PROOF OF INSURANCE (2024 - 2025) CLOSEDr DATE (MM/DD/YYYY)
ACC>R CERTIFICATE OF LIABILITY INSURANCE
12/19120,
MATTERTHIS CERTIFICATE IS ISSUED AS A AND CONFERS NO
CERT F CATE DOES NOT AFFIRMAT VELYOR NEGAT VELY AMEND, Y EXTEND OR ALTER RIGHTS
HOLDER.
HE COVERAGE AFFORDED BY
ORDED r w `
BY THE POLI
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR
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 CONTACT
Marsh & McLennan Agency r "
9 Y LLC NONE
A P_
Marsh & McLennan Ins. Agency LLC W� Q,NP,Ext) � t FAX
Nil
1 Polaris Way #300 AODRESS� occerts@marshninna.com
AIISo Viejo CA 92656 INSURER(S) AFFORDING COVERAGE NAIC#
INSURED
All City Management Services, Inc.
10440 Pioneer Blvd., Suite 5
Santa Fe Springs CA 90670
INSURER A:
Lexington Insurance Company,,,® mm,,,,
„19437
INSURER B •
AXIS Surplus_Insurance Company
26620
INSURER C
Westchester SurplusLinesInsurance Co
� - 10172
INSURER D :
National Casualty Company
111991
INSURER F t
CnVERAGFS CERTIFICATE NUMBER: 1678553927 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.
_ ..
..,..... .,,.�tiDfMl�SUBR
LTR i TYPE OF INSURANCE I II I POLICY NUMBER _ MMIDD/YYYY MMIDD
A X! COMMERCIALGENERALLIABILITY Y P N 052114698 8/1/2023 8/1/2024 ' EACH OCCURRENCE 51,000,000
I � x � ) �iaMACE r� RANI r=u I $10o aoa
CLAIMS -MADE OCCUR IFRFMdSFS jFa ocrureence)
X 500,000 � I MED EXP (Any one
'
)
PERSONAL & ADV INJURY ,
$ 1 D00 000
. .,.
. ..,
GE `L AGGREGATE LIMIT APPLIESS PER:
�
GENERAL AGGREGATE
S 2 000 000
X PRO
POLICY PRO- LOC
� JECT
�
PRODUCTS COMP/OP AGG
S 2 D0000 D
y
I OTHER:
_...
AUTOMOBILE LIABILITY
N
N
CONISINEm Ifb SINGLE 0.IM11
(Fa 11 LifIY aq)}
S
ANY AUTO
BODILY INJURY (Per person}
ry
OWNEDSCHEDULED
BODILY INJURY (Per accident)
$
AUTOS ONLY AUTOS
' HIRED NON -OWNED
P fdGMP rR"IYD:MGhMACeF.
$
AUTOS ONLY AUTOS ONLY
�C
i
-(I�er aM+k,arJMte1t1 ,,,,,,,,, ,,,,,,,,
�..... .._
B
1 UMBRELLA LIAB X OCCUR
P00100118039401
8/1/2023
8/1/2024
EACH OCCURRENCE
$ 3,000,000 F
I X EXCESS LIAB CLAIMS -MADE
AGGREGATE
$ 3,000,000
I LED { .....I RETENTION $
__.
p
WORKERS COMPENSATION
Y
WCC334410A
1/1/2024
1/1/2025
X 1 � - C,7(If Ilft
IL I ft
IAND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE N
NIAA
'l
E L EACH ACCIDENT
""'
I
$ 1,000,000
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
J, E L DISEASE EAEMPLOYEE�
S 1,000.000
s.
If yes, describe under
E.L DISEASE POLICY LIMIT
I $ 1,000,000
C
DESCRIPTION OF OPERATIONS below
ExcLss I...ayer
_ _
G72535522003
8/1/2023
8/1/2024
AGGREGATE
$6,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
El Segundo is included as additional insured as respects to General Liability per attached endorsement. Waiver of Subrogation applies to Workers
Compensation per attached endorsement.
r^»ce -wren ."1rc unw ncm rAMr`FI I ATInh]
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
350 Main Street
AUTHORIZED REPRESENTATIVE
El Segundo CA 90245-0000
I
�w
V l`Ji32f-CUTS HI,VKU I.VKrVKAtwrv. NU nynts re5ervtlu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
INSURED: All City Management Services, Inc.
POLICY : 052114698 POLICY PERIOD: 08/01/2023 TO: 08/01/2024
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT
This endorsement modifies insurance provided under the following:
A.
B
COMMERCIAL GENERAL LIABILITY POLICY, COVERAGE APPLICABLE TO COVERAGE A. BODILY
INJURY AND PROPERTY DAMAGE (SECTION I - COVERAGES) ONLY
Section II - Who Is An Insured is amended to
include any person or organization you are
required to include as an additional Insured on
this policy by a written contract or written
agreement in effect during this policy period and
exe,coted prior to ft "oocurrenoo" of the "bodiiy
injury" or "property damage."
The insurance provided to the above described A
additional insured under this endorsement is
limited as follows:
1. COVERAGE A BODILY INJURY AND PROP-
ERTY DAMAGE (Section I - Coverages) only.
2 The person or organization is only an
additional insured with respect to liability
arising out of "your work" or "your product".
3. In the event that the Limits of Insurance
provided by this policy exceed the Limits of
Insurance required by the written contract or
written agreement, the insurance provided by
this endorsement shall be limited to the Limits
of Insurance required by the written contract
or written agreement. This endorsement shall
not increase the Limits of Insurance shown in
the Declarations pertaining to the coverage
provided herein.
4. The insurance provided to such an additional
insured does not apply to "bodily injury" or
"property damage" arising out of an archi-
tect's, engineer's, or surveyor's rendering of
or failure to render any professional services,
including, but not limited to:
i. Tho preparing, approving, or failing to
prepare or approve maps, shop
drawings, opinlons, reports, surveys,
field orders, change orders, or drawings
and specifications; and
ii. Supervisory, inspection, architectural, or
engineering activities.
5. This insurance does not apply to "bodily
injury" or "property damage" arising out of
.your work" or "your product" included in
the "product -completed operations hazard"
unless you are required to provide such
coverage by written contract or written
agreement and then only for the period of
time required by the written contract or
written agreement and in no event beyond
the expiration date of the policy.
6 Any coverage provided by this endorse-
ment to an additional insured shall be
excess over any other valid and collectible
insurance available to the additional insured
whether primary, excess, contingent or on
any other basis.
C. In accordance with the terms and conditions of
the policy and as more fully explained in the
policy, as soon as practicable, each additional
insured must give us prompt notice of any
"occurrence" which may result in a claim,
forward all legal papers to us, cooperate in the
defense of any actions, and otherwise comply
with all of the policy's terms and conditions.
Failure to comply with this provision may, at our
option, result in the claim or "suit" being
denied.
Authorized Representative OR
Countersignature (In states where applicable)
Includes copyrighted information of the Insurance Services Offices, Inc., with its permission. All rights reserved.
LX9776108=1
INSURED : All City Management Services, Inc.
POLICY #: WCC334410A
*OLICY PERIOD: 01/01/2024 'TO 01/01/2.025
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03
(Ed, 4,
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. Wewill not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
6MMIMN
ANY PER.SON(S) OR ORGANIZATION(S) W.ITH WHOM YOU HA\7E AGREED
TO SUCH WAIVER, IN A VALID WRITTEN CONTRACT OR WRITTEN
AGREEMENT THAT HAS BEEN EXECUTED PRT.OR TO A LOSS.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The iiiforination below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Eflective Policy No. Eidorsernent No.
Insured Preiniurn $
Cowitersigned By,