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PROOF OF INSURANCE (2025)RIB DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/5/2024 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 ri hts to the certificate holder in lieu of such endorsement(s). PRODUCER 'CONTACT Efln Vlker NAAMF: ....... Arthur J. Gallagher Risk Management Services, LLC PHONE 745 Francis Street 8T7 730uuu2 _ Iµµµµµµ 545-8224 c No Elvt) �A-i.�C t��� 805 San Luis Obispo CA 93401 I D-Rg.Ss INSURERS AFFORDING COVERAGE NAIC # ... __ �....... „• Licen,sewwoD69293 INSURER A: Crum &Forster Insurance Company ......._ 42471 INSURED JOESSWE-01 INSURER B : Mt Hawley Ifsurance Company 37974 Joe's Sweeping Inc wsuRER c :Insurance Company of the West 27847 _ � ............_ 111b914 Front Ste Environmental Services div. of Joe sSweeping,nc _ nce Company 42307 '' INSURER D : Navi atOrS Insurance ...................... Norwalk CA 90650 INSIIRFR F r•nwlr_0Ar:r=c r9=PTII7I(_ATF NIIMRFR• 1QAR1R19An 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. ............. _.. _._. w...__ EXP IT R TYPE OF INSURANCE AODL SU'BR. POLICY NUMBER APAIMOI/pCDY EFF lMPI 6 YfYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y EPK-148570 8/1/2024 8/1/2025 EACH OCCURRENCE $1,000,000 • D MNGf"f�b'Ki'Ni"EYS............ .. CLAIMS -MADE OCCUR .X_ PRFMISE�S.(r�u�e„n,,,pr,_„„„„,,,„„„,,,,,,,IT,IT,„,„„ �) $ 300.000 .-,-.ww....._. ............................ MED EXP (An one person) $ 10.000 PERSONAL & ADV INJURY $ 1.00.AGGREGATE 000 $ m000,000 X PRO-, � LOC POLICY JECT PRODUCTS COMP/OP AGG ................... $ 2 000 000 OTHER: $ B AUTOMOBILE LIABILITY ESA0000291 8/1/2024 8/1/2025 COMMNEDSINGLE L.IM11 Ee ac idtn 9 ........... _.. $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED X SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY ...AUTOS X HIRED X NON -OWNED , PROPERTY DAMAGE $ AUTOS ONLY ....„_„„', AUTOS ONLY D UMBRELLA LIAB X OCCUR LA24EXCZ02OH61C 6/1/2024 8l1/2025 EACH OCCURRENCE $1.000.000 X EXCESS LIAR '', CLAIMS -MADE .. AGGREGATE $ 1.000.000 DF[l RETEN-.-TION $ $ $ C WORKERS COMPENSATION Y WLV 5079239 00 8/1/2024 8/1/2025 XX IPER I OTH- AND EMPLOYERS' LIABILITY YIN „ER ANYPROPRIETOR/PARTNER/EXECUTNE . , E L EACH ACCIDENT '......................... $ 1,000,000 .'.""".'.'.'..„ OFFICERIMEMBEREXCLUDED? (Mandatory in NH) N /'�` ' E.L. DISEASE wE4 EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,o0o„000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate holder is named as additional insured with respects to general liability per ENO118-0211 Waiver of subrogation applies to general liability per EN0118-0211 and workers compensation per WC990634 8-00. Coverage is primary and non contributory per E140118-0211 Additional Insured; City of El Segundo, its officers, officials, employees„ agents and volunteers City of El Segundo Attn: Public Works Department 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 REPRESENTATIVE ©1938-2015 ACORD CORPORATION. All rignts reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD