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PROOF OF INSURANCE (2025)ACAL>R CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/4/2024 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, thepolicy(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 tights to the certificate holder In lieu of such endorsement(s), PRODUCER Arthur J. Gallagher Risk Management Services, LLC 8251 Greensboro Drive, Suite 330 Mc Lean VA 22102 A : INSURED Center for Public Safety Excellence Inc 1900 Reston Metro Plaza Suite 600 Reston VA 20190 COVERAGES CERTIFICATE NUMBER, 65017974 REVISION NUMBER: 'THIS IS TO CERTIFY "THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE" INSURED NAMED ABOVE FOR THE POLICY PEMOD IINDiCA"TED, NOTWITHSTANDING ANY REQUIMEMENT, TERM' Oil CONDITION OF ANY CONTRACT OR CITHERDOCUMENI WITH RESPECTTO WINCH TOTS CEPTIFICATE MAY BE ISSUED OR MAY PEBT04,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERBIN IS SUBJECT TO ALL. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. fh�k A66L WSW POLICY- kFF- P6,6cy-t OF LTR TYPE INSURANCE JN52 EOLICY NUMBER sMf 0 14yy' MMIDDlyYyy) LIMITS A COMMERCIAL GENERAL LIABILITY CLUVAD521824633N V112024 11112025 $1,000,000 X., [k_�OCCUR 'O1NM0;rf0_Pw9N1rt S 1,000,000 CLAIMS -MADE . . . ..... ....... .. ..... . ..... _ME0,EXP ITp. PERSONAL & AD INdUFIY 1 0010,000 . . .. . ........ GEN'L AG :GREGATE LJMfT APPLIES PER: GFNE ALAG GFIFGATE 5 2,000,0010 POLICY PP&)- JLCT LOC P`AODUCTS�COMPIOPAGG $2,000,000 OTHES� $ 9 88243 1/1/2024 8 AUTOMOBILE LIABILITY 94 1/11/2025 — — — $1,000,000 t,eARogeatll ­_ ­..___1__'__1 __ . ....... . ...... ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS IHqAFD NON OWNED BODILY INJURY (Per accident} $ AUTOS ONLY AUTOS ONLY —A OCC UMBVADS21825,053N 1/1/2024 111/2025 A X UMBRELLALI OCCUR EA H OCCLIRFEttCE $1,000,000 c ............. EXCESS LIAR -CED ­11 AGGRESATE . . ..... . . ....... RETENTION'S B WORKERS COMPENSATION 99488243 1/1/2024 7/1/2025 x I oT11- P­'��11­1­111 AND EMPLOYERS'LIABILITY Y) NJIPR��A . . . .......... . .. ...... A,POYPrIOPfIlE�TOR/PArziTNE��-118XEC,'VI'WE OF N/Ai E�.�.'EACJ­i A(,CIDENT' $1,000,000 ". ­­­­­ " _'"i Qftftdawly in 14141 EA. MISPEASE, - EA r-htPLOYEF S 1 �000,000 Ef describe undef . . . ......... . EJ DISEASE, P0LiCY'JWT S`1�00D=0 C Professional UaMity MPL435507424 11112024 1/112025 firniB $1,000,000 Emus & OnfiWons OESCAWTV00 OF OPEqA`T1ONS I LOCATIONS VEHICLES (ACCRO 101, Addftlanol Remarks Schodufs, may be attached if snore space is required) City of El Segundo is an additional Insured tinder the General liabMty, Auto liability and Umbrella liability. Waiver of Subrogation applies In favor of Additional insured whh respect to Workers Compensation. 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, 35� Main Street Et Segundo CA'90245 AUTHORIZED REPRESCUTATIVE USA 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD =1'IM41202'4 YYY) . CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED A A MATTE , OP INFORMATION ONLY AND CONFERS NO NIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOE'S NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND FOR ALTER[ THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A, CONTRACT BETWEEN THE ISSUING INSUBER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, tare policy(les)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(e),. PRODUCER NA T Art 'ar J. Gallagher Risk Management Services" LLC PHONE �� FAX" 8251 Greensboro Drive, Suite 330 t�, ��,..���). , _ ��� 577�... ti m.. ,. .,. ..._,_ .�CIVp�..NPL70 4 � 1959 . � MAIL _ Mc Lean VA 22102saIlss .._....... ..... , ... e ..._µ_ _.n . ... ..,Northwestern�.. �rs�Da�all A�Far�olr�� coveRaGE mNx�oc � .��.�.. � yC93313 Icenter for Public SafetyPiDesA .lii aNsruR R B re Northern Insurarlc9 Comps 20303 A tlNsORErsA Pecilo Nrldr�tnrtlt Ca Excellence Inc ' 4900 Reston Metro Plaza c Underv/nlers at Lloyds , Londo(I _ o Su its 600 Reston VA 20190 INsURE%E INSURER F s. COVERAGES CERTIFICATE NUMBER. 1087483491' REVISION NUMBER* THIS IS TO CERTIFY 'MA' TTP•IE POLICIES OF MSURANCE 'LISTED SFLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED„ NOTWI'TI-ISTANDING ANY REQUIREMENT„ TERM OR CONDITION OF ANY CONTRACT' OR OTHER DIDCOMEN'T WITH RESPECT' TO WI-RCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TIME INSURANCE ' AFrORDED BY THE POLICIES DESCRIBED HEREIN' IS SUBJECT TO, ALL. THE "TERMS, EXCLUSIONS AND CONDITIONS OF S'UGH POLICIES, LIMITS SHOWN' MAY HAVE BEEN 4AEDUCEL BY FIND CLAIMS. TYPE OF INSURANCE .. ADI'fL S"UDlT . . ,, ...,,,. POI.BOYeNUMBEB m, - e I YYYE'f 10600 EIw ' ..... ....� .. ....._ ... _.., .. . ,. ,......_, ,.w.. ~ Yy Y LIMITS A COMMERCIAL LIABILITY CLUVAD521824633N 1/1/2024 _GENERAL 1/112025 ( m � EACH CD°"Citri'RF1w1CF ,� 1,000,000 CLAIMS-MADEOCCUR I� XX pF4 4t5SFga.tryy) ., M. _., FO EXP (A6y one�aer'r,�. $ III 000 -,.. RSOh@,.. .... 51000099. .. ePF'AN.&AO�IMJ9JR,r. _.... _.. qL*N'L APPLIES LOC PRODUCTS . ... PV AGG ? PER: GENERAL AGGREGATE c 2,000000 El POLICY l,.#FOT.. OM OY _ . µ000 000 Grit 6Era, $ W ANY AUTO BODILY NJtURYE(Pe person) $ 000 000 TOMOBILE LIABILITY 99488243 1/112024 1/1/2025 $1 B AU ry ., OWNED SCHEDULED I{ .., . BODILY INJURY (Per acoident) $ HIRED X NON -OWNED PROP AfY t' w'arw9Ara4 $ AUTOS ONLY AUTOS ONLY ( ! aP cdltan$ . $, A X UMSRELLALIAB X OCCUR UMBVADS21825053N 1/1/2024 1/1/2025 E,AGtl�OCCCbRnSNOE S1,Qro0.D0o' EXCESS LIAR Gt.A94S10ACrE. A ..REPxAr6^........ ._ .. ... _.. DED d RETEN'TBONS B WOPIKER SCOMPENSATION IAND EMPLOYERS LIABILI TY EL.,µ1,I,tiYE N/A 99488243 1/1/2024 1!1/2025 XE,,,,. TAjUTE, ERH AN'YPROPOW—TOPMARTNEr E'X C YIN L EACH ACCIDENT $1 000 000 OFFICCRIMEMMERFXr„s ta1DF,0„a .. ......... .. TMandwory In NH) EL. OI OF 4IeDaRurldee R,ATkCt1�'tatiPcnu E.L. CtlSEASE.p08h�FLL iL FcS1,0 000 C Professional L4NIity MPL435507424 111/2024 1/1/2025 61m&p $1,000,000 Eo-�n's & Omiad> OESCSIPIVON O'F OPE'RAI4ONSI LOCATIONS I VEHICLES (AC'ORD 101, Addill000l Rtmmarks; Schedutla, maybe attached it more space is required) City of El Segundo, it officials and employees are additional insttred under the general liability on a primary basis as their interest may appear.; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Et Segundo ACCORDANCE WITH THE POLICY PROVISION , 314 Main Street El Segundo CA 90245 AUTHORIZED REPRESENTATIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) 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. We will 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. Schedule AS REQUIRED PER WRITTEN CONTRACT This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 0 1 - 0 1 - 2 4 Policy No. 7176-58-62 Endorsement No. Insured CPSE , INC Premium $ Incl . Insurance Company: Federal Insurance Company Countersigned By WC000313 (Ed. 4-84) ® 1983 National Council on compensation Insurance. Insured Copy