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PROOF OF INSURANCE (2023) CLOSED0 1 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/31/2023 12/29/2022 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 INSURERS), 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 Lockton Companies NAM" "° 444 W. 47th Street, Suite 900 PHONE Kansas City MO 64112-1906 E-MAIL"" (816)960-9000 ADDRESS kcasu@lockton.Com INSURER(S) A INSURER A: Safety National INsuRED UNITED SITE SERVICES OF CALIFORNIA, INC. INSURER B : XL Specialty Insurance C9 an a(U S) Inc.885 1507679 19489 118 FLANDERS ROAD, SUITE 1000 INSURER c :Allied World Assurance Comp .....:.m......................................_.....,.__-- WESTBOROUGH MA 01581 INSURER D : AIG Property Casualty Company __......... 19402 INSURER E c INSURER F COVERAGES CERTIFICATE NUMBER: 184241.96 REVISION NUMBER: XXXXXXX 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. ._.m 1 .ADDL.U_ ............._POLICY P6LCEX ..,. ......�LIMIT. SPBER PII...- -.... ......_.....� TRm.,, ..,....... -TYPE OF INSURANCE A COMMERCIAL GENERAL LIABILITY N N GL4057787 12/31/2022 12/31/2023 EACH OCCURRENCE s 2�QQQ, QQQ .. �_...........�.k CLAIMS -MADE [i] OCCUR �N7� PREMISE..'5 (,Ea �s hMrt. S?F.! .).. . $...l. QQQ . . ,,.._._,.m. ...... - _. _ -,PERSONA( &yoneperson) ��� ADV INJURY .$-..1.0,QQQ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4„QQ0000 POLICY PRO- LOC PRODUCTS-COMP/OPAGG $ 4 000.000--„_ X OTHER: $ A AUTOMOBILE LIABILITY N N CA6675838 12/31/2022 12/31/2023 COMBINED 53NGL E LIMIT 3�000,000 ANY AUTO BODILY INJURY (Per person) ---- -n- $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ XXXXXXX - IAUTOS HIRED NON-OWNED1ROPE6t'"tl''DfwN,filh, $ XXX3�XXX ONLY AUTOS ONLY ,,IPoa' a dam°m) $XXXXXXX B X UMBRELLA LIAB X OCCUR N N US00076933LI22A 12/31/2022 12/31/2023 EACH OCCURRENCE... $ 1.Q QQQ QQQ D ; EXCESS LIAB CLAIMS -MADE BE011134269 12/31/2022 12/31/2023 AGGREGATE $-,1QmQQQ�Q nn DED RETENTION $ $ XXXXXXX A WORKERS COMPENSATION N LDS4047370 12/31/2022 12/31/2023 PER OTH sTAFOT R AND EMPLOYERS' LIABILITY YIN _X _. -.l .... ANY PROPRIETOR/PARTNER/EXECUTIVE NIA - OFFICERIMMBER EXCLUDED? E L EACH ACCIDENT _ $ � QQ0�000 (Mandatory in NH) E.L. DISEASE EA EMPLOYE $ 10nQ,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.000.000 C ENVIRON. SITE LIA 3 & N N 0311-5276 9/19/2021 9/19/2024 $3,000,000 EACH INCIDENT, CONTRACTORS $6,000,000 AGGREGATE POLLTUION LIAB i DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY, ITS OFFICIALS, AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSUREDS AS RESPECTS TO GENERAL LIABILITY AND AUTO LIABILITY PER WRITTEN CONTRACT. GENERAL LIABILITY AND AUTO LIABILITY POLICIES SHALL BE PRIMARY AND NON-CONTRIBUTORY WITH ANY OTHER INSURANCE IN FORCE FOR OR WHICH MAY BE PURCHASED BY THE CITY PER WRITTEN CONTRACT. CERTIFICATE HOLDER 18424196 CITY OF EL SEGUNDO CITY CLERK 350 MAIN STREET, ROOM 5 EL 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 ©1988LI015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD