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PROOF OF INSURANCE (2025)DATE (MM/DDIYYYY) AC R" CERTIFICATE OF LIABILITY INSURANCE 8/16/2024 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 NAME; Ashlie Rutherford HAUSER PHONE --- --------- FAX 5905 E. Galbraith Rd, Ste 9000 1Atc,,N%Ext1,..513-745 9200 tarc Na�lr..513 745 9219 Cincinnati OH 45236 E-MAIL „ ,arutherlorrl c t ehau9erf9rou�t ggrh... ...... INSURERS) AFFORDING COVERAGE NAIC # INSURERA Allied World Specialty Ins Co. _16624 ....._ —___ ___ AwF�ciZu=oz INSURED B: zens Ins. oBayl 31534 INSURER c MINSURER assachusetts seCo . 2230E 250E Seaportion Ste 410-SH _ Chester PA 19013 INSURER D ....................... ___. rnvconr-ce f`I-0TIr_If ATF h1111URFR- 1dn1S270RRO RFVIAlf)fJ NLIMRFR' 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 BY PAID CLAIMS. REDUCED . ...................-...._ .------- -........ .......� ,,,. r ______.—pOUCY NUMBER mb POLICY AAMdkI ...................... „ ......... ......... .... ..._. INSR TYPE OF INSURANCE ADOLi`t�' POLICY EFF POLICY EXP J LIMITS LTR DfYYYY B L X COMMERCIAL GENERAL LIABILITY 07WA883819 3/27/2024 3/27/2025 � EACH OCCURRENCE EACH OCCURRENCE _ �.. CLAIMS -MADE OCCUR R X � � N'(Cb ) P ES Ea occurrence 1 $ 1,000 000 ..... -,REMI MED EXP (And one person) .. $ 10 000 .... ...... PERSONAL & ADV INJURY $ 1,000 000 ...... G N L AGGREGATE MIIT A PER: GENERAL AGGREGAT 000 000 ,mm ..... PPLIES X I POLICYPRO JEC7 LOCPRODUCTS - COMPIOP AGG $µ2 000 000 OTHER: $ B1 AU, T 07WA883819 3/27/2024 3/27/2025 E�1tlEt5SINOLLL1Mlr � a �acddewu 1 n eluded I^ AN AIUELLIABILITY 1p TO J BODILY INJURY Per B ( person) I $ OWNED SCHEDULED , ...,.,,.... BODILY INJURY (Per accident) �._,_, ... ,_. ,_.m.......... ........ $ AUTOS ONLY „-X.... 1..X.., AUTOS HIRED NON -OWNED Illfff ..._ f PROPLRTYOAMAGE ogilo I $ -----....... AUTOS ONLY «........., AUTOS ONLY -tPer tarp ................. ... ......., 9I V $ B X L. UMBRELLALIAB X OCCUR 07WA883819 3/27/2024 3/27/2025 EACH OCCURRENCE $1,000,000 l EXCESS LIAB CLAIMS -MADE - [ AGGREGATE I $ 1,000,000 DEO I... RETENTION $ , C ', WORKERS COMPENSATION WHWA883809 3/27/2024 3/27/2025 X J PER +OTH STATUTE ER AND EMPLOYERS' LIABILITY ECUTIVE Y� E,L. EACH ACCIDENT __ $1,000,000 EXCLUDED? OFFICER/MEn NIA ''.... (Mandatory' NH) L,. D SEA :_ A EMPLOYEE „E ......."'---__ _ !. $.1,000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Directors & Officers 1 03100687 3/27/2024 3127/2025 $1 000 000 Limit $50,000 Deductible EPL $1:000:000 Limit $15,000 Retention Fiduciary $1,000,000 Limit $0 Retention DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of EI Segundo is shown as an additional insured(s) solely with respect to general liability coverage as evidenced herein as required by written contract with respect to work performed by the named insured(s). 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 AUTHORIZED REPRESENTATIVE ek.. _._ © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD HThe anover Insurance Group_ 07WA883819 2003614 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESSOWNERS LIABILITY SPECIAL BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SUMMARY OF COVERAGES Limits -� ....._ Page I. Additional Insured by Contract, Agreement�... or Permit Inccluded Included � � 2. Additional Insured - Broad Form Vendors Included 2 3. Alienated Premises Included 3 4. y Broad Form Property Damage - Borro Goods and Use of Elevators Included 3 5. Incidental Malpractice(Employed Nurses, s anParamedics) p EMT'd Pedics) Included 3 l�a 6. Personand Advertising Injury - Broad Form.._. Included ..................... _ _.........4 7, Product Recall Expense Included 4 Product Recall Expense Each Occurrence Limit $25,000 Occurrence Product Recall Expense Aggregate p gg egate Limit 0 $50,000 Aggregate Product Recall Deductible $500 5 8. Unintentional Failure to Disclose Hazards Included 6 9. Unintentional Failure to Notify Included 6 This endorsement amends coverages provided under the Businessowners Coverage Form through new coverages and broader coverage grants. This coverage is subject to the provisions applicable to the IBusinessowners Coverage Form, except as provided below. The following changes are made to SECTION II - LIABILITY: 1. Additional Insured by Contract, Agreement or Permit The following is added to SECTION II - LIABILITY, C. Who Is An Insured: Additional Insured by Contract, Agreement or Permit a. Any person or organization with whom you agreed in a written contract, written agreement or permit to add such person or organization as an additional Insured on your policy is an additional Insured only with respect to liability for "bodily, injury", "property damagge ", or ""personal and advertising injury" caused, in whole or In part, by yyour acts or omissions, or the acts or omissions of those acting on your behalf,. but only with respect to: (1) "Your work" for the additional insured(s) designated in the contract, agreement or permit; (2) Premises you own, rent, lease or occupy; or (3) Your maintenance, operation or use of equipment leased to you. b, The insurance afforded to such additional insured described above: (1) Only applies to the extent permitted by law; and (2) Will not, be broader than the Insurance which you are required by the contract, agreement or permit to provide for such additional Insured. (3) Applies on a primary basis If that is required by the written contract, written agreement or permit. (4) Will not be broader than coverage provided to any other insured. (5) Does not apply If the "bodily Injury" "property damage" or "'personal and advertisbng Injury"Is otherwise excluded from coverage under this Coverage Part, Including any endorsements thereto. 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with Its permission. Page 1 of 6 c. This provision does not apply: (1) unless the written contract or written agreement was executed or permit was Issued prior to the ""bodily injurer"", ""property damage"", or ""personal njury and advertising Injury", (2) To any person or organization Included as an insured by another endorsement issued by us and made part of this Coverage Part. (3) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily Injury", ""'property damage"", "personal and advertising injury" arises outof sole negligence of the lessor. (4) To any: (a) Owners or other Interests from whom land has been leased If the "occurrence" takes place or the offense is committed after the lease for the land expires; or (b) Managers or lessors of premises if: (1) The "occurrence" takes place or the offense is committed after You cease to be a tenant In that premises; or (it) The "baodily injury"" ""property, damage", personal injury or "advertising Injury" arises out of structural alterations" new construction or demolition operations performed by or on behalf of the manager or lessor. (5) To "bodily injury", "property damage" or "personal and advertising Injury"ansing out of the rendering of or the failure to render any professional services. This exclusion applies even If the claims against any Insured alle a negligence or other wrongdoing in he supervision, hiring, em Ioyment, training or monitoring ofpothers by that insured, If the ""occurrence'" which caused the "bodil Injury"" or "property damage"" or the offense which caused the personal and advertising Inury"" involved the rendering of or fai lureto render any professional services by or for you, d. With respect to the Insurance afforded to these additional insureds, the following is added to SECTION p - LIABILITY, D. Liability and Medical Expense Limits of Insurance: The most we will pay on behalf of the additional insured for a covered claim is the lesser of the amount of Insurance: 1. Required by the contract, agreement or permit described in Paragraph a.; or 2. Available under the appplicable Limits of Insurance shown in the t7eclarations. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations e. All other insuring agreements, exclusions, and conditions of the policy apply. 2. Additional Insured - Broad Form Vendors The followNn Is added to SECTION li - LtABILITY, + . 1ho Is An Insured: Additional Insured - Broad Form Vendors a. Aperson or organization that Is a vendor whit whom ,you agreed In a written contract or written agreement to include as an additional insured, under this Coverage Part Is an Insured, but only with respect to liability for "bodily injury" or "property damage" arising out of "" our products" which are distributed or sold In the regular course of the vendor's business. b. The insurance afforded to such vendor described above: (1) Only applies to the extent permitted by law; (2) Will not be broader than the Insurance which you are required by the contract or agreement; to provide for such vendor; (3) WIII not be broader than coverage provided to any other insured; and (4) Does not apply if the "bodily Injury"", "property damage" or "personal and advertising injury" is otherwise excluded from coverage under this Coverage Part, including any endorsements thereto c. With respect to insurance afforded to such vendors, the following additional exclusions apply: The insurance afforded to the vendor does not apply to: (1) "Bodily Injury" or "propertyy damage" for which the vendor Is obligated to pay damages by reasons of the assumption of liabllity In a contract or agreement. This exclusion does not apply, to liability for damages that the insured would have In the absence of the contract or agreement; (2) Any express warranty unauthorized by you; 391.1006 08 16 Includes copyrighted materials of Insurance Services offices, Inc., with Its permisslon. Page 2 of 6 (3) Any physical or chemical change ,in the product made Intentionally by the vendor; (4) Repackaging, unless unpacked solely for the purpose of Inspection, demonstration, testing, or the substitution of parts under instruction from the manufacturer, and then repackaged in the original container; (5) Any failure to make such Inspection, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make In the usual course of business In connection with the sale of the product; (6) Demonstration, Installation, servicing or repair operations, except such operations performed at the vendor's premises In: connection with the sale of the product; (7) Products which, after distribution or sale by, you, have been labeled or relabeled or used as a container, part or Ingredient of any other thing or substance by or for the vendor; (8) "Bodily injury" or "property damage" arising out of the sole, negligence of The vendor for its own acts or omissions or those of its employees or anyone else acting on Its behalf, However, this exclusion does not apply to: (a) The exceptions contained within the exclusion in subparagraphs (4) or (6) above;or (b) Such Inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, In connection with the distribution or sale of the products. (9) "Bodily injury" or "property damage" arising out of an ""occurrence" that took place before you have signed the contract or agreement with the vendor. (10)To any person or organization, included as an Insured by another endorsement issued by us and made part of this Coverage Part. (11)Any Insured person or organization, from whom you have acquired such products, or any Ingredient, part or container, entering Into, accompanying or containing such products. d. With respect to the insurance afforded to these vendors, the following is added to SECTION III - LIABILITY, D. Liability and Medical Expense Limits of Insurance: -41 InsHn9Xj!r §arl, p- 07WA883819 2003614 The most we will pay on behalf of the vendor for a covered claim is the lesser of the amount of insurance: 1. Required by thee contract or agreement described in Paragraph a.; or 2. Available under the applicable Limits of Insurance shown in the Declarations; This endorsement shall not increase the applicable Limits of Insurance shown In the Declarations. 3. Alienated Premises SECTION 11 - LIABILITY, B. Exclusions, 1. Applicable To Business Liabillty Coverage k. Damage to Property, paragraph {2 is replaced by the followlng;! (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those promises and occurred from hazards that were known by you, or should have reasonably been known by you, at the time the property was transferred or abandoned. 4. Broad Form Propert, Damage- Borrowed Equipment, Customers goods„ Use of Elevators a. The following is added to SECTION 11 - LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage, k. Damage to Property: Paragraph (4) does -not apply to "property damage" to borrowed equipment while at a jobsite and not being used to perform operations. Paragraph 3), (4) and (6) do not apply to "property Aage" to "customers goods" while on your premises nor to the use of elevators. b. For the purposes of this endorsement, the following definition is added to SECTION 11 - LIABILITY, F. Liability and Medical Expenses Definitions: 1. "Customers goods" means property of your customer on your premises for the purpose of being: a. Worked on; or b. Used in your manufacturing process. c. The insurance afforded under this provision Is excess over any other valid and collectible proper insurance (Including deductible) availabyte to the Insured whether primary, excess, contingent or on any other basis. 5. Incidental Malpractice - Employed Nurses, EMT's and Paramedics SECTION 11 - LIABILITY, C. Who Is An Insured paragraph 2.a.(1)(d) does not apply to a nurse, 391.1006 06 16 Includes copyrighted materials of Insurance Services offices, Inc., with Its permission. Page 3 of 6 emergency medical technician or paramedic employed by you if you are not engaged in the business or occupation of provid ng medical, paramedical, surgical, dental, x-ray or nursing services. 