PROOF OF INSURANCE (2024 - 2025) CLOSEDCC)RV CERTIFICATE OF LIABILITY INSURANCE 03/11DATE(MMIDO/2024 _ THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AM END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTER 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 COWACT NAME. Jhosel Crenshaw Chesapeake Insurance Services Inc PHONrE x (818) 898-1043 C.Na; (818) 898-1643 CA License: 0799383 ADDRESS, 16654 Soledad Canyon Rd, #540 INSURER(S) AFFORDING COVERAGE NAIC # Canyon Country CA 91387 INSURERA: Mt. Hawley Insurance Co.. INSURED INSURERB: Indian Harbor Insurance Comp Morillo Construction Inc INSURER 227 N. Holliston Ave INSURER 1 INSURER E ; Pasadena CA 91106 INSURER F COVERAGES CERTIFICATE NUMBER: 21­1c5 KEVISIUN NU11fIt3tK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OFANY 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 TOALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD 1 WVID POLICY NUMBER (MMIDDNYYY) MM DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACI i OCCURRENCE $ 1,000,000 DAMAGE TO r r.i.. 50,000 Is CLAIMS -MADE Ox OCCUR i'RL'h((ISFS(Laorcrlrrsnre7 MFD E)(P(Anv orre oers©M $ 1,000 A MGLO198056 10/2912023 10/29/2024 PERSONAL & ADV I NJURY $ 1,000,000 GENERAL. AGO REGAFE $ 2,000,000 GEV1_AGGREGrr��A--'IE11LIIVIItAPPIIISPER: P4dODLICT"S-COMPdOPAGG g 2,000,000 POLICY JECT LOC 0IIIL AUTOMOBILE LIABILITY�rpylR6FkE,l' „VE'tl'r4..E.L0I.0I 1 i n rrrwtt�lgo $ BODILY INJURY (Per person) $ ANY AUTO BODII...Y INJURY (Per accident) $ OWNED SCHEDULED AU Fos ONI...Y AUI OS HIRED NON-OWNEC) I nr'1�,EFT� LryAMArm (Rel aCrh;Nov $ AUTOS ONLY SU.11"GSONLY $ UMBRELLA LIAB I2 EACH OCCURRENCE $ 5,000,000 A iC EXCESS LIAB MALE MXL0438943 10/29/2023 10/29/2024 �LCIAIMS AUGREGA1, $ 5,000,000 Crl_D Rf-n:':':NTION $ $ WORKERS COMPENSATION FA P"FI- w.T CLfCF ER AND EMPLOYERS LIABILITY YIN AIVYPRO PRIETORIPARTNERfEXECUiIVE 0 NIA '? E L EACH ACCID N"r $ EL DISFASE EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED'? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY I...IMI1 $ Policy General Aggregate $4,000,000 B Professional Liability and Contractors Pollution Liability PECO05790903 10/29/2023 10/29/2024 Professional Liability $2,000,000 Pollution Liabiility $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project No. PW 24-02 - Urho Saari Swim Stadium City of El Segundo, its officers, officials, employees, agents, and volunteers are named as additional insured. See attached for Al status Issuing insurer will endeavor to mail 30 days notice of cancellation, 10 days for non-payment of premium Q lwK III`IUA I h HULUtK {rM1V 4CLLM 1[Will SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segudo City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE ElSegundo CA 90245--.- (cJ 1988-ZU10 AGUKU L;QKI'UKA I IUN. Au rlgnis reserves. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Policy Number: MGL0198056 Mt. Hawley Insurance Company 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 All persons or organizations where required All Locations by written contract executed prior to the commencement of your work. 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 in- clude as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property dam- age" or "personal and advertising injury" caused by: 1. Your negligence; or 2. The negligence of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insur- ance 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. B. With respect to the insurance afforded to these addi- tional 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 re- pairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CGL 20 10 08 15 Contains copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 2 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. C. With respect to the insurance afforded to these addi- tional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is: 1. The minimum amount required by any contract or agreement you have entered into to provide additional insured coverage; 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. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. CGL 20 10 08 15 Contains copyrighted material of Insurance Services Office, Inc. with its permission. Page 2 of 2 Policy Number: MGL0198056 Mt. Hawley Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) (Vendor) Location And Description Of Completed Operations All persons or organizations where required All "Commercial Construction Projects". For by written contract executed prior to the the purpose of this Endorsement, "Commercial commencement of your work. Construction Projects" are defined as buildings or structures constructed for commercial use and also include apartments, hotels, homes for the aged, dormitories or barracks. However, "Commercial Construction Projects" shall not include any building or structure which, in whole or in part,contains individual owner occupied units or dwellings. 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 in- clude as an additional insured the person(s) or organi- zations) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused by your negligence 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". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional in- sured is: 1. The minimum amount required by any contract or agreement you have entered into to provide addi- tional insured coverage; or 2. Available under the applicable Limits of Insurance shown in the Declarations; 2. If coverage provided to the additional insured is whichever is less, required by a contract or agreement, the insur- ance afforded to such additional insured will not This endorsement shall not increase the applicable be broader than that which you are required by Limits of Insurance shown in the Declarations. the contract or agreement to provide for such additional insured. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. CGL 20 37 08 16 Contains copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 Policy Number: MGLO198056 Mt. Hawley Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek con- tribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agree- ment that this insurance would be primary and would not seek contribution from any other in- surance available to the additional insured. CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 Policy Number: MGLO198056 Mt. Hawley Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name of Person(s) or Organization(s): All persons or organizations where required by written contract executed prior to the commencement of your work. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 �� DATE (MM/DD/YYYY) AC"tea CERTIFICATE OF LIABILITY INSURANCE 03/12/2024 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 NAME, SHAHIN HOOSHMAND (!#!c Nf .. zcti 8188844451 (AA/c No)., .._. _ _. ....... SHAHIN HOOSHMAND PHONE I 8188844122 19730 VENTURA BLVD E-MAIL SHAH INL7a ALLSTATE.COM ADoNES SUITE ONE INSURER WOODLAND HILLS CA 91364 INSURER A: CONTRACTORS BONDING AND INSURANCENAIc# —., CO-- LSTATE INSURED--- INSURANCE CO INSURER B . ........ MORILLO CONSTRUCTION, INC. _ _ER C INSURER _ _..E....�..............------....... ......... .......w____ 227 N HOLLISTON AVE. --- ...�...._... .. -- ............... .._ ... PASADENA CA 91106 INSURER rroTICIf1ATlc KIIIRARICG• RFVISInN NTIMRFR: INSURER INSURER D: F; 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. .,..,�.,...__ ......... ...... .....� ....... -- .,._.... _ .......... ......... �._ -. .._ .. ..... ,. POLICY NUMBER MM DD 1 YYV MM/DO/VVYX LIMITS.. ILTR AODL SLi�... — jj + yy COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE � $ CLAIMS -MADE lm a OCCUR t ITE�p - — ...............__ MEDEIXPSIEawgccrrPrevelk...! (Any one person $ PERSONAL & ADV INJURY � $ GEN'LAGC.^rFIEG,..... ......,.._.___ _. ATE LIMIT APPLIES PER: .... ,GENERAL AGGREGATE � ......, ..... $ { PRO I LOC �$ j POLICY -° - _ V'DTl1EFt.. AUTOMOBILE LIABILITY C4�MeI�EC3SINOME/�Mn'GG. 11E'a,,y,i a erwl,),,, _, -- $ 2,000,000 .......... . ANY AUTO BODILY INJURY (Per pers?,n $ B AUTOS SCHEDULED X X 648239431 06/03/2023 06/03/2024 BODILY INJURY (Per accident) $ AUTOS NON -OWNED PROPLIITY OAMAr,E IF.ea•rrarfnt)... $ _. HIRED AUTOS AUTOS UMBRELLA IAB OCCUR URRENCE Is . EXCESS L AB CLAIMS MADE AGGROGATE $ ...., DED 1 RETENTION $ $ WORKERS COMPENSATION TATUTE : ER PE'R OTH AND EMPLOYERS' LIABILITY Y/N ANYPROPRI TOR/PARTNER EXECUTIVE E L EACH OFFICER/MEMBER EXCLUDED �'.. (Mandatory in NH) N / A E L, DISEASECEA 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) Additional Insureds are as followlin,g:' City of EI Segundo, Its Officers„ officials, employees, agents, and volunteers will be covered as insureds as respects: liability arusing out of activities performed by or on behalf of the Contractor; products and completed operations of the Contractor; premise owned„ occupied or used by the Contractor; or automobiles owned, teased, hired or borrowed by the Contractor. The coverage will contain no speciial'� limitations on the scope or protection afforded to the City, its officers„ officials, employees„ agents, or volunteers. We agree in writing to waive all rights of subrogation against the City, its officers, officials, employees and volunteers for losses arising from work performed by the Contractor for the City. TE HOLDEH CITY CLERK City of El Segundo 350 Main Street 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 SHAHIN HOOSHMAND U 1988-21)14 AGOHU GUMYUHA I IUIV. All rlgniS reSerVeO.. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Firefox about:blank Cl CW A02 10 11 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, In anyway, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard- less of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Cortf"nicate HoMen" C P TY 01 !Io lio :11CYIl:JCS in 11, eEc1.1lI)0', Cv t,')24 8.1.3 Insurer Name: Allstate Insurance Compan Nlarned Inquired: rC)R "L l.,-) Cw 71 1:;C1'6 I'�i.C)i,5!', :[CC;, 22'1 N IiO.'.,ul 11�1.'C)! 11V'1E Automobile Pofi.a.Nurnbeir 648239431 s`L 1 -Any Auto 2 - Owned Autos Only 3 - Owned Priv. Pass. Autos Only 4 - Owned Autos Other Than Priv. 5 - Owned Autos Subject to No 6 - Owned Autos Subject to a Compulsory UM Law Pass. Autos Only Fault 7 S ecificall Described Autos fir_ 8 - Hired Autos Onlym mmmmm 9 Non-oned. Autos Onlyw.w Poli Effective Date: 06-03-20 W0 ..............w.........._ 23 Pdi Expiration 06-03-202r Lim its Of S 2„ 07 )O, 000 Combined Single Limit (each accident) Insurance: BI Per Person BI Per Accident PD Per Accident Description of Operations/ Locations/Vehicles/Endorsements/Special Provisions CIE'] ' .)F ::.'L SEC""(J'NJIi.'7,, ][. :.CEllC:l.`=, C",.!C' AS .l.l` r.lC� [ 0:)I'ii A5"' 1:1.1:, ui'i.("!'3. q.,4.1`.5" VcLt:''aJlgC,. ')'1-CII:' ! :V.! l.aRMEWU i31' 0P ON i::EHA i..,1•' C) i':i'lP: AT T.01f!:: irl ire, dIPaft'1 CE•:p,1'1.Ell Cr1'.[]^: [i)113E:R THIS CERTIFICATE DOES NOT GRANTANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER IF TH IS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY' LANGUAGE OR ENDORSEMENT. Producer SHllHIN _K EOCSIiPIAND Authorized Representative: Date: C -1 s< _ 2 c Cl CW A021011 Includes copyrighted material of Insurance Services Office, Inc., with its permission Allstate Insurance Company Page 1 of 1 Insured Full Copy I of 2 3/13/2024, 4:10 PM Firefox about:blank POLICY NUMBER: 648239431 COMMERCIAL AUTO AA CW 40 10 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OFTHE TRANSFER OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM SCHEDULE Designated Person or Organization: CITY CLERK CITY OF EL SEGUNDO Contract Number: PW 24-02 Description of Project: URHO SAARI SWIM STADIUM / PLUNGE RENOVATION PROJECT Location of Project: The following is added to the Transfer of Rights of Recovery Against Others To Us Condition: We waive any right of recovery we may have against the person or organization designated in the above Schedule because of payments we make for injury or damage arising out of work you perform under a contract with the above designated person or organization. The waiver applies only to the above designated person or organization and the work you perform must be under the contract, and for the project and location designated in the above Schedule. AA CW 40 10 11 Allstate Insurance Company Page 1 of 1 Insured Full Copy 1 of 1 3/13/2024, 4:10 PM MORICON-Cl AB. '4 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 3/11 /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 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 _ .._ -- Bolton Insurance Services LLC Aec No Ert 62 000 W Ne 626 441 3233 PHONE 3475 E. Foothill Boulevard 6 799 7— ) ) ._- ( Suite 100I _...... Pasadena, CA 91107 ICompSURER �s1�AF ion Insurance Fund,,- California (rasuREr� A 'State Compensation COVERAGE NA .........rr,_-_ ....-.........- .............. __..... ...... ....... ....----'---. ....._.. , INSURED ,..INSURER B ....... ..... __ --... ,.. Morillo Construction Inc #.so€ c .... ---- 227 N Holliston Ave INSURER D Pasadena, CA 91106 -. INSUR.ER_E .. .........._. INSURER F . COVERAGES _ CERTIFICATE UMBER: REVISION UMBER _._.... 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, E D BY PAID CLAIMS. INSR TYPE OF INSURANCE OF SUCH ADDL R POLICY N '^ AVE BEEN REDUCED .---_ ..__—. .. LIMITS EXCLUSIONS AND CONDITIONS LIMITS SHOWN MAY H� ....... a,,,....... --...,._ UMBER EFF � POLICY EXP .....,�...,_.. _— ..._ ..... •_,,. COMMERCIAL GENERAL LIABILITY I UB (YYYY! � /D EACH OCCURRENCE „ ,� . ,,, .� CLAIMS -MADE OCCUR DAMAGE TO RENTED PBF�M!..GF��s�afr�no€) .. .. ..... .._. ......... _ .... - ......_..- ... .L ADV NJURY �$ ...,,_ ,.,...,. An one erson GEN'L AGGREGATE LIMIT APPLIES PER: AGGREGATE $ ..GENERAL.-...- .. ._-......__ ... .. ..._ - PC H'L.t .� JEO LOC ._PRODUCT„3-COMP/OPAGG $ ..... ... _ M BODILY I ... S D SINGLE LIMIT ANY AUTO [ COMBINEDSINGLE� AUT ANY AU LIABILITY SCHEDULED f .,BODILY INN ( P )m) �f,�Fi � URY Per erson � AUTOS ONLY AUTOS Per I TJURY (_Per accident HIRED NON -OWNED CkAi�RAG£. ..... AUTOS ONLY .. AUTOS ONLY ......._ ..�...... ........ ............. �....{ ROI'ITITITITIT.,np).,.. _. --- .,,_ ...... .. E 1 ,._EACH OCCURRENCE � UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE AGGREGATE ,„„„,`SIG, ,,,,,,_ ,,,m,,,,, A WORKERS COMPENSATION -.........� .,_DED RETENTION $ �... ......_. _ $ AND EMPLOYERS' LIABILITY Y B N .. ..._.-. . X.. aaTAT�dT)m F.RH..... ..- --- 1,000,000 (HB dER/M in BER EXCLUDE[ E L DISEASE IDENT ' ,000 ANY 9206372 1/1/2024 1/1/2025 ncc a4 ER/MEMNH) EXCLUDED? N / A r s Y 1 000.. . "' A, EA EMPLOYES•, $µ If yes, describe under 1,000,000 _DESCR.IPTION OF OPERATIONS below ............ ,..,............ ... EA E.L, DISSE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATGONS I VEHICLES ACORD 101, w........-.. ( Additional Remarks Schedule, may be attached if more space is required) Re: Urho Saari SWiim Satdium, Project # PW-24-02 _ ............... . ............... __. .... _....... _ CERTIFICATE HOLDER .... _ ......_.,_ _.. CANCELLATION _. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. CE WILL BE DELIVERED IN City of El Segundo 350 Main Street _ .... El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE (r l_..._. ........................ _._. ......_ _. ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD