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PROOF OF INSURANCE (2024) CLOSEDSOCIFOR-Cl BNl0, '4� o CERTIFICATE OF LIABILITY INSURANCE DATE 7/6/2023 ) 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 Bolton Insurance Services LLC 3475 E. Foothill Boulevard Suite 100 Pasadena, CA 91107 799-7000 441-3233 INSURED MsµR9R,_B,:.Co1T1pWest Insurance CompgM�...,.,� 12,1,77 Society for the Prevention of Cruelty to Animals, Los Angeles ..(R99j;,:....... 5026 West Jefferson Blvd. INSURER D : Los Angeles, CA 90016 INsuRw: E: INSURER F : ...... ......... ............ ....................... ...................................................................._ OVERAGES 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY .,......_......................................................... .. _.�..r. Y EXPLTR LIMITS �.� ....__ (At __ ................... . ................. _. _.. A COMMERCIAL GENERAL LIABILITY EACH OCCURRENC€� $ 1,000,000 CLAIMS -MADE X occuR 043025902605953 7/1/2023 7/1/2024 DAN'dA,ET4DR'ENT'ED 1,000000 X X IUB .................... MHOITxaITI� y ����� �................ 20,000 PE�RSONAL.B.ADVINI.JURY .$ ITmm1,000,000 ... ..................... �ENL AGGREGATE LIMIT APPI ICS PER: GENERAL AGGREGATE $ 2,000 000 d PRO- C I _ 00 POLICY JECT L_.`...I LOC PRODUCTS .- COMP/OP AGG $ 2,000,000 OTHER; ABUSE OR MOLEST $ 1,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ..ie&.Omif na. .................................................�� X rl ANY AUTO 043025909605880 7/1/2023 7/1/2024 BODII.YIN.IURY Per arson. S ..,..�...... OWNED SCHEDULED """""""""""""'"""""""'"'" w...... AUTOS ONLY AUTOS BIDILY INJIL.ImRY Per accident) $ HIRED NON -OWNED [,gCPERT'f' DWAMAGE. AUTOS ONLY AUTOS ONLY ..,'C.Pr:� accru'tr?reti� .. wwwwww _.._._.............._..............._.._.........................._............................__.......�...._._._..,..._.,v� A X UMBRELLA LIAB X OCCUR FACH OCCURRENCE $ 10,000,000 ............................................................._............................................................................ EXCESS LIAB CLAIMS -MADE 043025981605954 7/1/2023 711/2024 AGGREGATE $ _ B WORKERS COMPENSATION N $ 10,000 ._mm. .mm.._.......mm ............. X PER I �.�...ti. 10,000,000 TH AND EMPLOYERS' LIABILITY Y/ N CWWCP00095452 0 STATUT $' ANY PROPRIETORIPARTNER/EXECUTIVE X 7/1 /2 23 7/1 /2024 1,000,000 OFFICER/MEMBER EXCLUDED? NIA E.L.EACH AGCIDEITNT.... „_ „$ ,,,,,,,,,,,,,,,,,,,,,,,,,,.. (Mandatory in NH) F.L.DISEASE EA EMPLOYEE $ 1,000,000 If yes, describe under „, .. DESCRIPTION OF OPERATIONS below F.L. DISEASE POLICY LIMIT. $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Operations ofthe Named Insured. GL Additional Insured applies per A 267.1 (08-12) attached, only if required by written contract/agreement. Additional Insured(s): City of El Segundo. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty g ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk's Office Attn: Mona Shilling 350 Main Street AUTHORIZED REPRESENTATIVE .._...r El Segundo, CA 90245 ler44r_%� _.. ......... ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT FOR CONTRACT, AGREEMENT OR PERMIT - INCLUDING LESSOR OF LEASED EQUIPMENT, OWNER OF LEASED LAND, MANAGERS OR LESSORS OF PREMISES, ENGINEERS, ARCHITECTS AND SURVEYORS AND VENDORS With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. The following is added to the General Liability Additional Provisions Form, A. ADDITIONAL INSUREDS — BY CONTRACT, AGREEMENT, OR PERMIT. 1. Paragraph C. - WHO IS AN INSURED, is amended to include as an insured: (a) Any person or organization with whom you have entered into a written contract, agreement or permit requiring you to provide insurance as is afforded by this General Liability Coverage Form will be an additional insured, but only: (1) To the extent that such additional insured is held liable for acts or omissions committed by you or your subcontractors during the performance of your ongoing operations. (2) With respect to property owned or used by, or rented or leased to, you. The insurance afforded any additional insured under this paragraph will be subject to all applicable exclusions or limitations described in paragraphs 2.(a), (b), (c), (d) and (e) and in 3.(a), (b), (c), (d), (e) and (f) below. (b) Such insurance as is provided by this paragraph for any additional insured will be primary, if so required by the written contract, agreement, or permit. Any other insurance available to such person or organization shall be excess over this insurance. (c) A person's or organization's status as an additional insured in connection with a written contract, agreement or permit under this paragraph ends when your operations for that additional insured are completed or the written contract, agreement or permit is terminated or expires. 2. Additional Exclusions or Limitations (a) Lessor of Leased Equipment If an equipment lessor is an additional insured as a result of the provisions of paragraphs 1.(a), (b) and (c) above, the following additional exclusions apply: This insurance does not apply: (1) To any "occurrence" which takes place after the equipment lease expires; (2) To "bodily injury" or "property damage" arising out of the sole negligence of such additional insured. (b) Owner of Leased Land If an owner or other interest from whom land has been leased is an additional insured as a result of the provisions of paragraphs 1.(a), (b) and (c) above, the following additional exclusions apply: A 267.1 (08-12) copyright. Church Mutual Insurance company, 2012, Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. © Insurance Services Office, Inc., 2004, This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to lease that land; or (2) Structural alterations, new construction, or demolition operations performed by or on behalf of the owner or other interest from whom the land was leased. (c) Managers or Lessors of Premises If a manager or lessor of premises you rent or lease is an additional insured as a result of the provisions of paragraphs 1.(a), (b) and (c) above, the following additional exclusions apply: This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to be a tenant in that premises; or (2) Structural alterations, new construction, or demolition operations performed by or on behalf of the manager or lessor of that premises. (d) Engineers, Architects, or Surveyors If an engineer, architect or surveyor is an additional insured as a result of the provisions of paragraphs 1.(a), (b) and (c) above, the following additional exclusions apply: This insurance does not apply to "bodily injury," "property damage," or "personal and advertising injury" arising out of the rendering or the failure to render any professional services by or for you, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. (e) Vendors of "Your Products" If a vendor of "your products" is an additional insured under this Coverage Part, such insurance as is provided to the additional insured applies only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business and subject to the following additional exclusions: (1) This insurance afforded the vendor does not apply to: (i) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contractor agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (ii) Any express warranty unauthorized by you; (iii) Any physical or chemical change in the product made intentionally by the vendor; A 267.1 (08-12) Copyright, Church Mutual Insurance Company, 2012, Page Z Of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission.. © Insurance Services Office, Inc., 2004. (iv) Repackaging, except b) Such inspections, unpacked solely for the adjustments, tests or purpose of inspection, servicing as the vendor demonstration, testing, or has agreed to make or the substitution of parts normally undertakes to under instructions from the make in the usual manufacturer, and then course of business, in repackaged in the original connection with the container; distribution or sale of the products. (v) Any failure to make such inspections, adjustments, (2) This insurance does not apply to tests, or servicing as the any insured person or vendor has agreed to make organization from whom you or normally undertakes to have acquired such products, or make in the usual course of any ingredient, part, or container business; in connection with entering into, accompanying or the distribution or sale of the containing such products. products; 3. Such insurance as is afforded for any (vi) Demonstration, installation, additional insured under 1. and as servicing, or repair modified by Paragraph 2. above is operations, except such subject to all applicable exclusions operations performed at the under Coverage A, BODILY INJURY vendor's premises in AND PROPERTY DAMAGE LIABILITY connection with the sale of COVERAGE, Paragraph 2. Exclusions the product; or other than 2.16. which is applicable to contractual liability; and to the following (vii) Products which, after additional exclusions: distribution or sale by you, have been labeled or (a) The independent acts or omissions relabeled or used as a of such additional insured. container, part or ingredient of any other thing or (b) Any liability arising from injury or substance by or for the damage in connection with a vendor. contract or agreement executed or permit issued subsequent to: (viii) "Bodily injury" or "property damage" arising out of the (i) The occurrence of any "bodily sole negligence of the injury" or "property damage"; or vendor for its own acts or omissions or those of its (ii) The commission of any offense employees or anyone else which caused "personal and acting on its behalf. advertising injury." However, this exclusion does not apply to: (c) Construction or demolition activities within 50 feet of any railroad a) The exceptions property and affecting any railroad contained in Sub bridge or trestle, track, road -bed, paragraphs (iv) or (vi); tunnel, underpass or crossing. or A 267.1 (08-12) Copyright, Church Mutual Insurance Company, 2012. Page 3 Of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 0 Insurance Services Office, Inc., 2004.. (d) Any liability arising from injury or damage in connection with a permit issued by a state political subdivision if the liability is from operations performed for the state or political subdivision. (e) Any liability from "bodily injury" or "property damage" arising out of "your work" which is included in the "products -completed operations hazard." This additional exclusion A.3.(e) does not apply with respect to such Vendors coverage as is provided under A.2.(e) above. (f) Any person or organization included as an insured under any other provision of Paragraph C., Who Is An Insured, or included as an additional insured by any endorsement to this policy. Copyright. Church Mutual Insurance Company, 2012. Page 4 of 4 A 267.1 (08-12) Includes copyrighted material of Insurance Services Office, Inc., with its permission. © Insurance Services Office, Inc., 2004.