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PROOF OF INSURANCE (2025) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATEcMMIDU/YYYY) 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 License No: f3629370 EMAIL 94J.47-k 15------------- ... Ed ewood Partners Insurance Center (EPIC) PHON a.tnI.II —„ �... AX 4Alq,_N�t:..... 4675 MacArthur Court, Suite 750 AoOR4as COVERAGE -. Newport Beach, CA 92660 1 SURERAFFORDING NAlca (S�_ www.epicbrokers.com —� INSURERA: Travelers Proper Casualty Company of America 25674 _ .......... INSURED INSURER B : Travelers Casualty and Surety Co America 31194 JM Diaz, Inc. ..... _— ---- DBA: JMD INSURER ......... 18645 E. Gale Ave., Ste #212 !NsuRERo- --.... City of Industry CA 91748 .INSURER e __ ._._..._ .. ,...-- mac. ^=M 1L11%A r= wuulAnoo. r, nA— RFVICInfd NIIIMRPR- 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. _-...._. .- , iI T TYPE OF INSURANCE ..,...�.. .+.._ ..... VD POLICY NUMBER ............... MM DDNYYY)Y EFF V MMIDO EXP.,�, ILTR „ AO61 SUI3RI µ.... LIMITS A ✓ ri COMMERCIAL GENERAL LIABILITY ✓ 6802J3309942447 6/27/2024 6/27/2025 EACH OCCURRENCE $1 000,000 CLAIMS -MADE ✓ OCCUR PREIJ9SScrre� c$ 1000,000 MED EXP (Any one Pe son) $ 5,000 _.- PERSONAL & ADV INJURY $1,000„000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY ✓ PE LOC PRODUCTS COMP/OP AGG $ 2 QO0.000 m.- _ OTHEd Deductible $ None A AUTOMOBILE LIABILITY BA8R7053252447G 6/27/2024 6/27/2025 COMBINED SINGLE LIMIT tgccr er 1 ................. . ... $1 000 000 ...... .-- ...-. .-,. ANY AUTO BODILY INJURY (Per person) $ ........... ..,. ✓,,,, -_ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY ___... AUTOS HIRED NON -OWNED - AUTOS ONLY " ._ AUTOS ONLY_tPRac dgDAMAG........... $... . ...... UMBRELLA LIAR JOCCUR EACH OCCURRENCE _ $ EXCESS LB B ... CLAIMS - MADE AGGREGATE ,n, ____ - _........ $ ... .. .......-.,, .. RETENTION$ $ A WORKERS COMPENSATION UB6K8694022447G 6/27/2024 6/27/2025 PER - LOTH ER___ ✓ AND EMPLOYERS' LIABILITY ANYPROPRIET /EXECUTIVE Y / N N / A � ,STATUTE H ACCIDENT _ ,,,,,, _$ 1,000, EREXCLUDED? N OF (Mandatory MBER XCLUD OFFICE NH) E L D SEASE�EA EMPLOYEE $ 000 �000 If yes, describe under DESCRIPTION OF OPERATIONS below . E.L. DISEASE- POLICY LIMIT $1 000 000 B Professional Liability 105263164 6/27/2024 6/27/2025 $3,000,000 per Claim DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: ENG 24-40: ON- CALL Traffic Engineering Services. City of El Segundo, its officials, and employees„ to the extent required by written contract are additional !insured on a primary and non- contributory basis with respect to General Liability. 30-day notice of cancellation, except 10 days for non-payment Of premium, applies to the extent required by written contract. 'GtK I I11*1k; I t FIULUt=K �.NIY IrCLL/i 1 IlJ1Y ENG 24-40 City of El Segundo 350 Main St. El Segundo CA 90245 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 Todd Holliday IJ 1yStI-ZU10 AI:UKU L UKYUKAI IUN. All ri9m;5 reserveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD JIVI Diaz, Inc. 6802,13309942447 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL, INSURED (ARCHITECTS9 ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION 11 — WHO IS AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", ""property damage" or "personal injury'; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies, or in connection with premises owned by or rented to you, The person or organization does not qualify as an additional insured: c. With respect to the independent acts or omissions of such person or organization; or d. For "bodily injury", "personal injury" for organization has as contract or agreement. "property damage" or which such person or sumed liability in a The insurance provided to such additional insured is limited as follows: e. 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 Coverage Part. f. This insurance does not apply to the rendering of or failure to render any "professional services". g. In the event that the Limits of Insurance of the Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall be limited to, the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the limits of insurance described in Section III — Limits Of Insurance. h. This insurance does not apply to "bodily injury" or "p,roperty damage" caused by, "your work" and included in the "products - completed operations hazard" unless the ""written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury' or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover, However, if you specifically agree in the "written contract requiring insurance"' that this insurance provided to the additional insured under this Coverage Part must apply on a primary basis or a, primary and non-contributory basis,, this insurance is primary to other insurance available to the additional insured which covers that person or organizations as a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily injury' or "property damage" for which coverage is sought occurs; and (2) The "personal injury' for which coverage is sought arises out of an offense committed; after you have signed that "written contract requiring, insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any other insurance. CG D3 81 09 15 P 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 Includes the copyrighted 'material of Insurance Services Office. Inc., with its permission COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company_ All rights reserved. Includes the copyrighted material of Insurance Services Office, Inc., with its permission CIS D3 81 09 15 014149 A Diaz, Inc. DBA: JMD COMMERCIAL GENERAL LIABILITY 8/2/2024 c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. d. Primary And Non -Contributory Insurance If Required By Written Contract If you specifically agree in a written contract or agreement that the insurance afforded to an insured under this Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available tosuch insured which covers such insured as a named insured, and we will not share with that other insurance, provided that (1) The "bodily injury' or "property damage" for which coverage is sought occurs; and (2) The "personal and advertising injury' for which coverage is sought is caused by an offense that is committed; subsequent to the signing of that contract or agreement by ynu. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with cur rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the eDcess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and C. We have issued this policy in reliance upon your representations. The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to eercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulaticns. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and ary rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the epiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding websites, only that part of a website that is about your goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. Page 16 of 21 ® 2017 The Travelers Indemnity Company. All rights reserved. CG T1 00 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission.