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PROOF OF INSURANCE (2023) CLOSED0 DATE (MMIDEVYYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 10/0712022 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 CONTACT A Marsh Risk & Insurance Services ,)ME -FAX PHONE CA License #0437153 ('40P.J49. EX01 NP1,; . .......... 633 W Fifth Street, Suite 1200 E-MAIL Los Angeles, CA 90071 ADDRESS° _INSURERS) AFFORDING COVERAGE NAIIC # CN102956307-STND -GAWU-22-23 FileK GLALW INSURER IA1:1 Travelers Property Casualty Co, of America 25674 . 1 ''1 . ............... INSURED INSURER B The Travelers Indemnity Company of ConnecticuConnecticut_25682 File Keepers, LLC q1­­1­_1111 Raleigh Enterprises, LLC INSURER C ........... . 6277 East Slauson Avenue ,INSURER, D . ........ Los Angeles, CA 90040 ,INSURER E; . ........ ­­^Ce tr_0-rlCl1-A-rr_ runner Go, I r)q_nn9,iRi i,49_9n PFVI-ql()M N[IMRFP- 11 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. ............ --Ab6L tij6W LICY EFF POLICYEXP LIMITS INSIR POLICY NUMBER RHO LIR TYPE OF INSURANCE ........... . ............ W topmom flMWDOxYYYY1 A X COMMERCIAL GENERAL LIABILITY 660-8105A95A-22 10/01/2022 10/01/2023 EACH OCCURRENCE S 1,000,000 ENNE-0 DAMAGE TO RT CLAIMS-MADE X OCCUR PRFMI,1.3F' .(Ea oQcLirrencq) ..... .,gip,,,,,100,00,01, MED EXP (Any one person) S 10,000 PERSONAL& ADV INJURY S 1,000,000 G 11 E 11 N' I L AGGREGATE I LIMIT APPI LIES PER I GENERAL AGGREGATE 2,000,000 X POLICY PJE"COT LOC __PRODUCTS - COMPIOP AGG 2,000,000 OTHER: I Fire _ re Damage . .. . . ......... 300,000 B AUTOMOBILE LIABILITY 810-6N38751A-22 10/51/2022 10/01/2023 COMBINED SING7 LIMIT 1,000,000 ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per qpq4erit) .... ... . ....... . Cornip /Coll Ded S 1,o00/1,o00 UMBRELLA LIAB OCCUR EACH OCCURRENCE $—­­­ — — ------- EXCESS LIAB CLAIMS -MADE AGGREGATE 5 OFD RETENTION $ A WORKERS COMPENSATION UB91<062882-0 10101l2022 15/5 17. N. X PER OTH AND EMPLOYERS" LIABILITY I STATUTE ER__ . ......... . . ..... ..... . ..... . 'ANYPR'OPRIFI ORPPARTNERfEXECd JTIVE YIN E L EACH ACCIDENT S 1,000,00o OFFICrRUMEMBEREXCLUC N/A 1,O0(1 1 1 ,0 1 0 1 0 (Mandatory in NH) EL DISEASE -EA EMPLOYEE, V ns, d nos ureter 1,000,000 D SCRIPTlON Or, OPERATIONS betow es'c r EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) With the exception of Workers' Compensation & Employer's Liability, the City of El Segundo, its officials, and employees are included as an additional insured, but only with respect to liability arising out of the operations performed for Ifiern by the named insured as required by written contract This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions. Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions CERTIFICATE HOLDt:K k10ANqlIzLI.A $ IW114 City of El Segundo Police Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Mr Vincent Martinez THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 348 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE Xtwilf ;Za & lo&mwe Se�tulw (9) 1988-21ti1b AGE)KII.) Ut)KI`LllKA I Il All rignts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Policy No. 660-8105A95A-22 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED — PERSONS O ORGANIZATIONS FOR BODILY INJURY OR PROPERTY >al ;� - . *aArillel - . This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION II —WHO IS AN INSURED: Any person or organization that is not otherwise an insured under this Coverage Part and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury' or "property damage" that occurs subsequent to the signing of that contract or agreement; and b. If the "bodily injury" or "property damage" is caused, in whole or in part, by your acts or omissions in the performance of "your work" to which that contract or agreement applies or the acts or omissions of any person or organization performing operations on your behalf. The insurance provided to such additional insured is subject to the following provisions: a. The limits of insurance provided to such additional insured will be the minimum limits that you agreed to provide in the written contract or d. agreement, or the limits shown in the Declarations, whichever are less. b. This insurance does not apply to any person or organization for whom you have purchased an Owners and Contractors Protective policy. c. The insurance provided to such additional insured does not apply to: (1) Any "bodily injury" or "property damage" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury' or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. If the written contract or agreement does not require that the insurance provided under this Coverage Part apply on a primary basis, or a primary and non-contributory basis, then this insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. CG D1 " 0219 © 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material from Insurance Services Office, Inc. with its permission. y' I WORKERS COMPENSATION 1/ i AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: UB-gK062882-22-51 K WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 0.0 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. 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 Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 10-01-2021 ST ASSIGN: Page 1 of 1