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PROOF OF INSURANCE (2025)MCW1700 OP ID: BK CERTIFICATE OF LIABILITY INSURANCE DATE (M2120 10/2C204 24 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:$ PRODUCER NA 310-a42.4600 COk9NTACT E Jeffrey D. Dalis Higgh Ground Insurance Services PHONE 310-542-4600 FAX 310-542 8400 2377 Crenshar Blvd, #304 m( NoEx1 _ I .N � ........ Torrance,. CA 90501ir'�'fss: Jeffrey D. Dalis IN --"-- A : Tray.NSIpRER �' APPd7RD6dW�i �A11EI' 6E ®, ... B+t 2 J� l _SuRgR elers indemgy of CT. 25682 Ns1r E tNsurR B Tech.... _ . .P eric 25674 ocae) urfaces„ Inc. Traveler Pro Cas Co of Am . 135 W. 155th St, INSURER nology Insurance Co. 42376 Gardena„ CA 9046 INSURER INSURER E : ..... INSURER F CCRTiFICATE NUMMECID IN TJWIOxJI1,111oAIM4141 c�OVERAGE - - 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. O, INA �AOOLU'R� POLICY NUMBER POLICY Elf PE]S.ICM" EXP gN, TYPE OF INSURANCE AS LIABILITY C NTE „ X COMMERCIAL GENERAL_X_', 1( r DAMAGE TC,"M RENTED CLAIMS MADE X I OCCUR X 4T2.2COIX181154TCT24 09/01/2024 09/01/2025a pREMISESgIn,oax.tawrSnw!C) s, 00 500LIMITS —� X Deductible 2.,.500 ..,.. A4A a 5,00 0 PDLoss8AL4E Dnv IITns 3�Jpzk. PERSONAL.IR_ 1,000„000 �„000 000 GEN'L AGGREGATE LIMIT APPLIES PER: — 2,000„000 POLICY X LOG PRODLMCTS- COMPfOP AGG S A ' C OMIN NEDSINGLE LIMIT S- 1,000,000 ILE LIABILITY A_UTOMOBIL X ANY AUTO BA9W304194242SG 09/01/2024, 09/01/2025 mgptxY INJURY (Pee per,„�9 ,...�. '- OWNED SCHEDULED AUTOS ONLY AUTOS '. € S'4}L1NLY INJURY (Per aeclalent),,. S ., ...._. _i X. AUTOS X AOTO�VNNELY 4w DAMAGE ONLY B UMBRELLA LIAB X = OCCUR F ACH OCCURRENCE _, 3,000„000 X EXCESS LIAR I CLAIMS MADE (CUP3X266993242S ' 09/01/2024, 09/01/2025 AGGREGATE :Seeee 3 000,000 . DED X RETENTION $ 10„00:0'' C WORKERS COMPENSATION X STATUTE 1 o,�,,®„, .. AND EMPLOYERS' LIABILITY Y4 tit, TWP4487'847 0910112024 09/01/2025 1"„�, S 1 000 0001 AN _ _ EXCLUDED? ECUTIVE NIA 1,000„000 ry in NH).,.,,,: FA EMPLOYEE $ IyFs describeMBEER F,L DISEASE 0'SCRIT�TTGNOTOP...HAIIQNSbMaaaw '� � W POLICY WIT' 1,00'0„0t10 1 i , DESCRIPTION Of OPERATIONS d LOCATIONS I VEHICLES IACORD 101, Additional Remarks Scbedute, may be attached if more space Is required) The City of El Segundo its officers, officials, employees, agents and volunteers are Includea as Additlonal Insureds, With respect to General (Liability policy, Where required by valid Written contract or Written agreement With Named Insured, Subject to policies" forms, terms and conditions. THECITO The City of El Segundo its officers, officials, em to ees a ents & volunteers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. p y , g AUTHORIZED REPRESENTATIVE 250 Main St. El Segundo, CA 90245 I ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number 4T22-CO-1X181154-TCT-24 Effective 09/0 1 /2024 — 09/0112025 COMMERCIAL GENERAL LIABILITY Insuring Company THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage,Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Of Insurance. (1) Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the "occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. The insurance provided to such additional (2) If a claim is made or "suit" is brought against insured does not apply to: the additional insured: CG D2 46 0419 0 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the claim or "suit" and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit" as soon as practicable. (3) Immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. (4) Tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. Page 2 of 2 © 2018 The Travelers Indemnity Company. All rights reserved. CG D2 46 04 19