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PROOF OF INSURANCE (2024 - 2024) CLOSEDPolicy Number: CPS7835630 Date Entered: 04/24/2024 0":'&.Jr DATE (AAANDDIYYYY)..... 1110-�CERTIFICATE OF LIABILITY INSURANCE F4/,24/2024 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 Kevin Gowey Insurance Agency E. (31 ANA 6060 A. Manchester Ave. Suite 201 PHONE 0) 641 7030Nal (310) 641 7376 CADS U ; kgowe^yinsurance(') i1. com Los Angeles, CA 90045 �� Con/etion ide� I ,uzs,10co a • Scottsdale es COVERAGE NAIC# _ �d S AFFORDING tsdale Insurance INSURED Daniel Molina DBA Diligent Group 3050 Field Ave INSURERO —_.. Los Angeles, CA 90016 INSURERS IN SURER F 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. iN FF m�ua. uB T TYPECFINSURAHCE POLICY NUMBER �ta.vcYlaFF t�trP ri wral�LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1, 000 , 000 }d CLAIMS -MADE ® OCCURX CS7835630 1,,0e/Ol/2023 8/01/2024$00 F 000 I person) ,5,000 PERSONA 1 000 000 L. & ADS+ INJUF�Y $ . , L _ �N AGGREGATE LIMIT APPLIES PER: RENERA. A�R O,ATE �S 2,000,000 __..,r�_... POLICY ECT LOC PRoD _..�.C.m� _ 1, , 000 'AGC w.�.�. f OTHER: 000 BrdM1,�K��Y�B I a..,_..v,......� AUTOMOBILE LIABILITY Ct}Mtl31H0 S(Nae IAN $ ANY AUTO i BODILY INJURY (Per Person) $ OWNED SCHEDULED " � BODILY INJURY (Per accident) $ „ AUTOS ONLY AUTOS HIRED NONNON-OWNEDO'f1ERT ... �E�$ AUTOS ONLY AUTOS ONLY dera4)' UMBRELLA LIAR OCCUR EACH OCC6.)RREENI E .. i EXCESS CLAIMS -MADE AGGREGATE $ DED RETENTION S WORKERS COMP911IS;AVON,AN PER .....N..�... YIN �H ACtpY� PR(~TORIPRRTSdE"diEeKECIJigVdE..... " E1,.'H ACCIDENT` $ _ N ! A OFflCERIMEMER EXCtU D1 � � (Mandates In NH) E L DISEASE EA EMPLOYEEY $ _.� ... IJ Ss" � - D SC6LIP rtlON OF DPEFiATIONS kadL'lu�a Y LlMI9 S_ E L. DISEASE POLICY LM't i r DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 107,,, Addhional Remarks Schedule, may be attached It more apace is required) CERTIFICATE HOLDER CANCELLATION Additional insured: City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main St ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, Ca 90254 AUTHORIZED REPRESE'd,JTATSVE A ,. I 61988-2015 AC CO,VbRATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD FORMATTON O I L C DATE (MM/DDmrY� 04/24/2024 THIS CERTIFICATE IS ISSUED ASAMATTER OFIN NLYANDCONFERSNORIG T LIABILITY AMEND, EXTEND ORALTERTHE COVERAGE AFFORDED BYTHEPOUCIESBELOW. THIS CERTIFICATE OFINSURANCEDOESNOTCON H�mm U .... HTSUPONTHECERTIFICATEHOIDER-THIS CERTIFICATE DOES NOTAFFIRMATNELYORNEGATIVEIY STITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ccndrtionsofthepolicy, certain policies may require anendorsement Alsiatementanthscertificat0 doeslnotconferorights tothePcertificateholder nliuofsuchie dorsement(s.tothetermsand IMPORTANT: If the certificate holder is an ADDITIONAL INSURE PRODUCER ONTACr NAME: Kevin y( �) _ 6060 W Manchester Ave Ste 201 (A/CNO IXX�T): ,.310-641-2279 ._ �(FAA/Xc NO) 310-64.1737..8PHONE .,� ___�._,w.............�.........�_. Los Angeles CA 900454266 ADDRESS: kgowey@farmersagent.com INSURER($) AFFORDING COVERAGE NAIC: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NO T WITHSTANDING ANY REQUIP.EM ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCVNICNT 6WTH RESPECT TO WL4ICH THIS CERTIFICATE MAY BE ISSUED OR 141AY PERTAIN, THE INSURANCE AFFORDED BY TI 1 E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LINITTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .� �. �� ............. NSR TYPEOFINSURANCE.,. AINSDL.. SWVp�. POLICY NUMBER (MPOLICY M/DD/EFYY'VY)(MM/DD/YVYY) ...LIMITS.