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PROOF OF INSURANCE (2025 - 2025) CLOSED0 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/3/2024 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 CONTA Certificate Team �� Inszone Insurance Services, LLC PHONE 877 308 1 FAX dryt " 16 400- 8 2721 Citrus Road, Suite Aw E-MAIL25 EIeDeels inszonelns darn Rancho Cordova, CA 95742 DRY — •••••••••-—°°°°••••••�-—°---•••- p i Ltl? INSURERA Hartford Underwriters Insurance t�errpeany _°° 30104- INSURED CALICON-12 INSURER B : California Automobile. Insurance Co ......m...38342wwwwwwwww California Consulting, Inc. INSURER United States IITiabih ins Co 25895 wwwww 214 Main Street, Suite 102 El Segundo, CA 90245 tNsuRRl ............. ......... _._..... ................. _..... ...... INSURER F COVERAGES CERTIFICATE NUM'BER:64686267 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. POLIiCY EFF FOLICY ExrL W R" TYPE OF INSURANCE POLNCY' NUMBER. MMI'OO MMFODdY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 57SBABE3FE7 9/22/2024 9/22/2025URENiE® -°�'°mm °°�'- ,O00000 .._.-- EACH OCCURRENCE ,�, -_ CLAIMS -MADE OCCUR (Ea occurrence) 1,0021000 (Amy, one person) $10,000 ....._ ..� ......... & ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4 000,000 IXPOLICY PRO ❑ LOC PRODUCTS COMP/OP AGG $ 4 000,000 JECT PRO- CY'FI IER: COMBINED B AUTOMOBILE LIABILITY BA040000062189 9/30/2024 9/30/2025 (CD , LD SINGLE LI'LIMIT$1,000,000 ANY AUTO BODILY INJURY (Per person) $ ..._. OWNED X SCHEDULED BODILY INJURY (Per accident) $ m AUTOS ONLY AUTOS .�-- "°°°°° HIRED NON -OWNED P'RC.)PE'R'1YC?'+1'''MAGE' AUTOS ONLY .- AUTOS ONLY P �:ii,„,Rlj, ,,,,,,,, $ $ I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE ° $ ....°„.-- DED RETENTION $ $ WORKERS COMPENSATION PER O7H TATUTE—......-..-._..- AND EMPLOYERS' LIABILITY YIN .L ..... - ANYPROPRIETOR/PARTNER/EXECUTIVE E L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N / A E L DISEASE - FA _ EMPLOYEE,'-._.... —....� (Mandatory in NH) $ If yes, describe under E L DISEASE- POLICY LIMIT $ ........ � DESCRIPTION OF OPERATIONS below C Professional Liability SP 15608521 9/16/2024 9/16/2025 AggregatelEach Claim $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured on the General Liability. Primary and Non -Contributory with a Waiver of Subrogation on the General Liability. The aforementioned coverage is provided to the extent in the attached forms for: City of El Segundo Finance Department, its officials, and employees. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo Finance Department 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 P " ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD utl' DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 10/03/2024 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 be endorsed. If SUBROGATIONIS 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 ). PRODUCER CONTACT NAME: PAYCHEX INSURANCE AGENCY INC PHONE (877) 266-6850 FAX 76210705 (A/C. No, Ext): (A/C, No): 225 KENNETH DR STE 110 E-MAIL ADDRESS: ROCHESTER NY 14623 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Hartford Casualty Insurance Company 29424 INSURED INSURER B ,. CALIFORNIA CONSULTING INC INSURERC 214 MAIN ST STE 102 INSURERD: EL SEGUNDO CA 90245-3803 INSURER E : INSURER F i. ......�.,.. �� rCM 10rrATC siiinu0r_0- RF'vlglt'9N NIIIM F FR- ..._.----------- — - 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS 1eIMN'DDNY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE ❑OCCUR DAMAGE TO RENTED PRF 9 a c MED EXP (Any one person) PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE PRODUCTS - COMP OP AGG POLICY PRO LOC JECT OTHER: COMBINED SINGLE LIMIT' AUTOMOBILE LIABILITY (Ea icgident) BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS HIRED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS I (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS- MADE w ED RET'EIwNTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY YIN X.. PER OTH- STATUTE E.L. EACH ACCIDENT $1,000,000 A PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA 76 WBG PT1436 01/16/2024 01/16/2025 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 (Mandatory in NH) If yes, describe under CRIPTION OF. P RATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER 1_A YI L LA I Irvin City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE cl4100L1-1 Cir © 1933-2015 ACUKLI CUKPUKA I IVN. Ali rlgnis reserves. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD