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PROOF OF INSURANCE (2025)­_­41,11 GLADGOV-01 IT GQNZ.ALE4 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/1/2024 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 _ .................. s 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). License # 0757776 CONTACT Jordan Bartleson Riverside, CA 92517ternational surance Services Inc. Jordan Bartlesorl�ITublrtiternatlo j �19� 231 2565 PR NAME, PO Box 5345 �A/c FAR No E (951 ) 779 8575 A/ tom INSURER.A Hartfo d Underwrters Insu ante Company, 3010A1c#_ ......................__........................................................... ................. .......�.....-_ � _..... 04 — INSURED INSURER.B : Hartford Accident and Indemnity Company 22357 Gladwell Governmental Services, Inc. „INSURER _c:Hartford Casualtv Insurance Company 29424 _ P.O. Box 62 INSURER D: United States Liability Insurance 25895 Lake Arrowhead, CA 92352 INSURER F : „_„„„„.......... COVERAGES_... �RTIFICATENU9WI8 �: _ EVI,S�I+�IJmI�UM ER: _....... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCELISTEDBELOW 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, REDUCED BY PAID CLAIMS. EXCLUSIONS TMNPDCONDITIONS NCE OF SUCH A a..... ... EFF Xn A X COMMERCIAL GENERAL LIABILITY POLICIES. Ism LIMITS SHOWN MAY Lf�DP AY. POLICY EXP EACH OCOURRENCE ..... r, $ 2'000'000 POLICY NUMBER _ INSR 1DL SUBR _... LIMITS I, I y L MAGE TO AENTE D 0 CLAIMS -MADE X y occuR 72SBABF4U[C2 10/31/2024 10/31/2025 0 MED EX„ P (Any..gq person.),...... ..._ PERSONAL & ADV INJURY $ 2,000 00 GE'NLAGRyRE"G,rRTE APPLIES PER !• _N 4,000,000 POLICY PROM ERALAGGREGATE $ �_ X JFC7 LOC PRQDUCTS-COMPIOP AGG 41000,000 LIMIT : EN B_. OTHER. ._.._...................-. ........... . COMBINED--• .,...._ INiLM LIMITLIWT ..........1,000,000 AUTOMOBILE LIABILITY w $ X ANY ALIT 72UECPT0490 10/31/2024 10/31/2025 BODILY INJURY._( erpersonj OWNED � SCHEDULED AUTOS ONLY AUTOS „BODILY INJURY Per accident, $ AS ONLY AC?tN,Y' F''Teta4,MACSE�.,. $ EXCESS LIAR CCCUR EACH OOCURRENCE S rim_ AIMS -MADE AGGREGATE S, ..-. UMBRELLA LIAB ......��-- _.......... ....._...._._._..... .......,m--- DED RETENTION$ _-�.------..- -. .._....._._ ......m ........... ..... $ ........_. - C WORKERS COMPENSATION PER O7H AND ER/ME BER EXCLUDED? N. NIA _ LL _ ___ — — X A?mFNY PRory IE NH) �_ YIN 72WECBK4F2G 10/31/2024 10/31/2025 E L_D SIEP,BG-, EMPLOYE g � �OOD,000 EACH ACCIDENT $ _ 000,000 Y PROPRIETOR/PARTNER/EXECUTIVE E L EA � ..�.._. 'm..m_._^� If yes, describe under 1,000,000 p Professional OPERATIONS NS below S. --- 10/31/2025 Per Occurrence LIMIT _........ .... DFSCRIP'! pON OF OPERATIQ - .------- S P 1020955N 10/3112024 _ _ rrence 1,000,000 p Professional Liab. SP 1020955N 10/31/2024 10/31/2025 Aggregate 2,000,000 _... DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Add Monal Remarks Scbedule, maybe attached If more spaaco Is required) City of El Segundo is Additional Insured with regard to General Liability when required by written contract per the attached endorsement form SL304210118. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk 350 Main Street _....._..__..,..,__ __ _....__.,,.,.. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE e ........... �_.... c ..... ._.... ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INSURED: Gladwell Governmental Services, Inc. POLICY NUMBER: 72SBABF4UK2 EFFECTIVE DATES: 10/31/2024 to 10/31/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE I HARTFORD ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. A. The following is added to Section C. WHO IS AN INSURED: Designated Person Or Organization a. The person(s) or organization(s) shown in the Declarations as Additional Insured — Designated Person Or Organization is also an additional insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In the performance of your ongoing operations; or (2) In connection with your premises owned by or rented to you. b. If coverage provided to these additional insureds is required by a written contract or written agreement, or when required by a written permit issued by a state or governmental agency or subdivision or political subdivision, the insurance afforded to these additional insureds will not be broader than that which you are required by the contract, agreement, or permit to provide for these additional insureds. c. The insurance afforded to these additional insureds only applies to the extent permitted by law. B. With respect to the insurance afforded such additional insured(s) by this endorsement, the following additional exclusion is added to Section B. EXCLUSIONS: This insurance does not apply to "bodily injury" or "property damage" included within the "products -completed operations hazard". Form SL 30 42 10 18 © 2018, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) Page 1 of 1 INSURED: Gladwell Governmental Services, Inc. POLICY NUMBER: 72SBABF4UK2 EFFECTIVE DATES: 10/31/2024 to 10/31/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE HARTFORD ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS POLICY NUMBER: 72 SBA BF4UK2 This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. The following is added to Section C. WHO IS AN INSURED: Additional Insured — Owners, Lessees Or Contractors — Completed Operations a. The person(s) or organization(s) shown in the Schedule on the Declarations is also an additional insured, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" and at the location designated and described in the Location And Description Of Completed Operations Schedule in the Declarations performed for that additional insured and included in the "products -completed operations hazard". b. With respect to the insurance afforded to these additional insureds, this insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, editing of or failure to prepare or approve, shop drawings, maps, opinions, reports, surveys, change orders, field orders, designs, drawings, specifications, warnings, recommendations, permit applications, payment requests, manuals or instructions; (2) Supervisory, inspection, quality control, architectural, engineering or surveying activities or services; (3) Maintenance of job site safety, construction administration, construction contracting, construction management, computer consulting or design software development or programming service, or selection of a contractor or programming service; (4) Monitoring, sampling, or testing service necessary to perform any of the services included in (1), (2) or (3) above; (5) Supervision, hiring, employment, training or monitoring of others who are performing any of the services included in (1), (2) or (3) above; c. The insurance afforded to these additional insureds only applies to the extent permitted by law. d. If coverage provided to these additional insureds is required by a written contract, agreement or written permit issued by a state or governmental agency or subdivision or political subdivision, the insurance afforded to these additional insureds will not be broader than that which you are required by the contract, agreement or permit to provide for these additional insureds. Form SL 30 36 10 18 Process Date: 08/07/2024 © 2018, The Hartford Policy Expiration Date (May include copyrighted material of Insurance Services Office, Inc., with its permission) Page 1 of 1 10/31 /2025