PROOF OF INSURANCE (2024) CLOSED0 DATE (MMJDD)YYYYI
C40 ARV CERTIFICATE OF LIABILITY INSURANCE
9/24/202-4 8/13/2024
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).
-ton Companies NAME: . .. . ............. ................ . . . . . ....... . . ......
PRODUCER Lock -CONTACT
1185 Avenue of the Americas, Suite 2010 " -6 `H6 WiF FAX
New York NY 10036 E MML
646-572-7300 AQQkEs�'.
INSURED Constant Associates. Inc
1495719 DBA Cons cant Associates
21250 Hawthorne Blvd, Ste 400
Torrance CA 90503
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t%C01n=Id%JkT= Idl lumcgp- 1t)Q1 let, I
FORDING COVERAG NAIC #
'LoE,ty and Casualty Insurance Company 20699
Northern Insurance Compa
ny 20303
c Emplovers Insurance Company 22748
Ord Fire Insurance Co�mpany 19682
b National Insurance Company 10052
................. — ......................
REVISION NUMRFR!
INSURER A: ACE
INSURER B: Great
INSURER C: Pacifi
INSURER D: Hartf
INSURER E: Chub
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
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. . . . .. .................
7A15Tr
imso wyn POLICY NUMBER (MMIDD/YYYYI- (MMIDDIYYYY)
ITRI TYPE OF INSURANCE IN�
LIMITS
C COMMERCIAL GENERAL LIABILITY N N D95519751 19 2,U2023 904,2021
EACH OCCURRENCE-
-0Az=0,
$ S2-000-000
CLAIMS -MADE OCCUR
PREMISES (Ea occurrence
S I
-000
_ffRSONAL & ADV INJURY
$ S-1.000.000
GEN'L AGGREGATE, LIMIT APPLIES PIER
AGGREGATE_gtNERAL
s S4.000.000
[1] IRCI
POLICY LOC
JECT
ERQQy2TS - COMP/OP AGO
s 54.000,000
OTHER I
is
AUTOMOBILE LIABILITY
N
N
(23)7362-17-60
924 ?023
9`0 !A
COMBINED SHIK51-E LIPM I
AIKIC-id--IELL . . ...................
S S1,000.000
.. . ----
ANY AUTO
BODILY INJURY (Per person)
-BODILY
5 )CX-X-,NCKX-X
OWNED SCHEDULED
INJUW(Peracdderrt)
AUTOS ONLY AUTOS
x HIRED —'X NON -OWNED
AUTOS ONLY AUTOS ONLY
TLR;,OL4�n I
S
A
X UMBRELLA LIAB X OCCUR
'7
D95523912
9,�N,202
9,24/2024
EACH OCCURRENCE
s S2.000.000
EXCESS LIAR CLAMS -MADE
AGGREGATE
s S2.000.000
DED RETENTIONS
E
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
y
(24) 7179-89-29
9!?4,?0
9�24,2024
.1..PER OIH
STATUTE ER
ANY PROPRIETOMPARTNERIEXECUTIVE [:j]
NIA
E L EACH ACCIDENT
S S I m0,000
OFFICERiMEMBER EXCLUDED?N
(Mandatory in NH)
EL DISEASE - EA
S1.000.000
If ns, d'e,,c6be under
D SCRIPTI(A OF OPERATIONS Wow
F '- DISEASE - POLICY LIMIT
S1,000.000
D Errors & Omissions N N 42 OH 0423306-23 9/241/20117, 9, �1i')024:
r_ate S3.000.000
per CI__ S3,000000
I
Deductible: s10.000
DESCRIPTION OF OPERATIONS I LOCATION 5 VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required)
Waiver of Subrogation applies in favor of the City of El Semincto with respects to the Worker's Compensation policy as required bvxvritten contract
Ur-K I It-lL;A I h NUL1Jt:K %,AN%.CA-L.M I IWIN
20832861
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 REPRFSENoA?VE 7
no I CIAR-211111 5 ACORD CORPORATION.Al riahts reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the
Information Page.
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, but this waiver applies only with respect to bodily injury
arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver
from us.
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
Schedule
1. ( x�) Specific Waiver
Name of person or organization
City of El Segundo
350 Main St.
El Segundo, CA 90245
O Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
2. Operations:
ALL CALIFORNIA OPERATIONS
3. Premium:
The premium charge for this endorsement shall be 0 percent of the California premium developed on payroll in
connection with work performed for the above person(s) or organization(s) arising out of the operations described.
4. Minimum Premium:
Authorized Representative
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 08-21-24 Policy No. 71798929 Endorsement No. 009
Insured CONSTANT AND ASSOCIATES, INC. Premium $ Incl .
Insurance Company Chubb Indemnity Insurance Company
Countersigned By
WC 90 03 75 (05/18)