PROOF OF INSURANCE (2024) CLOSEDCERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
08/15/2023
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 �ANA niA�i Brandon
„..Nq 17901 Von Karman Avenue, Suite 1100 _tAtp
Marsh Risk & Insurance Services
PH2
ONE 13-3 . 46 5165 Vie) 949 399 2999
ADOBE'Sf)
( ) brandon.pham@marsh.com
Irvine, CA 92614 License #0437153 EMAIL.. .. ........
CN102703377 ESRI GAWU-23 24 my y yy m mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm INSURER A: Travelers Property Casualty Co„ of America „w 25674
INSURED INSURER B :
Environmental Systems - ••.•••••�
...NSURER G :
Research nstitute, nc. !........................
380 New York Street .........................................
Redlands, CA 92373 INSURER D
COVERAGES CERTIFICATE NUMBER: LOS-002701741-01 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 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.
tLT................ TYPE OF INSURANCE AOOL SUBR - POLICY NUMBER fMPOLICY EFFICDY;�flY . ................-_-....... LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
660013OP85ATIL23
02/15/2023
02/15/2024
EACH OCCURRENCE
$ 1,000,000
.......
���MFLa'�.N
CLAIMS -MADE OCCUR
PP't£F,t85ES En auccurr n
$ 1 000 000
X
BLANKET CONTRACTUAL v"
MED EX (Any one person)
$ 10,000
X
OWNERS & CONTRACTORS
IS� ����.
PERSONAL & ADV INJURY ,....,.,.,
............. ,..,...,.
$ 1,000,000
-
GEN'LAGGREGATELIMITAPPLIE
._.X..
PE����R.
GENERAL AGGREGATE
$ 2,000,000
POLICY �. �PL �.................) LOC
....P.R................T......�...-.....................-...
ODUC S -COMP/OP AGG
_
m,2� 00,00 0
........-
OTHER:
$
A
AUTOMOBILE LIABILITY
BA9M2499362313G
02115/2023
02/15/2024
COMBINED SINGLE LIMIT
1,000,000
X ANY AUTO
BODILY INJURY (Per person)
$
............. .......
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$--
X..
HIRED X
_
DAMA1aE PdT4"�PERTY
AUTOS ONLY . AUTOS ONLY
AFer andlenft,,,m,m„m,m,mm mm mmmmm,m,mmmmmmm
COMP/COLL DEDS:
$ 1,000
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
.........- .......................m.,.R
$ ......�..�...
,.,.,.,.,.,,,,,,................ ,,,,,,,,........
EXCESS LIAB CLAIMS -MADE
AGGREGATE
$
RET DED ENTION $
TU
$
A
WORKERS COMPENSATION
UB8J2564752313G
/ 5 O2
X h PER E Ory IH-
V. STATUTE l IER.�-,
......... .•.•.•.•m.•,
AND EMPLOYERS' LIABILITY Y I N
E.L. EACH ACCIDENT
$ 1,000,000
ANYPROPRIETOR/PARTNER/EXECUTIVE
NIA`••
OFFICER/MEMBEREXCLUDED?
-•
-°••••••••••°-
1,000,000
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE,
S
If yes, describe under
_......_._......................................_,.,.,.,....._
1,000,000
DESCRIPTION OF OPERATIONS below
I
E.L. DISEASE- POLICY LIMIT
S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City, its elected and appointed officials, employees, and volunteers are included as additional insured (except workers' compensation) where required by written contract. This insurance is primary and non-
contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions. Waiver of subrogation is applicable where required by written
contract and subject to policy terms and conditions.
lip
CITY OF EL SEGUNDO -
PUBLIC WORKS DEPARTMENT
350 MAIN STREET
EL SEGUNDO, CA 90245
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 REPRESENTATIVE
@ 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD