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PROOF OF INSURANCE (2023) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIY'YY'Y) 03112812022 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 polilcy('les) 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 NTIS Group, LLC 24610 Detroit Rd, Ste 250 Westlake OH 44145 NAAM U' Jeffrey Mueller AH NN t r (440) 471-8220 �/c N� ; (440) 471-8225 ADDRESS': JeffM@ntisgroup.com INSURER(S)AFFORDING COVERAGE NAIC # INSURERA: National Interstate Ins Co. 32620 INSURED Transportation Charter Services, Inc. 1931 N. Batavia St. Orange CA 92865 INSURER B : Vanllner Insurance Co. 21172 INSURER C C INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 2022-2023 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. N R LTR ''.... TYPE OF INSURANCE INSD D POLICY NUMBER POLICY ... F MM/DD/YYYY P OLIdTEW MM/DDIYWY LIMITS '. X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 —DAMAGETO RENTED PREWSES Eaov7.urrnnos 100,000 $ CLAIMS -MADE �X OCCUR MED EXP (Any one person) 5,000 S A Y YPP 112489017 05/01/2022 05/01/2023 1 ,X SAMSublimit-$1,000,OOOCSL PERSONAL &ADV INJURY- $ 5,000,000 GEN1AGGREGATE LIMIT APPLIES PER !'. GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG i 5,000,000 X POLICY E jECOT �'', LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINDL.E. LIMIT Ea accident) $ 5,000,000 BODILY INJURY (Per person) $ X ANYAUTO BODILY INJURY (Per accident) $ �-- A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y YPP 112489017 05/01/2022 05/01/2023 PROPS RTY [,DAMAGE I'or sc�Id�fuR $ Underinsured motorist BI •,,,•,.„•• $ Statutory UMBRELLA LIAB X.. OCCUR V `C'W, "„ EACH OCCURRENCE A EXCESS LIAR CLAIMS -MADE YEX 1124890 14 05/01/2022 05/01/2023 X AGGREGATE $ AL/GL 5,000,000 DED RETENTION $ $ B WORKERS COMPENSATION IANYPRRI NHS' LIABILITY YIN OFFICER/MEMBER /EXCLUDED? /ECUTIVE (Mandatory ) NIA Y YWC 112489013 05/01/2022 05/01/2023 X1 STATUTE 10RH EACH ACCIDENT Y� E.L.EACHAC,,,,DENT $ E.L. OYES 1 000,000 � $ 00,000 E.L. DISEASE- POLICY LIMIT 1,000000 $' If yes, describe under DESCRIPTION OF OPERATIONS below Charter Deductible $10,000 q Auto PD (Comprehensive/Collision) YPP 1124890 17 05/01/2022 05/01/2023 PP/Service Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo, its officials, and employees are listed as Additional Insured pursuant to the terms and conditions of the policy and as required by written contract or agreement. These policies are written on a primary and non-contributory basis. CERTIFICATE HOLDER CANCELLATION City of El Segundo 350 Main St, ElSegundo CA 90245 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 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: YPP 1124890 17 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s Locations Of Covered Operations The City of El Segundo, its officials, and employees 350 Main St, El Segundo CA 90245 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13