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PROOF OF INSURANCE (2025)ATE AID �"0 CERTIFICATE OF LIABILITY INSURANCE Do5/o3/2024 THIS iTERTIFICATE IS ISSUED AS A MATTER 6F INFORMATION Y AND CONFERS NO RIGHTS UPON -THE CERTIFICATE HOLDER. TAN 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 Hiscox Inc. d/b/al Hiscox Insurance Agency in CAPRONE FAX (888) 202-3007 5 Concourse Parkway E-MAIL Adc N �mmmmmm Suite 2150 ADDRESS: contactcchlscoX.com Atlanta GA, 30328 �w...._ f-- ...,m.,....m�._. INSURERS AFFORDING COVERAGE NAIC fs ivaiiOCa A • Hiscox Insurance Comoanv Inc mm 10200 INSURED INSURER B Corporate Health Education Solutions rINSURERC: 26562 Via CuervoMission Viejo, CA 92691uRERo; INSURER F ; pf111COAf]CC !`CDTICICATC NIIIMRCR RPVISRI[]N NIIMRFR- 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. ..w._..a.... ..........--TYPE OF INSURA ___..6�.---.._..,.. ....- ..,.. _ ._._ _. _ ..._. _...................,.,., LIMITS .....,� INSR NCE ADL POLICY NUMBER MM1DD EFF MMIDDY4YYYM LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 2,000,000 X � 7s�uTb RUNE .-_..._-....... $ 100,000 ....m........ CLAIMS -MADE OCCUR .,_ R,E,MISES Ea occurrence ..,,..�, ?��...... -...--..... MED EXP {An y one person) �.. A _...... .. Y Y P101.531.576.2 02/14/2024 02/14/2025 PERSONAL $ADVINJURY $ 2,000,000 -.w GEN' L AGGREGATE LIMIT APPLIES PER: I I GENERAL AGGREGATE $ 2,000,000 X PRO - POLICYEl LOC POLICY PRODUCTS - COMP/OP AGG $SIT Gen. Agg. OTHER: $ AUTOMOBILE LIABILITY 'C`O BOIEO SINGLE LIMIT 1 a (mdlrn1L _._ $ ANY AUTO BODILY INJURY (Per person) $ mmmmm- ALL OWNED SCHEDULED �O........--_...... DILY INJURY (Per accident) $ A AUTOS %� NAUTOS ON -OWNED X PROPERTY DAMAGE HIRED AUTOS AUTOS . " I P101.531.576.2 02/14/2024 02/14/2025 oGL HfiNONOA Lumrl $ 2,000,000 » UMBRELLALIAB OCCUR 64CH OCCURRENCE $ .�... - ]EXCESS LIAB CLAIMS -MADE �DEDT...- �RETENTIO AGGREGATE $ T N$ $ WORKERS COMPENSATION PER OTH- ER AND EMPLOYERS' LIABILITY Y P N •-•- •-STATUTE,,,, ANYPROPRIETOR/PARTNER/EXECUTIVE I E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A """""""""""--"""""""" "' (mandatory m NH) Mandato E.L. SE -EA EMPLOYEE DISEASE- $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability Y P100.690.440.7 02/14/2024 02/14/2025 Each Claim: $ 2,000,000 Aggregate: $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo, its officers, agents, employees and volunteers are included as additional insured. t;t:K I1IJUAI t HUL.UtK 6AN6rLLAIIUN City of El Segundo 350 Main Street, El SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Segundo CA 90245 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD .. � CORPHEA-01 LJ ,_ CERTIFICATE OF LIABILITY INSURANCE DATE(MM[DD a� 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 _...l ement(s). this certificate License # BR-1801 nfer rights to the certificate holder In lieu of such endor L PRODUCER 370 CONTACT olda Jalandra AAA — Acrisure Southwest Partners Insurance Services, LLC 4000 Westerly Place No �Ertl949 365 5156 iArc N� l alaaldra a roSuIre oom ......_------- ........ .......__� Suite 110 IL AIOF j a_... Newport Beach, CA 92660 INCI4RtFWRq Arl:MMINr r!6VF xArF --AIC 4' INSURED i IN,SURER. B .�,�.,.... ....... ... __ ..., Corporate Health Education INSURER C Solutions, LLC ---- �....._, __ 26562 Via Cuervo INSURER D --------------------------- ............ ...... Mission Viejo, CA 92691 INSURER E INSURER 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. _ .....,_,,,____ ........... LIABILITY ........ TYPE OF INSURANCE POLICY NUMBER ,J(MMIDDIYVWI� I LIMITS LITY EACH OCCURRENCE _$ CLAIMS -MADE OCCUR DAMAGE TO RENTED tREi [Fcx/�vJ - -- MED EXP...(Any one„person) _ S ... PERSONAL B ApV INJURY, $ N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY j T' LOC PRODUCTS COMPIOP AGG_ I $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE I.IMI'P .............. ANYAUTO -BODILY INJURY,(Per„perspnl $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY {Per„accident), $ .... ..... AUTOS ONLY AUTOS ONLY PROPERTY Perr a dentDAMAGE,..._. J. ........... X ...ry..LLA ___ AB O CCUR AGGR_EGATE UMBRELLA LIABCLAIMS MADE EAGH OCCURRENCE � $ — E... DI 1 RETENTION $ $ —— ._____--_. ._..,_.._ — _. A WORKERS COMPENSATION X PER OTH AND EMPLOYERS' LIABILITY STRT-UTF ,- ER. ANY PROPRIETOR/PARTNER/EXECUTIVE YIN �'XWS62648215 2/1/2024 2/1/2025 E L, EACH ACCIDENT $ 1,000 000 OFFICER/MEMBER EXCLUDED. ( ��0a (MandaN/A DESCRtory in NH) F I DISEASE EA EMPLOYE $ es, describe under 000 IPTION OF OPERATIONS below E L, DISEASE- POLICY LIMIT $ ACORD 101, Additional .m. at ........... DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ( Tonal Remarks Schedule, maybe attached if more space is required) Event: October 3, 2024 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TION ATE THEREOF, City of El Segundo ACCORDANRCE WITH THE POLICY PROVISIONSCE WILL BE DELIVERED IN C 350 Main Street, El Segundo CA 90245 ............... ........... .......... AUTHORIZED REPRESENTATIVE ....... +.................................... ....... ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD