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PROOF OF INSURANCE (2024) CLOSED
Ate" 5/22/ 12/1/2oz4 2024 /22/CERTIFICATE OF LIABILITY INSURANCE DIDD,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(les) 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 LOCKTON COMPANIES C1aP" cr .....-- 500 West Monroe, Suite 3400 PHONE rAx CHICAGO IL 60661 E-MAIL (312) 669-6900 INSURER The Charter #! Oak Fire midwestcertificates@lockton.com INSURErtgsl rwto oRDInsurancef 0111 NAIL# .� ap �... 25615' . nNsurtE INSUIR c Trave D 200EBeceRandolph .St _._. INSURER B )l4 PbPoix I��StIDls nc 1 om � 4py ,. 56213 -. SDI Presence LC _........,. . It' ...... 256i4 .. ....... nCe C.ti..fatry ofAmenca.�., .......__. 142688 lers i ro crt t asu Chicago IL 60601 INSURER E , The y A I T I nits om Ste 3550 NSU m.._._ Y p Travelers Indemnity C"om aV1y of Connecticut 25682 INSUREl.. F .. __ _. _..... _.... ... ..... . w. d....»n oc\/lair%kl Kill IKAC2F1?• VVVYV VV %1V'W r%M'M:F"Q v,`,,...u.,..,..,b.......--- ...._... — ,T,... 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 BEEN REDUCED Y PAID SHOWN CLAIMS. ......... ......�.,,......__ .. ...... ... ....... I -���m mmm"��"rvW^ pCYE7CP POLICY EFF I il7t. LIMITS LTR TYPE POLICY NUMBERAVE t YYY DD F1N.CH OCGtIRREfSCE I COMMERCIALGENERALA�����UR 23 B - B Y Y H-630-OS724669-PHX 6/1/2023 12/1/2024 a .. .. ® ) i�SS(L"�a�curastn�erml $,,,,1,000rt�(1�1 ... CLAIMS -MADE OCCUR "".� D EXP (Anyone one es Ben) 1$ 10,0C1 .... ".." PERSONAL & ADV INJURY $_ 1 (1'(l0y00_I1 ....... GEN'LAGGREGATE APPLIES PER: AGGREGATE PLIMIT X POLICY PRO- F PRODUCTS -COMP/OP AGO 5 � 0�� �0,!�,,, RODUCTS P - -. OTHER; A AUTOMOBILE LIABILITY y y 810-OS724577-23-13-G � 6/I/2023 12/1/2024 SINGLE LIMIT �� � AEA s�'�adr�w#a%_ , a �1 MJURYPer AUTO BODILY person) $"" "�„ .,,. SCHEDULED ..,. OWNED I URY (Per accident $ ""( INJURY Y(Pe.r. c wexe�d_✓�pxi, AUTOS ONLY AUTOS .. - "mBODI } ") .. P7AMAGE NON-OWNEDAf� .. AUTOS ONLY ) AUTOS ONLY �C I nCraide ) $ ------ X --- UMBRELLA LIAB X _ OCCUR N N CUP-OS724762-23-13 6/1/2023 12/I/2024 .EACH OCCURRENCE 5 ,0 _XT EXCESS LIAB CLAIMS -MADE AGGREGATE $25 000 (1 ____.,, ...._ ..............w.........- ....m .,.� z s ......,.____ ........ LED I HErEkdTVd7NS 10,0I}0 5 r ryixx E WORKERS COMPENSATION O Y UB-OS724412-24-13-G 6/l/2024 12/1/2024 X P PEATNJTE w o I�.._ - AND EMPLOYERS LIABILITY �. fi N E L EA ACC del.,,..."......,_ EACH ACCI ^N"r s 1 0 ANY PROPRIETORdPARINiER�dEXEC UTIIE N /A O�FFIC",ERWEMSER EXCLUDED? E.�.$�..a. ) (Mandatory in NH) .... .._..—.. SO describe under ORiP rtoa~a ¢'�� aPr'�RA'rlo�a5 below PrCyb E�.L DISEASE OLIICYLIIM ) fsN N SEEATTACHED 12/1/2023 12/1/2024imit,bility/Technology 50M each claim & aggregate I E&O/�250,000 retention er r DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORO kill„ AddWonal Remarks Schedule maybe atlaecheNd it more space is required) i IN( tVr;61 tlBYarVI�£, q„V;Nr'nak IR�SBnr'9" oIIlG.V'AN V71 ilo cU5, agents, and volwitcurs are Vnuluded as 1lCt&llional 111inured(s) on u� 1N"r'inlary and Nun•e'unrc butimy basis ff i"v' di Cd by k 6¢ wn l".(ytriraV„t t"rly. us C y a P b i�Y}kG'::�q.,ItC A tiMrak,A'C,r li) 4V1"fL'C�r�'dlNfYn 6I(MpIN CS N9R IwW;41p,'}I°+si 4lic 14tI:Vlti llM1tNa91 N1k'U51'"CI if rca{u'�N.red by VrrV'GtCiV C;tNtliraut YYItI'V with ti. u'C. o tiu.a."'rrI 1.d�1kti�Nlct rand i"kpitCN l_imisil YC DCr' lilu 84`rt115 fVpVd a.tiNrid.I'tN�raN#8 Be i". Ot)'q ru, IN a, t n y Y p7 respect to General L iaa ill'8y, Auln Laibitky, and �MCCDr eni Cotr1IY$'INiwtlli<pn )"JM2' %IdL 9 rnlh aV4k'1 t �I90.1V %CNnS {All 4lte' P NiO y N IquY ,}fir CYtl71 k9 1 try 59,a8a Ila V. � �Ei- I W f1d78F a AI G.AP eV IITCYC t1 0 i �I4N 1C I tt Cd quired by,nri ern Conic ict bWoffi rUspe"C't Iu General t iabilh) par Ole terms; and condijois of the PD iCy.. H 20184119 City of El Segundo 350 Main St. El Segundo CA 90245 HM1IIwCL.L.fAIIVIV a�CiTy f°xttea'.ti�n.rraNN,N. u,ta 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 REPRE1 E.NTATIVE„„_— ©1g66-20i 9 ACORD CORPORAL OK All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Attachment Code: D590430 Master ID: 1427688, Certificate ID: 20184119 Policy Number Y Polic P erio7MM7 InsurerLimits __. _.. N34346-23-13 12/1/2023-12/1Travelers _...m.ZPL-91 Property y Policy Aggregate of America $10M mmmm^^MPXE249273mmmmm 12/1/2023X-12/1/2024 Great American Fidelity $51VI part of $10M xs Insurance Co. $10M EOL-241029 12/1/2023-12/1/2024 Crum & Forster Specialty Insurance Company $5M part of $10M xs $10M USF01012923 12/1/2023-1 2/1/2024 Allianz Global Risks US $10M xs $20M Insurance Company 12/1/2023-12/1/2024 Scottsdale Indemnity Company $5M xs $30M 3504101 .......... MTE9040362 04 .... 12/1 /2023- 12/1/2024 Indian Harbor Insurance $5M xs $35M Company PRX30049745700 12/1/2023-12/1/2024 ..... Endurance . American Specialty $51VI xs $40M Insurance Company ACX1084323 _.._ �_.... 12/1/2023-12/1/2024 ...... ..... .._... . Lloyd's of London . ........... . . ....... - $5M xs $45M