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PROOF OF INSURANCE (2024) CLOSEDPage 1 of 1 y' DATE (MMIDDIYYYY) A =W CERTIFICATE OF LIABILITY INSURANCE 07/27/2023 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(les) 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 CONTACT Willie Towers Watson Certificate Center NAME: Willis of New Jersey,Inc. P�--N � 1-888 9672378� PHONE 1-877-945-7378.'m -�---- 1~A�: vd �Wc.mo Exit! /11 0?FR. m ... i. .. _AIC N P.O. 2Sox05191B1 E iCatest�wi,11,..i9.Com Century E-MAIL carts f �.. . ......... . ............ _.. Nashville, TN 372305191 USA Mitsui USumitomo Insurance .. A _ .......I I— S AFFORDING COVERAGE NAIC 1t INSURERA: USA Inc 22551 INSURED INSURER B:Mitsuiµ Sumitomo Berlitz Corporation Company o£ Amer 20362 Insurance .. ...... ............. . ......., .-.. . a, .. _. 7 Roszel Road U R C INS RE_..-. —_ ........_ _.... - - - - ... .........................__ Princeton, NJ 08540 INSURER D : INSURER E...... .. INSURER F : COVERAGES CERTIFICATE NUMBER: W29736347 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. INSR TYPE OF INSURANCE 'AD SUd31� ....POLICY NU ........ LTR MBER MMDtYY Y 4Db1VYVy1 I LIMITS XI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS -MADE OCCUR MEDM E?XPAnyoneperrson) $ 1 OLD �� 0 A 0 I ...w _ Y PKG3000272 08/01/2023 08/01/2024 PERSONAL & ADV INJURY $1,000,000 LN"LAGGREGATE LIMIT � 1 _ 2, 000, 000 G " APPLIES PER: I GENERAL AGGREGATE � $ 00 PRO- 1,000,000 POLICY JECT X LOG PRODUCTS - COMP/OP AGO I $ OTHER! $ AUTOMCOMBINEtD1SINGLE WAIT,V, W ANY AUTO AI��ABILITY BODILY INJURY Per arson) �-- 1,000,000 B OWNED SCHEDULED AUTOS ONLY ! AUTOS accident) ONLY b ), NON-OWNED PRDPERTY DAMAGE'',''", �$. 08 01/2024 BODILY INJURY (Per ac AUTOS _ BVR8302170 08/01/2023 a � dq � _ ,, x �$ A EXCESS LIAeI CCURRENCE �_,...,. UMBRELLA LIAR !��OCCUR EACHO10,000,000 ��.....I UME5500107 08/01/2023 08/01/2024° 1D,000,00 CLAIMS-MADE AGGREGATE $ DIED ii 1 RETENTION$ 10, 000 WORKERS COMPENSATION X R D. YIN e IOF deorylnNH)EXCLUDED? ECUTIVE No ;N1A WCP9001200 08/01/2023 08/01/2024AND EMPLOYERS'LIABILITYN E.L.EACH CHACCIDENTEASE - EA OYEZ $ 1,000,000 II yes, describe under l DESCRIPTION OF OPERATIONS below E.L.DISFIISE • POLICY LIMIT $ 1,000,000 I i j I DESCRIPTION OF OPERATIONS 1 LOCATIONS N VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) It is agreed that City of EL Segundo, the officers, officials, employees and volunteers are included as Additional Insureds as respects to General Liability policy. It is further agreed that such insurance as is afforded shall be primary and non-contributory with any other insurance in force for or which may be purchased by Additional Insureds. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITHTHE POLICY PROVISIONS. City of EL Segundo AUTHORIZED REPRESENTATIVE 350 Main Street�� El Segundo, CA 90245 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sR ID: 24468218 BATH: 3068672 6142: 2 ' of 2