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PROOF OF INSURANCE (2022) CLOSED
p DATE(MM/DD/YYYY) ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THISo6/1s/ CERTIFICATE OF LIABILITY I SURA CERTIFICATE.. IS ISSUED AS A MATT PON 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. I P policy, y(i ) P y INSURED Provisions or be endorsed. if NMI�ORTANT if the certificate balder' IS an ADDITIONAL INSURED, the. olic Ies must Have ADDITIONAL SUBROGATION IS WAIVED, subject to the terms and conditions of the certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s). CONTACT PRODUCER N'AM'E: Aon Risk ser vices Northeast, Inc. (866) 283-7122 FAX (800) 363-0105 Lincolnshire Point Services OverlookADDRESS: `EI)4 C/O Aon client Olnt E-MAIL IL 60069 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED Cintas corporation e Travelers Indelmnity CO Of CT 25682 lers Property Cas CO of: America 25674 At'I:n: ACCOUntS Payable 4320 F: Miraloma Avenue [INSURER stchester R"Ire Insurance Company1.0030 Anaheim CA 92807 USA INSURER F: rr.rr..co70150aln 0'F'1II lr)M IIJI 1AARr-R. TO THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE.' INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS CERTIFY" ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDINO MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED, HEREIN IS SUBJECT TO ALL THE TERMS„ CERTIFICATE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. Limits shown are as requested UT I TYPE OF INSURANCE ADDIN O wVD POSUBRLICY NUMBER Tm4731TCT21EACH MMdDD1Y"iYY MMIDW VVY LIMITS $t! 000,000 • X COMMERCIAL GENERAL LIABILITY HC2EGLSA4 OCCURRENCE , CLAIMS -MADE EX OCCUR PREMISES (Ea occurrence)-„__, $1, 0, 000 $ 5,000 X CantractualLiabili[y, PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPL[E.SPER: POLICY FRO u''o''LOC IECT PRODUCTS - COMP/OPAGG $1,000,000 OTHER: -- - A HC2E-CAP-472M4651-TCT-21 07/01/2021 07/01/2022 COMBINED SINGLE LIMIT E ' n $5 , 000, 000' AUTOMOBILE LIABILITY AOS BODILY INJURY ( Per person) X ANYAUTO SCHEDULED BODILY INJURY (Per accident) OWNED AUTOS ONLY AUTOS PROPERTY DAMAGE HI REDAUTOS NON -OWNED (Per accident) ONLY AUTOS ONLY X CaaurngA`tJa�i $e ded. C '( 22035 77016 7 1 2021 07 01/ 2 EACH OCCURRENCE $5,000,000 X UMBRAI$0deAB X�CCCU, 'AGGREGATE $5 OOO, 000 EXCESS LIAB LAIMS-MADE , DED X ErFNT[ON $10,000 S WORKERS COMPENSATION AND UB6P78446221NCT 07' 1 0 1 7 0 202 X PER STATUTE ORH EMPLOYERS LIABILITY YIN A N'YPROPIf ETOR PARTNER 6EXFQW'V"' N WC-AOS/NATLSCO U66P72966921NCR 07/Ol/2021 07/Ol/2022 E.L. EACH ACCIDENT $2,000,000 B c,rl IC1:A0aEr PR EXCt,UDED? (Mandatory In NH) N / A WC - MA, WI E..L DISEASE -EA EMPLOYEE S2,000,000 11 yy�.es, des�c,fibo ondor .L. DISEASE -POLICY LIMIT E.L. $2 ,000 , 000 DESCRIPTION OF OPERATIONS bolo —] . ........... DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) The City of El Segundo, its officers, agents and employees are included as Additional insured on the General Liability, but holder the insured. only with respect to work performed under contract between the certificate and CERTIFICATE HOLDER 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. City of El Segundo AUTHORIZED REPRESENTATIVE Public Works Department E1 Segundo City Hall 350 Main Street �Dfa/ssa+L E1 Segundo CA 90245 USA rn CD N 00 ro 0 LO ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD