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PROOF OF INSURANCE (2023) CLOSEDCAMPCOR-02 DATE (MM/DD CERTIFICATE OF LIABILITY INSURANCE 11/23/2022 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 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 to the certificate holder In lieu of such endorsements . PRODUCERrtificate does not confer rights ................ _.wmmmmmITITITITITITITmm_,,,,( ...... - ,,,m c NTACT Chicago P&C M ,Fa —, �..._,. _ Mesirow Insurance Services, Inc. PHONE rA 353 N Clark St 11th FIINC,c,xt) (312) 595-6200 i C; Eei E-MAIL Chicago, IL 60654 AP 5. chc in6certs alhant com INSURED Campbell Window Film, LLC 17941 Brookshire Ln Huntington Beach, CA 92647 INSURER Insurance Conn v Co of WI (OBE 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. _. ITS TYPE OF INSURANCE "I S POLICY NUMBER UMM PPn=Y POLICYyM P.m EXP._ ^ LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCLIRRENC'E $ 1,000,0 CLAIMS -MADE X OCCUR ESGL2210001567-01 12/1/2022 12/1/2023 DAMAGETORENTED S5000 X ' � L Atl Gm IEi(�A"rE. ILH,,Al rt APPI IG.:S F'E:R: B AUTOMOBILE LIABILITY . X�''.. ANY AUTO Y..'..n., OWNED SCHEDULED AUTOS ONLY ! AUTO�S� AIµI� X p AOTO S ONLY , A '.. UMBRELLA LIAB X OCCUR X I EXCESS LIAB CLAIMS MADE DED X RETENTION $ 0: C- WORKERSCOMPENSATION� AND EMPLOYERS' LIABILITY Y F N. .ANY PROPRIETOR/PARTNER/EXECUTIVE ' �i N / A OFFICER/MEMBER in NH) EXCLUDED? If ves. describe under CBA1400846 ESXS2210001568-01 152000440 12/1/2022 12/1 /2023 1211 /2022 12/1 /2023 12/1 /2022 12/1 /2023 X v,)URY S ATE ,.....,,. $ /OP,AGG S 'S 'El MmIT ;6 Eterson.,}_, $ accident] S Ei S EM 1,000,000 1,000,000 1,000,000 DESCRIPTION OF OPERATIONS A LOCATVONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 11mores ace is required) 3eneral Liability: Designated Construction Project(s) General Aggregate Limit subject to CAP $6„000, 00 the following are included as Additional Insured(s) as their interest may appear with respect to the General Liability policy where required by written contract: City of El Segundo, its officials, and employees. ral Liability Thirty (30) day notice of cancellation —Additional Insured(s). 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. AUTHORIZ/E/D REPRESENTATIVE ✓� f��^ ACORD 25 (2016/03) .......... _ © 1988-2015 ACORD CORPORATION. All rights res erved. served.. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: ESGL2210001567-01 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON O 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 As required by written contract signed by both parties All locations prior to loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured isrequired 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. 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 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 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. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: ESGL2210001567-01 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED TED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations As required by written contract signed by both parties All locations prior to loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is 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. B. 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. CG 20 37 04 13 9 Insurance Services Office, Inc., 2012 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED NOTICE OF CANCELLATION This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Person(s) or Organization(s) including mailing address: All certificate holders where written notice of the cancellation of this policy is required by written contract, with the Named Insured and whose names and addresses will be provided by the broker or agent listed in the Declarations Page of this policy for the purposes of complying with such request The person(s) or organization(s) listed or described in the SCHEDULE above have requested that they receive written notice of cancellation when this policy is cancelled by us. We will mail or deliver to the person(s) or organization(s) listed or described in the SCHEDULE above a copy of the written notice of cancellation that we sent to you. If possible, such copies of the notice will be mailed at least 30 days, except for cancellation for non-payment of premium which will be mailed 10 days, prior to the effective date of the cancellation, to the address or addresses of certificate holders as provided by your broker or agent. This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s) or organization(s) shown in the SCHEDULE above will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s) listed or described in the SCHEDULE above to any benefit, rights or protection under this policy. All other terms and conditions of this policy remain unchanged. CGA 355 09 20 Page 1 of 2