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PROOF OF INSURANCE (2024 - 2024) CLOSED�w WATERWOR-1 aQ1UTI01 f DATE (MMIDDIYYYY) ACORO" CERTIFICATE OF LIABILITY INSURANCE..... ......__ 1201202 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 9_ ......_..�..._. this certificate does not confer rl hts to the certificate holder in lieu of such endrsement(s).o PRODUCER t +I__ ,...__ " PMdA�TV FAX ....... NI�D� CT Whiteboard Risk &Insurance Solutions, LLC iAac No rxlt (88 223 1170 (av No ($ 223 1170 9655 Granite Ridge Dr., Suite 200 g E-MAH. San Diego, CA 92123 Ar RIE65sz _ --------------- ....... ---_...... __ , ... INSURED WaterWorkforce, Inc. 1618 Couples Court Upland, CA 91784 In 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. INSR�.._LTEL.... ................. TYPE OF INSURANCE DL SU . m..... _............... ..,.... . OGCURRF=NCE . S _ A X COMMERCIAL ,,.R ------------ — R POLICV POLICY EFF POLICY EXP NUMBER �� LIMITS ..m� �._ ,OOf� t100 RCIAL GENERAL LIABILITY " EACH CLAIMS -MADE (X.. OCCUR 91 MLN00790-231 8/19/2023 8/19/2024 DAMAGE TO RENTED 200,000 9?RI (F t onrtM5,10,000 .._ __. ... MED EXP Anyone person) $ 2,000,000 ..... ........ PERSONAL k INJURY w , ....., GEN L AGGREGATE LIMIT APPLIES PER: .,GENERAL AGGREGATE 54'000'000 r Jfl*GT ❑ ,,, ABUSES COMP/OP AGG „ $.....__4 000 000 XLoc RODUC .. OTHER, PR PB SIRE OR MOLMEIST 11,000,000 A AUTOMOBILE LIABILITY qa,, }'II �T-L;1„�jlo,�y;P)),,, ,.„.„,„.__ ._.........__._- ��" .. ANY AUTO 91 MLN00790-231 8/19/2023 8/19/2024 BODILY INJURY OWNED SCHEDULED (7ROPERTYU AUTOS ONLY J AUTOS 1 ..RY IPer accident) wDODII Y INJ I DAMAGE X... AL1TS� ONLY C..X ] ALON '"wl JNC."l Per occadaawl�)..,.. ....,.._ $ ...,..�......... . ... ....._... ..... _ ....... ._._._. 3,000 000 .. " X OCCUR EACH OCCURRENCE $ ....".. Xf EXCESS LIAB CLAIMS -MADE 91EXN00089-231 8/19/2023 8/19/2024 AGGREGATE A� ........... " A jf UMBRELLA un6 .." J_ - -- Aggregate $ 3,000,000 k DED RETENTION $ _ j" I { O 9344707-23 8/30/2023 8/30/2024 1Si9TUTE 6 9T ...._. 1. B WORKERS COMPENSATION � X 000,000 AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE Y NIA . EACH ACCIDENT $ ,,, „ ' $�jjF���FI':ER/MEMBER EXCLUDED? ( .rAl atory in NH) E.L DISEASE -, EA„EMPLOYEE $� . 1,000,00o If yes, describe under 11000,000 C PollutioDESCRIPTn '-Liability I N OF ty ATIaNs below -- G74285867 002ITITIT 8/19/2023 8119/2024 Each Occurrence/Agg 91, DISEASE -POLICY LIMIT. $ 2,000,000 A Errors & Omissions 91 MLN00790-231 8/19/2023 8/19/2024 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, ..........._.�._"� _ may be attached if more space is required) " PROOF OF INSURANCE — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, I City of El Segundo ACCORDANCE WITH THE POLICY P OVIS ONTSCE WILL BE DELIVERED IN 350 Main Street El Segundo, CA 90245 ........ .......................... _. .AUTHORIZED REPRESENTATIVE ._......... ...._............. . .................. ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD