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PROOF OF INSURANCE (2024 - 2024) CLOSEDFOSTE-2 ACORO" CERTIFICATE OF LIABILITY INSURANCE DATEMMI°n29"%"' 1 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 riohts to the certificate holder in lieu of such endorsementfsl. ''. PRODUCER 239-437-5555 Atkinson 8r Assoc. Insurance 1637 BrantleyRd Bldg C 9 Fort Myers, FL 33907 CONTACT Paul G Atkinson .""'"' PHONE 1 39-437-6555 6AX 239-689-3826 AIc, N�, Exl 2 � Alt' I..mm.'�..�..........._..._._._�.. �.�. I pati(inson@atkinsonlinsurance.com �"latkinsonlinsurance.com Paul G. Atkinson A009536 INSURERS AFFORDING COVERAGE. NAIC # lNI/R R A •Travelers Indemni Company——25666 INSURED Faster and Foster Consulting Actuaries, Inc. �dba Foster & Foster, Inc. 13420 Parker Commons Blvd #104 Fort Myers, FL 33912 B . of America --••• N c.lndian Harbor Insurance Co ._............. INSURER P; Travelers Casualty 8: Surety 36940 31194 -•--- I.J. .Evanston Insurance Company 35378 11 INSURER F COVERAGES CERTIFICATE NUMBER: RFVI"SICIN NLIMRFW. 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. INSR TYPE OF INSURANCE ADDL, SUBR POLICY NUMBER IJ POCY EFF IMMI POLICY EXP M1 LIMITS E X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _..... CLAIMS -MADE X occuR Y 3AA663648 04/17/2023 04/17/2024 cmAMAOI TO DENTED ���r�JIII� 100,000 T...... D X CYBER LIABILITY 106817993 11/01/2022 01/01/2024 MEDEXP„LAnyone,•person $ 5,000 PERSONAL & ADV INJURY Excluded 0FN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY E] PEI° LOC Excluded _ _PRODUCTS -COMP/OP AGG $ X oltm_CYBER RET $2501,000 CYB-EA CL 2,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000, BODILY INJURY Per pers9ML $m X ANY AUTO BA-9T746362-23-42-G 04/14/2023 01/01/2024 OWNED SCHEDULED ••• •,,,,,,,, d AUTOS ONLY AUTOS BODILY INJURY Per accldent $XHUT D ONLY X ALOITNOS WISE FeO,�c n AMAGE $ ............. .._............... ............ .................................................... E UMBRELLA LAB X OCCUR EAGH OCCURRENCE;. 6,000,000 X EXCESS LIAB CLAIMS -MADE EZXS3113511 04/17/2023 04/17/2024 ........................_� AGGREGATE .a._._ .... ......M ......................................._ $ 6,000,000 DIED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X PER OTH- ...... UATJIJ "' . YIN ANY R/PXCLUD /EXECUTVE UB8J3906882342E 01/01/202301/01/2024 EACH.ACCIDENT 1,000,000 FFCETMJMB andat'o'MEEMBER EXCLUDED? X �Ilandat�ry ¢n NH) NIA NO DEDUCTIBLE •mE1 1,000,000 If yes describe under •••E L DISEASE - EA. EMPLOYE $ , 1,000,000 DESCRIPTION OF OPERATIONS below E...L... DI. EASE - POLICY LIMIT C PROF LIABILITY E&O MPP 9037622 04 09/0112022 01/01/2024 IEA CLAIM 5,000,000 $250,000. Ded AGGREGATE 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The Cltt�yr of El Segundo, Its officials and employees are listed as additional Insure,yl with ores ects to the general liability per Written contract. General Liability overage Is Primary. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE l°aa 'd a ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY III POLICY NUMBER: 3AA663648 MARKEV EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $629 (Check box if fully earned ❑) Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. Who Is An Insured is amended to include as an additional insured any person or entity to whom you are required by valid written contract or agreement to provide such coverage, but only with respect to "bodily injury", "property damage" (including "bodily injury" and "property damage" included in the "products -completed operations hazard"), and "personal and advertising injury" caused, in whole or in part, by the negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. The insurance afforded to such additional insured will not be broader than that which you are required by the valid written contract or agreement to provide for such additional insured. Our agreement to accept an additional insured provision in a valid written contract or agreement is not an acceptance of any other provisions of such contract or agreement or the contract or agreement in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to such additional insured for injury or damage of any type to any "employee" of the Named Insured or to any obligation of the additional insured to indemnify another because of damages arising out of such injury or damage. B: With respect to the insurance afforded to these additional insured, the following is added to limits of insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the valid written 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. All other terms and conditions remain unchanged. MEGL 0009-01 09 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. Policy #: 3AA663648 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1