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PROOF OF INSURANCE (2023) CLOSEDClient#: 1595302 MASTETEC1 DATE (MWDD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 7/12/2022 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Gary W. Nerger' USI Insurance Services, LLC PHONErk 602 666-0817, 690 8.7.................__,.. ..�.aW._e ...si rn 3 -2283 2375 E. Camelback Road, Suite 250 E-MAIL y. .er .o. ........................i.............................................. Phoenix, AZ 85016 ROD E.S•... �ary.r.ergePWAFFORDINGWCOVERAGE ............................... ........ ............... INSURER(S) NAIC # 877 468-6516 INSURER A: Crum &Forster Specialty Insurance Co. 44520 INSURED............................................................................................................................................................................................................INSURER..B..... Hartford Fire Insurance Company 19682 Master Technology Integrators, Inc. INSURER C ; Hartford Accident and Indemnityµ Co 22357.. 12912 S. Normandie Ave �� ....._....�.._................. ...................__................ Gardena, CA 90249 INSURER D r�� _.. ... ....�.� ,........ ._..... � ..�.......... ... INSURER E . 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. TYPE OF IN ..............................m ' ACi6L'BR POLICY EFF POLICY EXP INSURANCE R .,. CY NUMBER MM/DD _.. DD/1/YYY�_,y_.................... ................................_.�._.__ LIMITS ��r6 ...__..._.................................._......,.�...,��..........�.........................�k.N1�� q..�...��............e�....P.D�.L_,.......��W��w..�........;�,lmm�,.m�.,�� !mr!!,I tMMI A X COMMERCIAL GENERAL LIABILITY GLOO88780 6/01/2022 06/01/2023 EACH OCCURRENCE $1 OO DO,OOO ..... CLAIMS -MADE D OCCUR PRAEI�A@gS,,�S�C� roccu rDer�'(„_,IT 100000 X. BI/PDmmDed:1,000_�� MEDExP(MVoneperson) $10000 PERSONAL & ADV INJURY $1 OOO OOO . ...._.................................................................................................-. _..._...! .__. t.....,� ..... GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 OOO PRO LOC PRODUCTS COMP/OPAGG $2a 000 O00POLICY � JECT' '. .n... OTHER: $ AU ..,.. ,.,.,.,n.n..,.._,..n.,-. — — ' C AUTOMOBILE LIABILITY 41UEAAA0160 6/01/2022 06/01/202 COMB1kdont) GLE LIMIT 1,000,000 dEa accudant) ..X ANY AUTO BODILY INJURY (Per person) $ OWNED w SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY _,,, AUTOS HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY X AUTOS ONLY Leer ................... W................................ ....................................................................................... ........._.�..� A UMBRELLA LIAB X OCCUR SE0118777 6/01/2022 06/01/202 EACH OCCURRENCE $4 OOO OOO ...a - lr 00 .� . ., OOO 0 X EXCESS LIAB CLAIMS -MADE AGGREGATE $4a,, a00 _ DED RETEN1ION$0 $ KERS B ANOYRPROPRIECOMPENSATION TOR/PABILITYEXECUTIVE 41WECID0657 0 6/01/2022 06/O1/2O2 ��XL.FACHACCIDENT $.,, AND EMPLOYERS' LIABILITY Y / N .... TE)T. TE _ E. OFFICER/MEMBER EXCLUDED? N / A OOO,OOO •_ ••••••••• (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE! $1,000 000 If yes, describe under ..... DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A Professional Liab GL0088780 6/01/2022 06/0112023 $1,000,000/$1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: PW Contract #5814 (PW 18-25 El Segundo Police Department Door Security Upgrade Project). General Liability, with a per project aggregate, and Auto Liability include an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder, only when there is a written contract or written agreement between the named insured and the certificate holder and with regard to work performed by or on behalf of the named insured or pertaining to leased property. General Liability, Auto (See Attached Descriptions) MOLDER City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE (c)'Iag-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S36700447/M36295787 TBMZP SAGITTA 25.3 (2016/03) 2 of 2 #S36700447/M36295787 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 41 WEC ID0657 Endorsement Number: Effective Date: 06/01/22 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: MASTER TECHNOLOGY INTEGRATORS INC 12912 S NORMANDIE AVE GARDENA CA 90249 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 04/21/22 Policy Expiration Date: 06/01/23