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PROOF OF INSURANCE (2023 - 2024)A CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 Bolton Insurance Services LLC PHONE "" .. — rA 3475 E. Foothill Blvd., Suite 100 c.N_IXt) (szs) ass 7000 �, No),)583-2117 Pasadena, CA 91107 EMAIL r www.boltonco.com 6004772 INSURERA: TOkio ....._,_ __ ... _...... .....�.�.�.... .. ......... ..---- ........ INSUREDIN SURERS: -_ ---- : Bend Intelligent Fire Systems Solutions, Inc. 28338 Constellation Rd.„ Unit 910 uvsuRERc,;,,,, Valencia CA 91355 INSURERD...:............ ,, ­­^ATC R.mrrRAMr—tS, RPVLCInkl 1dIIMR11=R- 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. ............°.. ASP �POLICYYPE 1INS $tilk R EFF POLICY EXP 4 LIMITS V OF INSURANCE MMlDDiY Tw D POLICY NUMBER MM/DD p A „/ COMMERCIAL GENERAL LIABILITY ✓ PPK2623660 11/5/2023 11/5/2024 EACH OCCURRENCE $1 000 000 _ CLAIMS -MADE I--] OCCUR i ,,I�'REA±193ES f,;EA ra+cG�urrnp,rdet $,1,00,000 .. .... - ..° — . ✓ Errors & Omissions ........... MED EXP (Any one pe son) $ S,OQO ......... PERSONAL & ADV INJURY $ 1,000,000 I GEN L A.GGR GATE LIMIT APPLhES PER ... ... ---- Es PER: _.--� . _ _ _ 00,000 _GENERAL AGGREGATE $ 2,0� - ----- _ ✓ POLICY 1 � PRG Loc .. JECT PRODUCTS - COMPIOP 000 000 ....�._.. ...., —.. ✓ O'I'NER: Deductible: $500 $ ' COMEMNFD 51NOLF LRM11 AUTOMOBILE LIABILITY _(Ea agJdenl).,. ...... ANY AUTO f BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ ._ .... AUTOS ONLY l AUTOS HIRED NON -OWNED - }�fi�OrMERTY DAMAGE ••• $ AUTOS ONLY 1 AUTOS ONLY -1- ••••• �, A UMBRELLALIAB V OCCUR PUB889170 11/5/2023 11/5/2024 EACH OCCURRENCE $5,,000,000 _ EXCESS LI�jAB CLAIMS -MADE AGGREGATE '__AG ........ j............. F DED ✓ I. RETENTION$10,000 $ B WORKERS COMPENSATION MST5001144 5/22/2023 5/22/2024 PER OTH ✓_ 4 STATUTE 1 FR AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE Y / N E.L EACH ACCIDENT $ 1 000,000 ° OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA — ""'OYE - EL, DISEASE - EA EMPLE If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS ILOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) GL Additional Insured applies per CG20101185 attached, only if required by written contract/agreement. Additional Insured(s): City of El Segundo Public Wort(s Department. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cltx of El Segundo Public Works Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3iI Mein Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE Vanessa Ramos ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD TP3-M79 1 INTETTR 01. 1 23--24 GLry UMB, G WC I Sol Lan Cc.. Llfta e R'roce:ssirig 1 /27/2023 1:06§ 22 PM QEST) I Page 1 u1' 2 799114T-N..f This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name and Address of Person or Organization: Any Person or Organization Subject to Section II (Who is an Insured) As required by written contract or agreement prior to loss. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) IMESEHM WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CG 2010 11/85 All other terms and conditions of this Policy remain unchanged. Page I of I 77333979 1 INTEFIR -01 1 23 -24 GL, UMD, & WC I Bolton Ceftdfic—e Processing 1 1.1-/27/2023 1::08:22 PM (PST) I Page 2 of 2 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2.0 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Any person or organization as required by 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 Date: 5/22/2023 Policy No. MST5001144 Endorsement No. Policy Effective Dates: 5/22/2023 Insured: Intelligent Fire Systems & Solutions, Inc. Carrier Name / Code: Benchmark Insurance Company B WC 04 03 06 (Ed. 4-84) Countersigned by Premium $ '79539159 1 SNT@IC"IR 01 1 22-2.:3 GL & UTAE3, 23-21 WC I 's.r. TI.—I.l. 1 5/21/2023 1..2:1..2r31 PM dPST) I N+ag. 3 vL 3 Page 1 of 1 ,-­� DATE (MMIDD/YYYY) .fir "+C OR0 CERTIFICATE OF LIABILITY INSURANCE 04/03/2023 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). PROm" m Rf TIA F�tJD: ARI SHIMA ONE 6612601FA­661 260 2787DARIN TSUKASHIMA STATE FARM INSURANCE MAIL DARIN@DARINTSUKASHIMA COM ADDRAn:.," ... ......... .. 26650 THE OLD ROAD SUITE 205 INSUREjI§JAFFORDING COVERAGE NAicn. _ VALENCIA CA 91381 _ _ INSURER A. State Farm General Insurance Company { 25151 INSURED iusiwao w INTELLIGENT FIRE SYSTEMS & SOLUTIONS, INC 28338 CONSTELLATION ROAD UNIT 910 VALENCIA CA 91355 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. ,., .........,... �....,..- ......m ._ TYPE OF INSURANCE .. Ada ., POLICY INTR I_,_. ....— ....... _ �AOt1L SUB i Y NUMBER ......... M1M/Dg EFF POLICY EXP LIMITS iNqn COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ "....... _, ...DAMAGE i`i;S tiENftb $ __ CLAI CLAIMS OCCUR .. C P rr,n _ .. ........ �.-M D EIXP�(Any prep arson P �.. $ NN .. ... PERSONA L 8 ADV I„ r $ �.. TT _ GEN L AGGREGATE LIMIT APPLIES,R PER: ATE GENERAL AGGREGATE $ _ , r I LOC, Im,PRODUCTS -COMP/OP AGG OOFHEAEJECT CC AUTOMOBILE LIABILITY Y Y OOMWNEO SINGLE LIMIT $ 1 000,000 ANY AUTO 687 0181-F20-75 12/20/2022 12/20/2023 BODILY INJURY (Per per) ... son $ — ....•• .. A AUTOS ONLY K], SCHEDULED I AUTOS BODILY INJURY (Per accident) $ „ " HIRED NON -OWNED 722 2729-F20-75A 12/20/2022 12/20/2023 .. ""'pROPBR r�r "' DAMAGE .. $ AUTOS ONLY „ I AUTOS ONLY a„pG ilp .......... ... .... . F $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE i AGGREGATE ,$ DED d RETENTION $OT $ WORKERS COMPENSATION PTATUTE EERH AND EMPLOYERS' LIABILITY Y/ _ E , ACH ACCIDENT $ OFFICER/MEMBER EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVEANY N/A''..... (Mandatory in NH) ELL. DISEASE EA EMPLOYEE" $ If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED City of El Segundo 350 Main Street El Segundo, CA 90245 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 Completed by an authorized State Farm representative. If signature is required, please contact a State Farm agent. @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.13 04-22-2020