PROOF OF INSURANCE (2025 - 2026) CLOSED[:!E(MMIDD/YYYY)
•�► CERTIFICATE OF LIABILITY INSURANCE
1/14/2025
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.
If the cerfificate holder is an T50MORAL INSURED, the policy ies must be endorsed. I UBR GATION IS WAIVED, sub )ect 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 NAME: Scott Henrlcks
FAX
PHONE
Unique Risk Management and Insurance Services LLC ((Alc No, Ex t): 949-305 5577 (AIC, Noy. 949 305 5077
E MAiL -
23052Alicia Pkwy ADDRESS: scott@uniquerisk.com
Suite H378 INSURER(S) AFFORDING COVERAGE NAIC #
RA. NORT """"
Mission Viejo CA 92692 INSURE
RA:
HFIELD INS CO 27987
-......
INSURED .............................. ................. ..... ,�.,,.,,,.,......_________ INSURERB. STATE COMPENSATION INS FUND 35076
M. Pino & Associates Inc INSURER C Hlscox Insurance Company 10200
27475 Ynez Rd #234 INSURER D : SWISS REIN AMERICA CORP 25364
INSURER E
Temecula CA 92591-4612 INSURER F
CnVFRAnFR 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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,.
""""" "
TNSRTYPE OF INSURANCE AINSDWVD POLICY NUMBER
. 'POLICY r FF °C�ODICY F3fP
MMIDDIYYYY) ( MM/DDIYYYY) f LIMITS
x COMMERCIAL GENERAL LIABILITY
I EACH OCCURRENCE I $
1,000,000
CLAIMS -MADE � X I OCCUR
'DAMAGE TO RENTED
i re ce)
. $
P...
100,000
�m
M ED EIXPSAnaoneu erson
�.., Y.. p ) � $,,,,,......
5 000
-...._._
A WS638700
1 2 2
1/10/2025 1/ 0/ 0 6 PERSONAL&ADVINJURY $
excluded
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $
2,000,000
...-....
x POLICY JECT 0 LOC
- PRODUCTS COMP/OP AGG $
2,000 000
.
$
1111
OTHER:
AUTOMOBILE LIABILITY
)COMRINED8I $
(Ca 3ccrrckaaa-- - ...° , ....,
ANY AUTO
.
BOD LY er per son) f $
' ALL OWNED "'" SCHEDULED
I
BODILY INJURY Per accident):_ $
($
AUTOS AUTOS
....� .... NON -OWNED
L PROPPIRTYCiA,�R;/449 _ $
....
HIRED AUTOS AUTOS
i, SPac a.rcidarrl)
........... ... ..
UMBRELLA LIAB OCCUR I
�H OCCURRENCE
EXCESS LIAB IMS MADE
I AGGREGATE � $
DED J RETENTION $
$
WORKERS COMPENSATION
X I STATUTE 1 ER
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
!
.." ..
E,L EACH ACCIDENT $
..
1,000,000
B
OFFICER/MEMBER EXCLUDED?
NIA;
9203645
V26/2024
1/26/2025
"'" i'•"'— S
E EA EMPLOYEE $
'
1,000 000
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L DISEASE . .............--.........
SE POLICY LIMIT $
1,000,000
C
Errors & Omissions I
r
MPL1969980.24
9/8/2024 9/8/2025
Lim it: S 1,000,000
D
Cyber Liability
I
C 4 A08-157565-CYBER-2024
3/23/2024 3/23/2025
LimitA 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The Certificate Holder is named as additional insured when required by contract.
CERTIFICATE HOLDER L:ANUhLLA I IUN
City of El Segundo
350 Main Street
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
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD