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PROOF OF INSURANCE (2023 - 2024) CLOSED�.'�7R4.......«i,�.. DATE (MM/DD/YYYY) ,1" CERTIFICATE OF LIABILITY INSURANCE 1/19/2023 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 NAME Sandy Crespin Inszone Insurance Services PHONE "'"'" "" FAX 1101 Perimeter Drive JAJC,,No,-Ext). 847-719 7877 Wc__Q),^347a-3p7077 C-MAIL Suite 500 AODAESS $CfespIn@_iniszotieir,is.com Schaumburg IL 60173 INSURERS) AFFORDING COVERAGE NAIC# wsURERA. Travelers Casualty Insurance Co. of America 19046 INSURED AMERI-6 INSURER B: Hartford Insurance Group 29424 American Technology Solutions m _ , 1212 S. Naper Blvd. INSURERc. Naperville IL 60540 INSURERD: INSURER E INSURER F : f r%%1=0A(_GC RFRTIFICATF NI IMRFR• R4RQRQRQF RFVISInN 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,. INTR vW PM .,. ....... TYPE OF INSURANCE .IDD/YYYY POLICYNUMBER AAIOyUQP LIMITS B X COMMERCIAL GENERAL LIABILITY Y 83SBAIJ1747 1/3/2023 1/3/2024 EACH OCCURRENCE $1,000,000 X _. CLAIMS -MADE ........,. OCCUR PREMe qpS„(Ea occurrence) 5 300,000 _....,. .,.,. - .. .._, .--, on) $ 1­1110 000 MED EXP (Any one Bers,,,,,,,, ,,,,,, , ..... .................. �, ., PERSONAL & ADV INJURY S 1,000,000 ....... GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X PR"'J• L..00 '... POLICY JEC1T ... PRODUCTS COMPlOP AGG $ 2,000,000 .�. ... OTHER: S D AUTOMOBILE LIABILITY 83SBAIJ1747 1/3/2023 1/3/2024 COMBINED SINt11E LIMIT $ 1,000 000 ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident) 5 AUTOS ONLY AUTOS '... '.. '..... '..... ..... ° . " HIRED .. X X NON -OWNED F $ AUTOS ONLY AUTOS ONLY (�ROPERrYDAtVIAU"E PPr arr.jdan) S B X UMBRELLA LIAB X OCCUR 83SBAIJ1747 1/3/2023 1/3/2024 --- EACH OCCURRENCE 51,000,000 EXCESS LIAB CLAIMS -MADE. '... AGGREGATE $ 1,000 000 ...... DED X RETENTIONS S WORKERS COMPENSATION 83VVECZPD480 2/3/2023 2/3/2024 X Itl(�t OThll- k WrYc AND EMPLOYERS' LIABILITY YIN )"'. OFFICE PRIET ER EXCLUDED. N/ A s $ 5D0 ODO MandaO�PRIETNH/PARTNER/EXECUTIVE (Mandatory ) E - EA EMPLOYEES S 500 000 E.L.. DISEASE If yes, d escri be under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 500,000 A Professional Liability 105571602 8/17/2022 8/17/2023 Each Claim 1,000,000 Retro Date 1/13110 Aggregate 1,000,000 '... '.,.... ',. Retention 2,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101,Additional Remarks Schedule, maybe attached if more space is required) City of El Segundo, its Council, officers, boards, commissions, employees, and agents are named as additional insured for operations conducted by the named insured. Subject to policy terms and conditions. ICATE HOLDER 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. Attn: Gabrielle Ressa 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245� ©1988-2015 ACORD CORPORATION. All rights reserved,. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD