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PROOF OF INSURANCE (2022 - 2022) CLOSEDCODEC-1 OP ID: RORO A`CO,RO°° CERTIFICATE OF LIABILITY INSURANCE 01/0M/20YYYY) 1 /05/22 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 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 Loomis Insurance Services PO BOX 3128 CONTANAME: CT Roberta Rosas aICO"N Ext : 951-685-7478 FA/C No): 951-685-0665 E-MAIL rrosas@loomis4insurance.com ADDRESS: Riverside, CA 92619 Loomis Insurance Services INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Nationwide Mutual Ins. Co 23787 INSURED Code Consulting Group, LLC INSURER B:California Automobile Ins Co 34382 8504 Firestone Blvd, #298 Downey, CA 90241 INSURER C: Lloyd's Of London 15792 INsuRERD:State Compensation Ins Fund 35076 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL WVDSUB POLICY NUMBER POLICY EFF MM DD YYYY POLICY EXP MM /DD YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY X ACP BPO 7806097769 07/02/2021 07/02/2022 DAMAGE TO RENTED PREMISES Ea occurrence $ 300 000 CLAIMS -MADE OCCUR MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 X POLICY PRO LOC JECT $ AUTOMOBILE LIABILITY COBINED SLIMIT Ea Maccident 1,000,000INGLE $ BODILY INJURY (Per person) $ B X ANY AUTO BA040000060660 08/02/2021 08/02/2022 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE PER ACCIDENT) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A 1932104-2021 03/16/2021 03/16/2022 X WCSTATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Professional Liab PSK0032096408 07/02/2021 07/02/2022 Claim 1,000,000 Agg 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of E1 Seguundo, it's officers, officials, employees, agents, representatives & certified volunteers are named as Additional Insured with respects to work performed by or on behalf of the Named Insured. Coverage is Primary and Non -Contributory, 30 day notice of cancellation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo y g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo, CA AUTHORIZED REPRESENTATIVE rr © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD