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PROOF OF INSURANCE (2025)CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 10/18/2024 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 NAME Marsh USA LLC (Philadelphia) PHONE "' FAX 30 South 171h Street (!V Nt Exl) ... dA+r„ N.�k; . ..... ........ Philadelphia, PA 19103 E-MAIL ADDRES, 215.246.1000fax215.246.1399 Attn: RedCfOSS.CertfegUOSt@mafSh.COm INSURER(S)AFFORDINCOVERAGE CN102634971-ALL-GAUW-24 25 _ ---- IlvslIRERA OIL RapybGo In uraripp Cgm„an 24147 INSURED AMERICAN NATIONAL RED CROSS INSURER B . _ _...... ......... ...... ...... ..... LOS ANGELES REGION INSURER C 1450 S„ CENTRAL AVENUE INSURER D LOS ANGELES, CA 90021 ......... ......... ........ . it n+w =oAnll=c CERTIFICATE NUMBER* r.I F-nn79a01Rn-01 REVISION NUMBER: 8 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. ............ ......-.,.... ...---- ..„„,,,,,, . -. .........�... ..TYPEOFINSURANCE ....,Ard'DL'Sw�djn ..... .„MMDD/YYYY LIMITS INTR � POLICYNUMBER hPA�101AL lY1fYY1. A X COMMERCIAL GENERAL LIABILITY MWZZ 313806-24 07/01/2024 07/01/2025 EACH OCCURRENCE I $ 5,000,000 X l CLAIMS -MADE 1. OCCUR , PREMISES( gcou ence)„, .. L,.$ 5000 00 0„ X 1 SIR $100 000 MERSONALA& $ 10,000 I ADV INJUR) PE Y $ 5 000 000 GENERAL AGGREGATE Is 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRO POLICY LOC PRODUCTS COMPAGG ED $ „ IN..C.LUDX ,. JECT ..... ........... $ OTHER: -, A AUTOMOBILELIABILITY - MWTB313807-24 $1M) ( 07/01/2024 07/01/2025 t 5d BINE1�1NGLELIMI9 ff,a m4" dc.rrk .. ., $ 5000000 .-. -........ X ANY AUTO Auto Physical Damage- BODILY INJURY (Per person) $ OWNED SCHEDULED „ AUTOS ONLY ...... -, AUTOS HIRED NON -OWNED J Deductible Comp/Coll $1.000 BODILY INJURY (Per accident) OPFR7Y CNAMAGk« $ .....° $ AUTOS ONLY AUTOS ONLY �r xr rsc5�d�rwtl. . _ ............ . A MWZX313810-24 ($4M XS) 07/01/2024 07/0112025 N Is UMBREL LALIAB Ifc EACH OCCURRENCE J$ LIAR EXCESS MADE CLAIMS I AGGREGATE $ DED RETENTION S ($ A WORKERS COMPENSATION (INSURED STATES) 07/01/2024 07101/2025 X R OTH f A) ECUTIVE Y' TNH' ARTNEEXCLU MWFEX313804-24- FL' 07/01/2024 07/01/2025 1000000 A ( I aEOR/ yl D?R/E,N{' in N / A MWXS313805-24 (AL, GA, MA, MI, M0, 0710112024 07/01/2025 E.L.DISEASE CEA EM LOYEE� $ „ 1 000 000 yes, describe underOH, PA, TN, VA)" E.L DISEASE POLICY LIMIT $ 1 000,000 DESCRIPTION OF OPERATIONS below - DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: DISASTER RESPONSE OPERATION, SHELTERING ACTIVITIES AT CITY OF EL SEGUNDO OWNED PROPERTIES IDENTIFIED IN FACILITY USE AGREEMENT THROUGHOUT THE POLICY PERIOD, 711/2024 - 7/112025. THE CITY, ITS ELECTED OR APPOINTED OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED WITH REGARDS TO COMMERCIAL GENERAL LIABILITY COVERAGE WHERE REQUIRED BY CONTRACT. N".E'47TICIPA.TE unl DER CANCELLATION CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 314 MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EL SEGUNDO, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. '.. AUTHORIZED REPRESENTATIVE of Marsh USA LLC I lxwr¢.f� ZL.S��f L�Lr(� ACORD 25 (2016/03) ©1988-2016 ACORD CORPORATION. ION. AB rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102834971 LOC #: "'............... Philadelphia a AC"R" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA LLC (Philadelphia) AMERICAN NATIONAL RED CROSS LOS ANGELES REGION POLICY NUMBER 1450 S. CENTRAL AVENUE LOS ANGELES, CA 90021 .................. .......... ..... CARRIER NAIC CODE ........................ . . . ............... EFFEC..TIVE DATE: AUU1 I IUNAJI� KrIWAKINO THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of LiabEjyjqs!urance .............. Workers Compensation Continued: Policy: Excess WC for California Carder: Old Republic Insurance Company Policy Number: MWXS 316279-24 Effective Date: 07101/2024 Expiration Date: 07/0112025 ATTACHING TO AND FORMING PART OF THE AMERICAN NATIONAL RED CROSS CERTIFICATE OF INSURANCE AS RESPECTS WORKERS COMPENSATION: This is to certify that all American National Red Cross units in the following states are currently self insured through the American National Red Cross: Alabama, California. Florida, Georgia, Massachusetts, Michigan, Missouri, Ohio, Pennsylvania, Tennessee, and Virginia. Workers Compensation Policy #MWC313809-24: Policy for all other states except the monopolistic states of North Dakota, Puerto Rico, Washington, Wyoming and U.S, Virgin Islands and the self -insured states of Alabama, California, Florida, Georgia, Massachusetts, Michigan, Missouri, Ohio, Pennsylvania, Tennessee, and Virginia. Includes Employers Liability for monopolistic states of North Dakota, Puerto Rico, Washington, Wyoming, and U.S Virgin Islands. `Specific Excess Workers Compensation Policy #MWFEX313804-24: American National Red Cross is self -insured for Workers Compensation in the state of Florida. The Excess Liability limit is subject to a state approved Self -insured Retention. -Specific Excess Workers Compensation Policy #MWXS313805-24: American National Red Cross is self -insured for Workers Compensation in the following states: Alabama, Georgia, Massachusetts, Michigan, Missouri, Ohio, Pennsylvania, Tennessee and Virginia. Specific Excess Workers' Compensation Policy #MWXS316279-24 in the state of California. The Excess Liability limits are subject to state approved Self -Insured Retentions. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. ACORD 101 (2008/01) (9 ZUUB AGUKU L;UKPUKA I IUN. Ali rignis reserves. The ACORD name and logo are registered marks of ACORD