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PROOF OF INSURANCE (2024 - 2025) CLOSED0 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 5/1 /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(iss) 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 AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt Diablo Blvd, #230 Lafayette CA 94549 INSURED Gale/Jordan Associates, Inc. 310-316-4377 3868 Carson Street, Suite 328 Torrance CA 90503-5613 GALEASS-01 INSURER C : INSURER D INSURER E t. Crum & Forster AFFORDING COVERAGE CAVFROrFS CERTIFICATE NUMBER:208576g277 REVISION NUMBER: NAIC # 44520 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.___ --.,. ..... _........... ... ....nm_ ,,.. _MM _..,.TYPE LIMITS ILTR I -- EFF � POLICY EXP LTR OF INSURANCE POLICY NUMBE R DDMMLDD A X COMMERCIAL C Y Y EPK143700 4I28I2023 4/28I2024 OCCURRENCE $ 10,000,000 0 X _EACH DA6uYAro`i'O�N�iS� .,,,, _ $ 1 0,000 CLAIMS -MADE OCCUR Contractual .. ,r n) ED EXP (Anyone person),- $ 5, 000 X XCU Included PERSONAL&ADVINJU $ 3 000 000 _ GEN L AGGREGATE LIMIT APPLIES S PER: ..... GENERAL AGGREGATE � $ 10 00,000 X.. POLICY T- LOC JE OT .I PRODUCTS - COMPIOP AGG $ 10,000,000 OTHER. $ A i AUTOMOBILE LIABILITY Y EPK143700 4/28/2023 4/28/2024 COMBINED SINGLE Lddw4� ....� (Ca a rJdenl , T $1,000 000 �...— „,...___. ANY AUTO BODILY INJURY (Per person) $ {_ :OWNED SCHEDULED a BODILY INJURY ( accident) Per $ X „ AUTOS ONLY 'AUTOS HIRED NON -OWNED X PROPE.... DAMAGE .......... .m $ — AUTOS ONLY AUTOS ONLY �tPorr a' e-I`° - _.... .. X NoOwned Auto UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE.. AGGREGATE..,... ........= ---_............................................_-. DED RETENTION $ $ WORKERS COMPENSATION PER OTH- STATUTE ER_ AND EMPLOYERS'LIABILITY Y/N L EACH ACCIDENT ..-...,.,..... .... $ ANYP OPRI TOR/PARTNE EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA "' E .-... (Mandatory m NH) -- ,.,.,,.,., .. OYES .. L DISEASE EA EMPL, e ....----.„ $ ...�. .__ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability & EPK143700 4/28/2023 4/28/2024 Per Claim/3,000,000 $3,000,000/agg Imt A Contractors Pollution Liab EPK143700 4/28/2023 4/28I2024 Per Claim/$3,000,000 $3,000,000/agg Imt Deductible 5,000 each claim" DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Auto Liability is follow -form to the General Liability. Insured owns no company vehicles; therefore, hired/non-owned auto is the maximum coverage that applies. "PL Deductible each claim: $5,000 & CP'L Deductible each pollution condillom $5,000 RE: All Operations — City of El Segundo, its officers, agents and employees are named as additional insured as respects general and auto liability as required per written contract or agreement. CERTIFICATE HOLDER will be sent to holder 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, Public Works Dept. 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Policy # EPK143700 CRU i &FORSTER° bil A l- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED MEN OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE me Of Additional Insured Person(s) or Organization(s) Blanket when specifically required in a written contract with the named insured. SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but only with respect to liability caused, in whole or in part, by `your work" for that insured which is performed by you or by those acting on your behalf. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0111-0211 Page 1 of 1 Policy # EPK143700 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization Blanket when specifically required in a written contract with the named insured A. SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but solely with respect to "claims" caused in whole or in part, by "your work" for that person or organization performed by you, or by those acting on your behalf. This insurance shall be primary and non-contributory, but only in the event of a named insured's sole negligence. B. We waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for "damages" arising out of "your work" performed under a designated project or contract with that person(s) or organization(s). C. This Endorsement does not reinstate or increase the Limits of Insurance applicable to any "claim" to which the coverage afforded by this Endorsement applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, EN0118-0211 Page 1 of 1 " � DATE (MMIDDMYY) a CERTIFICATE OF LIABILITY INSURANCE 02/01/2024 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 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 NAME; .._.......-.F..._ ..-...-...........�- .............. w..m EJMS Insurance Services PH04WE_ - PO Box 33289 Los Gatos„ CA 95031 INSURED gale/jordan associates 3585 W. Carson Street, Suite 200 Torrance, CA 90503 OVERAGE INS , , —1S/.AFFORDING C.......... G Chubb National Insurance Company e%^ IcInAnre 1`=DTICInATF kitINAM00- CPI>='Vl itnN NIIMRER-, NAIC f 10052 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 .. .......... ..e.-. .-............_...._ . _ .. W........ .. ...� .. MMA7D . MMIOO ILT R . ..... TYPE OF INSURANCE , ,..__- POLICY NUMBER POLIEY EFF moor yl .�.._...�..., ......... . _ ..,.., LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY CLAIMS -.MADE MED EXP (Any one Win) $ „^ IT PERSONAL 8 AD V INJURY 5 ATE GRODUOTSGCOMPlOP S GEN'L AGGREtxATlk LIMIT APPLIES PER: I AGG S P.... _.� m._,.., _.._...�.......,.m,-,__...... -,. PR0 I POLICY _ � LOC � $ AUTOMOBILE LIABILITY I IN IN LE LIMIT ANY AUTO BODILY INJURY (Per person) S ALL OWNED I SCHEDULED R BODILY INJURY (Per accident) S - AUTOS NAUTOS ON -OWNED S HIRED _..,. . AUTOS c dennl _ UMBRELLA LU1B OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE ._.. ........ .... AGGREGATE _..._._.e..,_..._...�.�,....m__...-.,.. S OE RETENTIONS $ A 25 7178-54-63 ( ) 2/01/2024 2/01/2025 ... .w. ,....... ..... AND EMPLOYERS'LIABILITY AND EMPS YERS' LSATIONILIT YIN ANY OFFICETS OPRIETE�EXCLUE RTNERIEXECUnVE Y N /A l EL. EACH ALCCIDENT � ... s 1 00000 _ 0 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE _ ..._ S 1 OOO,OOO . Ues. descrAba under SCRIPTIO-N OF OPERATIONS below E - POLICY LIMIT E L DISEASE S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Christopher K Gale - President: Excluded / Thomas A Jordan - Secretary / Treasurer: Excluded CERTIFICATE HOLDER City of El Segundo, Public Works Dept. 350 Main St. El Segundo, CA 90245-3813 CANCELLATION 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 Daniel J. Cloud N 01988-2010 ACOR ORPORATION.11l rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD