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PROOF OF INSURANCE (2024 - 2024) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 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 NAINTACT ME Vlrl#nla Chatwin - Centurion Insurance Services _..0 ..w_ AX ADORES Extl 01 [ "9w Not ("8 )8,65 2048 3481 E Sunset Rd. Ste 100 E-MAIL °' AIc Nos Vir Inca Chatwine.balsigerinsurance.com Las Vegas, NV 89120 INSURER (S) AFFORDING COVERAGE NAIC # INSURERA: The Burllnaton Insurance COrnlndriv 123620 INSURED INSURERB: National SpeClalty„,I nSllrance Company 22608 — Code 5 Group, LLC INSURERC: 625 W Deer Valley Rd, Suite 103 INsu_RE R D .. .......... Phoenix, AZ 85027 INSURER E........... INSURER F : COVFRAt;FR CFRTIFICATF NIIMRFR- nnn15R99_991R97 RFVISICIN NIIMRFR• 5 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 ".. it ...__.. '... POL1CYh"`'F wbLIC'WEXP LTR TYPE OF INSURANCE INSDPOLICY NUMBER I MMlDD/YYYY MMIDDNYYY LIMITS A COMMERCIAL GENERAL LIABILITY 48213007661 04/20/2023 04/20/2024 EACH OCCURRENCE $ 1 000 000 ...., ...w_ CLAIMS -MADE OCCUR PRE M�v' iE V I•J -PREMISES 4SES,L._. ,,.tn$--- ITITITITIT100y000 " MED EXP (Any one person) $ 5,000 ___ PERSONAL & ADV INJURY $ excluded GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2�000.000 PRO. ❑ JEL•7,T LOC PRODUCTS _.... , $ mm..... excluded �.................. .... POPOLICY W.ER:. $ AUTOMOBILE LIABILITY COMBIN-D.INGLE I.IMYT (E P accetenl) $ ANY AUTO BODILY INJURY (Per person) .......................................... $ OWNED I SCHEDULED I .,.,, AUTOS ONLY ,,_- AUTOSHIRED _(Per 1`1,i......... JURY (Per accident) BODILY IN ,... _....�_.�.,.,,�.......... ....................._.. --_ ,..,,,�,-.,.. $ ......_ ...�.-,,.w.., NON -OWNED �6eOrPac 12d kl)APu9ArsE $ AUTOS ONLY ,., a _w AUTOS ONLY , $ UMBRELLA LIAB ii I, OCCUR EACH OCCURRENCE $ ....... EXCESS LIAB CLAIMS -MADE H__'. AGGREGATE .­ .... ­. $ . . . . .................. ''.. DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTF ER OFFICEANY R/MEMBER PROPRIETOR/PARTNER/EXECUTIVEEXCLUDED? N / A E,L, EACH .-E.L, $..............._:_:....._.........�,............�. Mandato (Mandatory NH EASECEA EMPLOY DISEASE EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E„L.. DISEASE -POLICY LIMIT $ B Cyber Insurance FLY-R13C-FJESJ5MSG-00 03/03/2023 03/03/2024 Coverage Limits 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 4Mrf.I Ir'IUA I t MULUtK UANI:tLLA I IUN City Of El Segundo 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 ©18-2015 ACORD CORPORATION. All rights reserved. AGUKU Z5 (ZU1ti/U3) I he AGUKU name and logo are registered marKs of AGVKU Printed by VLG on 09/18/2U23 at 10:37AM POLICY NUMBER: 452B007661 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OIL ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations City of El Segundo Various 350 Main Street El Segundo CA 90245 Information re wired to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III — Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we limits of Insurance will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 G Insurance Services Office, Inc., 2018 CG 20 10 12 19