PROOF OF INSURANCE (2023 - 2023) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
11 /15/2022
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(les) 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 endorsemen .
PRODUCER CONTACT'
Pacific Agents Alliance Insurance Agency; Julie Traughber Insurance Agenc PffoNe 8'18 203-2209 Nil 626) 799 7051
lA/c.J1rr.I;X1l Julia�B. Trau tuber„ iSEt CLCS ��
524 S Rosemead Blvd a �Po Ms iulielullelraughberins.com
Pasadena
INSURED
CA 91107 INsuRERA: Ohio Security Insurance
INSURER B : Twin City Fire Insurance
Phoenix Group Information Systems INSURERC: Houston Casualty Comp
2677 N Main St, Suite 440 rusrroco n
Santa Ana CA 92705 INSURER F :
COVERAGES CPRTIFIt' ATF NIIMRFR• oetnclnu kiirucce.
24082
29459
2374
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.
-
C NR —_------ INSURANCE A L' ... �;�uBR .
E POLICY NUMBER MMIOD LIMITS ......................._._.._.,........ '....
COMMERCIAL GENERAL LIABILITY yY
EACH OCCURRENCE
$ 2,000,000
-....w CLAIMS-MADEIx OCCUR
PREMIs�.,rhry crraL m
..'...,
..$2,000,000
.__...
one person)
$ 15,000
A
�
X
BKS58373560
10/01/2022
10/01/2023
PERSONALny
_ & ADV INJURY
„ _ ... _
m 2,000,000
... $
'--m �
G�ENI,AG�GREGATE LIMIT APPLIES
_
GENERALAGGREuA
$ 4,000,000
OL
POHICrY' ❑ Jpin LOC
PRODUCTS-COMGATE
/OPAGG
$ 4,000,000
�,,
AUTOMOBILE LIABILITY
•-
COMBINED SINGLE LIMIT
$ 1,000, 000
AUTOSNY
B
BODILY INJURY (Per person)
$
A
OWNED SCHEDULED
UTOS ONLY
AUTOS ..._. AUTOS
BAS58373560
10/01/2022
10/01/2023
BODILY INJURY (Per accident)
$
✓�.HIRED
$
AUTOS ONLY AUTOS ONLDY
.•PRO
9 da-tU_„� .— _........
_ ...._.....w
•w..:
$
UMBRELLALIAB —. OCCUR
EACH OCCURRENCE $
EXCESS LIAB CLAIMS -MADE
.AGGREGATE $
DED RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILr Y M P N..
�TFMTI,/_?F ,.FR .....
A
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N/A
XWS58373560
10/01/2D22
10/012023
E L EACH ACCIDENT $ 0
- 1 000 00
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYE $ 1,000,000
If yes, describe under
° - —
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $ 1,000,000
Errors & Omissions Liability plus
Errors&Omissions Lia
$2,000,000
C
Tech/Guard Cyber Liability
H22TG31831-00
02/08/2022
02/08/2023
Tech/Cyber Liability
$3,000,000
Deductible
$30,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
It is agreed that the City of El Segundo is named Additional Insured w/regard to General Liability coverages and all coverages are subject to the terms and
conditions of each policy.
email: jsolano@elsegundo.org
t11W1lllt+f 1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS.
Police Department AUTHORIZED REPRESENTATNE
348 Main Street
ElSegundo CA 90245 %y6
W IW$52075 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD