PROOF OF INSURANCE (2025)1 0 DATE (MM/DD/YYYY)
ACCOREP CERTIFICATE OF LIABILITY INSURANCE
0812312024
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
NAMC
MARSH USA, LLC. PHONE rax"
4400 Comerica Bank Tower 9/s"Nq,.Fx1p C....,=No)
1717 Main Street EMAIL
Dallas, TX 75201-7357 ADORES,$
— INSURER�{S) AFFORDING COVERAGE NAIC # -
CN122676965 Finer 2425 INsuRE q j�,„01 I suranq(.-Cgmpany ,,. �2021
ESO Solutions, Inc..y
R A F f _
INSURED ESO Alteon ,Inc. INSURER B GrQa1 Nrarthgm Insurance Company _,,, 20303
INSURER C N/A, .._.__ NIA
... ...
Suite100 INSURERD NIA NIA
Austin, TX 78758
INSURER E
INSURER F
rnv00Ar_0c f-00rICIf ATC KIMIIMlr"tl.=0C U1V1.renA117anr`ni RFVIRIAN NI.JIVI %FR d
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.
NN"SER1'_,__._, _.---- _
fAD"6-rSU�R
........... ....... .. ............
� Moob �EFF
FOLIC EXP
T--- .....,.,., ... .. .... LIMITS................. -----.
TYPEOFINSURANCE
Inso
LTR X.
A COMMERCIAL GENERAL LIABILITY
36075664
PQUCYNUMBER.I"I.M1ASESI��EDIr�3)
MIDD
03/31/2024
03/31/2025
EACH OCCURRENCE $ 1000000
S
CLAIMS -MADE
...-1000000,.,.
.X.,.,.1.00CUR
.} ......
MED EXP (p,nv one person $ 15 00,0
PERSONAL & AD..INJU 1,000,000
........ ............. .....--
----
GEN L AGGREGATE LIMIT APPLIES PER:
•---- A GREGATE $ 2,000,000
GENERAL �,� G. ..�_. --- ........ _ „
XPOLICY. LOG
PRODUCTS-COGG 2 000,000
MPIOPA$
w�
_-
$
O rHER:
f
B p uTonnoeaeuABlurY
73627314
03/3112024
03/3112025
I $ 1,000,00
COaBrINEDR� INGLE LIM T .., ....... ...._. 0
ANY AUTO
BODILY INJURY (Per person) $ __
r ---
OWNED SCHEDULED
.......... AUTOS ONLY AUTOS
,_
BODILY INJURY (Per accident) $
....�
I X..... HIRED NON -OWNED
ROf"L.RT'YL"1AMAC.4E $
fV,r
AUTOS ONLY AUTOS ONLY
...X......
1 mcicaruJ1-
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
"$ ...
EXCESS LIAB CLAIMS -MADE
AGGREGATE
....... .... ..
$
........_._ .................. ......
........ ._t . ----,.,
I DED RETENTION $
.....
A
WORKERS COMPENSATION
7182-73-01
03131/2024
0313112025
Y
X sEE.nruTE I.. � oTH
AND EMPLOYERS'LIABILITY YIN
E„L EACH ACCIDENT
$ 1 OOO OOO
ANYP OPRIETOR/PARTNE EXECUTIVE
NIA
OFFICER/MEMBEREXCLUDED? L N 1
(Mandatory in NH)
„,,,,,,,,
E.L.
$ 1 00,000
If yes, desc�uba under
DESCRIPTION OF OPERATIONS below7
LIMIT
E DISEASE- OECYL, MIT
$ 1,000,000
7
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions. applies on workers compensation..
CERTIFICATE HOLDER CANCELLATION
City of El Segundo I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
El Segundo, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
WC 00 03 13
(Ed. 4-84)
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.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Any person or organization for which the employer has agreed
by written contract, executed prior to loss, may execute a
waiver of subrogation
For policies or exposure in Missouri:
Any person or organization for which the employer has agreed by written contract, executed prior to loss,
may execute a waiver of subrogation. However, for purposes of work performed by the employer in
Missouri, this waiver of subrogation does not apply to any construction group of classifications as
designated by the waiver of right to recover from others (subrogation) rule in our manual.
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 03-31-24 Policy No. 71827301
Insured ESO SOLUTIONS, INC.
Insurance Company Chubb Indemnity Insurance Company
WC 00 03 13
(Ed.4-84)
0 1983 National Council on Compensation Insurance.
Countersigned By
Endorsement No.
Premium $ Incl .
Producer Copy