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PROOF OF INSURANCE (2023 - 2023) CLOSEDAC "I?V CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDDlYYYY) 03/11/2022 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 License## 0751768 NTA T NAME. SOB HADZOR Robert Hadzor Insurance Services PHON (925) 372-9000 raX (925) 372-9003 3755 Alhambra Ave. Suite 7 E-MAIL ,bob@hadzorinsurance.com INSURERS AF'FORD)NG COVERAGE NAIC p Martinez, CA 94553- INSURERAtNon rofiLs Insurance Allance 0 INSURED The El Segundo Nursery School Group INSURERB: P.O. BOX 73 INSURER C Markel Insurance Company 300 E. Pine Avenue. INSURER o [El­S2,qundo CA 90245- 1 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 ...� ILTR TYPE OF INSURANCE POLICY NUMBER POLICY- M D Y EFF OLPCY EXP PMIDDm'YYYY w LIMITS A GENERAL LIABILITY 022-20766-NPO 4/01/2022 4/01/2023 EACH OCCURRENCE S 1,000,000 X COMMERCIAL IGENERAL EXP IAn 00,000 110,000 CLAIMS MADEOCCUR / / / / ME�D o e person)I S PERSONAL & ADV INJURY, S 1, 000, 000 GENERAL AGGREGATE is 3, 000, 000, GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG !S 3,000,000 X POLICY 2LOC / / / / LIQUOR LIAB S 1,000,000, A '... AUTOMOBILE LIABILITY 022-20766-NPO 4/01/2022 4/01/2023 COIABr�,idiYnd' INGLE l,.Iv1X1 1 00q Q,0„0' ANY AUTO / / / / BODILY INJURY (Per person) S� - ALL OWNED SCHEDULED////BODILY AUTOS INJURY (Per acadent) S X NON OWNED N / / / / PROPERTY DAMAGE $ HIF2EDAUTOS AUT05 AUTOS Wer accident. $ UMBRELLA LIAB OCCUR / / / / EACH OCCURRENCE S AGGREGATE '.. S EXCESS LIAB CLAIMS -MADE / / / / DED RETENTION 5..... / / / / _ - ''... S C WORKERS COMPENSATION C0023768-11 2/01/202202/01/2023 WCSTUS OTH- 1 A7 . - AND EMPLOYERS' LIABILITY1_:�-QRI YIN / / / / . ANY PROPRIETORIPARTNERIEXECUTIVE E L EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED NIA / / / / (Mandatory in NH) E L DISEASE - EA EMPLOYEE $ 1 000 000. II yes. describe under """"' - DESCRIPTION OF OPERATIONS below E L DISEASE POLICY LIMIT S 1,000,000 . A PERSONAL PROPERTY 022-20766-Prop 4/01/2022i i 4/01/2023 SPECIAL FORM RC 5,000 A D&O INSURANCE 022-20766-NPO-DSO 4/01/2022 4/01/2023 SPECIAL FORM RC 5,000,000. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more spaco is required) City of E1 Segundo its Officers, Officials, Directors, Employees and Volunteers are named as additional insured and Also attached is the Waiver of subrogation for Work Comp policy through Markel Insurance Company. Re: Landlord of The E1 Segundo Nursery School Group CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of E1 Segundo its Official and y Employees c/o City Clerk AUTHORIZED RE.'PRESENTA"fTE. „. 350 Main Street RM 5 E1 Segundo CA 90245-3813 (/ ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005101 The ACORD name and logo are registered marks of ACORD NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head fariasura m A Heat farNanproft POLICY NUMBER: 2022 20766-NPO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY RIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: A. Section U — WHO IS AN INSURED is amended to include: 4. Any public entity as an additional insured, and the officers, officials, employees. agents and/or volunteers of that public entity, as applicable, who may be named in the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the tern of this po!'icy, that such public entity and/or b officers, officials. employees, agents and/or volunteers be added as an additional Insured(s) on your policy, but onlywith respect to liability for 1bodily injury", Opropedy darnSge° or "personal and advertising injury" caused, in whole or in part, by. a. Your negligent ads or omissions; or b. The negligent acts or omissions of those acting on your belst in the performance of your ongoing operations. No such public entity or Individual Is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. B. Section III — LIMITS OF INSURANCE is amended to include: 8. The limits of insurance applicable to the public entity and applicable individuals identified an additional insured(s) pursuant to Provision A.4. above, am those sped In the wftm contact be you and that public , or the limits available under this policy,, whichever are less. These limits are part of and not in addition to the limits of Insurance under this policy. C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION iiV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the fallowing: 4. Other Insurance a. Primary insurance This Insurance is primary if you have agreed in a written contract or vattten agreement: (1) That this insurance be primary. If other insurance is also primary, we wig share with all that other insurance as described in a below, or NIAC-E61 o21g Page 1 of NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA AHeadforinsurosce.AWoof- A1dnpmflts POLICY NUMBER: Zo22-2o7sfrNFo (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over. 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for *your work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner, (c) That is Insurance purchased by you to cover your liability as a tenant for "property damage to premises temporarily occupied by you with permission of the owner, or (d) If the loss arises out of the maintenance or use of aircraft, 'autos" or watercraft to the extern not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE. (e) Any other insurance available to an additional Insureds) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1) "rtglhen this insurance is excess, we will have no duty under Coverages A or B to defend the additional (s) against any "suit if any other insurer has a duty to delend the additional Insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of dig loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss In the absence of this insurance; and (b) The total of all deductible and self4nsured amounts under all that other insurance. (3) We will share the remaining loss, hf any, with any other insurance that is not. described In this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage ParL C. Methods of Sharing If all of the other insurance available to the additional insured(s) permits cordriibulion by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by remits. Under this method, each insureds share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. NIAC-E61 0219 Page 2 of 2 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA 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 5 % of the California workers' compensation premium otherwise due on such remuneration. Work performed by EL SEGUNDO CO-OP NURSERY SCHOOL(NONPROFIT) at: PO Box 73 El Segundo, CA 90245-0073 Schedule Subrogant Information Class Code Description City of El Segundo its officials & Employees c/o City Clerk 8868 Colleges/Schools-private-professionals 350 Main Street Room 5 El Segundo, CA 90245 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 02/01/2022 Policy No. MWC0023768-11 Insured: EL SEGUNDO CO-OP NURSERY SCHOOL(NONPROFIT) Insurance Company: Markel Insurance Company Countersigned WCD40306 (Ed. 04-84) © 1998 by the Workers' Compensation insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers' Corn pensation Insurance Forms Manual © 2001 Endorsement No. Payroll $0.00 18 of 35