0,,,,,y,E,RAGE ..............._ NAIC,#.,,,......... INSURER A: Allied Insurance Com m ofAmerimca 1012,7_ _„ INSURED INSURER -B ; EM Ip Dyers Compensation Insurance Company 1151,2 Utility Cost Management LLC INsuRER 9: Philadelphia Indemnity Insurance Company,.18058 1100 W. Shaw Avenue, Suite 126 INSURER D: Fresno, CA 93717 INSURER F : COVERAGESCERTIFICATE NUMBER: _ REVISIONNUMBER: 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, � LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'ALD CLAIMS FJ( LI T X COMMERCE OF INSURANCE URAN E ADDL,SUBR EXRAL CLUSIONS AND CON OF SUCH www..,,,, TYPE OF INS RANCEBILITY O 14WVD cR/Y'�.(l) IMMIIDOIYYYYI� "' LIMITS POLICY NUMBER /IPIOLICY EFF POLICY EXP EACH O ........ ACPU RENTED PE�EIs��E'TORE .....E� ,000,00 ......... CLAIMS -MADE XII OCCUR X ACP7852036862 2/4/2020 2/4/2021 0000 , ME!IE An oneperson,m1 $ 2000 000 APPLIES .. .- ENERAL AGGREGATE $ IaEru'd.. AGGREGATE LIMIT PER: GERSONAL &ADV INJURY ' w _ ....,.$ 2,000,000 ... RY ... ....X.. P — .�....� cO ?� Loc EMPLOYEE BENEFIG $ 2,000,000 COMBINED SINGLE LIMIT $ 1�...... Q A AUTOMOBILE LIABILITY ANY AUTO ACP7852036862 2/4/2020 2/4/2021 BODILY_IINAU,RY,(Per,,persan) S_ X OWNED X^SCHEDULED AUTOS ONLY AUTOS _gpo�Ly arcNUtl RY(Perac cide0 .$ NON %')H r&OPE r DAMAGE AUT SONLY AUTO L ..5 A (R FaL_A,.LIAB J —X , d 2,000 ,.000 OCCUR EXCESS LIAB CLAIMS -MADE ACP7852036862 2/4/2020 2/4/2021 AGGREGATE DED RETENTION $ VEach g 2,000,000 . ................. ................... ICR OTHB ANDPLEREII EMPLOYERS' LIABILITY YIN FN032700216 2/4/2020 2/4/2021 1 OOOOOO ANY PROPRIETOR/PARTNER/EXECUTIVE GFnCLRIMMBEj EXCLUDED? N/A ' 11000'000 atOry�nNH EA SEEAEMP E 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ C Professional Liab PHSD1437105 5/23/2019 5123/2020 Claims Made 1,000,000 C Professional Liab PHSD1437105 5/23/2019 5/23/2020 Rentention 25,000 _........ m DESCRIPTION OF OPERATIONS F LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) City of EI Segundo, its officials, and employees as additional insured. Umbrella Coverage is following form. Endorsements attached: PB6003 0411, PB6072 0711 4/17/2020 CERTIFICATE HOLDER City of EI Segundo Attn: Joe Lillio, Director 350 Main Street EI Segundo, CA 90245 I ACORD 25 (2016/03) Digitally signed 1,1 ... ph Lillio Joseph Lillio ou cn=Joseph Li1o=Giryof EI Segundo, ou=finance Depnartment, mail=,Iilliot0elsegundo org, -US Date2020 0412 15'45:52 -07'00' CANCELLATION 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 ate... ©1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD Policy Number: ACP7852036862 BUSINESSOWNERS PB 60 03 0411 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MUNICIPALITIES OR PUBLIC AGENCY - INSURED PROVIDING PROFESSIONAL SERVICES This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM The following is added to Section II. WHO IS AN INSURED: The municipality and/or public agency designated in the Schedule of this endorsement is also an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused ,in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf in connection with your operations, other than the rendering of or the failure to render professional services, advice of instruction, subject to the following additional exclusion: This insurance, including any duty we have to defend "suits", does not apply to "bodily injury", "property damage" or "personal and advertising injury" that arises out of, in whole or in part, or is a result of, in whole or in part, the active or primary negligence of the municipality and/or public agency designated in the Schedule of this endorsement, whether or not such negligence has been assumed by you in a contract or agreement. All terms and conditions of this policy apply unless modified by this endorsement. SCHEDULE Municipality and/or Public Agency: City of El Segundo, its officials, and employees as additional insured. JL 4/17/2020 PB 60 03 0411 Page 1 of 1 BUSINESSOWNERS PB 60 72 0711 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT TO OTHER INSURANCE CLAUSE FOR ADDITIONAL INSUREDS - PRIMARY AND NOW CONTRIBUTORY WHEN REQUIRED IN A WRITTEN AGREEMENT OR CONTRACT WITH YOU This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS Only with rpspPct to any additional inSurPd, in the C.0MM0N P01 IC:Y (0NnITIONS, form PR nn n9, under condition H. OTHER INSURANCE, paragraph 2.a. is replaced by the following: H. OTHER INSURANCE Under any liability coverage provided by this policy, a. If for injury or loss we cover, there is other valid and collectible insurance available to any additional insured under another policy, our obligations are limited as follows: (1) Issued by another insurer, or if there is self insurance or similar risk retention that applies to a loss covered by this policy, then this insurance provided by us shall be excess over such other insurance, unless you have agreed in a written contract or written agreement signed prior to the loss that this insurance shall be primary: (a) Then this insurance is primary. If other insurance is also primary, we will share with all that other insurance as described in d. below; and (b) The coverage afforded by this insurance is non-contributory with the additional insured's own insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured to any other person or organization's policy.; or (2) Issued by us or any of our affiliate companies, that applies to a loss covered by this policy, then only the highest applicable Limit of Insurance shall apply to such loss. This condition does not apply to any policy issued by us that is designed to provide Excess or Umbrella liability insurance, All terms and conditions of this policyapply unless modified by this endorsement. PS 60 72 0711 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1