PROOF OF INSURANCE (2025)0 DATE (MMIDDIYYYY)
AC40R" CERTIFICATE OF LIABILITY INSURANCE
04I11I2024
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 Azucena Thorne
NAME:
Brown &Brown Insurance Services, Inc. PHONE (714 221-1800 (714) 221 4196
A!'C. No Ado No „
P.O. Box 743182 Annple AZ.Thorne@bbrown.com
INSURER(S) AFFORDING COVERAGE NAIC #
Los Angeles CA 90074-3182 INSURERA: Lloyd's of London
INSURED INSURER B : State Compensation Insurance Fund of CA 231751
Temporary Staffing Professionals Inc. INSURERC',
18912 Canyon Circle INSURER D s
INSURER E :
Villa Park CA 92861
INSURER F
COVERAGES CERTIFICATE NUMBER: CL244524474
REVISION NUMBER:
THIS IS TO CERTIFYTHAT 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
LTR
.....—
TYPE OF INSURANCE
J�'tt
INSD
WVD
POLICY NUMBER
POLICY EFF
{MMMDrNYYY,
WWWWWW
F0_0 Y EXP
IMM!Vt'R4%IYY'Y"Y)
LIMITS
X',..
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
DAMAarTU1TRM1T
100,000
CLAIMS -MADE Fx_] OCCUR
PREMISES„Ea occurrence
$ _
MED EXP (Any one person)
$ 10,000
A
Y
PSM0039868889
01/24/2024
01/24/2025
PERSONAL& ADV INJURY
$ 1,000.000
GEN'u AGGREGATr= LIMIT APPLIES PER:
GENERALAGGREGATE
2,000,000
$
PRO-LOC
POLICY
CLOPAGG
$ 2,000,000
$
OTHER:
...
AUTOMOBILE LIABILITY
•
CM17M,4BINEO SIN aLE LIM'III
E.Y Pdent 'acCL _
$ 1,000,000
ANYAUTO
''. BODILY INJURY (Per person)
$
A
OWNED
SCHEDULED
PSM0039868889
01/24/2024
01/24/2025
BODILY INJURY (Per accident)
$
AUTOS ONLY
HIRED
AUTOS
NON -OWNED
PROPERTY DAMAGE ••••••••••••••
$
AUTOS ONLY
AUTOS ONLY
Per accident
Is
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
EXCESS LIAB
CLAIMS -MADE
AGGREGATE _
$
DED RETENTION $
$
WORKERS COMPENSATION
/\ STAPE TUTERH
AND EMPLOYERS' LIABILITY YIN
$ 1
B
ANY PROPRIETORIPARTNERIEXECUTIVE
YY
NIA
935301124
01/24/2024
01/24/2025
E.,L EACHACCIDENT
••••••• --
OFFICEPUMEMBEREXCLUDED?
'(Mandatory
1
in NH)
E..L.. DISEASE - EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E,L,. DISEASE -POLICY LIMIT
_.....
100090000
$
,........
.........
.........
Per Claim:
$1,000,000
A
Professional Liability
PSM0039868889
01/24/2024
01124/2025
Aggregate:
$2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of El Segundo, its officials and employees are named as Additional Insured as respects to General Libility in regards
to the operations of the Named
Insured per policy conditions. GL is Primary and Non -Contributory per policy conditions.
r+.r arwwirw-n.+— u.— nee f'"A MAd*GY A ATIJ" m
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of El Segundo
ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street
AUTHORIZED REPRESENTATIVE
CA 90245
ElSegundo
V IyS9-ZUIO AUUKU C.UKI-UKAI IUIN. Au ngncs reserveu.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
cfc
a, the CAN-SPAN-1 Act of 2003 or any subsequent amendments to that Act;
b the Telephone Consumer Protection Act (TCPA) of 1991 or any subsequent
amendments to that Act; or
c. any other law, regulation or statute relating to unsolicited communication,
distribution, sending or transmitting of any communication via telephone or any other
electronic or telecommunications device,
However, this Exclusion will not apply to INSURING CLAUSE 2 (SECTION A only).
B. Vacant premises
in respect of INSURING CLAUSES 5 and 6, resulting from premises left vacant For more than
60 consecutive days
79. War and cyber war
arising directly or indirectly out of:
a. war; or
b. cyber war,
However, part b. above will not apply to:
a. INSURING CLAUSE 2 (SECTION B only); and
b. that part of any claim relating to any computer systems which are physically located
outside of an impacted state.
80, Website content accessibility
arising directly or indirectly out of the actual or alleged violation of any laws, regulations or
guidelines relating to the accessibility of your website content.
81. Willful or dishonest acts of senior executive officers
arising directly or indirectly out of any willful, criminal, malicious or dishonest act, error or
omission by a senior executive officer as determined by final adjudication, arbitral tribunal or
written admission.
1. What you must do in the event of a claim or cyber incident
If any senior executive officer becomes aware of any incident which may reasonably be
expected to give rise to a claim under this Policyyou must:
a. notify the claims managers as soon as is reasonably practicable (in respect of cyber
incidents, a telephone call to our cyber incident response hotline will constitute
notification). However, this notification must be made no later than the end of any
applicable extended reporting period;
b in respect of INSURING CLAUSES 2 (SECTION D only), 3 and 5, report the theft or
incident as soon as is reasonably practicable to the appropriate law enforcement
authorities and provide us with a copy or this report on our request; and
c. not admit liability for or settle or make or promise any payment or incur any costs and
expenses without our prior written agreement (which will not be unreasonably
withheld).
In respect of INSURING CLAUSES 1 and 4 (SECTION F only), if you notify an incident that we
agree is reasonably expected to give rise to a claim, we will accept any claim that arises out of
the incident as being notified under this Policy.
We requireyou to provide full details of the incident, including but not limited to:
a. the time, place and nature of the incident;
b. the manner in which you first became aware of this incident;
c. the reasons why you believe that this incident could give rise to a claim under this
Policy;
d, the identity of the potential claimant; and
e, an indication as to the size of the claim that could result from this incident.
In respect of INSURING CLAUSES 2 and 3, if you discover a cyber event you may only incur
costs without our prior written consent within the first "2 hours following the discovery and
any third party costs incurred must be with a company forming part of the approved claims
panel providers. All other costs may only be incurred with the prior written consent of the
claims managers (which �.vill not be unreasonably withheld).
+..
We will indemnify any third party as an additional insured under this Policy, but only in
respect of sums which they become legally obliged to pay (including liability for claimants
costs and expenses) as a result of a claim arising solely out of an act committed by you,
provided that:
a. you contracted in writing to indemnify the third party for the claim prior to it first
being made against them; and
b. had the claim been made against you, then you would be entitled to indemnity under
this Policy.
Before we indemnify any additional insured they must:
a. prove to us that the claim arose solely out of an act committed byyou; and
b. fully comply with CONDITION 1 as if they were you.
f, C fic
Where we indemnify a third party as an additional insured under this Policy, this Policy will be
primary and non-contributory to the third party's own insurance, but only if you and the third
party have entered into a contract that contains a provision requiring this,
Where a third party is treated as an additional insured as a result of this Condition, any claim
made by that third party against you will be treated by us as if they were a third party and not
as an insured.
3. agreement to pay claims (duty to defend)
We have the right and duty to take control of and conduct in your name the investigation,
settlement or defense of any claim. We will not have any duty to pay costs and expenses for
any part of a claim that is not covered by this Policy.
You may ask the claims managers to consider appointing your own lawyer to defend the
claim on your behalf and the claims managers may grant your request if they consider your
lawyer is suitably qualified by experience, taking into account the subject matter of the claim,
and the cost to provide a defense.
We will endeavor to settle any claim through negotiation, mediation or some other form of
alternative dispute resolution and will pay on your behalf the amount we agree with the
claimant. If we cannot settle using these means, we will pay the amount which you are found
liable to pay either in court or through arbitration proceedings, subject to the limit of liability.
We will not settle any claim without your consent If you refuse to provide your consent to a
settlement recommended b1 us and elect to continue legal proceedings in connection with
the claim, any further costs and expenses incurred \, ill be paid by you As a consequence of
your refusal, our liability for the claim will not be more than the amount for which the claim
could have been settled had you consented, plus any costs and expenses incurred prior to the
date of your refusal.
4. application warranty
You agree that all statements made by you in the application form, including any renewal
application form, and any supplemental materials you have supplied in support of the
application for insurance, are your agreements and representations to us and the Policy is
issued in reliance upon that information. The misrepresentation or non -disclosure of any
matter by you or your agent will render this Policy null and void and relieve us from all liability
under this Policy.
�. Calculation of business interruption losses
Following an interruption to your business activities covered under INSURING CLAUSES 2
(SECTION F only) or 6,you must provide us with your calculation of the loss including:
a. how the loss has been calculated and what assumptions have been made; and