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PROOF OF INSURANCE (2024) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 6/23/2023 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 endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 46179 Westlake Dr #300 Sterling VA 20165 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. POD EXPEXP ----- .... - ..� .. AiI�YD �1 ° """".� �.. "POLICY iNTRR . ... .. .......TYPE POLIYl OF INSURANCE NUMBER 0Y LIMITS INSDDY YY B X COMMERCIAL GENERAL LIABILITY Y D52182463 1/1/2023 1/1/2024 EACH OCCURRENCE $1.000.000 .... CLAIMS -MADE X OCCUR PREMISES iEs cccuffonce) $,,,,.. MED EXP (Any one person) $ 10.000 PERSONAL & ADV INJURY $ ... w GEN L AGGREGATE LIMIT APPLIES POLICY j R ..i OC PRODGENERAL TSAGGREGATE OP AGG $ 2„OQO.00Om„m„mmmmm m, OTHER: $ ® AUTOMOBILE LIABILITY A Y D52182463 1/1/2023 1/1/2024 COMBINED T- LIMIT ..r .r $1 OOO,D00 ..._ ...............,....� ANY AUTO BODILY INJURY on person) $ ... .. OWNED SCHEDULED BODILY INJURY (Per acadent) ........ $ ANONLY '.. AUTOS HIRED NN-OWNED $ AUTOS ONLY ....X AUTOS ONLY ,..PVrDaIarJ, )CAtlw1AGE...., ....,...�.................. B X U BRELLA LIAB X Y D52182505 1/1/2023 1/1/2024 O RRENCE ..� ........... $1 000 000 CESS LIAB CLAIMS -MADE AGGREGA E $1 000 000 DED RETENTION $ $ B WORKERS COMPENSATION Y 71765862 1/1/2023 1/1/2024 X PER OTH �AP1TE C FR AND EMPLOYERS'LIABILITYYIN' PRIET E EXECUTIVE $ 1,.000,000 OFFICE EREXCLUDEE OFFI ERIMEMB EXCL NIA' - E L._D SEASECEA EMPLOYEE. $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 1.000.000 A Professional Liability MPL435507423 1/1/2023 1/1/2024 limit $1,000,000 Errors & Omissions DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo is an additional insured under the General liability, Auto liability and Umbrella liability. Waiver of Subrogation applies in favor of Additional Insured with respect to Workers Compensation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/21 /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 endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 46179 Westlake Dr #300 Sterling VA 20165 INSURED Center for Public Safety Excellence Inc 1900 Reston Metro Paza Suite 600 Reston VA 20190 INSURER E : Edwards AFFORDING COVERAGE ,.... ..., Underwriters at Llovd's, London ACE Prooertv & Casualty Insurance Co COVERAGES CERTIFICATE NUMBER:248378592 REVISION NUMBER: 703-433-1959 NAIC # 15642 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. r ......... ........_ .CY EF— . 1 .... ... ... ..........r _. ...,,.... ... INSR AE'IOL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER LIMITS LTR NUMBER MMI �IYYYY.. MM/DO(YYYY I B X COMMERCIAL GENERAL LIABILITY Y D52182463 1/1/2023 1/1/2024 OCCURRENCE $1,000,000 _ r %� -EACH ,.. T`O � _ $1,1,000 000 CLAIMS -MADE OCCUR PR,EMISES (Ea„occa�rrencaj .... _.. ED EXP (An one person) $10 000 ... ....... ................ .._. P ERSONAL & ADV INJURY . M ...,..... 0 $ 1,00000 „ ,.... G_EN'L AGGREG.ATE', LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 X ( POLICY [ PRO• fET LOC 1 ❑ PRODUCTS COMP/OP AGG $ 2 000.000 _ OTHER. $ B AUTOMOBILE LIABILITY 11eWe D52182463 1/1/2023 1/1/2024 COMBINED ISINGLELIMIT $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED -mm BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED NON -OWNED X,,,,,, n .. PffOPe`RTYOA'�9AA�F $ ''.. AUTOS ONLY „ AUTOS ONLY _((lea accidort'o ...... ..... ...... . B X UMBRELLA LIAB X OCCUR D52182505 1/1/2023 1/1I2024 EACH OCCURRENCE $ 1.000 000 EXCESS LIAB MADE AGGREGATE $1,000,000 _ ..' 1111111-1. DED RETENT[ ION$ $ B WORKERS COMPENSATION 71765862 1/1/2023 1/1/2024 PER OrH E ER YIN ERS'LIBERCBuD OF EMPLO EcuTIVE D? EL ACHSTATIA (Mandatory in NH) '... _E.L. DISEASEC A EMPLOYEE000.000 ..r. If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Professional Liability MPL435507423 1/1/2023 1/1/2024 limit $1,000.000 Errors & Omissions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo, it officials and employees are additional insured under the general liability on a primary basis as their interest may appear.; TE 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. 314 Main Street El Segundo CA 90245 AUTHORIZED REPRESENTATIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved, ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule AS REQUIRED PER WRITTEN CONTRACT 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 01-01-23 Policy No. (22) 7176-58-62 Endorsement No. Insured CPSE, INC Premium $ Incl . Insurance Company: Ace Property & Casualty Insurance Co. Countersigned By, WC 00 03 13 (Ed. 4-84) © 1983 National Council on Compensation Insurance. Insured Copy