6. Personal Injury - Broad Form a. SECTION 11 - LIABILITY, B. Exclusions, 2. Additional Exclusions Applicable only to "Personal and Advertising Injury", paragraph e. is deleted. b. SECTION 11 - LIABILITY, F. Liability and Medical Expenses Definitions, 14. "Personal and advertising Injury", paragraph b. Is replaced by the following: b. Malicious prosecution or abuse of process. c. The following is added to SECTION 11 LIABILITY, F. Liability and Medical Expenses Definitions, Definition 14. "Personal and advertising injury": "Discrimination" unless insurance thereof is prohibited by law that results In Injury to the feelings or repo atlon of a natural person, but only if such "discrimination" Is: (1) Not done intentionally by or at the direction of: (a) The insured; (b) Any officer of the corporation, director, stockholder, partner or member of the Insured; and (2) Not directly or Indirectly related to an "employee', not to the employment, prospective employment or termination of any person or persons by an Insured. d. For purposes of this endorsement, the following definition is added! to 'SECTION 11 - LIABILITY, F. Liability and Medical Expenses Definitions: 1. "Discrimination" means the unlawful treatment of Individuals based upon race, color" ethnic origin, gender" religion, age,. or sexual preference. "Discrimination" does not include the unlawful treatment of Individuals based upon developmental, physical, cognitive, mental, sensory or emotional' Impairment or any combination of these. e. This coverage does not apply If liability coverage for "personal and advertising injury" Is excluded either by the provislons of the Coverage Form or any endorsement thereto. o. Recall of Products, Work or Impaired Property Is replaced by the following: o. Recall of Products, Work or Impaired Property Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair" replacement, adjustment,removal or disposal of: (1) "Your product"; (2) "Your work"; or (3) "Impaired property"; If such product, work or property Is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, Inadequacyor dangerous condition In It, but ths exclusion does not apply to "product recall expenses" that you Incur for the "covered recall" of "your product". However, the exception to the exclusion does not apply to "product recall expenses" resulting from: (4) Failure of any products to accomplish their intended purpose; (5) Breach of warranties of fitness, quality, durability or performance; (6) Loss of customer approval, or any cost incurred to regain customer approval; (7) Redistribution or replacement of "your product" which has been recalled by like products or substitutes; (8) Caprice or whim of the insured; (9) A condition likely to cause loss of which any insured knew or had reason to know at the Inception of this insurance; (10)Asbestos, including loss" darnage or clean up resulting from asbestos or asbestos containing materials; or (11)Recall of "your products" that have no known or suspected defect solely because a known or suspected defect in another of "your products" has been found. b. The following is added to SECTION II - LIABILITY, C. Who Is An Insured, paragraph 3.b.: 7, Product Recall Expense "Product recall expense" arising out of any a. SECTION 11 - LIABILITY, B. Exclusions, 1. withdrawal or recall that occurred' before you Applicable To Business Liability Coverage, acquired or formed the organization. 391-1006 08 16 Includes copyrighted materials of Insurance Services offices, Inc„ with Its permission. Page 4 of 6 c. The following is added to SECTION II - LIABILITY, D. Liability and Medical Expenses Limits of insurance: Product Recall Expense Limits of Insurance a. The Limits of Insurance shown in the SUMMARY OF COVERAGES of this endorsement and the rules stated below fix the most that we will pay under this Product Recall Expense Coverage regardless of the number of: (1) Insureds; (2) "Covered Recalls" initiated; or (3) Number of "your products" withdrawn. b. The Product Recall Expense Aggregate Limit is the most that we will reimburse you for the sum of all "product recall expenses" Incurred for all "covered' recoils" initiated during the policy period. c. The Product Recall Each Occurrence Limit is the most we will ay in connection with any one detect or deficiency. d. All "product recall expenses" in connection with substantially the same general harmful condition will be deemed to arise out of the same defect or deficiency and considered one "occurrence".. e. Any amount reimbursed for "product recall expenses" in connection with any one "occurrence" will reduce the amount of the Product Recall Expense Aggregate Limit available for reimbursement of "product recall expenses" in connection with any other defect or deficiency. f. If the Product Recall Expense Aggregate Limit has been reduced by reimbursement of "product recall expenses"" to an amount that Is less than the Product Recall Expense Each Occurrence Limit, the remaining Aggregate Limit Is the most that will be avallable for reimbursement of "product recall expenses" In connection with any other defect or deficiency. g. Product Recall Deductible We will only pay for the amount of "product recall expenses" which are in excess of the $500 Product Recall Deductible. The Product Recall Deductible applies separately to each "covered recall". The limits of Insurance will not be reduced by the amount of this deductible. We may, or wilI If required by law, pay all or any part of any deductible amount, If applicable. Upon notice of our payment of a deductible amount, you shall promptly reimburse us for the part of the deductible amount we paid. The Product Recall Expense Limits of Insurance apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the pollcy period shown in the Declarations, unless the policy period is extended after Issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for the purposes of determining the Limits of Insurance. d. The following is added to SECTION 11 - LIABILITY, E. Liability and Medical Expense General Conditions, 2. Duties in the Event of Occurrence, Offense, Claim or Suit: You must see to it that the following are done in the event of an actual or anticipated "covered recall" that may result in "product recall expense": (1) Give us prompt notice of any discovery or notification that "your product" must be withdrawn or recalled, Include a description of "your product" and the reason for the withdrawal or recall; (2) Cease any further release, shipment, consignment or any other method of distribution of like or similar products until It has been determined that all such products are free from defects that could be a cause of loss under this insurance. e. For the purposs of this endorsement, the following definitions are added to SECTION Il - LIABILITY, F. Liability and Medical Expenses Definitions: 1. "Covered recall" means a recall made necessary because you or a government body has determined that a known or suspected defect, deficiency, Inadequac, or dangerous condition in "your ,product" has resulted or will result in "bodily injury" or "property damage". 2. "Product recall expense(s)" means: a. Necessary and reasonable expenses for: (1) Communications, including radio or television announcements or pointed advertisements including stationary, envelopes and postage; 391.1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 5 of 6 (2) Shipping the recalled pprodLlcts from any purchaser„ distributor or user to the place or places designated by you; (3) Remuneration paid to your regular "employees" for necessary overtime; (4) Hiring additional persons, other than your regular "employees"; (5) Expenses incurred by "employees" including transportation and accommodations; (1) If the ""products - completed operations hazard''' Is excluded from coverage under this Coverage Part Including any endorsement thereto; or (2) To "product recall expense" arising out of any of "your products" that are otherwise excluded from coverage under this Coverage Part lncludingi endorsements thereto. 8. Unintentional Failure to Disclose Hazards (6) Expenses to rent additional warehouse or storage space; (7) Disposal of "your product", but only to the extent that specific methods of destruction other than those employed for trash discarding or disposal are 9. required to avoid "bodily Injury" or "'property damage" as a result of such disposal" you incur exclusively for the purpose of recalling "your product"; and b. Your lost profit resulting from such "covered recall". f. This Product Recall Expense Coverage does not apply: The following is added to SECTION II - LIABILII Y, E. Liability and Medical Expenses General Conditions: Representations We will not disclaim coverage under this Coverage Part if you fail to disclose all hazards existing as of the Inception date of the policy provided such failure Is not Intentional, Unintentional Failure to Notify The following is added to SECTION Il - LIABILITY, E. Liability and Medical Expenses General Conditions, 2. Duties in the Event of Occurrence, Offense, Claim or Suit: Your rights afforded under this Coverage Part shall not be prejudiced If you fall to ,give us notice of an "occurrerlce", offense, claim or "suit", solel due to your reasonable and documented belles that the your injury", "property damage" or "personal and advertising Injury" is not covered under this Policy, ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. 391-1006 08 16 Includes copyrighted materials of Insurance Servlces Offices, Inc., with Its permission. Page 6 of 6