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PROOF OF INSURANCE (2025)f4C DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/16/2024 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 Tina Cowie NAME: 731-711 7011 0 714 PHONE. ( FAX (714)731-7750 Cornerstone Specialty Insurance Services, Inc. N Ex1r ) A/C, No: 14252 Culver Drive, A299 E-MAIL tina@cornerstonespecialty.com ADDRESS: Irvine INSURED r(1VFRArFC INSURER(S) AFFORDING COVERAGE www CA 92604 INSURERA: RLI Insurance Company INSURERB: Aspen American Insurance Company MILLER ARCHITECTURAL CORP. 1177 Idaho Street Suite 200 Redlands CA 92374 INSUF rFRTIF]rATF NIIMRFR- 24/25 COVERAGES INSURER D : INSURER E :. REVISION NUMBER:, 13056 43460 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. tLTR TYPE OF INSURANCE NSD POLICY NUMBER MM DDY EPF MMIDD E/YYYY)_ _ LIMITS MERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000. DA N 1,000,000 CLAIMS -MADE � OCCUR PAADDTL PREMISES (Ea occurrence,) $ JX INSURED / P & NC MED EXP (Any one person) $ 10,000 A PSB0006782 05/29/2024 05/29/2025 BLNKT WVR OF SUBRO PERSONAL&ADV INJURY $ INCLUDED GENERAL AGGREGATE $ 4,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: PRO- POLICY X JECT LOC PRODUCTS COMP/OPAGG 4,000,000 $ $ OTHER _ _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT' (Ea accident) $ 2,000,000 _ BODILY INJURY (Per person) .. $ ANYAUTO BODILY INJURY (Per accident) $ A OWNED SCHEDULED PSB0006782 05/29/2024 05/29/2025 r�,,r AUTOS ONLY AUTOS PERTY PexTaccUdewaC DAMAGE $ ✓""� AUTOS ONLY AUTOS ONLDY UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ A XEXCESS LIAB CLAIMS -MADE PSE0002919 05/29/2024 05/29/2025 $ DED RETENTION $ WORKERS COMPENSATION PER OTH X STATUTE ER AND EMPLOYERS' LIABILITY Y / N E.L. EACHACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE N N /A PSW0003805 05/29/2024 05129/2025 E..L. DISEASE - EA EMPLOYEE ­ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If If yes, describe under DESCRIPTION OF OPERATIONS below E...L.. DISEASE - POLICY LIMIT 1 000,000 $ ' Each Claim $3,000,000 B Professional Liability Claims Made AAAE300196-04 105/29/2024 I 05/29/2025 Annual Aggregate $3,000,000 w _ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo is Additional Insured for General Liability but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions. *30 days notice of cancellation, except for 10 days notice for non-payment of premium. For Professional Liability coverage, the aggregate limit is the total insurance available for all covered claims reported within the policy period. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo Public Works Deparment ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 ,1� dut-i ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Policy Number: PSB0006782 Named Insured: Miller Architectural Corp. RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack° FOR DESIGN PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM - SECTION II — LIABILITY C. WHO IS AN INSURED is amended to include as an additional insured any person or organization that you agree in a contract or agreement requiring insurance to include as an additional insured on this policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by you or those acting on your behalf: a. In the performance of your ongoing operations; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "product -completed operations hazard". 2. The insurance provided to the additional insured by this endorsement is limited as follows: a. This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this policy. b. This insurance does not apply to the rendering of or failure to render any "professional services". c. This endorsement does not increase any of the limits of insurance stated in D. Liability And Medical Expenses Limits of Insurance. 3. The following is added to SECTION III H.2. Other Insurance — COMMON POLICY CONDITIONS (BUT APPLICABLE ONLY TO SECTION II — LIABILITY) However, if you specifically agree in a contract or agreement that the insurance provided to an additional insured under this policy must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs after you have entered into that contract or agreement; or b. The "personal and advertising injury" for which coverage is sought arises out of an offense committed after you have entered into that contract or agreement. 4. The following is added to SECTION III K. 2. Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT APPLICABLE TO ONLY TO SECTION II — LIABILITY) We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal and advertising injury" arising out of "your work" performed by you, or on your behalf, under a contract or agreement with that person or organization. We waive these rights only where you have agreed to do so as part of a contract or agreement with such person or organization entered into by you before the "bodily injury" or "property damage" occurs, or the "personal and advertising injury" offense is committed. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPB 304 02 12 Page 1 of 1 WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Person or Organization All persons or organizations that are party to a contract that requires you to obtain this agreement, provided you executed the contract before a loss Schedule Job Description Job performed for any person or organization that you have agreed with in a written contract to provide this agreement. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 05/29/2024 Policy No. PSW0003805 Endorsement No. Insured Miller Architectural Corporation Insurance Company RLI Insurance Company