���_..,.,.,,......,._._,...,.,. LTR COMMERCIAL GENERAL LIABILITY EACH Is CLAIMS -MADE OCCUR rrnce.) DAMAGEIORE�JTED I PREMISE (EaOccurE MEDEXP(Anvanepe sun) 1S .. ,._................ . .m ,. -- .. PERSONAL & ADV IN I URY (S _ GEN'L AGGREGATE JIT MAPPLIESPCP. T r GENERAL AGGREGATE S POUCY PRO ECI _OG .� PRODUCTS COcJP?OPAG AUTOMOBILE LIABILITY f .. COMBIIJED SINGLE LWIT S (Ea ac_idenz) ANYAUTO j BODILY IN;URY(Per Person) l3 t�a OWNEDAUTOS [X— SCHEDULEDg ONLY AUTOS BODILY INJURY (Per acaden )�S N Y 1607220483 09/01/2023 09/01/2024 HIREDAUTOS NON -OWNED ONLY X AUTOS ONLY PROPERTY DAMAGE (PeracadenL) h UMBRELLA LlA6 OCCUR EACH OCCURRENCE 5� EXCESS AB CLAIMS -MADE �G ED I R TENTION S i I ryGFIEG;�TE.. Ic WORKERS COMPENSATION PER AND EMPLOYERS' LIABILITY SATUT OTHER IS ANY PROPRIETOR/PARTNER/ Y/N I tl E.L. EACH ACCIDENT EXECUTIVFOFFICEP./MEMBER N/A EXCLUDED? (Mandatory in NH) C ELDISEASE - FA EMPLOYEE i'. Ifye_s, descnbe under DESCRIPTION OF OPF'RATIONS below EL DISEtiF- POIICY LIMIT IT; OPERATIONS ,/LOCP, T IONS/1JGHICLES (ACORD 101„Additional Remarks Schedule, maybe attached if more space is required) L 1m TRAVERSE L VIN 1 ?kJC-RGKreN0JJ20(1099 CERTIFICATE HOLDER City of El Segundo 250 Main St. ElSegundo, CA 90245 1,000coo CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POU CIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE POLICY PROVISIONS. AUTHORIZED OTICEWILLB DFEDINACCORDANCEWITH REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORP'ORAT440PI, All kights Reserved 0 DATE V CERTIFICATE OF LIABILITY INSURANCE /14/ MIDD/YYYY) iih�1114/2023 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(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 NAME... AP INTEGO A SUBSIDIARY OF NEXT (Add ftdo,xt) .., ..... .. -. �, d ,.tlr,. 375 Woodcliff Drive E-MAIL Suite 103 ADDRESS: Fairport, NY 14450 ,,, _ !N§gRf (§)AFFORDING COVERAGE NAIC# -------------------- INSURER A: NorGUARD Insurance Company 31470 INSURED Diligent Group 3050 Field Ave Los Angeles, CA 90016-4035 r1r1A1G0A!_FC CFRTlmrATI= MIIMRFR- INSURER C INSURER E ; 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. ILTR; ,..,,,. TYPE OF INSURANCE �WDi3LjSU9R POLICY NUMBER LCY 1 f0w1fC7 YyY I ErFPO IC EiV LIMITS COMMERCIAL GENERAL LIABILITY I I EACH OCCURRENCE $ 0 '""'iDAMAf ETORBPitED $ 0 CLAIMS -MADE [ OCCUR fRMi zP n Ir'a ar�x.rlioaq,r) ., ( MED EKE (Any one person} $ 0 ., P-0 PERSONAL & ADV INJURY I $ 0 GEN LIMITGENERA APPLIESOC . $ 0 PItC. POLICRE❑ P':"r PRODUCTS COMP/OP AGO is OTH J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I $ (Fa acrr¢ent) ANY AUTO I BODILY INJURY (Per person) 1 $ i OWNED I SCHEDULED J BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS NON-OWNED �AUTOS, $ , AHIRED UTOS ONLY ONLY I ... ,. UMBRELLA LIAB i OCCUR f , EACH OCCURRENCE $ EXCESS LIAR CLAIMS MADE. .,,,,.. r AGGREGATE. $ - DED RETENTION $PER I + $ WORKERS COMPENSATION X STATUTE ERH A AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN Y NIA DIWC494441 10/12/2023 EL EACH ACCIDENT $ 1,000,000 _ 10/12/2024...............N- OFFICERIMEMBEREXCLUDED? (Mandatory in NH) E L DISEASE EA EMPLOYEE(' $ 1,00,0,000 If yes, describe under 1 000 000 DESCRIPTION OF OPERATIONS below E.L, DISEASE- POLICY LIMIT S I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Employees: Full Time: 1; Part Time: 0 Governing Class Description: BURG/SECURTY SYS ALARM INST,SVC,REP Exclusions: Daniel Molina, President; CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CSLB ACCORDANCE WITH THE POLICY PROVISIONS. 9821 Business Park Drive Sacramento, CA 95826 AUTHORIZED REPRESENTATIVE: / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD