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PROOF OF INSURANCE (2024 - 2024) CLOSED
' ll CERTIFICATE OF LIABILITY INSURANCEF04/04/2023 D/DD �'""'"'"'"� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI'S 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. the terms and conditions is the policy, certain policies L INSURED, require the policy(ies) must be endorsed. If SUBROGATION IS WAIVED„ subject to IMPORTANT:. If the certificate holder is an ADDITIONAL P y, P y an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License 0751768 CON I AUT BOB HADZOR NAME; Robert Hadzor Insurance Services PHONE (925) 372-9000 F I o. (925) 372-9003 3755 Alhambra Ave. Suite 7 E•MABL .bob@hadzorinsurance.com Martinez, CA 94553- INSURED The E1 Segundo Nursery School Group P.O. Box 73 300 E. Pine Avenue. fits I cMarkel Insurance Allance O El Segundo CA 90245- 1 INSURERF: COVERAGES CFRTIFIr_ATF III IUQC:D•............�- NAIC # 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 R R TYPE OF INSURANCE VVVOPOLICY NUMBER' 00/YYYYI IMMIDIDNVYYI LIMITS - A GENERAL LIABILITY '.023-20766-NPO 4/01../202.3. 4/01/2029 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY / / / / _ffAffZT'T Ea ocur�rr�nr- PRf $ 100,000 CLAIMS -MADE F_x1 OCCUR / / / / MED EXPP yAny one person) ;$ 10,000 PERSONA L& AD V INJURY $ 1,000,000 giENERALAGGREGATE $ 3,000,000 GEN'LAGGREGATE LIMIT APPLIES PER : I PRC), PRODUCTS COMPIOPAGG $ 3,000,000 / / / / X POLICY LO)C / / / / LIQUOR LIAB $ 1,000,000 A AUTOMOBILE LIABILITY 023-20766-NPO 4/01/2023 4/01/2024 COMBINED SI ELIMIr ma—mcidant 1 0-0- 000 ANY AUTO / / / / BODILY INJURY (Per person) $ ALL OWNED SCHEDULED / / / AUTOS AUTOS / BODILY INJURY (Per accident) $ X HIRED AUTOS X AUTOS WNED / / / / PROPERTY DAMAGE $ Pe arm dnanp $ UMBRELLA LIAB OCCUR / / / / EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ OE'O RETENTION$ $ C WORKERS COMPENSATION C0023768-12 02/01�/2023 02'/0'1/2029 X VV'C STATU- O'C"HI• AND EMPLOYERS' LIABILITY YIN I IT ANY PROPRIE'i"IJRIPARI'NERtk"wXEOUTIV'E OFFIQERIMEMBER EXCLUDED? ....NIA / / / / E,L EACH ACCIDENT _ ENT $.. QOQ3.000 in NH') atorydescribe U es, yya.�. describe wrnd'ea E,L DISEASE - EA EMPLOYEE $ 1., 000000Id DAC.RIPTION OF OPERATIONS below -.....�_W ..� / / / / E L DISEASE - POLICY LIMIT $' l 000 000 A PERSONAL PROPERTY 023-20766-Prop 4/01/2023 4/01/2024 SPECIAL FORM RC 5,0001 A D&O INSURANCE 023-20766-NPO-D&O 4/01/2023 04/01/2024 SPECIAL FORM RC 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of El Segundo its Officers, Officials, Directors, Employees and volunteers are named as additional insured and Also attached is the Waiver of subrogation for Work Comp policy through Markel Insurance Company. Re: Landlord of The E1 Segundo Nursery School Group City of E1 Segundo its Official and Employees c/o City Clerk 350 Main Street RM 5 E1 Segundo CA 90245-3813 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ACORD 25 (2010105) ©1988-2010 ACORD OORPORATIAN All r'ininfc .ono—1 INSU25 (201005),01 The ACORD name and logo are registered marks of ACORD _ InjNONPROFITS Policy Number: 2023-20766-NPO INSURANCE MEAI LIANCE ar GA11FORNIA A Naad for lnsuranco. A Naort for Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: A. Section II —WHO IS AN INSURED is amended to include: 4. Any public entity as an additional insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named in the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury"' caused, in whole or in part, by: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or individual is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organizalion. B. Section III — LIMITS OF INSURANCE is amended to include; 8, The limits of insurance applicable to the public entity and applicable individuals identified as an additional insureds) pursuant to Provision AA, above, are those specified in the written contract between you and that public entity, or the limits available under this policy, whichever are less, These limits are part of and not in addition to the limits of insurance under this policy. C. With respect to the insurance provided to the additional insured(s), Condition 4, Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or NIAC-E61 02 19 Page 1 of 2 InjNONPROFITS INSURANCE MIAI1IA,NCC OI CAI ITORNIA A Hvad for Insuranra. A Haort for Nonprofits. Policy Number: 2023-20766-NPO (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b, below. b. Excess Insurance This insurance is excess over: 1 Any of the other insurance, whether primary, excess, contingent or on any other basis. (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "yuur work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft. "autos" or watercraft to the extent not subject to Exclusion g, of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE (e) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duly to defend the additional insured(s) against that "suit If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss. if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. NIAC-E61 02 19 Page 2 of 2 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5 % of the California workers' compensation premium otherwise due on such remuneration. Work performed by EL SEGUNDO CO-OP NURSERY SCHOOL(NONPROFIT) at: PO Box 73 El Segundo, CA 90245-0073 Schedule Subrogant Information Class Code Description City of El Segundo its officials & Employees c/o City Clerk 8868 Colleges/Schools-private-professionals 350 Main Street Room 5 El Segundo, CA 90245 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 02/01/2022 Policy No. MWC0023768-11 Insured: EL SEGUNDO CO-OP NURSERY SCHOOL(NONPROFIT) Insurance Company: Markel Insurance Company Countersigned WCD40306 (Ed. 04-84) © 1998 by the Workers' Compensation insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers' Corn pensation Insurance Forms Manual © 2001 Endorsement No. Payroll $0.00 18 of 35