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PROOF OF INSURANCE (2024) CLOSED-� ® 'Ak �' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1228,2022 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk services Northeast, Inc. Aon Risk services Northeast, Inc. CONTACT NAME: PHONE 866-283-7122 FAX (800) 363-0105 (A/C. No. Ext): A/C. No.: E-MAIL NY NY Office One Liberty Plaza ADDRESS: 165 Broadway, suite 3201 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Allianz Global Risks Us Insurance co. 35300 Bureau Veritas Technical Assessments LLc 10461 Mill Run circle, suite 1100 Owings Mills MD 21117 USA INSURERB: Hartford Fire Insurance co. 19682 INSURERC: Trumbull Insurance company 27120 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570097070178 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY USLOO159323 01/01/2023 01701 7024 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X❑OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO ECT F"LOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY 10 AB s41202 01/01/2023 01/01/2024 COMBINED SINGLE LIMIT Ea accident $2,000,000 AOS BODILY INJURY( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident A USLOO163323 01/01/2023 01/01/2024 $1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE $1,000,000 DED I X RETENTION $10,000 C WORKERS COMPENSATION AND 10WNs41200 01/01/2023 01/01/2024 X I PERSTATUTE I LOTH EMPLOYERS' LIABILITY Y/N See State Policy Addendum E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/ PARTNER/ EXECUTIVE N OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1,000,000 D ESC describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A Archit&Eng Prof USF00248023 01/01/2023 01/01/2024 Each claim $1,000,000 claims Made Aggregate $1,000,000 SIR applies per policy terns & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Evidence of insurance. The Architects & Engineers policy includes coverage for Professional Liability and contractors Pollutio Liability. 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 AUTHORIZED REPRESENTATIVE 350 Main Street El Segundo CA 90245 USA ea4G�9a c��6G7E( c-f IOL�� AN aL� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000048582 LOC #: A ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY Aon Risk services Northeast, Inc. NAMED INSURED Bureau Veritas Technical Assessments LLC POLICY NUMBER See Certificate Number: 570097070178 CARRIER see Certificate Number: 570097070178 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation/Employers Liability 10WN541200 01/01/23-01/01/24 Trumbull Insurance AR,DC,IN,LA,NE,RI,UT 10WN541200 01/01/23-01/01/24 Twin City Fire Insurance Company FL,ND,OH,WA,WY 10WN541200 01/01/23-01/01/24 Hartford Insurance Company of the Midwest AK,ID 10WN541200 01/01/23-01/01/24 Hartford Casualty Insurance Company MO,WV 10WN541200 01/01/23-01/01/24 Nutmeg Insurance Company CT,IL 10WN541200 01/01/23-01/01/24 Hartford Fire Insurance Company NH,OR,PA 10WN541200 01/01/23-01/01/24 Hartford Accident and Indemnity Company AL,GA,KY,MI,MT,NY,TN,VT 10WN541200 01/01/23-01/01/24 Property & Casualty Ins Co of Hartford CA,CO,DE,ME, MN,M5,5C 10WN541200 01/01/23-01/01/24 Hartford Insurance Company of Illinois TX 10WN541200 01/01/23-01/01/24 Hartford Insurance Company of the southeast KS,MD 10WN541200 01/01/23-01/01/24 Hartford Underwriters Insurance Company AZ,HI, NC,N],SD,VA 10WN541200 01/01/23-01/01/24 sentinel Insurance Company, Limited IA,NM,NV,OK 10WBR541201 01/01/23-01/01/24 Twin City Fire Insurance Company WI 10WBR541201 01/01/23-01/01/24 Hartford Underwriters Insurance Company MA 10WBR541201 01/01/23-01/01/24 Hartford Fire Insurance Company PR ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD