Loading...
PROOF OF INSURANCE (2025)DATE (MMIDDIYYYY) AC®RV CERTIFICATE OF LIABILITY INSURANCE 1/15/2025 1 / 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 Lockton Companies NAfiME a NTAC ... 444 W. 47th Street, Suite 900 PHONE PAX Kansas City MO 64112-1906 E-MAIL F - -I. A9I.:. .__ (816)960-9000 ADDRESS ------ kcasu@lockton com P Alc n R A T�� INSURER S—AFFORDING COVERAGE N Ad �r1T __rrn ...,.._.. wsuRE... . _ m.Ph�en Izlstllllce..o,m an 25623 1501INSURED demni C fAmerica . _ 19046 150THE INTERSECT GROUP, LLC SR..._ __ s Casualty ns Co INSURER C The Travelers In I.... ty _ any .............. _.... 25658 ONE GLENLAKE PARKWAY, SUITE 800 I,_,,, ATLANTA GA 30328 INSURER D Property Casualty Company of America 25674 Travelers Pro ......- ----- �__.....--- 87 INSURER E Steadfast Insurance Com an 263 INSURER F; Travelers Casualty and Surety Co of America 31194 t,e%%iCRArCC !`CDTIGIP" ATF NIIIMRFR• IQ'I'lA t'r,1� PFVI.glr)N NHMRFR- 5CyyyX',VI) 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. IN517. .....- " .-TYPE OF INSURANCE---- ADIiL. �SI.YEi#'4li ... ..' POLICY EFF gMtqmorav, 7RP LIMITS LTR POLICY NUMBER MM/DD MMRDOfYY A X MMERCIAL GENERAL LIABILITY C11 O Y N 68085736792 1/15/2024 1/15/2025 EACH OCCURRENCE $ I OOO OO,,, PREMN SEES (E � �, CLAIMS -MADE I L OCCUR occu me -- $ _1_,000,000 y son) 1,�,000 MED EXP, (Anone per $ ._... ............,_ ......... ........... ----- .... 1.y0QQy00Q PERSONAL & ADV INJURY $ ..-.....- GEN'L ------- --------- ......... ......... AGGREGATE LIMIT APPLIES PER: AGGREGATE GENERAL ,.m , „..$...2�.000�00.0..,,»„ POLICY jC 'LOG PRODUCTS -COMP/OP AGG $ 2,00%9g? OTHER: $ B AUTOMOBILE LIABILITYY N BA8S736884 1/15/2024 1/15/2025 EC� UFnBBCwN'IdP�D SINGLE ...M.I ,, $ I0.00MOOO .... ANY AUTO BODILY INJURY (Per person) $ XXXXxxX OWNED„mm SCHEDULED BODILY INJURY (Per accident) $ XXXXXXX „ AUTOS ONLY ... I AUTOS HIRED NON -OWNED X_., X i'ROPERTY DAMAGEm--�� IPer acc!de�.t)_ -„- AUTOS ONLY ._... AUTOS ONLY ..___ .$..., ...,.... __.. $ XXXXXXX C B X OCCUR N N CUP8S736915 1/11/2024 1/11/2025 EACH OCCURRENCE000 .,.. _X ........, EXCESS ABA................ CLAIMS -MADE � AGGREGATE $ 10pppQQQp. DIED l RETENTION $ $ XXXXXXX D WORKERS COMPENSATION N UBOJ269095 1/15/2024 1/15/2025 TH X I STATUTF �R., ._... AND EMPLOYERS' LIABILITY y l ti ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N ❑ NIA CH CIED�EEMP $ 1,000,000, , �t 000 ooµo (Mandatory in NH) EL, DISEASE EASE _— If Oyes, de hbe under OPERATIONS below EL, DISEASE POLICY LIMIT $.,.j.m0(IAJ 000 E CYBER/E&O/TECH E&O N N EOC1344486-01 1/15/2024 1/15/2025 $5,000,000 EACH CLAIM/AGG F CRIME(3RD PARTY 106855765 1/15/2024 1/15/2025 $5,000,000 EACH CLAIM COVERAGE) I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El SegundoCity Clerk's Office is designated as Additional Insured with regards to General Liability, Auto Liability, and Professional Liability which is primary coverage to the additional insured and other available insurance will be non-contributory as required by written contract, subject to the policy terms and conditions. CERTIFICA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 18330158 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El SegundoCity Clerk's Office 350 Main St. El Segundo CA 90245 AUTHORIZED REPRESENTATIV ,p @ 1988 '015 ACORD CORPORATION, All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 0 DATE (MM/DDIYYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE L m 1/15/2024 1/1 12023i 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000 kcasu@lockton.com INSURED THE INTERSECT GROUP, 11C 1501767 ONE GLENLAKE PARKWAY, SUITE 800 ATLANTA GA 30328 rnVEFLAGES CERTWICATF NUMBFR- I R11ill I ^ INSURER A of America D : .......• y ,........... 5674 Travelers PropertyCasualty Companyof America 25 E: Steadfast Insurance Company 26387 F: Travelers Casualty and SuretyCo of America 31194 REVISION NUMBER: X.' XXxxx THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEEN 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.,......-..._._. ..,,. ........_ ......... ... ADDL'Sh1 ......,....,TYPE POLfCY EX:P LIMITS Ft. OF INSURANCE POLICY......... LTR NUMBER MM/ODiYYYY A s�",M," COMMERCIAL GENERAL LIABILITY Y N 6808S736792 1/15/2023 1/IS/2024 EACH OCCURRENCE $ 1.�000,000 gg CLAIMS -MADE OCCUR ; � ISAt��kIT1w YaS��N�"Cta PEM6Se5�Fe sccua,�an m) P,_„„_� _ '99.011 ..... -MED EXP,Any one person) $ 10 000 PERSONAL & ADV INJURY .$ 1,000�QQ0 GEN'L ........ AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2�0 )0_ 000 . . .. ''.... POLICY F—,' LOG Jett . PRODUCTS - COMP/OP AGG P $_ 2.000.0,00 ''. OTHER: $ A AUTOMOBILE LIABILITY y N BA8S736884 i/15/2023 1/15/2024 COMBINED aSINf.*LE 1.I�M11T I " m� $ 1,000 QQQ x ANY AUTO person)X BODILY INJURY (Per .... IT $ X�A'XXXX _ --- OWNED SCHEDULED id BODILY INJURY (Per accent) $ ONLY AUTOS AUTOS HIRED NON -OWNED X X P'R4.3PFRtY DAMAGd " Perry�xo,�'eni).. — - $ � ......"...� AUTOS ONLY -.---.. AUTOS ONLY _ ..".....y.... - "XX ,..... ��� $ XXXxXXX C X... UMBRELLA LIAB OCCUR N N CUP8S736915 l/15/2023 1/15/2024 EACH OCCURRENCE _ $ 10 00U 00... EXCESS LIAB CLAIMS -MADE AGGREGATE _ $ 1� 000...00 ..," NTION $ V DED T 7 RETI:NT N $ — XXXXXXX D WORKERS COMPENSATION UBOJ269095 1/15/2023 1/15/2024 ORH PER$ STA ..,, _ "'""""" �' AND EMPLOY EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PA LIABILITY EXECUTIVE E.L EACH ACCIDENT $ ,l 000.�000 OFFICERIMEMBER EXCLUDED? FN (Mandatory m NH) ,NIA E_ .L. DISEASE- EA EMPL OYEE. $ 1 000, �QO...,...... If yes, describe under DESCRIPTION OF OPERATIONS below I E,.L. DISEASE - POLICY LIMIT $ 1 000 000 E CYBER/E&O/TECH E&O N N EOC1344486-00 1/15/2023 1/15/2024 $5,000,000 EACH CLAIM/AGG F CRIME(3RD PARTY 106855765 1/15/2023 1/15/2024 $5,000,000 EACH CLAIM COVERAGE) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El SegundoCity Clerk's Office is designated as Additional Insured with regards to General Liability, Auto Liability, and Professional Liability which is primary coverage to the additional insured and other available insurance will be non-contributory as required by written contract, subject to the policy terms and conditions. CERTIFICATE HOLDER 18330158 City of El SegundoCity Clerk's Office 350 Main St. 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 © 1588 15 ACORD CORPORATION, All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD