PROOF OF INSURANCE (2021) CLOSEDa DATE (MMIDDIYYYY) ACC>R " CERTIFICATE OF LIABILITY INSURANCE 1/5/2021 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. 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 �rAME OUTFRONT Media Certificate Processing Arthur J. Gallagher & Co. PHONE FAX ... Insurance Brokers of CA, Inc. LIC #0726293 RAF. w.trp:.Ex1a 818 539 2300 ( N f 81--5----- 1 505 N. Brand Boulevard, Suite 600aD°1 Genreoasts !figa° com Glendale CA 91203-3944 INSURERS) AFFORDING COVERAGE I - NAIC # INSURER Greenwich Insurance Companyr, 22322 INSURED CBSOUTD-02 INSURERB XL Specialty Insurance Compaq 37885 OUTFRONT Media Inc. Outfront Decaux Street Furniture, LLC INSuR.E.Rc ACE Property &Casualty Insurance Co 20699 405 Lexington Ave., 17th Floor INsURERD New York NY 10174 INSURER E m „ INSURER F „ Pr1V1=RAr-0FS CFRTIFICATF NIIMRFR• 7QRFtR37n1 RFVISIAN NIIMRFR^ 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. INSi't -iF1tYOl.'Sl.1R POLICY EFF POLICY EXP TYPE OF INSURANCE POLICYNUMBER LIMITS LTR. MMIDD/YYYY MM/DDIYY,) A X COMMERCIAL GENERAL LIABILITY E EACH OCCURRENCE �.bkn�AC $ 2 000 000 g .. „. .......- I CA 0004371 L 20A 6/1/2020 6/1/2021 �T� �z��iw=� ,CLAIMS -MADE X OCCUR PREMI,S,ES,IEa, ccurrenae} ,s? 00000 MED EXP (Any one person} $ 10 000 PERSONAL 8 ADV INJURY $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: i GENERAL AGGREGATE $4000,000 PRO- J X POLICY ,I LOC - COMP/OPAGG $4 000 000 OTHER; _PRODUCTS --- A AUTOMOBILE LIABILITY RAD9437795-04 6/1/2020 6/1/2021�yp SINGLE L1M1 r $ 2 000 000 B ", X I ANY AUTO CA00004372AU20A 6l1/2020 6l1/2021 1 BODILY INJURY (Per person) $ OWNED j SCHEDULED AUTOS ONLY AUTOS t BODILY INJURY (Per accident) l$ f, .. NON -OWNED.._._._. -.,I HIRED ---_...--. $ I, _ AUTOS ONLY AUUTOS ONLY t era q enDAMAGE - - ,Comp/Coll, Ded $ 500,000 C L X,. UMBRELLA LIAB X OCCUR XEUG28122810005 1 6/1/2020 [ 6/1 /2021 EACH OCCURRENCE $ 10,000.000 L EXCESS LIAB CLAIMS MADE AGGREGATE $ 10 000.000 ... DED X RETENTION $ r $ B WORKERS COMPENSATION RWD3001135-04 6/1/2020 6/1/2021 �X STATUTERH AND EMPLOYERS' YN"N , �m IN/A' E,L EACH ACCIDENT $2,,000000 ONICER/MEM ER EXCBUDED�ECUTIVE (Mandatory in NH) E,L. DISEASE- EA EMPIf LOYEE $ 2,000„000 Y DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT 2,000,000 $ . I DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of El Segundo, its Officials, and employees are additional insured for General Liability, on a primary and non-contributory basis, as respects the Named Insureds operations, if the Narned Insured has agreed, prior to loss, to provide such coverage. Please refer to attached General Liability endorsement for scope of Additional lnsured status, Rights of Subrogation have been waived with res�a ects to General Liability and Workers Compensation as required by written contract, executed prior, to a loss and only with respects to operations of the 1 arned Insured. Should any of the above -described policies be cancelled before the expiration date thereof, the issuing company will mail thirty (30) days written notice to the Certificate Holder. {.FMYI.CLLA 1 1Vry SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo, its officials, and employees ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk 350 Main Street, Room 5 AUTHORIZED REPRESENTATIVE El Segundo CA 90245-3813 USAe ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: RGD3001134-04 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization where required by written contract provided that such contract was executed prior to the date of loss. S Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, 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: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: RGD3001134-04 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER SFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO DNS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization where required by written contract provided that such contract was executed prior to the date of loss (as permissable by law). Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 0 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Where required by written agreement signed prior to loss. 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 06/01/2020 Policy No. RWD3001135-04 Endorsement No. Insured OUTFRONT Media Inc. Insurance Company Countersigned by XL Specialty Insurance Company WC 00 03 13 (Ed. 4-84) 1983 National Council on Compensation Insurance.