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PROOF OF INSURANCE (2024 - 2024) CLOSEDUTILCOS-01...............................008 L � '4+►Ro CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD"YYY) � 126/2023 _......._..__._........... ._ _.�.. ��... 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 endorsements . PRODUCER RR License # 0757776 CONTACT NAME. Verity Racht HUB International Insurance Services Inc. PHONE .._ .. ...... .-FAX 548 W Cromwell AvenueSuite 101 ppI� verlt racllt hubtiinternational com Fresno, CA 93711 A�R ............:... ...m�. INSURE�S� AFFORDING COVERAGE -----------_----------------- __--------------------------- INSUR RA AMCO Insussurance Company. _ ,INSURED INSURE , `I25100 R B Employers -A�°ante Com a n 79 402 Utility Cost Management LLC INSURER C Travelers Casualty and Surety Company_ 19038_ 1100 W. Shaw Avenue, Suite 126 INSURER D Fresno, CA 93711 IrvSUR . INSURER F : COVERAGES CERTIIFICA"�-NUI41'IBE:..._.�.......................................................................................E1Jl[h4 NUmNWImI��t.� ..._ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR XTHE XPOLICY 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. _ .. .... TYPE.................�.......,...,._,.,._..... _ .-_....�_-------- -- -. .... ... INSR ADDL SUBR' POLICY EFF POLICY EXP OF INSURANCE POLICY NUMBER D LIMITS TJ3... ......_......_.............. A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE, TO RENTED — � � X ACP7882036862 2/412023 2l4/2024 . MFD EXP An one erson $ — ,00—_ - L a Anv 0 a��soNn. .. NJURv $ ..1,000,00� TE LIMIT APPLIES PER: GENERAL, AGGREGATE �_,,, ,, _,___ _ i ns^rm AGGREGATE 2,000,000 X Pk UCY LOC PRODUCTS - COMMOP AGG . $ 2,000 0 _........... CTm11FR ......_. $ A AUTOMOBILE LIABILITY CMBIIN ��OrEPDSINGLE LIMIT �-$ OO 1,000,0 ANY AUTO ACP7882036862 2/4/2023 2/4/2024 BODILY INJURY Per pqrso.L$ _ OWNED SCHEDULED —.. AUTOS ONLY AUTOS _BODILY INJURY (Per accldentl $ ...... ........ _... AUTOS ONLY X AUUTOS ONLY P eta dint) PERlY Ari1ACC A X UMBRELLA LIAB X OCCUR AGGREGATE OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS -MADE ACP7882036862 2/4/2023 2/4/2024 2,000,000 tl DIED RETENTION $ $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY / T-AL --- -- 1,000,000 FN 032700219 2/4/2023 214/2024 1 000 ANY PROPRIET E EXCLUDED XECUTIVE E L. EACH ACCIDENT $ rgO�FFCd�E.RdM'MBER EXCLUDED? ' N / A M.".d.lory n NH) E L; DISEASE EA EMPLOYEE $ ' ,000 If yes, describe under 1,000,000 PFSCRIPEION.!?EQEI RF TIONS delgw . E L DISEASE -POLICY LIMIT ( $ C Pro Liability 107256057 5/23/2023 5/23/2024 Each Claim 1,000,000 1­_..._ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo, its officials, and employees as additional insured. Umbrella Coverage is following form. Endorsements attached: PB6003 0411, PB6072 0711 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty 9 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Joe Lillio, Director 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE I �404ja4az_ ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BUSINESSOWNERS PB 60 03 04 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MUNICIPALITIES OIL PUBLIC AGENCY - INSURED, PROVIDING PROFESSIONAL SERVICES This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM The following is added to Section II. WHO IS AN INSURED: The municipality and/or public agency designated in the Schedule of this endorsement is also an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused ,in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf in connection with your operations, other than the rendering of or the failure to render professional services, advice of instruction, subject to the following additional exclusion: This insurance, including any duty we have to defend "suits", does not apply to "bodily injury", "property damage" or "personal and advertising injury" that arises out of, in whole or in part, or is a result of, in whole or in part, the active or primary negligence of the municipality and/or public agency designated in the Schedule of this endorsement, whether or not such negligence has been assumed by you in a contract or agreement. All terms and conditions of this policy apply unless modified by this endorsement. SCHEDULE Municipality and/or Public Agency: City of El Segundo 350 Main Street El Segundo, A 90245 PB 60 03 04 11 Page 1 of 1 ACP BPO 7872036862 INSURED COPY 47 03116 Effective Date: 2/4/2023 - Expiration Date:2/4/2024 Policy Number: ACP7872036862 BUSINESSOWNERS PB 60 72 07 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS Only with respect to any additional insured, in the COMMON POLICY CONDITIONS, form PB 00 09, under condition H. OTHER INSURANCE, paragraph 2.a. is replaced by the following: H. OTHER INSURANCE 2. Under any liability coverage provided by this policy, a. If for injury or loss we cover, there is other valid and collectible insurance available to any additional insured under another policy, our obligations are limited as follows: (1) Issued by another insurer, or if there is self insurance or similar risk retention that applies to a loss covered by this policy, then this insurance provided by us shall be excess over such other insurance, unless you have agreed in a written contract or written agreement signed prior to the loss that this insurance shall be primary: (a) Then this insurance is primary. If other insurance is also primary, we will share with all that other insurance as described in d. below; and (b) The coverage afforded by this insurance is non-contributory with the additional insured's own insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured to any other person or organization's policy.; or (2) Issued by us or any of our affiliate companies, that applies to a loss covered by this policy, then only the highest applicable Limit of Insurance shall apply to such loss. This condition does not apply to any policy issued by us that is designed to provide Excess or Umbrella liability insurance. All terms and conditions of this policy apply unless modified by this endorsement. PB 60 72 07 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 ACP BPO 7872036862 INSURED COPY 47 01680