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PROOF OF INSURANCE (2023) CLOSED'a' lf9/2212022 (MM/DD/YYYY) C< CERTIFICATE OF LIABILITY INSURANCE 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 _ ........ NAletOm,,, „ HUB International Midwest Limited PHONE _ FAx DowlneOrP Grove I, Suite 50 �D�li�s IC SIICo66tru��ion@hutJinlerllal' ionat.com __ ..._.....�... __-.......... __ w __..,_ a Company 23035 al Fire Insuranc I ertt! u uIT.....-_.____,_ ._-m-�,___....-. ENSURED TEC7AME-01 INSURERC American G_ _ Guarantee & Llabdit Insurance Com an 26056ITmm_ m INSURER B Navi atOfS _ Tecta America Southern California, Inc. _. 247 1217 East Wakeham Avenue ,4 �...-_.�..Y,......—_-.__ P.�.Y �. Santa Ana CA 92705 wsuRERD: Starr indemnity and Liablllt m.mmT m _m 38318 INSURER E LM Insurance Carporatlon mmm ..d _ _ 33600 INSURER F:. Libea Insurance Corporation 42404 f'nVFRArZF! C r-PTIFIf ATF NIIMRF:R-9;111r0'i1R RFVI_SIrIN NIIMRFR• 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , �_...AD'f11..tuff, _.... OOLICEW YEXp._li,.....,.�....... _m_.....•..__-.,...,�. ..m._.._.w,.a.._�._.. POLICY XIOL9 TYPEOFINSURANCE OLICYNUMBERLIMITS A X COMMERCIAL GENERALLIABILITY Y E62-641435467-43 3131022 3131/2023 EACH OCCURRENCE 3,000,00 __- CLAIMS -MADE �OCCUR WEWf _500,000 000 PERSONAL & ADV INJURY s 2,000,000 �X m- G'EN'L. AGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE 54000000 _ PE POLICY LOC PRODUCTS - COMP/OP AGG S 4 000,000 OTHER; S A AUTOM_X LIABILITY AS2-fik1�3546714 3131/2022 3/3112023 •BODILY dNJIUR(Perpersonl 000 �521100 ANOYBAUTOABtu OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) mmXmm s X RED X _ _ dr 5.�--..__. .. ,„• „,IT ANON AIUTOSONLY tllfl7.AM+i. }._�...._.� .V._......._._. ,.._ _,..... _ a $ B uMeRELLALIAe X 'OCCUR LA22EXCZ04Q521C 3/3112022 3/31/2023 EACH OCCURRENCE S 13,000,000 O D ° " X _" EXCESS LIAR AEC924243fi 3/3i12022 3/31/2023 — °-. ..- —'.'. ......_ CLAIMS -MADE 10005869732 3131/2022 3/31/2023 AGGREGATE ,�.. ,,..-,.m ....._._ $13,000.000 DEO� XX�RETEN710NS.•..._.____�_. S...m,�.,.�..-......�__ WORKERS COMPENSATION P ASS-640435^4fi7.392 AOS) (((WA 3131/2022 3/3112023 X PER OTY-f F E AND EMPLOYERS'1JABILITY Yi NF -435467-412 ANYPROPRIETORIPARTNEFt/EXECLfnVE OFFICERIMEMBEREXCLUDEO? y N" NIA' WC5-64 MN ( ) 3/3112022 3131/2023 E.L.STD, _ EACH ACCIDENT 51 000000 _ ...m (Mandatory in NH) """ "" E.L. DISEASE -EA EMPLOYEE S 1,000,000 � M..,-,. DIf ESCRI TION OF OPERATIONS below E.L. DISEASE POLICY�._......_._ LIMIT 00, $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Contractors Equipment Coverage, Carrier: Travelers Property Casualty Co, of Am,: NAIC #: 25674; Policy# QT-630-OT985565; Eff Date: 3/31/2022 to 3131/2023; Limit: $45,251,486; Ded; $25,000, except Flood - $100,000, Named Storm - $100,000, Leased/Rented Equipment Coverage; Carrier: Travelers Property Casualty Co. of Am.; NAiC #. 25674; Policy# QT-630-OT985565; Eff Date: 3/31/2022 to 313112023: Limit: $2,500,000; Ded: $25,000, except Flood - $100„000, Named Storm - $14]10,000. See Attached... 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 El Segundo 350 Main Street AUTHORIZED RIEPRESENTATIVE. El Segundo CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: TECTAME-01 LOC #: ACC ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED HUB International Midwest Limited Tecta America Southern California, Inc. _ 1217 East Wakeham Avenue POUCYNUMSER � Santa Ana CA 82705 CARRIER NAIC CODE EFFECTIVE DATE: ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: EB2-641-435487-43 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 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 Organization(s) Locations Of Covered O erations Any person or organization for whom you have All locations where required by written contract or agreed in a written contract or agreement prior agreement. to loss. Information required to complete this Schedule, if not above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage or personal and advertising injury' "property damage" occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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. CG 20 10 0413 © 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 0 Insurance Services Office, Inc., 2012 CG 2010 04 13