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PROOF OF INSURANCE (2025)OP ID: LM ,�►�~ rr �a CERTIFICATE OF LIABILITY INSURANCE DATE 11/05/2024Y) 11105/2024 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 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 endorsements . CONTACT PRODUCER NAME Julie Sllvls Petra Risk Solutions PHOEBE 562 219-4128 tA� 00-494-6829 www.PetraR!skSolutions.com com Drivety PROD o k E ELS 1 — DoUgA s IC770 The I�Douthlt � Ste 1500 �������J��BeS PetraRlskSolutrons ._ .� ._ � ^— INSr�RERIS) A�FFOrx �NGG CO RAGE _NAICIS . �. .... Los Angeles INSURED Embass�m` Suites � s Y 9 A Everest National Insurance Co INSURER ..._..— �...�—__ .. —... .... ...... _..,.,.,_ ....,.. ... 10120 ..._� .. International Airport South INSURER B „ Allied World_ Assurance 19489 1440 E. Imperial Avenue INSURER Steadfast Insurance . 7 El Segundo, CA90245 "yNSURER'r Aspen Special Insurance Co 1071 7 --- INSURERE COlumbla Ca� ualt Com an a p I3112 7 ...._. an Ins. Co. INSURER F . Great American 16691 COVERAGES CERTIFICATE NUMBER: 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...r._--- F SUCH TIONS Q....._._..—_ POLICIES. LIMITS SHOWNCYNUMBER VE BEEN REDUCEDonao� PAIDCLAIMS. -iNSR LTR I ..... TMPDOFQINSDUIRANCE Ad ,crll— �B Y �' LIMITS GENERAL LIABILITY OCCURRENCE $ 2.,000 00 A LX LIABILITY I"tM1GL00012-241 01/30/2024 EACH 01130/2025rMIE qEa occnwrrencep $ 1w000r00'. ..... COMMERCIAL GENERAL N/ CLAIMS -MADE X y OCCUR �....__N MED EXP (APX one PCrl9Gn; $ X.....T . rrorism Incl PERSONAL & AD) INJURY $ �- 1+ — , X Liquor Liability GENERAL AGGREGATE $ 4,000,000 GEf�'LAG R'EGA7ELIMITAPPLIESPER.. ...,. PRODUCTS - COMP/OP AGG � ...$ $ ---� 4,,000,00 .... �I PRO- POLICY X LOC E m Ben. ,000„000 ,0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 3,000,000 A ., ..... '' X ANY AUTO .... _ RMICAOOOO4 241 01/30/20 24 01/30/20 5 .. ....r BODILY INJURY (Per person) ......� $ ..�.._...— ............. ALL OWNED AUTOS _ BODILY INJURY (Per accident) SCHEDULED AUTOS PROPERTY DAMAGE ( PER ACCIDENT) HIRED AUTOS NON -OWNED AUTOS ...... ........._".. ..._.. ....... .UMBRELLA LU1B X X occuR EACH OCCURRENCE � $ 100,00000 ''� EXCESS LIAB 1,.CLAIMS-MADE��X SE, NOTEPAD FOR SCHEDULE 2 24 01/30/ 0 AGGREGATE 01/30/2025.— '" 'T "��� �y 100,000,000 ' FOIIOW Form DEDUCTIBLE X RETENThON $ 10,000 ATU i,7TFi S WORKERS COMPENSATION ER TO.F,$"d'91x�-��---�--- AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y'I"""""I E .L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N I A E- EASE EA EMPL YE E �L.DIS,.._— .,..�.r_ $ _-.... lRyyds doscrllaeuolo., DESCRIPTION OF OPERATIONS bellow r E.L DISEASE -POLICY LIPwBTT '. A Liquor Liability RMi1IGL00012-241 0V30/2024 01/30/2025 Per Oce 1,000 000 e Aggregate 2,000,000, DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if if more space is required) Hotel"s Ins. is prima s for any bodily!injury or property damage caused by the sole negligent a r of the Hotel, its employees, agents„ or subcontrac ors, as covered by the policies.. Event: Cq of El Sel undo Holiday Party 12112/24 CERTIFICATE HOLDER CANCELLATION CITY068 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 350 Main Street AUTHORIZED REPRESENTATIVE EI Segundo, CA 90245 0 1988-2009 ACORD CORPORATION. All rights reserved. O ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD EMELS-1 PAGE 2 NOTEPAD INSURED'SNAME Embassy Suites Los Angeles OP ID: LM Date 11/05/2024 Excess Liability/Umbrella Coverage - Effective. 01/30/24 to 01/30/25 Allied World Assurance Company A.M. Best: A XV Policy #0309-5702 $10,000,000 Lead Umbrella Steadfast Insurance Company A.M. Best: A+ XV Policy # AECO530759-02 $15,000,000 excess of $10,000,000 Aspen Specialty Insurance Company A.M. Best: A XV Policy # CX00Q5E24 $15,000,000 p/o $75,000,000 excess of $25,000,000 Columbia Casualty Company A.M. Best: A XV Policy # FFX7018252519 $15,000,000 p/o $75,000,000 excess of $25,000,000 Great American Alliance Insurance Company A.M. Best: A+ XV Policy # EXC5202934 $15,000,000 p/o $75,000,000 excess of $25,000,000 Everest Indemnity Ins. Co. A.M. Best: A+ XV Policy # XC5E'X01542-241 $10,000,000 p/o $75,000,000 excess of $25,000,000 Indian Harbor Insurance Company A.M. Best: A+ XV Policy # SXS006074702 $10,000,000 p/o $75,000,000 excess of $25,000,000 Lexington Insurance Company - Boston A.M. Best: A XV Policy # 011170568 $10,000,000 p/o $75,000,000 excess of $25,000,000 Policy cancellation provides 60 days cancellation, except for non-payment of premium, which provides 10 days notice of cancellation.