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PROOF OF INSURANCE (2024) CLOSED., 'k DATE(MM/DD/YYYY) tl�CERTIFICATE OF LIABILITY INSURANCE D9/13/2D29 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. co 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 21) certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 'CONTACT Aon Risk Insurance Services West, Inc OAK..................6). FAX... .............. (AC No E,atq) C866) 283 7I22 dA'C No I:800) 363-0105 ID Los Angeles CA office _ - 2 707 Wilshire Boulevard E-MAIL ADDRESS: _ Suite 2600 LOS Angeles CA 90017-0460 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Liberty Mutual Fire Ins CO 23035 ACCO Engineered Systems, Inc-. INSURER8: LM Insurance Corporation 33600 888 East Walnut Street Pasadena CA 91101 USA INSURER C: American Fire & Casualty Co .... 24066 INSURER D: ........................................... ................ _. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570101477784 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIRE'MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS/ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUITIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTA TYPE OF INSURANCE tNSD V VI? POLICY NUMBER hAM i7D°YVYY M*DWYYYY, POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY TB EACH OCCURRENCE 52,000,000 CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $1 , 000, OOO MED EXP (Any one person) $ 5 , 000 .......... PERSONAL!£ ADV INJURY $2,000,000 GEN........ _. "L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE " _....._. $4,000, 000 r POLICY PE O F7x LOC PRODUCTS - COMP/OP AGG $4 , 000m, OOO o OTHER: A AUTOMOBILE LIABILITY AS2-661-067353-023 3 10/01/2024 COMBINED SINGLE LIMIT $5,000,000 N EA- rn A'u1Pnl4 _ ......... �............_. .. X ANYAUTO 7 BODILY INJURY ( Per person) Z OWNED SCHEDULED BODILY INJURY (Per accident) Y AUTOS AUTOS ONLY NON -OWNED _....__............... PROPERTY DAMAGE HIRED AUTOS ONLY .......... AUTOS ONLY Per accident) -••-••°-•-- N C '', UMBRELLA LIAR X OCCUR EUA2463708502 10/01/2023 10/01/2024 EACH OCCURRENCE $S,OOO,000 V X EXCESS LIAB CLAIMS -MADE AGGREGATE $5 , 000, 000 ......_. DED RE"1Ef+I13CaCaB B WORKERS COMPENSATION AND WAS DO 5 U13 10/01/20 1'/01/ 024 X PERSTATUTE EMPLOYERS'LIABILITY ' Y!N ANY PROPRIETOR/PARTNER/EXECUTIVE •• N' E.L.. EACHACCIDENT ••••••• $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT •'•'•'•'•" $1, 000 , 000 .,..�. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) [Re: Service/All operations.][AI: City of El Segundo]is/are included as Additional insured as required by written contract, but limited to the operations of the insured under said contract, per the applicable endorsement with respect to the General insurance Liability policy. General Liability policy evidenced herein is primary and non-contributory to other available to an additional insured, but only to the extent required by written contract with the insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE 150 Illinois Street E1 Segundo CA 90245 USA eon ���t2 �sbs4ta0 1�'ld�✓na ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: T132-661-067353-033 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to 1. All work, including materials, parts or equipment include as an additional insured the person(s) or furnished in connection with such work, on the organization(s) shown in the Schedule, but only project (other than service, maintenance or with respect to liability for "bodily injury", "property repairs) to be performed by or on behalf of the damage" or "personal and advertising injury" additional insured(s) at the location of the caused, in whole or in part, by: covered operations has been completed; or 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: 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 © ISO Properties, Inc., 2012 Page 1 of 2 0 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations All persons or organizations with whom you have entered All locations as required by a written contract or into a written contract or agreement, prior to an agreement entered into prior to an "occurrence" or "occurrence" or offense, to provide additional insured status. offense. 11 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 POLICY NUMBER: TB2-661-067353-033 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following:. COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations All persons or organizations with whom you have entered into a written contract or agreement, prior to an "occurrence" or offense, to provide additional insured status All locations as required by a written contract or agreement entered into prior to an "occurrence" or offense. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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 is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1