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PROOF OF INSURANCE (2022 - 2023) CLOSEDAte` DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/28/2022 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 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 CONTACT NAME: SILVI CHA INSURANCE LAND INSURANCE SERVICES PHONE 213-388-5505 FAX o).213 388 7148 (AIC N 4032 WILSHIRE BLVD E-MAIL , I..N.....SURA.N......CELA, N.D@GMAI-,L.COM -ADDRESS.,--.. SUITE 309 INSURERts)AFFOROING COVERAGE NAIC# ...... LOS ANGELES CA 90010 INSURER EVANSTON INSURANCE COMPANY 35378 INSURED .....,.,..... UNITED .... ._,nn..,,�n�� -- INSURER B . FINANCIAL CAS CO. VALLEY MAINTENANCE CORPORATION INSURE Rc:UNITED STATES LIABILITY INS. CO.. 25895 INSURER D:ICW GROUP 27847 11759 TELEGRAPH ROAD INSURER E.TRAVELERS CASUALTY AND SURETY CO.! 19038 SANTA FE SPRINGS CA 90670 INSURERF` 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. POLICY EFF POLICY EXP R ........ TYPE OF INSURANCE ... ..... A L SllR' PQLICY NUMBER IrNM'AOG'YYY LIMITS - COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 3AA496137 08/13/2021 08/13/2022 ` DAMAGE fO RENTED CLAIMS-MADE �j� OCCUR ,.PREMISES(Eaorcurrence) 100,000 ! „e PRIMARY NON-CONTRIBUTORY MED EXP (Anyone person) S 51000 A (:, : N Q. A(_ GREC A:I[ E Q..IMIT AelaPll IES PER - POLICY PIIC,1b, I O AUTOMOBILE LIABILITY 03370309-1 ANY AUTO B ALL OWNED SCHEDULED X : X ..........-) AUTOS ...... AUTOS NON-01 NII:::D I #TIRED AN I O 7 ,...^yl` AUTOS UMBRELLA LIAR CJC(:C ji1 C EXCESS LIAB C ILA.IIM a MADE DEC RF:1'M,ITION S iWORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNE R/EXEC UTIVE D OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) ..... If ves, describe under EICRIME N/A X XL1578400C WSA 5037498 04 105620659 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OPAGG S INCLUDED _$25,000 4 03/12/22 03/12/23 c111,1BINED C.R1:0..66Jt9"I" S 1,000,000 ,9nt), BODILY t. INJURY (Per, person) _.... r;, ...... .... BODILY INJURY (Per accident) S .. I"ROPF.RTY DAMAGE E. ...'. ......... ....... .. (Ppr accldegril _ 05/02/2021 05/02/2022,EACH OCCURRFNCE S 5,,000, 0,00 AGGREGATE S 5,000,000 PRODUCTS-COM/OP AGG S 1.000,000 PER O l H- 1,: G78/A"9/,dG412 E L EACHACCIDENT ER .�.,I a $ 1,..000, 000 E L DSEA yL EA EMPLOYEE S 1,000,000 I Iru_ rrh:I::A,:>u.:-PrnL..uc,YL..Innll S 11000,000 05/24/2021 05/24/2022 THIRD PARTY $1,000,000� DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF EL SEGUNDO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 MAIN ST AUTHORIZED REPRESENTATIVE EL SEGUNDO CA 90245 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET 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). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 08/13/2021 Policy No. WSA 5037498 04 Endorsement No. Insured VALLEY MAINTENANCE CORPORATION Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST WC 99 06 34 (Ed. 8-00) Countersigned By INSURED