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PROOF OF INSURANCE (2024) CLOSEDter" BATE fP.9Pv910DtYYYy) :) CERTIFICATE OF LIABILITY INSURANCE 3/25/2023 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 CSU Construction HUB International Midwest Limited PHONE FAX 1411 Opus Place, Suite 450 1A10. ,_630-4 8 5600 n ........... ........ E-MAIL ,.... _. Downers Grove IL 60515 ADDBE_ss•.CSUConstructigDllutwinternqtlonel.com INSURED Tecta America Southern California, Inc. 1217 East Wakeham Avenue Santa Ana CA 92705 B : LM Insurance Corporation I 33600 c L42404 ensurance ion 1 -rt o! NavigaorspinsuanceCq pp!�X e: Starr lndemnityandLiabilit .._......._m._ ._.........._...... _mm 383018 r.rlt/F"R6r.:'F':. CFPT'IFirATF NI.CMRFP^1A7Q1rnAnA RFVISI0NI 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. IfISR I� AI.I¢ t1s MJIDDI EP IAI Y EX LTR TYPE..... INSURANCE nnnPOLICXWWunn� ,,•_.._..._..._.—.�.. P NUMBER MMIODdYWY M^I PiY11501YYXX LIMITS A X COMMERCIAL GENERAL LIABILITY Y EB2-641-435487-43 3/31l2023 3/3112024 EACH OCCURRENCE S3,000,000 .__ ... ,. CLAIMS -MADE �.. X ^� OCCUR iS MA'6% i UT�"ffl19b _....., _PREMISES., Ea occurrence __J S 3D0,000 _ Contractual Liab MED EXP (Any one person) b S 10 000 X XCU Cov Inlcuded _ PERSONAL & ADV INJURY S 3,000.000 GENERALAGGREGATE 56,000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: %( PRO- .. .POLICY mmmmm X LOG ,.PRODUCTS-COMP/OPAGG � S 6.000000� OTHER': A AUTOMOBILE LIABILITY AS2-641-035487-44 3/3112023 3/3112024 LIMIT COMBINED SINGLES ."fie^,tt..._....-...' 'IVF $5 000 000 _......_.............. .........,_...._ X ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED AUTOS ONLY �,.- � AUTOS I BODILY INJURY (Per accident) ) S PROPERTY DAMAGE (,PerrciAent),._.._.__...._._._....................................�.�...�.�.�_.......... S X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY S-- D E X UMBRELLA LIAB OCCUR EXCESS une�Hx..CLAIMS-MADE ._ LA23EXCZ04Q5 000586973231 21C 3131/2023 3/31/2023 3131/2024 3131/2024 AGGREGATE OCCURRENCE S 13.000 000 mmmITIT $ DED X 1 RETENTION S A I B C B WORKERS COMPENSATION AND EMPLOYERS'UABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTIVE N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WA5-64D435487-393 (AOS) ytlg7-ggD�135487-003 (MA) WC5-641-435487413 (W) $ MN) 3131/2023 3/3112023 3/31/2023 3131/2024 3131/2024TATUT„ 3131/2024 X _ERH _ E.L.EACH ACCIDENT _. S 1,000,000 "�'"— -----""— E.L. DISEASE- EA EMPLOYEE S 1,000,000 If yes, dasrc Glle under OF OPERATIONS below I ........._-...._...__ m_.. .......�.. E.L. DISFJ�SE -POLICY LIMIT ._......_._....._ ---- S 1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) DESCRIPTION Leased/Rented Equipment Coverage; Carrier: Travelers Property Casualty Co. of Am.; NAIC #: 25674; Policy# QT-630-OT985565; Eff Date: 313112023 to 3/31/2024: Limit: $2,500,000; Deductible: $25,000, except Flood Deductible: $100,000; except $500,000 Flood Zone A; Quake Deductible: $100,000; except 2% min $250,000 for California and Washington State. Re: Roofing services performed under contract at request of City of El Segundo for properties owned or managed by the City of El Segundo City of El Segundo, its officers, elected or appointed officials, employees, agents and volunteers are included as additional insureds under General Liability when agreed in a written contract, subject to policy terms, conditions, and exclusions. 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 El Segundo CA 90245 AU/T/HO�RIZ�ED REPRESENTATIVE k � I r 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: EB2-641-435487-43 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 OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s Locations Of Covered Operations 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 shown above, will be shown in the Declarations. A. Section 11 — 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 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 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. 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 © Insurance Services Office, Inc., 2012 CG 20 10 0413 POLICY NUMBER: E132-641-435487-43 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED 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 O erations Any person or organization for whom you have agreed in a written contract or agreement prior to loss. All locations where required by written contract or agreement. 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 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: EB2-641435487-43 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Vame Of Person Or Organization: Where required by written contract or agreement prior to loss. nformation required to complete this Schedule if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0