PROOF OF INSURANCE (2024 - 2025)CERTIFICATE OF LIABILITY INSURANCE °A7E(Mfd/°°"r"'
4/23/2024
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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT- If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must 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 N, N . Devin Costa
Shank & Associates PHONE (702)878-2820 FAX Na: (702)870-1263
10091 Park Run Drive ErMAIL devic8swartsmanning.com
Suite 200 INSURER S AAFORDING COVERAGE NAIC 0
Las Vegas NV 89145 INSURERA:Ar h Insurance Cc an 11150
INSURED INSuRsplazUnited 'RinanC'.ial Casualt go 1.1770
RAS Consulting & Investigations, Inc. INSURERC:Se oia Insurance Co m an 22985
100 N. Pacific Coast Hwy INSURERD:
Suite 1000 INSURER I-:
E1 Segundo CA 90245 INSUrrERP!
NUMBER:24-25 Master
INDICATED. NCi"d WTHSTANOJIWC ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUME
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE, BEEN REDUCED BY PAID CLAIMS.
rSR ' 8 POLICY 9" OL%CY E
.TRTYPE OF lNS'U,RA,NCE. POLICY NUNg1e'Iw.?R. grpolmy !A D
X COMMERCIAL GENERAL LIABILITY
A CLAIMS -MADE 5_1 OCCUR
X BIPKGO179305 4/21/2024 4/21/2025
GEN'L AGGREWE Ld07`APPLIES PER:
X
POLICYE] .NEC:iI"RO. LOC "
O"JI1EN1..
AUTOMOBILE LIABILITY
B ANYAUTO
ALL OAUTOS WNED E
AUTOS SCHEDULED00938517 12/22/2023 6/22/2024
NOWOWNED
X HIREDAUTOS AUTOS
UMBRELLA LIAR OCCUR
EXCESS LIAB CLAWS -MADE
o RETelTION S
WORKERS COMPENSATION
ANO EMPLOYERS" LJAWLITY Y / N
ANY PRONRIFTORIPAM NEReKCCUTN'F N / A
OFFNCER'PoAEMBER EXCLUDEO7
C (Mandatory In NH) QWC1334441 1/11/2024 1/11/2025
11 yos, de5u-.r4be under
DESCRNP'TION OF OPERAMOL142
A Errors and Omissions BIPKGO179305 4/21/2024 4/21/2025
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 included as Additional Insured with respect to General Liab
attached form OOGLO33400 04-08„
HOLDER
City of 111 Segundo
350' Main Street
El Segundo, CA 90245
REVISION NUMBER:
D ABOVE FOR.. THE POLICY PEMOD
NT WITH RESPECT" T"A'VMJCH THIS
IS SUBJECT TO ALL THE TERMS,
LIMITS
EACH OCCURRENCE
S
1,000,000
A Fe
P PEM, ss "a ,cstnrrence
100,000
Ml:i7EXA (Any sne ersxr'p
$
5,000
PERSONAL 6 ADV WI)PY
$
1, 000 , 000
OENERAI.AGGRFQAr'E
5
5,000,000
PROCUCTS-COMPlOP AGG
$
5,000,000
$
COMMNEOSINGLr, p IT
Ea . 'nent
$
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPENITY OHMAGE
$
Per a d ert
yy,ad
$
1,000,000
EACH OCC4)RRREtW+ E
$
AGGREGATE
$
PER TH-
TAruTr
El, EACH ACODF NT
$
1.Y 000, On
E, L. OiSEASE - EA EIvIA"UDYEE
5
11000,000
E.L. DISEASE,-POL7LIMIT
$
d' .00T? 000
Aggregate
Included
Llitv only ner the
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
Shank/DC2
ACORD 25 (2014/01)
INS025 (201401)
tea 1988-2014 ACORD
The ACORD name and logo are registered marks of ACORD
All rights reserved
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
Section II, WHO IS AN INSURED, is amended by adding
Any person, organization, trustee or estate:
a. to whom "you" are obligated by written contract to provide insurance such as
that afforded by this policy, or
b. specifically designated as an additional insured on an authorized Certificate of
Insurance received by "us" prior to any "occurrence";
Coverage afforded under (a) or (b) is limited to liability arising out of "your work" for such
additional insured(s) and is caused by the negligent acts of the named insured.
This endorsernent shall be excess of any other insurance available except coverage afforded by this
endorsement will be primary and non-contributory, but only if and to the extent required by written
contract
All other terms and conditions of the Policy remain the same.
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