Loading...
PROOF OF INSURANCE (2024 - 2025) CLOSED4 DATE (MM/DD/YYYY) AC7"V CERTIFICATE OF LIABILITY INSURANCE �,. 4/18/2024 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("es) 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 Arthur J. Gallagher Risk Management Services, LLC PHONE") 570 3456 FAX NAME Six Desta Drive, Suite 5900 432 tArc N4..? _340 E-MAIL Midland TX 79705 AODRss1. INSURER(S� AFFORDING COVERAGE NAIC # Insurance Company _ 19682 INsuRER B T umbull Ins .._ . INSURED CATALIS-01 urance Company 27120 Catalis Public Works & Citizen Engagement, LLC. INSURE 3025 Windward Plaza Ste 200 wsuRER c :Hartford Casualty Insurance Company 29424 Alpharetta GA 30005 Inc 23140 INSURER o Associated Industries and Insurance Co wsuRER F . Hartford Acci� ty mpany 22357 .......-.�.i.�n /�C�TICIf+ATC wuullo�o. a�as•�ccrwcwo RFVICI(1N 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. .... ... ....-......__.... ... ........ ....... 1kDTDL SI FT ........... ......... .."I'l..POLICYEFF -( P .........._..., .._ ' OLICY EXP " LTR ................- .--- ' POLICY NUMBER MM/DD... M .m.......... a ..__............ INSR I TYPE OF INSURANCE M/DD LIMITS A I X COMMERCIAL Y Y 2000NEL6049 6/20/2023 f 6/20/2024 EACH OCCURRENCE $1000,000 ,.,... �._X �. CLAIMS -MADE OCCUR �7/IC'v4r4Iaia 1°fY RLhJ l I?,(,MISE" (L1 eyr,4.Aq(rct2rvco,),,, _ _,. $ 300,000 C .1 .. -- .. .............. i ( y one sonj $ 10 000 PERSONAL & ADV INJURY $ 1 000,000 OEi, T APPLIES PER: N"POOL AGGREGATE LIMIT GENERALAGGRE _ATE $ 2 000 0 00 X ❑ Pik LOC MP /OP AGG PRODUCTS CO 1 $ 2,000,000 $ OTHER r TOMOBILELIABILITY AUTOMOBILE Y Y 46UENEL7176 6/20/2023 6I20/2024 COMBINED SINGLE I W I 00 X ANY AUTO BODILY INJURY Perpe ( person) $ f,.... BODILY I NJURY Per accident) $ ..SCHEDULED AUTOS ONLY AUTOOWNED ....... HIRED �X X — Y nAMA4".7 I RORER T E $ ... ... - AUTOS ONLY AUTOS ONLY-(C?er accvlaz tj — $ C X V UMBRELLALIAB X OCCUR Y Y 46 XHU EL6530 6/20/2023 6/20/2024 E EACH OCCURRENCE $ 5,000,000 m EXCESS LIAB CLAIMS MADE ... AGGREGATE r. $ 5 000,000 _ ... DED ) X I RETENTION $ Is E WORKERS COMPENSATION Y 46WEAH8FBG 1/1/2024 1/1/2025 X PER OTH STATUTE EFj, �, AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR)PARTNERIEXECUTIVE _ E L EACH ACCIDENT '""""' """"" $1 000,000 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) NIA E L DISEASE EA EMPLOYEE $1 000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,000 D Professional Liability Y AES1234141-00 6/20/2023 6/20/2024 Professional Cyber $5,000,000 $5,000,000 Cyber Liability Y DESCRIPTION OF OPERATIONS I LOCATIONS I "VEHICLES tACORD 101, Add'ddional Remarks Schedule, may be attached if more space is required) Certificate Holder is an Additional Insured as respects to the General Liabilit , Automobile, CyberlProfessional policies, pursuant to the policy's terms, definitions„ conditions and exclusions, as per endorsement HGO001 edition 09 16) , HA9916, edition (12-211), CY'S 0122.. Waiver of Subrogation applies to certificate holder, as respects to the General Liability, Automobile, Cyber/Professional policies, pursuant to the policy's terms, definitions„ conditions and exclusions, as per endorsement HGO001 edition (09 16), HA9916, edition (12-21), CYS 0122. The insurance provided in the General Liability policy is primary and noncontributing as per endorsement HGO001 edition (09 16). CERTIFICATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo 350 Main St. El Segundo, CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD