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PROOF OF INSURANCE (2022) CLOSEDra CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 5/27/2021 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 NAME OUTFRONT Media Certificate Processing Arthur J. Gallagher & Co. PHEE FAx �....... Insurance Brokers of CA, Inc, LIC #0726293 E MAIL 818 539 2300 AuC 818 530 I801 505 N. Brand Boulevard, Suite 600 ADDB..er.gJsl�g„co?w.. .................. Glendale CA 91203-3944 AFFORDING COVERAGE NAIC# INSURER.. A: ACE American Insurance Company22667 INSURE D INSURER B Chubb Insurance Company of Canada p OUTFRONT Media Inc. "INSURER c Indemnity Insurance Company of N A 43575 Outfront Decaux Street Furniture, LLC rrwr�u!ira�c� 405 Lexington Ave., 17th Floor wsURERo ACE Property & Casualty Insurance Co 20699 New York NY 10174 INSURER E : COVERAGES CERTIFICATE NUMBER:121476108 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. iksR 1 {ADDI_ SuSH S OLI C Y EIFF I'll P+OLIdY EXP LTR, TYPEOFINSURANCE I SA�WVp POLICY NUMBER MMaDMYYY iyNM,DD1fYYY LIMITS A X � COMMERCIAL GENERAL LIABILITY HDOG72486110 6/1/2021 6/1/2022 EACH OCCURRENCE s.2.0001,09101-1 B ( CGL327310 6/1/2021 6/1/2022 Gr Aa'l-T'(5-RENTEd` hCLAIMS-MADE C OCCUR P1"tCS&;LvLCy+¢rcauuw�$2D00000 X` i ....,_ MEO EXP i e one person)10,000 PERSONAL A ADV INJURY $ 2,000.000 ......... ._., GEN'L AGGREGATE LIMIT APPLIES PER.- I GENERALAGGREGATE $4,000,000 X f POLICY 4 T LOG PRODUCTS COMP/OP AGO_ $4 000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H25551758 - 6I1/2021 6!1/2022 ^'� MINI U SIh GLE 1.1N1i t $ 2,000,000 X ANY AUTO _�B�DILYaINJtURYPer�., B CAC426594 6/1/2021 6l1/2022 ( person) $ OWNED I SCHEDULED BODILY INJURY (Peraocident) $ f AUTOS ONLY d AUTOS ..... _, . HIRED NON -OWNED PROPEAT Y DAMAGE AUTOS ONLY �utr AUTOS ONLY gPuaw,aKa�derwip CaivoFalC VV C.7 b $ 500,000 — �. - D X UMBRELLA LIAB { X J OCCUR XEUG28122810006 6/1/2021 6/1/2022 i EACH OCCURRENCE $10,000,000 7 EXCESS LIARETENTIONCLAIMS-MADE AGGREGATE Eg 10 000 000 C WORKERS COMPENSATION WLR C67809877 (AOS) 6/l/2021 6/1/2022 X E I ! EERH A AND EMPLOYERS' LIABILITY YIN WLR C67809919 (AZ, CA, MA) 6/1/2021 6/1/2022 " , STA'rt1T� ANYPROPRIETOR/PARTNER/EXECUTIVE E L. EACH ACCIDENT $ 2,000,000 OFFICERIMEMBEREXCLUDED? pp NIA (Mandatory In NH)""" E L. DISEASE - EA EMPLOYEE $ 2,000,000 II yes, descMw iundor DESCRIPTION OF OPERATIONS below E.L. DISEASE, POLICY LIMIT $2„000.000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be attached If more space Is required) City of Ell Segundo, its officials, ar,wd employees are additional insured for General Liability, on a primary and norm-contributmy basis„ as respects the Named Insureds operations, if the Named Insured has agreed, prior to loss, to provide such coverage. Please refer to attached General Liabillity endorsement for scope of Additional Insured status. Rights of Subrogation have been Waived wlith respects to Generale Liability and Workers Compensation as required by written contract, executed prior to a loss and only with respects to operations of tf°we Named Insured, Should any of the above -described policies be cancelled before the expiration date th�ereofy §1e issuing company Will mail thirty (30) days written: notice to the Certificate Holder, CERTIFICATE HOLDER CANCELLATION 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 USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2• of 7 2502 POLICY NUMBER: HDO G72486110 1 Endorsement Number: 1 COMMERCIAL GENERAL LIABILITY CG20261219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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 whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 26 1219 © Insurance Services Office, Inc., 2018 Page 1 of 1 W of 7 2502 POLICY NUMBER: HDO G72486110 1 Endorsement Number: 5 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. s 1 , rr, This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organizatlon(s):Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG24041219 © Insurance Services Office, Inc., 2018 Page 1 of 1 r or 7 2502 Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number OUTFRONT MEDIA INC. �... Policy ..Number ...................................................................� Symbol: WLR Number: C67809877 Policy Period 6/1/2021 TO 6/1/2022 Issued By (Name of Insurance Conti ACE American Insurance Co Fru ,Uiff i 5ru `1F16' 55FFr 7Fe remwnTi 6/1 /2021 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 any one not named in the Schedule, Schedule Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss For the states of CA, UT, TX, refer to state specific endorsements. This endorsement is not applicable in KY, NH, and NJ. The endorsement does not apply to policies in Missouri where the employer is in the construction group of code classifications. According to Section 287.150(6) of the Missouri statutes, a contractual provision purporting to waive subrogation rights against public policy and void where one party to the contract is an employer in the construction group of code classifications. For Kansas, use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act(K.S.A.. 16-1801 through 16-1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract Act(K.S.A 16-1901 through 16-1908 and any amendments thereto). According to the Acts a provision in a contract for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by liability or workers compensation insurance shall be against public policy and shall be void and unenforceable except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a consolidated or wrap-up insurance program. Authorized Representative —V —MMt opyrlg 992'- - a Iona ouncil on Compensafion - a• or 7 2502 Workers' Com Named Insured OUTFRONT MEDIA INC, 6/1/2021 TO6/1/2022 Issued By (Name of Insurance Company) ACE American Insurance Company insert the voky number, the remainder of the In€ormation is to be sati'on and Employers' Liabili Endorsement Number Policy Number Symbol: WLR Number: C67809919 Effective Date of Endorsement _. 6/1 /2021 when this endorsement is ussueo subsequent to the 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. The additional premium for the blanket waiver offered by this endorsement shall be 1 % of total California premium. Schedule Person or Organization Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss Job Description Authonzd Representative 99 03 04 (Ed. 7-08) age 1 of "1