PROOF OF INSURANCE (2024 - 2024) CLOSED01 [
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 09/28/2023
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 CANS CT Julia B. TreUgtibar, CISR, CLCS
Pacific Agents Alliance Insurance Agency; Julie Trau hber Insurance A enc PHONE 18) 203- [ N 1, (626) 7
ter .N E91. (..
99 9 2209 99-7051
—-
524 S Rosemead Blvd EEa11AILnn --. iuliee-iulietrauohberins.com
_Pasadena
INSURED
Phoenix Group Information Systems
2677 N Main St, Suite 440
CA 91107 INSURERA: Ohio Se
_..-_____-____ _ I it
NSU RER..B........TW..�...C.....
INSURER C : Houston
INSURER D
irity Insurance Company I— 24082
Fire Insurance Company 29459
..................
',asualty..Co..................................-..........._................................
m any 42374
Santa Ana CA 92705 INSURER F :.
COVERAGES CERTIFICATE NUMBER! 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.
----.��._......................... .. . m. .
1N:�R ADDLSUBR POLICYEFF POLiCYEXP
LTR TYPE OF INSURANCE POLICY NUMBER MD 'YYY U ! D/ LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE FXIOCCUR
OAMAG�TO N{ NT t ----
PRFRAI4�S L�r �Krewwcr� ,..
( I
..
2
$ 000,000
W __ _ _....-- ,.
MED EXP(Any one person .
. $ 15,000
----__----
A
X
BKS58373560
10/01/2023
10/01/2024
PERSONAL & ADV INJURY
$ 2,000,000
_
GEN'L AGGREGATE LIMIT APPLIES PER:
$ 4,000,000
PRO- LOC
POr...., JECT
PRODUCTS COMP/OP AGG
,000
i $ 4,000,000 � .
OTR_GENERALAGGREGATE
E
AUTOMOBILE LIABILITY
COMBINED SINGLE UMIT
(Ea accidKwpp......
$ 1,000,000 ...........................
ANY AUTO
BODILY INJURY (Per person)
$
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
BAS58373560
10/01/2023
10/01/2024
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
F5ROPERTYDAM/iC
AUTOS ONLY !^y-, AUTOS ONLY
Per 0�9q ?ent
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
EXCESS LIABCLAMS-MAD
AGGREGATE
$
.. ...............-........ � ....
DI D RETENTION $
WORKERS COMPENSATION
PER
AND EMPLOYERS' LIABILITY Y / N
STATUTE EORH
A
ANY
OFFICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE
N / A
XWS58373560
10/01 /2023
10/012024��'L�'qH
ACCIDENT
$ 1,000,000
(Mandatory.�
M ndatoryiIn NH)
...E.� ... I,S.E.A.S,E..-,.EA, EMPLOYEE
$.....1.:00.0.t0.0.0 ...............................
DESCRIPTION OF OPERATIONS below
E.L. DISEASE POLICY LIMIT
$ 1,000,000
Errors & Omissions Liability plus
Errors&Omissions Lia
$2,000,000
C
Tech/Guard Cyber Liability
H23TG31831-01
02/08/2023
02/08/2024
Tech/Cyber Liability
$3,000,000
Deductible
$30,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
It is agreed that the City of El Segundo is named Additional Insured w/regard to General Liability coverages and all coverages are subject to the terms and
conditions of each policy.
email: jsolano@elsegundo.org
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.
Police Department '... AUTHORIZED REPRESENTATIVE
348 Main Street
21
ElSegundo CA 90245
;
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