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PROOF OF INSURANCE (2024 - 2024) CLOSEDMILLE-9 ACOROx CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1166� 1 03/0112024 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 760.471-7116 h MTEA T Michelle Nowell Alliance Mgt. & Insurance Sery PHONIC 760471 7116 FAX 760-471 9370 355 Via Vera Cruz #7 A1C neo..Ex1) I....... -.-I'll, ..........�__ (AXC Na) CA A ent/Broker Lic 0737966 E MAIL mnowell6'arriitsdorp.Cam A San Marcos, CA 92078 AODRss Michelle A. Nowell ')NsURER)S)AFwy?R�rnNa,cO.,SPfe Starm.m , 4477 'a�cm�crco n . Stone SDeCialtV' Ins Como 6 Associates Inc INSURER E: c10a1101n Lea ■NIi ieaMCIM 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS .M.. IN' �ADDL POLICY NUMBER TYPE OF INSURANCE SUBR POLICY EFF POLICYEXP LIMITS 1.18 A X COMMERCIAL GENERAL LIABILITY � 1000,000 EACH OCCURRENC CLAIMS -MADE OCCUR �( WSGP000122 10113/2023' 10/13/2024 DAMAGE TO RENTED 100,000 $,, P�EMISEF (Ea gS,�yrrerj,��) , m„ SIOn Errors & Omission X s Q " ME EXP (Any one p. rs n)m ..A� .. M, ... µ ._ ..... .. ,..„ ......... .., 1.. Ot)0,000 PERSONAL 8 ADV INJURY .6 " 5,000,000 GEWL AGGR'EY,",ATE LIMIT APPLIES PER: GENERAL,AGGREGATE $ _ X POLICY'.. ?(. jppLOC Eb PRODUCTS - COMP/OPAGG" .... 1,000,000:.. O�tMzBD SINGLELIMY 1,000,000 A AUTOMOBILE LIABILITY 7 S _ Z ANY nuro WSGP000122 10/13/2023' 10/13/2024, BODILY _ ' OWNED ` SCHEDULED ONLY AUTOS BODILY INJURY (Per accident) PROr"EfrtTY DAMAGE....... _ ! HIJR DS X NO' O` ' 9 AUTOS ONLY AU" le', sll c f ¢rpp $ .... .,..,. „UMBRELLA LIAB OCCUR 3 I EACH pCGLIRRENCE .. .,..,., EXCESS LIAB 1 CLAIMS -MADE .... GGRIMATE �...-._._.-._ ....................... DED i RETENTION $ $ WORKERS COMPENSATION '. PER ER _ ... AND EMPLOYERS LIABILITY Y d N _OTH .�.,......, . ' ANY PROPRIETOR/PARTNER/EXECUTIVE I A I F L EACH ACCIDENT S .,,,,., .,,, ,,,,,,, ®.......... l ,aFn"E"MF'MBER EXCLUDED? IN andatory In NH) G-F.L DISEASE - EA EMPLOYEE,, $ I, If yes, describe under DES .RIPTION OF OPERATIONS below L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El aelundo, its directors, officers, employees, and agents, are named as an additional insured With respects to the Work performed by the named insured. Investigation, CA -- 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 Human Resource Manager 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 (L 1,pw_ r1 !T /1 ACORD 25 (2016/03) © 1988-2015 ACUKU CUKPUKA I IUN. Au rlgnts reservea. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: WSGP000122 COMMERCIAL GENERAL LIABILITY CIGL 79 03 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR. ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Blanket as required by valid written contract. Blanket as required by valid written contract. Additional Information: 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 or organization shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your operations for the additional insured at the location shown in the Schedule. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; b. If coverage provided to the additional insured is required by a contract or agreement, the insurance CIGL 79 03 18 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 2 afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured; and c. Regardless of the date of occurrence or when the injury or damage first occurs or is first discovered, a person's or organization's status as an additional insured under this endorsement ends upon the earliest of: (1) The completion or termination of the contract or agreement between you and the additional insured for the location shown in the Schedule; (2) The date you cease actively performing operations for the additional insured at the location shown in the Schedule; or (3) The expiration or termination date of the policy or this endorsement. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to liability or damages for "bodily injury", "property damage", or "personal and advertising injury": 1. Caused by, arising from, or included in the "products -completed operations hazard"; 2. Arising out of the additional insured's sole negligence; 3. Arising out of work or operations performed by you that were completed prior to the effective date of this endorsement; or 4. Which continues or progressively deteriorates after you cease actively performing operations for the additional insured at the location shown in the Schedule, even if the injury or damage first occurred, or is alleged to have first occurred, during the course of your operations for the additional injured. C. Solely for purposes of this endorsement, the following definition is deleted in its entirety and replaced by the following: 1. ""Products -completed operations hazard": a. Includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising out of "your product" or "your work" except: (1) Products that are still in your physical possession; or (2) Work that has not yet been completed or abandoned. However, "your work" will be deemed completed at the earliest of the following times: (a) When all of the work called for in your contract has been completed; (b) When all of the work to be done at the location shown in the Schedule has been completed if your contract calls for work at more than one location; or (c) When that part of the work done at the location shown in the Schedule has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. D. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CIGL 79 03 18 Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DAT/04/2DIYYYY, O5/04/2023 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 polic,y(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 endorsernent(s). PRODUCER... NAME: Automatic .......... "......sing InsuranceAgency,Inc........................... Automatic Data ProcessingInsurance Agency, Inc. c CONTACT 1 8 atic Data Process (AIC No) PHONE 024 cAlc, f�Q, EXfI 00 524-7.. ........ .......... -...� 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. ........_ --- �..�.. .__......... A$I$iiC I7SftI ........... m .......... ..................... POLICY E { .................. INS .... �,.a. INSURANCE IN WVD POLICY NUMBER MMdDDiY ..fir E .J...... LIMITS TYPE OF IN"" v Y"A"'1' MMdD�O�Y r COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR I PREFuUSFS. a' 'ua n.") $ m �,..,.. (Any one person) $ ........... ...__ , .... ....., .,............--, ....... PERSO'1111NAL. _......-... & ADV INJURY ........$ P_ .... " GENLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE$ ._ PRO_ POLICY PR'JEO_ LOC RODUCTS,,,,-COMP/OP AGG $ ,,, P .. I� $ OTHER, ... O6'dBiNLD SIN I.]]] T ABILITY AUTOMOBILE$ � .'IE� �w»¢N ............ .... ... .. ANY AUTO JI�� INJURY (Per person) BODILY IN $ ...... ... ..�... .... p ��� ...W'."._. OWNED SCHEDULED .... ..._ BODILY INJURY (Per accident) $ �.. HIRED NON -OWNED .." AUTOS ONLY AUTOS ONLY .Peran~r�d'tsn9A"kAM,I'l4'...�� 1-° $... ....w " UMBRELLA LIAB OCCUR - �� EACH OCCURRENCE R-- -- $ ... ,( EXCESS LIAB CLAIMS -MADE AGGREGATE $ - _ " DED RETE.NT'CON$ WORKERS COMPENSATION PER OTH. STATU TE ER AND EMPLOYERS LIABILITY YIN ACCIDENT _ $ 00. OOO 1 ANY PROPMETORMAR'TNEWE E'CUTIVE A Y orFlc�rIMEnBrR FXCLtIDEC NIA N 9294695-2023 03/18/2023 03/18/2024 - - E.L. DISEASE EA E.M.P'd�.CiYF ........ .....w„„ $ 1,000,000 (Mandatory In NH) _ ,......� mm.......... ...1,000,000 It n,%, de%c ibe fonder MSCRIP71ON OF OPERATIONS beIow 7 E-POLICY LIMIT E L DISEASE $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURED COPY AUTHORIZED REPRESENTATIVE .---•---- ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD