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PROOF OF INSURANCE (2023 - 2024) CLOSEDClient#: 1252713 305STMDYOC DATE (MMIDDIYYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 14/28/2023 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. ....................�............... m. ............................... ............................................................................................................................................_ d... IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorse 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER ONTA T NAME: .,. ,_,.,.,.,., .�. ... -.. McGriff Insurance Services LLC P,v"c#�"""""""... � O 130 Theory Ste 200 0 ',ss. CertsCA@McGriff.com Irvine, CA 92617 — INSURER ([S AFFORDING COVERAGE N AIC 714 941-2800 INSURER A: Vigilant Insurance Company 20397 _�..........,__.--------------------------------........._ INSURED ..............__ .......... INSURER B : Federal Insurance Company 20281 Stradling Yocca Carlson 8r Rauth APC """"""mm""' . INSURER C 660 Newport Center Drive, Suite #1600 iNsuR.m...................................... NewportBeach, CA 92660 ..�,.e_....._................................................�� ...................... �.�.......... COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. IN INSR R _ TYPE OF INSURANCE ,^ ADOL9U6 I ..S ITgry y ..Pmmm, POLICY NUMBER POLICYEFF _(MWDDfYYi1'Y , P—WO CYF P (,NM .I LIMITS ..,.....�,�......................�, ..__... ...-_ A '�(. COMMERCIAL GENERAL LIABILITY 35327003 5/01 /2023 05/01/202 EACH OCCURRENCE $1 OOO,OOO $11rt. CLAIMS -MADE I... �.�..I',. OCCUR 141 EA.....................EN .................. DAMAGE TO RENTED PREMISES„(„Ea occurrence„-y S_1„ 000,000 MED,EXP (And one person) $10 000 PERSONAL & ADV INJURY $1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES......,-.-..__--.� PER: GENERAL AGGREGATE $2 000,000 PRO- X POLICYJ C 1-.......� LOC PRODUCTS-COMP/OPAGG $INCLUDED ,......, -- OTHER: B `Jpr ..T AUTOMOBILELIABILI.............-----. _ LIABILITY ....__., 74988851�, 5/01/2 023 05/01/202MBwNED SINGLE LIMY _ _ _ ..i�a accdden� 1 000 000 $ n r ANY AUTO BODILY INJURY (Per person) $ OWNED ' SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) .___.w.__...,_...��.. $ m ... HIRED NON -OWNED X'.. X PROPERTY' DAMAGE $ AUTOS ONLY AUTOS ONLY r cgd4ti J .... ..... ........ B UMBRELLA LIAB OCCUR X X 79726620 5/01/2023 05/01/202 EACH OCCURRENCE E, ... WW . _... s27000000 EXCESS LIAB CLAIMS -MADE AGGREGATE 7 (IOQ QQQ DEDI RETENTION $ __._ ,... �. .. $ .... A ,. AN ... ,,,,m, 71700994 11/03/2022 11/03/202 X.z�T" AND YIN IE OW ARTNER/L:XECUTIVE OFFICERIMEMBFR EXCLUDED? N/A E L EACH ACCIDENT t 000 _ ^ s1.. (Mandatory E L DISEASE - EA EMPLOYEE. 1 QQQ ._1,000.000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE- POLICY LIMIT $11000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate is subject to policy limits, conditions and exclusions. RE: Contract Agreement. City of El Segundo its officials, and employees are included as Additional Insured as respects General Liability as required by written Contract. General Liability is Primary and Noncontributory as required by written contract. Waiver of Subrogation applies as respects Workers Compensation as required by written contract. 60 Day Notice of Cancellation- Nonrenewal (20 Day in the event of non-payment). City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE :� gunTHE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN Attn: Administrative Technical Specialist ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S32064128/M32063844 SY1 This page has been left blank intentionally. Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured This Endorsement applies to the following forms: GENERAL LIABILITY Who Is An Insured 05/01 /2023 to 05/01 /2024 05/01 /2023 35327003 Stradling Yocca Carlson & Rauth APC Under Who Is An Insured, the following provision is added. Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contractor agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: if and then only to the extent the person or organization is described in the Schedule; to the extent such contract or agreement requires the person or organization to be afforded status as an insured; for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organizationis an insured under this provision: that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). with respect to any assumption of liability (of another person or organization)by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Liability Insurance Additional Insured - Sched R ' „r r uz tion continued Form 80-02-2367 (Rev. 5-07) Endorsement Page 1 Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terns and conditions remain unchanged Authorized Representative' " Liability Insurance Additional Insured - sched x J? , r,,0, i2ation last page Earn 6"2-2367'(Rev, 6 07) Endorsement gage 2 Stradling Yocca Carlson & Rauth APC 35327003 C U B B" Conditions Audit Of Books And Records Common Policy Conditions Contract The following Conditions are included under each part of the policy, unless stated otherwise. We may audit your books and records as they relate to this insurance at any time during the term of this policy and up to three years afterwards. Cancellation The first named insured may cancel this policy or any of its individual coverages at any time by sending us a written request or by returning the policy and stating when thereafter cancellation is to take effect. We may cancel this policy or any of its individual coverages at any time by sending to the fast named insured a notice 60 days (20 days in the event of non-payment of premium) in advance of the cancellation date. Our notice of cancellation will be mailed to the first named insured's last known address, and will indicate the date on which coverage is terminated. If notice of cancellation is mailed, proof of mailing will be sufficient proof of notice. The earned premium will be computed on a pro rats basis. Any unearned premium will be returned as soon as practicable. Changes This policy can only be changed by a writtenp endorsement that becomes art of this policy. The endorsement must be signed by one of our authorized representatives. Compliance By Insureds We have no duty to provide coverage under this policy unless you and any other involved insured have fully complied with all of the terms and conditions of the policy. Compliance With This insurance does not 1 to the extent that ... „. c ,..-,. ;.-.. other ,. h ,. 3 n apply that trade or economic sanctions or other laws or Applicable Trade regulations prohibit us from providing insurance. Sanctions ,� K� Conformance Any terms of this insurance which are in conflict with the applicable statutes of the State in which this policy is issued are amended to conform to such statutes. '.n,:,'.a ,�i^ -: ;.; ....:s�%......s'...4>:;". JMC „nw...'r .... ...... .... a. .'n.�. ri, :..':: ,": r..Fi. a� .. �, '., �'�., ...,..,.. .. ...... ., .,.'i.Y �. ✓.. �., ... �/'. d,s. First Named Insured The person or organization first named in the Declarations is primarily responsible for payment of all premiums. The first named insured will act on behalf of all other named insureds for the giving and receiving of notice of cancellation or nonrenewal and the receiving of any return premiums that become payable under this policy. Inspections And Surveys we may: make inspections and surveys at any time; give you reports on the conditions we find; and recommend changes. Common Policy Conditions Form 80-02-9090 (Rev. 6-05) Contract Page 1 of2 Conditions Inspections And Surveys Any inspections, surveys, reports or recommendations relate only to insurability and the premiums (continued) to be charged. We do not make safety, inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: • are safe or healthful; or • comply with laws, regulations, codes or standards. This condition applies not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations for us. Titles Of Paragraphs The titles of the various paragraphs of this policy and endorsements, if any, attached to this policy are inserted solely for convenience or reference and are not to be deemed in any way to limit or affect the provisions to which they relate. Transfer Of Rights And Your rights and duties under this insurance may not be transferred without our written consent. Duties However, if you die, then your rights and duties will be transferred to your legal representative, but only while acting within the scope of duties as your legal representative, or to anyone having temporary custody of your property until your legal representative has been appointed. When We Do Not Renew If we decide not to renew this policy, we will mail or deliver to the first named insured's last known address, written notice of the nonrenewal not less than 60 days before the expiration date. If notice of nonrenewal is mailed, proof of mailing will be sufficient proof of notice. Common Policy Conditions Form 80-02-9090 (Rev. -0) C"ontfaot Page 2 of 2 CH us B® Liability Insurance Endorsement Policy Period 05/01/2023 Effective Date 05/01/2023 TO 05/01/2024 Policy Number 35327003 Insured Stradling Yocca Carlson & Rauth APC Name of Company FEDERAL INSURANCE COMPANY MAY 8, 2022 Date Issued This Endorsement applies to the following forms: GENERAL LIABILITY Under Conditions, Transfer Or Waiver Of Rights Of Recovery Against Others, the following provision is added: Conditions Transfer Or Waiver Of However, we waive any right of recovery we may have against the designated person or organization Rights Of Recovery shown below because of payments we make for injury or damage arising out of your ongoing Against Others operations or done under a contract with that person or organization and included in the produclo-completed operations hazard. This waiver applies to the designated person or organization. Designated Person Or Organization PERSONS OR ORGANIZATIONS THAT YOU ARE OBLIGATED, PURSUANT TO A CONTRACT OR AGREEMIKNT, TO PROVIDE WITH SUCH INSURANCE AS IS AFFORDED BY THIS POLICY. All other terms and conditions remain unchanged. Authorized Reptosentadve Q-,& LiatHrity Inswance Condition - Waiver Of Transfer Of Rights Of Recovery Form 80-02-2362 (Rev. 4-01) Endorsement last page Page 1 This page has been left blank intentionally. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. (❑) Specific Waiver Name of person or organization (0) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3• Premium: The premium charge for this endorsement shall be 1 % percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: Authorized Representative 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 11/03/2022 Policy No. 71700994 Endorsement No. Insured Stradling Yocca Carlson & Rauth APC Premium $ Incl . Insurance Company Vigilant Insurance Company Countersigned By WC 90 03 75 (05/18) This page has been left blank intentionally.