400%
200%
100%
75%
50%
25%
The URL can be used to link to this page
Your browser does not support the video tag.
PROOF OF INSURANCE (2025) CLOSED
CERTIFICATE O LIABILITY INSURANCE °ATE(222/Do 3YW) 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 CONTACT NAMEI iAon Risk Services Northeast, Inc. 866-283-7122 FAX (800) 363-0105 ,Aon Risk services Northeast, Inc. (120) NC.No.. NY NY Office E-MAIL lone Liberty Plaza ADDRESS: 165 Broadway, Suite 3201 New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIC # -------- INSURED INSURER A: Hartford Fire insurance Co.. 19682 Bureau Veritas Technical Assessments LLC INSURERS: AllianZ Global Risks US Insurance co.. '.35300 6021 University Blvd. Stes. 200-210 Ellicott City MD 21043 USA INSURERC: Trumbull Insurance Company 127120 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER., 570103172570 REVISION NUMBER: THIS IS TO CERTIFY "TRAT 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. Limits shown are as requested MH T,R TYPE OF INSURANCE pNSD WVDPOLICY NUMBER VY LIMITS MM0 X COMMERCIAL GENERAL LIABILITY USL EACH OCCURRENCE $2 , 000 , 000 DAMCLAIMS-MADE OCCUR AUE10ASKrrG $1,000,000 PREMI_.SES Ea occurrence _ VIED EXP (Any one person) $10 , 000 PERSONAL&ADVINJURY $2,000,000' GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 , 000 POLICY LJ. PE O �X LOC PRODUCTS - COMP/OP AGG $2 , 000, 000 OTHER: A AUTOMOBILE LIABILITY X ANYAUTO OWNED AUTOS ONLY HIRED AUTOS ONLY B X I UMBRELLA LIAB EXCESS LIAR SCHEDULED AUTOS NON -OWNED AUTOS ONLY X OCCUR CLAIMS -MADE 510,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y p N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below B Architects & Engineers Professional 10 AB S41202 ADS USL see state Policy Addendum Claims Made SIR applies per policy teas & cond4ions COMBINED SINGLE LIMIT 0d nl BODILY INJURY( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident EACH OCCURRENCE AGGREGATE X PER STATUTE OTF E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L DISEASE -POLICY LIMIT Each claim Aggregate $2,000, $1,000,000 $1,000,000 $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Evidence of insurance. The Architects & Engineers policy includes coverage for Professional Liability and Contractors Pollution Liability. Certificate Holder, The City of E1 Segundo, it's Officials and Employees are included as Additional insured in accordance with the policy provisions of the General Liability Coverage, Business Auto Coverage & umbrella Liability policy. 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 350 Main Street E1 Segundo CA 90245 USA c3GKG�t c`�c./stit(R�CO �� e/ � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD d c d Gf O 2 AGENCY CUSTOMER ID: 570000048582 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc.. Bureau Veritas Technical Assessments LLC POLICY NUMBER See Certificate Number: 570103172567 CARRIER NAIC CODE See Certificate Number: 570103172567 1 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance workers Compensation/Employers Liability 10WN541200 01/01/24-01/01/25 Trumbull Insurance AR,DC,IN,LA,NE,RI,UT 1OWNS41200 01/01/24-01/01/25 Twin City Fire Insurance Company FL,ND,OH,WA,WY 1OWNS41200 01/01/24-01/01/25 Hartford Insurance Company of the Midwest AK,ID 10WNS41200 01/01/24-01/01/25 Hartford Casualty Insurance Company MO,WV 10WNs41200 01/01/24-01/01/25 Nutmeg insurance Company CT,IL 1OWNS41200 01/01/24-01,/01/25 Hartford Fire Insurance Company NH,OR,PA 1OWNS41200 01/01/24-01/01/25 Hartford Accident and Indemnity Company AL,GA,KY,MI,MT,NY,TN,VT 1OWNS41200 01/01/24-01/01/25 Property & Casualty Ins Co of Hartford CA,CO,DE,ME, MN,MS,SC 10WNs41200 01/01/24-01/01/25 Hartford insurance Company of Illinois TX 10WNs41200 01/01/24-01/01/25 Hartford insurance company of the southeast KS,MD 10WNs41200 01/01/24-01/01/25 Hartford Underwriters insurance Company AZ,HI, NC,N7,SD,VA 1OWNS41200 01/01/24-01/01/25 Sentinel Insurance Company, Limited IA,NM,NV,OK 10WBRs41201 01/01/24-01/01/25 Twin City Fire insurance Company wI 1OWBRS41201 01/01/24-01/01/25 Hartford Underwriters Insurance Company MA 1OWBRS41201 01/01/24-01/01/25 Hartford Fire insurance Company PR ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD