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PROOF OF INSURANCE (2024 - 2025)DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/6/2024 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). PRODUCER CONTACT NAME,_ Certificates Orr & Associates Insurance Services PHONE FAX - 28780 Single Oak Dr (A(C,No. Exp)800 311-3081 (aucNp 800 474 3003 Ste 255 Temecula CA 92590 NSURERsIAFADDRESS CerISO%ie Te FORDING COV ERAGE � NAIC # 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 .. AbbL1SUO8- E[---- - - POLICY EFF POLICY EXP — ------------ LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD � LIMITS A X '... COMMERCIAL GENERAL LIABILITY Y Y RBS0256052 11/4/2023 11/4/2024 1 EACH OCCURRENCE $1,000,000 CLAIMS �I OCCUR DAMAL'1 O FpJ W C:E) $ 1002000 -MADE l„ .,l fkprES [C� pcx rrpnrceC ., MED EXP (Any one person) $ 5,000 - PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 PRO• X POLICY JECT LOC PRODUCTS -COMP/OP AGG $ 1 000 000 -P 6 AUTOMOBILE .., LIABILITY 504-61016-2281-001 9/1/2023 9/1/2024 COMBINED SINGLELUMUT C99 acci�fnrat}------- ------- $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED X AUTOS ONLY ` AUTOS BODILY INJURY (Per acadenl) $ HIRED NON -OWNED If I RROPERTYOAMAGE $ AUTOS ONLY AUTOS ONLY _(Per accident) _ UMBRELLA LIAB !OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE G AGGREGATE $ ...µ ,... DEO RETENTION $ _- $ C WORKERSCOMPENSATION CWCO2763600 1/4/2024 1/4/2025 X PER 1 OTH STATUTE ER AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE ! E L EACH ACCIDENT $ 1 000,000 'OFFICER/MEMBER EXCLUDED? N/A , -- -- (Mandatory in NH) E L DISEASE EA EMPLOYEE '__$ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate is subject to policy limits, conditions and exclusions. City of El Segundo is named as Additional Insured as per attached endorsement form(s). CERTIFICATE HOLDER CANCELLATION 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 Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. POLICY NUMBER (12:01 A M. STANDARD TIME) RBS0256052 11 /04/2023 TERCERO INC 047BZ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED -ONGOING OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION II —WHO IS AN INSURED, paragraph C. is amended to include, for COVERAGE A —BODILY INJURY, PROPERTY DAMAGE, PERSONAL INJURY AND ADVERTISING INJURY LIABILITY only, as an additional insured, any person, entity or organization for whom the Named Insured is performing ongoing operations only when the Named Insured has agreed with the person, entity or organization in an insured contract to name the person, entity or organization as an additional insured. 1. Such person, entity or organization is only an additional insured with respect to liability for bodi- ly injury or property damage caused, in whole or in part, by the ongoing operations of the Named Insured performed for the additional insured. 2. The insured contract must be currently in effect or become effective during the policy period, be executed prior to the bodily injury or property damage first happening, and be between the Named Insured and the additional insured. 3. This coveragedoes not apply to bodily injury orproperty damage after: a. Your work for the additional insured has been completed; or b. That portion of your work out of which the bodily injury or property damage arises has been put to its intended use by any person or organization. 4. The applicable limit of our liability shall not be increased by the inclusion of the additional in- sured under the policy. 5. We shall have no duty to indemnify the additional insured for damages,claims or any other lia- bilities arising from actions, inactions, errors or omissions of the additional insured. 6. Our duty to indemnify the additional insured under an insured contract pursuant to this en- dorsement shall be limited to that sum derived by applying the percentage of fault of the Named Insured as determined by the trier -of -fact to the total damage sum allocated by the trier -of -fact to the additional insured. Under no circumstances shall we pay more than this proportionate in- demnity share required of the policyholder in the insured contract. 7. Any indemnity payments made on behalf of any additional insured under an insured contract shall reduce the applicable limits of insurance on a dollar for dollar basis. Any indemnity pay- ments paid to or on behalf of the additional insured pursuant to this endorsement are subject to the terms, conditions and limitations of the policy. Nationwide" SDS-6 (1-19) Page 1 of 2 8. This endorsement does not create a duty on our part to defend the additional insured or to par- ticipate in, contribute to, or reimburse any person, organization or entity for any fees or expenses incurred in the defense of the additional insured. SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition B. INSURED'S DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT of the policy is amended to include: An additional insured under this endorsement shall in addition to complying with all provisions of the policy: Give written notice to us of an occurrence or an offense which may result in a claim or suit with- in thirty (30) days of notice to the additional insured. 2. Give written notice to us of a claim or suit brought against the additional insured within thirty (30) days of the additional insured being served with the claim or suit. 3. Give written notice to any other insurer who has or may have coverage under its policy or policies for a claim,suit or demand for defense or indemnity within thirty (30) days of the additional in- sured being served with the claim,suit or demand for defense or indemnity. Such notice must demand the full coverage available under the policy. The additional insured will not take any ac- tion to waive or limits such other coverage available to it. 4. Obtain and provide to us copies of each and every policy from each and every insurer identified pursuant to the preceding paragraph. This endorsement is subject to all terms, conditions and exclusions of the policy, which remain unchanged. 