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PROOF OF INSURANCE (2024 - 2025)DATE (MMIDDIYYYYI AC(IV CERTIFICATE OF LIABILITY INSURANCE 01/18/2024 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 terns 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 Auto Insurance Specialists NAME:a Moreno 7�- . PHONE ... ,,�A. PO BOX 10160 PHONE T Nicol866-570-7335 IA,C No ; 800.498-3293 Santa Ana CA 92711-0730 n ; . commercialCoaisinsurance.com INSURED General Lighting and Electrical Services, Inc. 11823 Slauson Ave Unit 12 Santa Fe Springs CA 90670 INSURER B : F: US SlDeOaltv Insurance rnveeer_ee f-CRTIOU ATM KIIIMROR- REVISION NUMBER: NAI _.C # 29599 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. IN$R ,,,,,,,,,,,,,, .. ........ ..... ,D,OL7S BI ,,,,,,,,, ......... ......... ...,166CY III P POLICY EXP.LIMITS LTR TYPE OF INSURANCE M POLICY NUMBER MMiDD�'Yri I MMr , IYXYY ......... ,,.,... , ✓ COMMERCIAL GENERAL LIABILITY ✓ ✓ EACH OCCURRENCE $ 1,000,000 _, , .., , A CLAIMS MADE ✓ OCCUR U24AC132227-03 01/15/2024 01/15/2025 D. AGE 77, REN ED PREMi F ' ,cea rr, r y $ 100,000 i MED EXP (Aov one person) $ 5,000 Er PERSONAL_&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER . GENERAL AGGREGATE $ 2,000 OOO n PRO POLICY ( - r JECT LOC RDTHER e,,,..,, PRODUCTS - COMP/OP AGG ®,® ,,,,,,e $ 2,000r000 e. $ AUTOMOBILE LIABILITY i a I,. GE 6 �.. y � $ ANY AUTO BODILY INJURY Per person) $ OWNED SCHEDULEDB LI BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED . PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY par ?criPpl,). _$ UMBRELLA LIAR ✓ OCCUR Li Li EACH OCCURRENCE s 2,000,000 A EXCESS uae CLAIMSAIADE m� U24AC132227-03 01H5/2024 01/15/2025 AGGREGATE S 2,000,000 DED RETENTION 5 S WORKERS COMPENSATION Ui STATUTE AND EMPLOYERS' LIABILITY YEN ,ER .,, „, ANYPROPRIETORIPARTNERIEYECUTIVE EL EACH ACCIDENT_ $ OFFICERIMEMBEREXCLUDED? NIA (Mandatory in NH) E L DISEASE - EA EMPLOYEE m $ If yyes des .ribs¢ under DESCRPT4ON OF OPERATIONS below I E L DISEASE POLICY LIMIT $ EQ { DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space is required) Re: Ongoing Projects Whereby required by contract, the City of El Segundo, its Officials and Employees are included as Additional Insured on the General Liability & Auto Liability policies, per attached forms CG 20 10 0704. Waiver of Subrogation apply to General Liability. Excess Liability follows Form. City of El Segundo Its Officials and Employees 350 Main St. El Segundo, Ca 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (U 1988-2U15 ACORD CORPORATION. All rlgnts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: U24AC132227-03 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OIL CONTRACTORS ACTOF S - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s): Operations Any person or organization, when you and such parties have agreed in writing in a contract or agreement pertaining to "your work" performed during the policy period. This additional insured coverage does not apply to "excluded residential construction". "Excluded residential construction" means: a) the ground -up construction of any building whose units will be individually owned and titled; and, b) "your work" performed on the conversion of any building into a condominium or townhome. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 C1 POLICY NUMBER: U24AC132227-03 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS ACTOF S - SCHEDULED PERSON OIL ORGANIZATION This endorsement modifies insurance provided under the following:. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Orqanization(s): Location(s) Of Covered Operations Any person or organization for whom you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. 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", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 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. 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: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 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. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: U24AC132227-03 COMMERCIAL GENERAL LIABILITY HCS 040 06 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • • - • �' "" •• • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. PRIMARY AND NON-CONTRIBUTORY TO OTHERINSURANCE With respect to any person or organization that is an additional insured under this Coverage Part, the following is added to paragraph 4. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If you have agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary and we will not seek contribution from that other insurance. For the purpose of this endorsement, the additional insured's own insurance means insurance on which the additional insured is a Named Insured. When this endorsement is attached to the policy it supersedes all other insurance conditions within. HCS 040 06 10 13 B. WAIVER OF SUBROGATION — BLANKET Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" included in the "products - completed operations hazard". However, this waiver applies only when you have agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or agreement: a. Is in effect or becomes effective during the term of this policy; and b. Was executed prior to loss. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 POLICY NUMBER: U24AC132227-03 COMMERCIAL GENERAL LIABILITY HCS 040 02 11 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL AGGREGATE LIMIT PER 'PROJECT WITH AN OVERALL GENERAL. AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): All Projects Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by more damages or under Coverage C for medical than one 'occurrence" under Section I — expenses shall reduce the Designated Coverage A, and for all medical expenses Construction Project General Aggregate caused by accidents under Section I — Limit for that designated construction Coverage C, which can be attributed only to project. Such payments shall not reduce the ongoing operations at a single designated General Aggregate Limit shown in the construction project shown in the Schedule Declarations nor shall they reduce any other above: Designated Construction Project General 1. A separate Designated Construction Project Aggregate Limit for any other designated General Aggregate Limit applies to each construction project shown in the Schedule designated construction project, and that above. limit is equal to the amount of the General 4. The limits shown in the Declarations for Aggregate Limit shown in the Declarations. Each Occurrence, Damage To Premises Subject to the application of the General Rented To You and Medical Expense Aggregate Limit to each of your projects, the continue to apply. However, instead of being maximum amount we will pay under the subject to the General Aggregate Limit General Aggregate Limit for all claims shown in the Declarations, such limits will arising from all projects is $10,000,000.00. be subject to the applicable Designated 2. The Designated Construction Project Construction Project General Aggregate General Aggregate Limit is the most we will Limit. pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". HCS 040 02 11 12 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 2 B. For all sums which the insured becomes legally C. obligated to pay as damages caused by an "occurrence" under Section I — Coverage A, and for all medical expenses caused by accidents under Section I — Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical D. expenses shall reduce the amount available under the General Aggregate Limit or the Products -completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section III — Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED HCS 040 02 11 12 Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 0 DATE (MMIDD/YYYY) `"'" CERTIFICATE OF LIABILITY INSURANCE '" 10/09/2023 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 Automatic Data Processing Insurance Agency, Inc. Agency, PHONE. Extt V — Automatic Data ProcessingInsurance A enc ,Inc. 1-800 524 7024 ..... .....--- 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. w .. ... - -- ....... AtirJL'ElBR ........ -- ....,.., ,. .........._ ... .. ......�.,m_ __ - ..........,. INSR II. ......... 1 .. ,.....( M/DoY "IMOLfCY EX' ............. LIMITS TYPE OF INSURANCE POLI-__.......- YY LTR 4 INSD CY NUMBER MMII)p/YYYY MMlomY'MYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE . $ --- �IA)w1ACFT(rl-fI IF __. ....., CLAIMS -MADE OCCUR .....----` PREM11SE, tya o�rcwarrncur,I .,.-._ .. I...� '... $ ,,,,, ....,...... ...... MED EXP (Any one person) $ ..... ... ... .......... ,----- . ..........r PERSONAL 8 ADV INJURY .� $ G..... EN ........ ------. . . .. PER: L AGGREGATE LIMIT APPLIES AGGREGATE _ GENERAL ._ _ „ $ .. ... ......„m, POLICY PRO LOC JE'IC'I, AG PRODUCTS- COMP/OP ..... G $.........- ....... ...,, .........., AUTOMOBILE LIABILITY N D NCwI. ` � Ea an�ndonl� $ ANY AUTO ODILY INJURY (Per person) B. .......... $ ...... ... .......... M OWNED SCHEDULED ..... _— BODILY INJURY (Per accident) $ 1 AUTOS ONLY AUTOS ...... HIRED .......... NON -OWNED f b'ROI�FIi`r'f 4iA:MAi ...__.- ..... $ ` AUTOS ONLY AUTOS ONLY _(Pv Agd!gn9..... Y UMBRELLA LIAB �. OCCUR ,EACH OCCURRENCE $ ......,. r EXCESS LIAB CLAIMS -MADE AGGREGA $ _ `RETENTION $ ...., $ WORKERS COMPENSATION STATTE ' �� UTE ER'_ ILITY Y/NA ,....... $ 000 000AND ANY PROPRIETOR/PARTNER/EXECUTIVE 'OFFICER/MEMBEREXCLUDED? Y N/A N 76WEGAA8PJT 10/19/2023 10/19/2024 FE 1-000,000 (Mandatory in NH) """".......EE'4EMPLOYE,E�$If DISEAs yes, describe under DESCRIPTION OFOPERATIONSbelow. DISEASE -POLICY LIMIT $ 1-000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Ongoing projects CERTIFICATE HOLDER CANCtLLA I IUN City of El Segundo Aft: Jorge Prado 350 Main Street ElSegundo ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CA 90245 1 i(_, �k ) . . ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD