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PROOF OF INSURANCE (2025)TRAUB-2 PFM At 'RO I DATE (MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 0410212024 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 Alliance Mgt. & Insurance Sery 355 Via Vera Cruz #7 CA Agent/Sroker Lic# 0737966 San arcos, CA 92078 Michelle A. Nowell A Traub & tes LLC erns ate Rd #330 ? Viaoe. CA 91361 INSURER F : Ins t1rwar=srrTMct~ t1=0r'tlIw111I.101Ptl 0 RFVISIONNUM'BE'R: 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. ..,.,..... ....... DDLSU..w...,.-, BR ---- -��---WVft iNSR ..� .,.,,,TYPE �.,.._� _.............. .... ,......... POLICY EFF POLICY EXP ITR OF INSURANCE POLICY NUMBER..,..�....... LIMITS A ERCIAL RAL LIABILITY co4� $ 1 1000 000 _X CLAIMS--MADEE X X WSGP000707 04/07/2024 04/07/2025 � DAMAGETO RENTED X Errors & Omission MF[� EXP-,(Any,ona person) 50 _ 00 1,000,000 PERSONAL. & AQV INJURY _. '':_$ 4,000,000 EGATIn LIMIT APPLIES PER. .. L AGGREGATE: GENERAL. AGGREGAT„ E fRO LOC X POLICY' ( JECT .,,PROpUCTS_ COMPlQ P AGG 1.000.000 $ . OTHER; A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT G $ 1,000,000 ANY AUTO WSGP000707 04/07/2024 04/07/2025 OWNED "- SCHEDULED AUTOS ONLY cdent� $._ X X NONOOWNED ..u,u,. �S ONLY ..,._, AUTOS ONLY" A F OPFRTYD MAGE ..C_. $accirYiaawl $ _ A UMBRELLA LIAB X OCCUR ,CHRErvcE $ 1000,000 X EXCESS LAB CLAIMS -MADE WSG0000273 04/07I2024 04/0712025 AGGREGATE 1 000 000 DED RETENTION $ WORKERS COMPENSATION PER OTH- [§ZAT.UT ;AND EMPLOYERS. LIABILITY X / N "ER..................... ANY PROPRIETOR/PARTNER/EXECUTIVE � �YF1 NH) EXCLUDED. In NH NIA A E L EACH. ACCIDENT EMPLOYEE$,,,,,,,,,, $ idatoMEn TOES �datory If es, describe under v E L DISEASE. EA p OF �TIONS below E L�. DISEASE. -POLICY LIMIT I A Professional LiabION WSGP000707 04/0712024 04107/2025 Prof Liab 1,000,000 A Cyber �WSGP000707 0410712024 04107/2025 Cyber 300,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City, of El Segundo is named as an additional insured with respect to the work performed by the reamed insured, Investigation, CA -- City of El Segundo Human Resources Rebecca Redyk 350 S Main Street El Segundo, CA 90245-3895 ACORD 25 (2016/03) 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 a ©1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD POLICY NUMBER: WSGP000707 COMMERCIAL GENERAL LIABILITY CIGL 79 03 18 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 Blanket as required by valid written contract. Blanket as required by valid written contract. Additional Information: 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 include as an additional insured the person or organization shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your operations for the additional insured at the location shown in the Schedule. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; b. If coverage provided to the additional insured is required by a contract or agreement, the insurance CIGL 79 03 18 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 2 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; and c. Regardless of the date of occurrence or when the injury or damage first occurs or is first discovered, a person's or organization's status as an additional insured under this endorsement ends upon the earliest of: (1) The completion or termination of the contract or agreement between you and the additional insured for the location shown in the Schedule; (2) The date you cease actively performing operations for the additional insured at the location shown in the Schedule; or (3) The expiration or termination date of the policy or this endorsement. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to liability or damages for "bodily injury", "property damage", or "personal and advertising injury": 1. Caused by, arising from, or included in the "products -completed operations hazard"; 2. Arising out of the additional insured's sole negligence; 3. Arising out of work or operations performed by you that were completed prior to the effective date of this endorsement; or 4. Which continues or progressively deteriorates after you cease actively performing operations for the additional insured at the location shown in the Schedule, even if the injury or damage first occurred, or is alleged to have first occurred, during the course of your operations for the additional injured. C. Solely for purposes of this endorsement, the following definition is deleted in its entirety and replaced by the following: 1. ""Products -completed operations hazard": a. Includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising out of "your product" or "your work" except: (1) Products that are still in your physical possession; or (2) Work that has not yet been completed or abandoned. However, "your work" will be deemed completed at the earliest of the following times: (a) When all of the work called for in your contract has been completed; (b) When all of the work to be done at the location shown in the Schedule has been completed if your contract calls for work at more than one location; or (c) When that part of the work done at the location shown in the Schedule has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. D. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; 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. CIGL 79 03 18 Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 2 Workplace Investigation Specialists License PI 188615 2625 Townsgate Road Suite 330, Westlake village, CA 91361 714-69.3-3428 805-207-9216 www,norxmtraubassociates.com F.rnail: ba,normtraub@gmail.com July 8, 2021 Ms. Rebecca Redykl Human Resources Director City of El Segundo I am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for workers' compensation or to undertake self- insurance in accordance with the provision of that Code, and I will comply with such provision before commencing the performance of the work of his agreement. I certify that in the performance of the work under the permit, license agreement, purchase order, or contract with the City of El Segundo, which is the subject matter of this certification, I shall not, in any manner, employ any person or contract with any person so that any worker on said work would become subject to the workers' compensation laws of the State of California. By my signature below, I affirm under penalty of perjury, I am authorized to bind my company, agency/agents, partnership and I am not required to comply with Section 3700 of the Labor Code, or any workers' compensation laws of the State of California, and further, I agree to hold harmless, indemnify, and defend the City against any claim or damage included by not limited to any subrogation demand arising from performance under my contract with the City. I waive any right of subrogation against the City. Norman A. Traub Associates does not have employees. All Associates are independent contractors. July 8, 2021 Authorized signature / Date T. Brock Avery General Manager/Principal Norman A. Traub Associates (714) 693-3428