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PROOF OF INSURANCE (2026)AC ® DAT ; 2M 3/PO 4YYY) CERTIFICATE OF LIABILITY INSURANCE 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. IMP0111TANT1 It the certificate holder Is an ADDITIONA INSURED, the ffolicy(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 CONTACT Aon Risk Services Northeast, Inc. NEE` Aon Risk Services Northeast, Inc. (AC.No.Extl: 866-283-7122 FAX Na (800) 363-0105 NY NY Office E-MAIL One Liberty Plaza ADDRESS: 165 Broadway, suite 3201 New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Hartford Fire Insurance Co. 19682 Bureau VeritaS Technical Assessments LLC INSURERS: AllianZ Global Risks US Insurance Co. 35300 6021 University Blvd. stes. 200-210 Ellicott City MD 21043 USA INSURERC: Trumbull Insurance Company 27120 INSURER D: INSURER E: INSURER F: THIS IS TO CERTIP THAT' THE POLICIES OFINSURANCE LISTED SELOW HAVE. BEEN ISSUED TO THE INSUREC 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. Limits shown are as requested INSIR LTR TYPE OF INSURANCE NMISD, Nl vo POLICY NUMBER MM/DWYY'Y MPo MDD YYY: LIMITS X COMMERCIAL GENERAL LIABILITY USLOO159325 01101120251011011,Mb EACH OCCURRENCE $2,000,000 SIR applies per policy ter s & condi'ions -DAMAGE trMN70— $1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence MED EXP (Any one person) $10, 000 PERSONAL& ADV INJURY $2,000,000 GENIAGGAFGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000, POLICY 1�..1 X{JECT LPRO 7 LOC .:mmJ� PRODUCTS - COMP/OPAGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY 10 AS s41202 01/01/202 S Ol/Ol/2026' COMBINED SINGLE LIMIT $2,000,000 A05 Fa anrle X ANY AUTO BODILY INJURY ( Per person) OWNED SCHEDULED BODILY INJURY (Per accident) AONLY AUTOS AUTO; HIRED AUTOS NON -OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Per accident) B X UMBRELLALIA13 I X I OCCUR USLOO163325 01 01/2025 01 1/2026 EACH OCCURRENCE $1,00 ,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $1,000,000 DED'.. X RETENTION $250,000 C WORKERS COMPENSATION AND ' I0WNS41200 ' 01 1 25 ..01 Ol 2U2b X PER STATUTE OTH EMPLOYERS' LIABILITY YIN See state Policy.� Addendum R _.._ PROPRIETORANY / PARTNER/ EXECUTIVE dd E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT •••••-- %1, 000, 000 B Architects & Engineers usF00248025 01/01/2025 01/01/2026 Each Claim $1,000,000 Professional Claims Made Aggregate $1,0001000 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Evidence of insurance. The Architects & Engineers policy includes coverage for Professional Liability and Contractors Pollution Liability. Certificate Holder, The City of E1 Segundo, it's officials and Employees are included as Additional insured in accordance with the policy provisions of the General Liability Coverage, Business Auto Coverage & umbrella Liability policy. CERTIFICATE HOLDER CANCELLATION 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 AUTHORIZED REPRESENTATIVE 350 Main street E1 Segundo CA 90245 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD d 0 LO 0 0 LO AGENCY CUSTOMER ID: 57000004E S82 --- ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc, Bureau veritas Technical Assessments LLC 90M141 my E See certificate Number: 570110007502 CARVER NAIC CODE See certificate Number: 570110007502 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation/Employers Liability IOWNS41200 01/01/25-01/01/26 Trumbull Insurance AR,DC,IN„LA,NE,RI,UT IOWNS41200 01/01/25-01/01./26 Turin city sire Insurance Company FL,ND,OH,WA,wY 1OWNS41200 01/01/25-01/01./26 Hartford Insurance Company of the Midwest AK,ID IOWNS41200 01/01/25-01/01/26 k4artfor"d Casualty insurance company Mo,Wv lOWNS41200 01/01/25-01/01/26 Nutmeg insurance Company CT,IL IOWN541200 01/01/25-01/01/26 Hartford Fir°e Insurance Company NH,DR,PA 1OWN541200 01/01/25-01/01/26 Hartford Accident and Indelrani'ty company AL,GA,KY,M1,MT,NY,TN,VT 101VNS41.200 01/01/25-01/01/26 Property & Casualty Ins Co of Hartford CA,CO3DE,ME, MN,MS,SC 10WNS41200 01/01/25-01/01/26 Hartford insurance Company of Illinois T 1OWN541200 01/01/25-01/01/26 Hartford insurance company of the. Southeast KS,MD 10WN541200 01/O1/25-01,/01/26 Hartford Underwriters insurance company AZ,HI, Nc,N1,SD,VA 1.0WN5^41200 01/01/25-01/01/26 Sentinel insurance Company, Limited 'I',A,NM,NV,GK 10W69S41201 01./01/25-01/01,/26 Twin City Fire Insurance Company W1 1OWBRS41201 01./01/25--01/01./26 Sentinel Insurance Company, Limited MA ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD