PROOF OF INSURANCE (2025)AC40RL> CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
12/1312024
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(i'es) 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 endorsernent(s),
PRODUCER CONTACT
____[FAX
Marsh Risk 8 Insurance Services NAME
PHONE
1735 Technology Drive, Suite 790 4AF Rt t Alt fA
San Jose, CA 95110 E-MAIL
Aft SanJose.CertRequest@marsh.com 1 FAX 212-948-4335 A�?m to 5 ' " ._. -
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. ............
....... .� R� ....
EXf'
.."..MMdr1'DIYYYV"
INSR AL'LX LIMITS
LTR.._,_ TYPE OF INSURANCE POLICY NUMBER M�M�I)D
A
X
OMMERCIAL GENERAL LIABILITY
c...1
H22J 630-9P531464-TIL-24
12/01/2024
12/0112025
EACH OCCURRENCE
$ 1,000,000
.....
..yff DE X OCCUR
.µ '.RE BSFc.'Yi�LN'TFD
1e q4e rrc�xa._
$ ... 1,000000
......
X
.....J
Glob I Extens On
M,ED EXP (Any one person)
$ 10 000
f
y
.. ...
.....P ..
& ADV INJURY
,,... �. �--
1 000 000
--._..
GEN
-
HAGGREGATE LIMIT
GENERAL AGGREGATE ...�....
—
$ 2 000 000
..-
....-_
1
OITAPPLIESPER:
POLICY X PRO- LOC
JECT
PRODUCTS COMPIOP AGG
$ 2,000,000
j
,$
COMBINED SWGtE LIMIT $
AUTOMOBILE LIABILITY
a art;rtd nS �,
i � .1.. [' _.
. I
f ANY AUTO
BODILY INJURY (Per person) $
C r OWNED
B $
AUTOS ONLY - AUTOS
HIRED -- NON -OWNED
PODILYINJURY(Peraccident)
•""" ---
1'CiERf'Yf1AMA+�.�E' $
`
AUTOS ONLY AUTOS ONLYr�wci°�lt
L
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y
UMBRELLA LIAB OCCUR
_ OCCU, RENCE $
p
EXCESS LIAB CLAIMS -MADE
AGGREGATE $ ,.
.,,........j. --- ...__ '( �...�..,.. x.-. ..-.
DE - T E TION $
...EACH
,. ......
$
A
WORKERS COMPENSATION
UB-9W161584-24-13-H
12/01/2024
12101/2025 X PER OTH
l ,,, ,STATUTE ER
{ .. ....
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNER/EXECUTIVE
NIA
E,L EACH ACCIDENT
$ 1000000
(Mandatoin NH)
EA.MPLO
1,000,000.
ribe
IDESCRIPTION ,decunder
OPERATIONS below
E.L.DISEASE POECY L MITE
$ 1 000 000"
B
E80 / Cyber Liability
B0509CYBLY2450201
12/01/2024
12/01/2025 Limit
500,000
SIR
5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Evidence of insurance.
CERTIFICATE HOLDER ......... CANctLL.AIIUN
City of El Segundo
350 Main St"
El Segundo, CA 90245
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
X R d I�cd(i & f a ac SIILCKEPQ
r
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