11 /08/2023 AUTHORIZED REPRESENTATIVE DATE Nationwide' SDS-6 (1-19) Page 2 of 2 �� SCOTTSDALE INSURANCE COMPANY ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. POLICY NUMBER (12:01 A.M. STANDARD TIME) RBS0256052 11/04/2023 TERCERO INC 047BZ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. BLANKET ADDITIONAL INSURED -ONGOING OPERATIONS -PRIMARY AND NON -CONTRIBUTORY -OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION II —WHO IS AN INSURED, paragraph C. is amended to include, for COVERAGE A —BODILY INJURY, PROPERTY DAMAGE, PERSONAL INJURY AND ADVERTISING INJURY LIABILITY only, as an additional insured, any person, entity or organization for whom the Named Insured is performing ongoing operations only when the Named Insured has agreed with the person, entity or organization in an insured contract to name the person, entity or organization as an additional insured. Such person, entity or organization is only an additional insured with respect to liability for bodi- ly injury or property damage caused, in whole or in part, by the ongoing operations of the Named Insured performed for the additional insured. 2. The insured contract must be currently in effect or become effective during the policy period, be executed prior to the bodily injuryor property damage first happening, and be between the Named Insured and the additional insured. 3. This coveragedoes not apply to bodily injury or property damage after: a. Your work for the additional insuredhas been completed; or b. That portion of your work out of which the bodily injury or property damagearises has been put to its intended use by any person or organization. 4. The applicable limit of our liability shall not be increased by the inclusion of the additional in- sured under the policy. 5. We shall have no duty to indemnify the additional insured for damages,claims or any other lia- bilities arising from actions, inactions, errors or omissions of the additional insured. 6. Our duty to contractually indemnify the additional insuredunder an insured contract shall be limited to that sum derived by applying the percentage of fault of the Named Insured as deter- mined by the trier the trier -of -fact to the total damage sum allocated by the trier -of -fact to the ad- ditional insured.Under no circumstances shall we pay more than this proportionate contractual indemnity share. 7. Any contractual indemnity payments made on behalf of any additional insured under an in- sured contract shall reduce the applicable limits of insurance on a dollar for dollar basis. Any contractual indemnity payments are subject to the terms, conditions and limitations of the policy. SDS-8 (1-18) Page 1 of 2 This endorsement does not create a duty on ourpart to defend the additional insuredor to par- ticipate in, contribute to, or reimburse any person, organization or entity for any fees or expenses incurred in the defense of the additional insured. SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition B. INSURED'S DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUITof the policy is amended to include: An additional insuredunder this endorsement shall in addition to complying with all provisions of the policy: 1. Give written notice tous of an occurrence or an offense which may result in a claim or suit with- in thirty (30) days of notice to the additional insured. 2. Give written notice to us of a claim or suit brought against the additional insured within thirty (30) days of the additional insured being served with the claim or suit. 3. Give written notice to any other insurer who has or may have coverage under its policy or policies for a claim,suit or demand for defense or indemnity within thirty (30) days of the additional in- sured being served with the claim,suitor demand for defense or indemnity.Such notice must demand the full coverage available under the policy.The additional insured will not take any ac- tion to waive or limit such other coverage available to it. 4. Obtain and provide to us copies of each and every policy from each and every insurer identified pursuant to the preceding paragraph. The coverage provided by this endorsement is primary and non-contributory and no insurance held or owned by the additional insured shall be called upon to cover damages under this policy up to the limits of this policy, but only if the bodily injury or property damage under this policy is caused directly, in whole or in part, from your ongoing operations performed for the additional insured. This endorsement is subject to all terms, conditions and exclusions of the policy, which remain unchanged. / 11 /08/2023 AUTHORIZED REPRESENTATIVE DATE SDS-8 (1-18) Page 2 of 2 ENDORSEMENT Ai� SCOTTSDALE INSURANCE COMPANY® NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (1R A.M. STANDARD E A NAMED INSURED AGENT NO. POLICY NUMBER RBS0256052 11/04/2023 TERCERO INC 047BZ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Designated Construction Project: Any person or organization against whom Any construction project performed by you for any subrogation is required to be waived by an person or organization against whom subrogation is "insured contract". required to be waived by an "insured contract". SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph J. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is deleted in its entirety and replaced by the following: J. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US If any insured has rights to recover all or part of any payment we have made under the applicable Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair such rights. At our request, such insured will bring suit or transfer those rights to us and help us enforce them. We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for bodily injury or property damage arising out of your work done under an insured contract with that person or organization at the designated construction project. This waiver applies only if the designated construction project shown in the Schedule above is completed and only to the construction project designated in the above Schedule. All other terms, conditions and exclusions of the policy remain unchanged. 11 /08/2023 SDS-17 (1-18) Page I of I