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PROOF OF INSURANCE (2022 - 2022) CLOSEDA4► CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 11 /4/2021 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 InterWest Insurance Services License #01301094 100 Pringle Avenue, Suite 550 Walnut Creek CA 94596 INSURED Hanna, Brophy, MacLean, McAleer & Jensen, LLP 1956 Webster Street, Suite 450 Oakland CA 94612 Michelle ..Conrlqul ............ "t, 831-635-2254 mconn ue Itlns com INSURER(S) AFFORDING COVERAGE Vigilant Insurance Federal Insurance COVERAGES CERTIFICATE NUMBER: 1956183925 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. IN ;.,.... ....... ........ LTR TYPE OF INSURANCE ... .......... AII] DLIN =i POLICY NUMBER -- -- --. MMIDCY ELF PM DY.I YYPX �..�.. ....................... .,,,.,.. .. ,,,,,,,,,,.....,,,�,.._ LIMITS A X COMMERCIAL GENERAL LIABILITY 35826012 3114121121 3/14/2022 1 EACH OCCURRENCE $ 1 000 000 X I „iSAfvAGE,.L CLAIMS -MADE OCCUR �i'I��NtI"L7 PREMISES, E o ) 1,000000 eeeeea p �. cprlr ence X i 1 000 A ,,,,,,,,, ... .MED EXP, And son) $ 10 000 (.. one per.. , .... ..,,---------------- } PERSONAL & ADV INJURY j $ 1 000,000 k ,,,,, .--,_„_„_--, EN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I $ 2,000 000 ... w,,,..... POLICY I RI LOC 1 PRODUCTS COMP/OP AGO $ 2,000 000 $ 1,000,000 OTHEREmployee Benefits B AUTOMOBILE LIABILITY 70205919 3/14I2021 3/14/2022 1tiu COMBINED p SINGLE LIMIT $1 000,000 ---------------- ANY AUTO BODILY INJURY (Per person) $ ., OWNED SCHEDULED � .. BODILY INJURY (Per accident) I $ AUTOS ONLY w. _.. .. AUTOS X HIRED 1 X 1 NON -OWNED I-pROPERTYDAMAGE € $ AUTOS ONLY AUTOS ONLY ? µ, (.PP�r,accident) ,,, ,,,,,, i......... $ B X UMBRELLA LIAB I X I OCCUR l 798382B2 3/14/2021 3/14/2022 EACH OCCURRENCE S 15,000,000 EXCESS LIAB CLAIMS -MADE, �..-,. AGGREGATE S 15,000,000 ...... _.. - ,w,w„-„,,, ------o s -......... DED RETENTION$ R ...... WO KERS COMPENSATIONPER OTH- STATUTE, ER AND EMPLOYERS' LIABILITY Y/N I ANYPROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A ii (Mandatory in NH) EL DISEASE EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below � E.L.. DISEASE - POLICY LIMIT IS i DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of El Segundo 350 Main Street El Segundo CA 90245 a ElOFG\ILai CI 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 U 19BB-2015 AcvKD cUKPUKA I IUN. All rlgnts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD "' ' 10/2912021 CERTIFICATE OF LIABILITY INSURANCE DAIEIMw( /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 endorsements . PRODUCER CONTACT Aon Risk Services, Inc of Florida NAME: Aon Risk Services, Inc of Florida Bbay Drive, Suite #1100 AFC, No, Ext:: 800-743-8130 A4C, Miami, FL 33 Na 899,522-7514 Miami, FL 33131-4937 .•• INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: AIU Insurance ComDanv 19399 INSURED ''... INSURER B : ADP TotalSource DE IV, Inc 10200 Sunset Drive '.. INSURER C Miami, FL 33173 L/C/F INSURER D : Hanna, Brophy, Maclean, Mcaleer & Jensen, LLP INSURER E 1956 Webster St Suite 450 Oakland, CA 94612 INSURER F: COVERAGES CERTIFICATE NUMBER: 3754641 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. LIMITS SHOWN ARE AS REQUESTED, IN.SR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP (MMIDDI LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence MED EXP (AnX one erson PERSONAL & ADV INJURY S S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC OTHER GENERAL AGGREGATE PRODUCTS - COMPOOPAGG $ AUTOMOBILE _. LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMRiNED SiNGLE HT I Ea accudenr S BODILY INJURY (Per person) S BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident S UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DEC RETENTION S EACH OCCURRENCE S AGGREGATE $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' .] (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC 038391625 CA 08/16/2021 07/01/2022 X PER O R LITE ER E L EACH ACCIDENT $ 2,000,000 E...L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT S 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All worksite employees working for HANNA, BROPHY, MACLEAN, MCALEER & JENSEN, LLP, paid under ADP TOTALSOURCE, INC's payroll, are covered under the above stated policy.. CERTIFICATE HOLDER CANCELLATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segundo, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 040A Cipk i6ev,&es, Qn.e o Cflotida © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) C)Rf ` CERTIFICATE OF LIABILITY INSURANCE 12/16/2021 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 endorsements . PRODUCER NAME cr Michelle Conri ue ___ InterWest Insurance Services PHONE FaX License #01301094 , (831)m 635 2254 t ar t,, E-MAWalnut 100 Creek CA 94596le Avenue, te 550 ) RI $ mCOnr1NSURR R(S AF ORDINGCOVERAGE �. N AIC # �__ �Y . 5792 Lien;e#,,o�olos4 trtsuRERA. Underwriters at Llo ds of London 1 INSURED HANNA-7 INSURER a _Libertv Mutual Insurance Euro a Limited Hanna, Brophy, MacLean, --- — McAleer & Jensen, LLP INSURER C 1956 Webster Street, Suite 450 INSURER D Oakland CA 94612 -- INSURER E COVERAGES CERTIFICATE NUMBER:864450833 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. __.... ........ ........,...POLICY ........_......._,_ _.. ... .. ------ .......... .... ..............._---- .. ..-.... ..NSF2 ltitlSDL SUBR POLICY E... � FF POLICY XP I NCE LIMITS LTR 1 TYPE OF INSURANCE NUMBER M /D MID COMMERCIAL GENERAL LIABILITY '.. EACH OCCURRENCE $ D CLAIMS -MADE OCCUR _ ... .......... ..---- _-.. MED EXP (Any one person)„ '.. ,,.,.. $ ... PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENER.A.LAG.,GRE.GATE_ ..,., .... ... p ROM POLICY E JEG'T LOC .._.„ ..$ RODU.CTS COMP P.AGG-._$.. . _....................... .. $ OTHEW COMBINE DSINGL E q IMIT $ AUTOMOBILE LIABILITY _(Ea a_qpftn ............... ... ........., _..___.�. ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY NON-OWNED ,y, DAMAt",�H $ AHIRED UTOS ONLY AUTOS$ ONLY .�?".'caI""Eq'rY I j UMBREL ABIAB OCCUR EACH OCCURRENCE $ EXCESS LI, _._._. CLAIMS MADE AGGREGATE .,, DED RETENTION $ '', $ WORKERS COMPENSATION ll 1._BTATPTE ORH AND EMPLOYERS' LIABILITY y / N ----- ,........ ....... ANYPROPRIETOR/PARTNER/EXECUTIVE EXCLUDED ❑ NIA E CIDENTOFFICER/ $ ---- MandatoMEn NH ' ( ry ) E�L - EA EMPLOYEE L. DISEASE ..._....... $ ...� ..... If yes, describe under DESCRIPTION OF OPERATIONS below . POLICY LIMIT EL. DISEASE $ A Primary E&O B080112483P21 8/28/2021 8/28/2022 Primary Agg/Occ $5,000,000 B Excess E&O B080I1250OP21 8/28/2021 8/28/2022 Excess Aggregate $3,000,000 $250,000 Ret Total E&O Umat 8,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE- gall n1=R 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 350 Main Street El Segundo CA 90245 AUTHORIZED REPRESENTATIVE AU 6ffxwc.'(� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD