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PROOF OF INSURANCE (2025 - 2025)A CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 06/03/2024 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). 155 N. WACKER, SUITE 1200 666 966 4 ras PRODUCER CONTACT MARSH USA LLC. I aa. (x(?, Marsh 6 -U.S. Operations (A c.,_ n l .. 212 948 0770 CHICAGO,IL 60661 E„ I ��. rNrnnnr.s.rtRaeaipstdaimarsh.ram INSURER(SI AFFORDING COVERAGE ___ N ...._.._.........................................._..... .. ....................._ INSURERA_uY.FOf�ell].lJfanCP�.C�(1'lpany .............,... --------- ......20506 INsuREDAnser Advisory, LLC INSRER mB The_ ontlne..ntal Insurgpae,,gp_pany 2677 North Main Street, Suite 400 INSURER 3 .......... ...... Santa Ana, CA 92705 Aft [igpp. $,u6Lty 0dtlp60y of Reading .PA.........___ 0427 INSURER D INSURER E : COVERAGES CERTIFICATE NUMBER: CHI.010688293.01 REVISION NUMBER: 11 ........ 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. ..._.�._.._ ...._, .. ........................................................_._ INSR I ��---._.,.___._ ADOL�SUr�,R? � I �� POLICY EFF POLICY EXP .......... ...... _. .........................................M � TYPE OF INSURANCE Y POLICY LTR NUMBER MMI00. MMIDD ; LIMITS LIABILITY 7064039430 01/17/2024 01/17/2025 A X COMMERCIAL GENERALX) EACH OCCURRENCE l $ 1,000.000 CLAIMS -MADE OCCUR ...PREMISES (Ea occur ence l $__ 1 000 000 MED EXP {Any ooe person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 ........................r,. ____ GE. AP� - — ...... ,. ... rN, POLICYY T X C PRO- ......y El IL oc PRODUCTSGCOMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 7064031019 01117/2024 01/1712025 j Is 1,000,000 X ANY AUTO I B ODI Y INJURY (Per person )T $ I+ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS ........ HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accidef!I). .......... 11 $ OCCUR EACH OCCURRENC E $ S LIALI EXCESLLALIAB CLAIMS -MADE AGGREGATE $ pp................................... DED RETENTION $ - $ C WORKERS COMPENSATION 7011411386(CA) 01/17/2024 01/17/2025 X PER OTH- STAT L_LER D AND EMPLOYERS' LIABILITY Y / N ANYPROPR OFFICER/MEMBER EXCLUDED? N NH/PARTNER/EXECUTIVE NIA 7011411372 ADS 01/17/2024 01/17/2025 E.L. EACH ACCIDENT $ 1 000,000 M ndato y in (Mandatory ) EA E.. OYE EMPLOYEE $ IOOO,OOO . $ _ ...., If yes, describe under DESCRIPTION OF OPERATIONS below ..E.L_.DISEASE- E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: — ENG 24-11: CONSTRUCTION INSPECTION SERVICES FOR CENTER STREET STORM DRAIN IMPROVEMENTS PROJECT. City of El Segundo its officials, and employees are included as additional insured (except workers' compensation) where required by written contract. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions. CERTIFICATE HOLDER _ CANCELLATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Public Works Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE 91$usiQ 'LL_ v_-4r � 0)1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ��.... .......... _ .... - INSURANCE AOCertificate Number: Valid as of.,CERTIFICATE OF 2024-ACC-City of El Segundo June 05, 2024 _..................... ..... ......... .......... ......_.......... PRODUCER Aon Risk Services Northeast, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND One Liberty Plaza, 165 Broadway, Suite 3201 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE NewYork, New York New DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE: 212441-1000 FAX: 212441-1953 INSURERS AFFORDING COVERAGE ...... _..................... INSURED Anser Advisory Management, LLC ... ........ INSURER Allianz Global Risks US Insurance Company ........�.�........_...._ 2677 North Main Street .._...., INSURER B Suite 400 Santa Ana CA 92705 INSURER C - INSURER D777 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ............... ....... ............. POLICY POLICY INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS LTR MM\DD\YY MWDDWY _ .... _._.----..._...... .... _._._. GENERAL LIABILITY _- EACH OCCURRENCE $ _. _............._ ............... ❑ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ ...... ... . ❑ CLAIMS MADE ❑ OCCUR MED EXP (Anyone person) $ ........... ....... ❑ PERSONAL & ADV INJURY $ _-.......... _..... ... ....... ... ............ GENERAL AGGREGATE $ GENERAL AGGREGATE LIMIT APPLIES PER: I PRODUCTS - COMP/OP AGG $ ..-...._............. ❑ POLICY ❑ PROJECT ❑ LOCATION AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ '.. ❑ ANY AUTO (Ea Accideni) ❑ ALL OWNED AUTOS BODILY INJURY $ [I SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY $ ❑ NON -OWNED AUTOS (Per accident) ❑ ............. PROPERTY DAMAGE $ _.._......__-.. (Per Accident) ,..._.. _.............. GARAGE LIABILITY ...............�. _.� .......... ..... ........ ......... ..... ......e.. AUTO ONLY - EA ACCIDENT $ ❑ ANY AUTO OTHER THAN AUTO ONLY: ❑ ❑ EAACCIDENT $ .. I ....... ❑ AGGREGATE $ _- ._---------. EXCESS LIABILITY _. ........ .......__�...............�. EACH OCCURRENCE $ ......... ❑ OCCURRENCE ❑ CLAIMS MADE AGGREGATE $ ❑ DEDUCTIBLE $ _.._.._....... .. ❑ RETENTION $ WC WORKERS COMPENSATION AND EMPLOYERS' LIABILTY ❑ Statutory ❑ Other $ Limits .................. EL EACH ACCIDENT $ ............. EL DISEASE -POLICY LIMIT $ EL DISEASE -EACH EMPLOYEE $ OTHER A PROFESSIONAL INDEMNITY ® CLAIMS MADE USZ000017240M June 1. 2024 June 1, 2025 LIMIT: US$1,000,000 each claim and in the aggregate ._.... DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL _.... ......... ................. ................ PROVISIONS Coverage includes cyber liability. RE: ENG 23-29 Inspection of PW 23-01 .� ._.�.._........... w s m _.....�...� CERTIFICATE.............._ ._ ..- HOLDER CANCELLATION _ .. w, N EXPIRATION DATE THEREOF, NOTICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX City of El Segundo WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Department 350 Main Street AUTHORIZED REPRESENTATIVE y j ag SMO&W zTr/k INC, El Segundo CA 90245 140' Workers Compensation And Employers Liability InsuranceEn,---I,o-senjent CpwV,VApofic-v H11 This endorsement changes the policy to which it is attached. It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: G-19160-B (11-1997) Endorsement Effective Date: Endorsement Expiration Date: Endorsement No: 3; Page: 1 of 1 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy No: WC 7 11411386 Policy Effective Date: 01/17/2024 Policy Page: 34 of 49 ° Copyright CNA All Rights Reserved.