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PROOF OF INSURANCE (2025) CLOSEDDATE (MM/DD/YYYY) REY CERTIFICATE OF LIABILITY INSURANCE 10/09/2024 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 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 NAME YPAPERLESS INSURANCE SERVICES, INC„ PHONE DRIG 67R IFA% 625 46TH AVE IAA Ak Xl) c877,.... !2390_. .. J (At,,,,NoI:; _ ...,, ...... SAN FRANCISCO CA 94121 - ............... O INGCOVERAGE ..INSURER S AFFORD... ... ----- ............ NAM ...�.A ...... INSURERA:SCOTTSDALE INS CO .... 41297 ---- ......... INSURED INSURER B: HARTFORD INS CO, 00914 CHESS WIZARDS INC. INRC:UNITED RE SU STATES LIABILITY INS CO O _ 25895 4450 N CENTRAL AVE D INSURER --- ......,.. .. ., CHICAGO IL 60630 iNSURERE ...... (855) 543-7277 INSURERF: r^V10MAr_CC cn 1'00TICl1%AT1= IJI IMRCI?• r•er+ Tn 1 AgnA t1l 4571 RFVI.glf)N NLIMRFR' 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. .. .. ........ AIJINSOC�a'"�IWBtWVDdi . ..,... .......... ..._,----- ...... I ..MM/DDT EFF l LIMITS INTR �......... .TYPE OF INSURANCE POLICY NUMBER MMIOAA65YEXP C I X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 pp .. I�� ,-_., 11 I CLAIMS -MADE I X I OCCUR Y GL1133684B 02/01/2024 02/Ol/2025 C"i�S`(ST2 -�AMAEN'Y�C=O PRFMISES(Eagrcurre cep _ $ 100 000 y 000 MED F�(P (An one person) $ 5 _ _ — P &ADVINJURY $ 1,000 000 . ,....... _ .._ GEN L AGGREGATE LIMIT APPLIES PER: 1 AGGREGATE s 2,000,000 GENERALL X PRP POLICY �JP�T �LOC _ PRODUCTS_, COMP/OP AGG $ INCLUDED . OTHER: PROF. LIAB $ INCLUDED AUTOMOBILE LIABILITY OM INEO SINGLE LIMIT � $ INCLUDED .. ..,.... y C _ 1 ANY AUTO GLI13368413 02/01/2024 02/01/2025 BODILYINJURY(Perperson) �$ OWNED SCHEDULED BODILY INJURY (Per accident) $ X" AUTOS ONLY -.-_ AUTOS HIRED NON -OWNED PROP('RTY OAdwIAC'E $ ._/ X AUTOS ONLY _.'.... AUTOS ONLY ((+eJ55f.4!??)......... i........ A UMBRELLA LIAB X OCCUR CXS4016733 02/01/2024 02/01/2025 EACH OCCURRENCE 5 000J000 X� EXCESS LIAR CLAIMS -MADE' j$ A GGREGATE $ 5,000 000 ,..... .....� .... ...-_ .. .. ... ................ .-.-.--. ,_............. J. DE DX RETENTION $ 0 l $ B WORKERS COMPENSATION 57WECZU5858 02/01/2024 ER OTH 02/01/2025 STATUv , ER .. ANYP OPRI TOR/PARTBNE EXECUTIVE � E.L EACH AT,E CCIDENT $ 1 000 000 ,0 OFFICER/MEMBEREXCLUDED? Y N I A E.L. DISEASE -EA EMPLOYEE! $ 1,000,000 (Mandatoryin NH) If yes desc4be under L.... ! $ 1, 000, 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT C MOLESTATION OR ABUSE GLI133684B 02/01/2024 02/01/20251BACH CLAIM $ 1,000,000 AGGREGATE $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) WITH REGARD TO GENERAL LIABILITY, WHEN REQUIRED BY A WRITTEN CONTRACT, THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED PER BLANKET ADDITIONAL INSURED ENDORSEMENT L-723 (02/09) ATTACHED TO THE POLICY. WHEN REQUIRED BY A WRITTEN CONTRACT, THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY PER FORM L-723 ATTACHED TO THE POLICY. City of El Segundo, its officers, officials, employees, agents and volunteers.. 350 Main Street El Segundo CA 90245 IIIII[CLIi 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 _,0L-Ptl-4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 POLICY NUMBER: GL1133684B UNITED STATES LIABILITY INSURANCE GROUP This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM BLANKET ADDITIONAL INSURED ENDORSEMENT Section II — Who Is An Insured is amended to include as an insured any person(s) or organization(s) who you are required to add as an additional insured under written contract(s), written permit(s) or written agreement(s), that require such person(s) or organization(s) to be added as an additional insured on your policy. Such person(s) or organization(s) is an insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" occurring after the effective date of such written contract(s), written permit(s) or written agreement(s) that is caused, in whole or in part by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, EXCLUSIONS There is no coverage under this endorsement for loss or expense, including but not limited to the cost of defense for "bodily injury", "property damage" or "personal and advertising injury" occurring: (1) After all of "your work", including materials, parts or equipment furnished in connection with "your work" and performed under the above referenced written contract(s), written permit(s) or written agreement(s) has ended; or (2) When that portion of "your work" out of which the "bodily injury", "property damage" or "personal and advertising injury" arises and performed under the above referenced written contract(s), written permit(s) or written agreement(s) has been put to its intended use by any person(s) or organization(s); whichever occurs first. Coverage is not provided for "bodily injury", "property damage" or "personal and advertising injury" arising out of the sole negligence of an additional insured under this endorsement. Coverage provided by this endorsement will be excess over any insurance available to any additional insured under this endorsement unless a written contract(s), written permit(s) or written agreement(s) specifically requires that coverage under this endorsement is primary. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy unless another effective date is shown. L 723 (02-09) Page 1 of 1