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PROOF OF INSURANCE (2024 - 2025) CLOSEDf DATE (MM/DDIYYYY) ARV CERTIFICATE OF LIABILITY INSURANCE 01124/2024 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 CONTANAME CT Marsh I p MARSH USA LLC. 8' FAX PHONE 212 948 0770 540 W. MADISON ticyEi» 66 966 4660 Operations .. fLG,.Ncry_ CHICAGO, IL 60661 A vlrc,_. Chicago. CertRequest@marsh.com INSURER A : NIA N/A Anse North Main Street, S 1R c The 267 ry 9 INSURER B National Union Fire Ins Co of Pittsburgh PA 19445 INSURED Suite 400 INSURE Continental Insurance Compan) 35289 er Advisory Management, Santa Ana, CA 92705 INSURER D Valley For 9 Insurance Company .... „_, 8 _......... .... 2050..., INSURER E x --•---- —_ .._.. A�^��^�T� �IIL■ern. ruininr,)mrtt_ni RFVIQInM NIIIMRFR• n 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 OD ' I MAY HAVE BEEN REDUCED BY PAID CLAIMS. E LIMITS SHPOWC'Y SR. -- _ TYPE of INsu ItiDDLt7raR EFF POLICY EXP LTR NUMBER MM/DD MMdODaY i LIMITS D IX COMMERCIAL GENERAL LIABILITY 7064039430 01/17/2024 01/17/2025 CURRENCE $ 1000,000 � CLAIMS -MADE � OCCUR � tiA�EAt� 1 RFNTCt CMISCa fF a occu wren )•, ,__ 1,000,000 . _ ...... f 15 000 MED EXP (Arty one person) $ .. ................... f �... C PERSONAL & ADV INJURY .$ 1 000,000 , Nye ........_. G AGGREGATE LIMIT APPLIES PER: ... 2 000,000 GENERAL AGGREGATE $ ... f} X POLICY ,JPE LOC PRODUCTS CIMPIP AGG $ 2 000,000� 1 O TF BEi^I,ti C AUTOMOBILELIABILITY 7064031019 0111712024 01/17/2025 COeMMNEeDn�er INGLELIMtlT $ 1,000,000 X ANY AUTO BODILY INJURY (P person) $ OWNED SCHEDULED I INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED BODILY kR0(�ERTY DAMAGP�........ $ ......... AUTOS ONLY AUTOS ONLY (' _ _ _. f UMBRELLA LIAB X 38178877 11/1512021 1111112024 EACH OCCURRENCE $ 10,000,000 OCCUR EXCESS LIAB Oy ApkpS, �WgADE .... ...... AGGREGATE ....... .... $ 10 000 000 '�•, - �• EO ON, $ OM NSAT ON• WORKERS COMPENSATION" OT PER' N�d S F/ATU7L. ER ,,, MPLOYERS' LIABILITY AND EMPLOYERS'LIABILITY ANYFROPRIETOR/PARTNER/EXECUTIVE �' OFFICER/MEMBEREXCLUDED?N .---, E L EACH ACCIDENT $ __ _ (Maadatpryl in NH) aloryii NH) .NIA E.L. DISEASE EA EMPLOYEE - - ---... $ _,_ ...._ . if r � E.L. DISEASE -POLICY LIMIT F $ 0 RiPTIDN OF OPERATIONS below I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo, its officials, and employees are included as additional insureds with respects to General Liability where required by the written contract. General Liability and Automobile Liability are primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by the written contract. General Liability and Automobile Liability include a waiver of subrogation in favor of the additional insureds where required by written contract. V Gn IIrIVAIG rRVW.w.AJ 4A'f �• ^.•.•--.-."""''.'.. '-.'.' The City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segundo, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE W IV00-4V I M11v1w A✓vnrvnMllvl�. nu AIyIIA.� ....-.... ...... ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ate Number: Valid as of: AON CERTIFICATE OF INSURANCE November 15, 2023 CC-933-The City of El Segundo --.__,-...L......_.._..�....... TTHIS .�.,,....._ .... .,. ..............._ PRODUCER Aon Risk Services Northeast, Inc. ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND One Liberty Plaza, 165 Broadway Suite 3201 RS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE New New York, New York POLICIES BELOW. ....................... ....... .�__.. PHONE: 212-441-1000 FAX: 212441-1953 INSURERS AFFORDING COVERAGE INSURED Anser Advisory Management, LLC _ _ INSURER A AIGSpecialty, Insurance Company 2677 North Main St INSURER B Suite 400 Santa Ana CA 92705 INSURER C ............. ......... _...... INSURER D COVERAGES This cerfiffcate supersedes and replaces any previously, Issued certificate. 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY POLICY INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS LTR MM\DD\YY MM\DD\YY _..m .......... .____._.... GENERAL LIABILITY ................................. EACH OCCURRENCE $ ❑ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ ❑ CLAIMS MADE ❑ OCCUR MED EXP (Any one person) $ ❑ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENERAL AGGREGATE LIMIT APPLIES PER: PRODUCTS — COMP/OP AGG $ ❑ POLICY ❑ PROJECT ❑ LOCATION AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ (Ea Accident) ❑ ANY AUTO ❑ ALL OWNED AUTOS BODILY INJURY $ (Per person) ❑ SCHEDULED AUTOS ❑ HIRED AUTOS BODILY INJURY $ (Per accident) ''.. ❑ NON -OWNED AUTOS ❑ PROPERTY DAMAGE $ ................... (Per Accident) _._._._. . _..... GARAGE LIABILITY .... ... AUTO ONLY, EA ACCIDENT $ ,.,......�.. ❑ ANY AUTO OTHER THAN AU TO ONLY: .................._ ........................ ...._.. ❑ ❑ EA ACCIDENT $ ........................ ❑ AGGREGATE $ ................... ..__._._,..,... .... EXCESS LIABILITY ... . ..... ............... ........ . EA OCCURRENCE $ ..... ❑ OCCURRENCE ❑ CLAIMS MADE AGGREGATE $ ..................... _....._ ❑ DEDUCTIBLE $ ❑ RETENTION $ WC WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ❑ Statutory ❑ Other $ Limits EL EACH ACCIDENT $ EL DISEASE -POLICY LIMIT $ EL DISEASE -EACH EMPLOYEE $ OTHER rA.7g..7.2123 A PROFESSIONAL INDEMNITY ® CLAIMS MADE 01-011-35-32 June 1„ 2024 LIMIT: US$2,000,000 each claim and in the aggregate ......... ..- ..................... .m .................. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Coverage includes cyber liability. CERTIFICATE HOLDER CANCELLATION �.� ...� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE '.. The City of El Segundo WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo CA 90245 AUTHORIZED REPRESENTATIVE '409 ,fed s zai, %KC. ANSERAD-01 _,_,_,mmC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/5/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ........ _ _...._............_..... IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER I NAMR:.. ,__. Ames /& Gough PHONE HON �„ (703 827 2277 FAX ,l Nil 703) 827 2279 8300 Greensboro Drive MAIL admin( ames"q,9 COm Suite 980 , 40R S$ McLean, VA 22102 M§yRERA American CasuaIt Cc of Readin )_------- ",1�i�' 9'�.PA r � ..t ii4 , Anser Advisory 2S INSURED 677 North Ma Streeiement, LLC �IlasuR�R�_ C�of1,d,'ITienta,l (ntlrarice-Company A[�."�") 3 — Suite 400 J INsuRR D Santa Ana, CA 92705 __ .... INSURER F COVERAGES IS TO CERTIFICATE OF INSURANCE BELOW ANY CONTRACT THE OTHER DOCUMENT WITH FOR THE TO TIFICATE NUMBER, REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIESPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CO CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, INS EXCLUSIONS TYPE OF INSURANCE (kDDL VD 4 H OLIC NUMBERvE POLICY "F Ply) Dl4�LIC IM 1., _..... BEEN {REDUCED D CONDITIONS OF SUCH POLICIES. LIMITS S ...._. 'EF � POLICY EXP LIMITS m ..........__....,.._.. I �, II � .._ — d1 0 I....._....�. . _ ... COMMERCIAL GENERAL LIABILITY I EAC% OCCURRENCE' CLAIMS -MADE 0 OCCUR DAMAGE TO RENTED .I�F�Ft+Wllm'� iF� ��r.Ilrruc�3 � Map W_(An crnp py.T. 7'..... mm ... G_ PGFIERNSEORANALC&t GARDVE I„ )TLL6wV $ GEN'L AGEGATE LIMIT APALIES PER. $ _, PRO - POLICY .. JECT LOC PRODNPC'VS fOMPOPAOC OTHER _... ............. UMt � AUTOMOBILE LIABILITY ,(Ise s?I"4�I'.OI$ '$ ANY AUTOmm I— IfIIY EN➢,UR IP�.P. m . ,).. $ COMBINED SINGLE ers a FOWNED SCHEDULED AUTOS ONLY ----_I, AUTOS , F3OD8LM N�N,JL7RY' (Padt_�a`�i,R9�.cuq'�)_..._E... ........... .. .,, HIRED PERTY CJAMAGF $ NON-IWNEI) Pcr trecxlarik AUTOS ONLY AUTOS ONLY �....__ UMBRELLA LIAB OCCUR -_._ ............ EXCESS LIAR CLAIMS -MADE A,GFECp..TE .,,„„„,,..„........ _ -------- _...... . A WORKERS COMP PER AORKERSOYERSRSATIOON$ ._-....... .._._...m. ......._ ..-.._. R�..,L. ...._ ----------_._ ND _... 7011411372 1 /17/2024 1 /17/2025 COMPENSATION X LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y IN'j E I E..ACII Ati"Q;IDENT 1 5 1"�a� FPICER/MEMBER EXCLUDED? N I'. NIA` 1,OOC,1 064 �..... r. (Ndatory in NH) N L_I3IEAS,L EA EMPLOYEE F�, .E '� ,� .pg��WW0000S IPONO under h�ow 1,000,000B CA Workers Com 1EL 43111712024 111712025EL Per Acc,EE„ Pol ......., mmDESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Addllional Remarks Schedule, may be attached if more space is required) Workers Compensation Policy 701.1411372 Applies in All Other States except CA Workers Compensation Policy 7011411386 Applies in CA A Waiver of Subrogation Applies to the Workers' Compensation policy in favor of the certificate holder and any other party where allowed by state law and when required by written contract. RE: ENG 23-29 Inspection of PW 23-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Department 350 Main Street _. ....... _......' ._......... _ El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE q�� .......W. ..... ............... ._...... ......_ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Workers Compensation And Employers Liability InsuranceEn,---I,o-senjent CpwV,VApofic-v H11 This endorsement changes the policy to which it is attached. It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: G-19160-B (11-1997) Endorsement Effective Date: Endorsement Expiration Date: Endorsement No: 3; Page: 1 of 1 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy No: WC 7 11411386 Policy Effective Date: 01/17/2024 Policy Page: 34 of 49 ° Copyright CNA All Rights Reserved.