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PROOF OF INSURANCE (2024 - 2025)CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/26/2024 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 Alliant Insurance Services, Inc. 125 High St. Ste. 2205 Boston MA 02110 INSURED 120 Water, Inc. P.O. Box 604 Zionsville IN 46077-0604 COVERAGES CERTIFICATE NUMBER:436281922 INSURER A : INSURER B : of Com REVISION NUMBER: NAIC # 34452 10677 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. .IN5R _- ADDi. SUBR,... ..........................__ POLIC... F _..m... ._..._....-............--.. . Y EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER WWOD(YYYY1 IMM100tyYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY 793-01-34-30-0000 7/7/2024 6/7/2025 EACH OCCURRENCE $1,000,000 DA AG E16 R ..�,Ef.........--__ -..... CLAIMS -MADE I-K OCCUR PREMISES(Ea 9g2y nceJ $m100,000 ------------ MED EXP (Any one person) $ 10,000 PERSONALBADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY PRO LOC JECT' PRODUCTS - COMP/OP AGG $ 2,000,000 _. OTHER: $ B AUTOMOBILE LIABILITY EBA 049 99 15 6f7/2024 6/7/2025 COMBINED SINGLE LIMIT a acmde ................_ $1,000,000 _....._.. '.. ANY AUTO BODILY INJURY (Per person) $ .OWNED SCHEDULED .............Y (Per accident) BODILY INJURY $ AUTOS ONLY AUTOS X HIRED X ''... NON -OWNED PROPBRTY OAMAGE $ AUTOS ONLY AUTOS ONLY P r ' '?Ra ._..... $ A UMBRELLALIAB X 11 OCCUR 793-01-34-31-0000 7/7/2024 6/7/2025 EACH OCCURRENCE $ 5.000,000 X .EXCESS LU\B CLAIMS -MADE AGGREGATE $ 5.000.000 OED RETENTION $ $ WORKERS COMPENSATION S�ATUT OERH AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE E,L. EACH ACCIDENT $ 'OFFICER/MEMBER EXCLUDED? ❑ N/A.........._..,.._. (Mandatory in NH) E.L DISEASE EA EMPLOYE ._ E .,........_ .... $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT 1 $ A Professional Liability 793-01-34-30-0000 7/7/2024 6/7/2025 Per Occur/Aggreg $1,000,000 A Contractors Pollution Liability 793-01-34-30-0000 7/7/2024 6/7/2025 Each Poll Condition $2,000,000 Subject to Policy Agg $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of El Segundo 350 Main Street 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/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 Libertate Insurance Services, LLC 20 N. Orange Avenue, Suite 500 Orlando, FL 32801 AFFORDING www.libertateins.com INSURED Managepoint, LLC 9119 Otis Avenue Indianapolis IN 46216 NAIC # INSURER F : COVERAGES CERTIFICATE NUMBER. 79179705 REVISION NUMBER: 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„ ....-_........__.........�....... AD'L S B' ...._-.-....... INSR.... - mmmTYPEOFINSURANCE .......--..._. POLICY TR. POLICY EFF POLICY EXP OLICYWWPP PO ��..�-... LIMITS MMID /YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $t E DAM,/Aa`" Rff"D ..,.,,.. CLAIMS -MADE ElOCCUR k�fEM¢';`P,•..D'� oceuncti•nM„;o_,Y_ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ • G EN L. AGGREGATE LIMIT APPLIES .............. PER: GENERAL AGGREGATE POLICY PRO LOC JECT......-�-_ PRODUCTS - COMP/OP AGG ........-....••_. $ $ AUTOMOBILE DTHER: LIABILITY COMB NED SINGLE.. LIMIT ANY AUTO BODILY INJURY (Per person) ,........... w.,......._... $ ........._._.....,,,._ _ OWNEDSCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY w... AUTOS HIRED NON -OWNED • PROPERTY DAMAGE .... _............._....� AUTOS ONLY •rw,-... AUTOS ONLY Po,..r.) ••$ ......�, UMBRELLALIAB OCCUR M--..... EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE ........ ........... AGGREGATE ..._�.... $ DED RETENTION $ $ A WORKERS COMPENSATION KEYPE()00003500 12/1/2023 12/1/2024 PPE UTE OTH_. ............""" AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? N N / A E L. EACH ACCIDENT "'"""" """ $ 1 OOOrOQO mm mmm, (Mandatory in NH) E L DISEASE EA EMPLOYEE $. to,QJQQQ....._ . If yes, describe under DESCRIPTION OF OPERATIONS below E.L.. DISEASE - POLICY LIMIT $ 1 000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) THIS CERTIFICATE CONFERS NO ADDITIONAL INSURED RIGHTS UPON THE CERTIFICATE HOLDER. Coverage provided in all states (except in monopolistic states) for all leased employees but not subcontractors of: PEO Client: 120WaterAudit, Inc. Effective 12/01/2020 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundi CA 90245 AUTHORIZED REPRESENTATIVE Paul R. Hughes ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 79179705 1 Master WITH BWOS I Pam Summers 1 3/21/2024 3:26:42 PM (EDT) I Page 1 of 1 This certificate cancels and supersedes ALL previously issued certificates.