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PROOF OF INSURANCE (2025 - 2025) CLOSEDTDATE(MWDDfYYYY) ACCOR" LIABILITY INSURANCE 10 0 CERTIFICATE OF LIA 1 Of/202Y4 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 endorsementils). WMAU1, PRODUCER t1A . . ........... . . ... Certificates Orr & Associates Insurance Services PHONE FAx 1 28780 Single Oak Dr E-MAIL . .... ...... . Ste 255 ACDREW­j�g!:!�.Q� Temecula CA 92590 INSURER AFfOR01 E qE INSURED SOUTCOA-04 wsugeEi M. AmGuard South Coast Painting Inc. IaIsIw R. 28364 S Western Ave. #465 Rancho Palos Verdes CA 90275 An --- — ---- COVERAGES CERTIFICATE NUMBER: 325170463 REVISION NUMBER: I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE tNSURE0 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. ... . ........ ............... TYPEOFINSURANOE -an rvdvn I F-01.10y NUMM" 9 1rATfflULNTTTXJ -- - - F A X COMMERCIAL GENERAL LIABILITY Y I Y U24AC87006-09 5/112024 511/2025 EACH OCCURRENCE $- — ----- - - CLAIMS -MADE X OCCUR . . . ...... . S 1,000,000 ADV INJURY [2E[t�RAL Aq1ZETE-Arg S. GEN1 AGGREGAT5 LIMIT APPLIES PER: PR'- POLICY' LOG —, JECT i. OTHER: —B AUTOMOBILE LIABILITY Y Y SOAU545707 4/2612024 4/26/2025 $11000,000 L 11111211411 Nllf='� If ANY AUTO BODILY INJURY Per $ ?erwn) OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED x NON -OWNED AUTOSONLY AUTOS ONLY —1 $ A UMBRELLALIAB OCCUR 7j- EXCESS LIAB 01 —CIC-I Iul M U24AC87006-09 5/1/2024 511)2025 EA -H 00 URRENCE, $ 1,0�00 000 AGGREGATE 001000. pp DES d RETENTIONS I WORKERS COIWIPENSATI ON WE EMPLOYERS.LIABILITY YIN F �A..E.R A RIX11PARTNrA�EXECUTIVP NIA� OFMCS RNAEMsEREXCLUDED" (Mandatory in NHJ . .... .. . . . ........ ... DESCRIPTION OF OPERATIONS/ LOCATIONS) VEHICLES IACORD101, Additional Remarks Schedule, may be attached if more space is required) Certificate is subject to policy limits, conditions and exclusions. City of El Segundo is named as Additional Insured as per attached endorsement form(s). 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 150 Illinois Street AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 UI 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO BA 99 02 09 08 BLANKET WAIVER OF SUBROGATION This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION N - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us is amended by adding the following: We waive any right of recovery we may have against any person or organization with whom you have a written contract that requires such waiver because of payments we make for damages under this Coverage Form. BA 99 02 09 08 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 COMMERCIAL AUTO BA 99 04 0618 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This provision does not apply in regard to any ownership, maintenance or use of the additional insured's "autos." Additional Insured When Required by Contract (1) Paragraph A.I. — WHO IS AN INSURED — of Section 11 — Liability Coverage is amended to add: d. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured', but only to the extent such person or organization is liable for "bodily injury' or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto" The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs: (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that the insurance is primary and non- contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If another person or organization is added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in A Loss Conditions 2. — Duties In The Event Of Accident, Claim, Suit Or Loss — of SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. BA 99 04 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 POLICY NUMBER: U24AC87006-09 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON O ORGANIZATION This endorsement modifies insurance provided under the following.. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Oraanization(s): I Location(s) Of Covered Operations Any person or organization for whom you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 E3l POLICY NUMBER: U24AC87006-09 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES O CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) I Location And Description Of Completed I ' Or Organization(s): operations Any person or organization, when you and such parties have agreed in writing in a contract or agreement pertaining to "your work" performed during the policy period. This additional insured coverage does not apply to "excluded residential construction". "Excluded residential construction" means: a) the ground -up construction of any building whose units will be individually owned and titled; and, b) "your work" performed on the conversion of any building into a condominium or townhome. Information required to complete this Schedule, if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 13 POLICY NUMBER: U24AC87006-09 COMMERCIAL GENERAL LIABILITY HCS 040 06 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY AND BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. PRIMARY AND NON-CONTRIBUTORY TO OTHERINSURANCE Wdh respect to any person or organization that is an additional insured under this Coverage Part, the following is added to paragraph 4. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If you have agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary and we will not seek contribution from that other insurance. For the purpose of this endorsement, the additional insured's own insurance means insurance on which the additional insured is a Named Insured. When this endorsement is attached to the policy it supersedes all other insurance conditions within. HCS 040 06 10 13 B. WAIVER OF SUBROGATION — BLANKET Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" included in the "products - completed operations hazard". However, this waiver applies only when you have agreed in writing to waive such rights of recovery in a, contract or agreement, and only if the contract or agreement: a. Is in effect or becomes effective during the term of this policy; and b. Was executed prior to loss. Includes copyrighted material of insurance Services Office, Inc., with its permission. Page 1 of 1 POLICY NUMBER: U24AC87006-09 COMMERCIAL GENERAL LIABILITY HCS 040 0211 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL AGGREGATE LIMIT PER PROJECT WITH A OVERALL GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): All Projects ired to complete this Schedule, if not shown above, will be shown in the A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by more damages or under Coverage C for me6c'al than one 'occurrence" under Section I — expenses shall reduce the Designated Coverage A, and for all medical expenses Construction Project General Aggregate caused by accidents under Section I — Limit for that designated construction Coverage C, which can be attributed only to project. Such payments small not reduce the ongoing operations at a single designated General Aggregate Limit shown in the construction project shown in the Schedule Declarations nor shall they reduce any other above: Designated Construction Project General 1. A separate Designated Construction Project. Aggregate Limit for any other designated construction project shown in the Schedule General Aggregate Limit applies to each above. designated construction project, and that, limit is equal to the amount of the General 4. The limits shown in the Declarations for Aggregate Limit shown in the Declarations, Each Occurrence, Damage To Premises Subject to the applications of the General Rented To You and Medical Expense Aggregate Limit to each of your projects, the continue to apply. However, instead of being maximum amount we will pay under the subject to the General Aggregate Limit General Aggregate Limit for all claims shown in the Declarations„ such limits will arising from all projects is $10,000,000 00. be subject to the applicable Designated 2 The Designated Construction Project Construction Project General Aggregate General Aggregate Limit is the mostwe will Limit. pay for the sure of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". HCS 040 02 11 12 Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. B. For all sums which the insured becomes legally obligated to pay as damages caused by an "occurrence" under Section I — Coverage A, and for all medical expenses caused by accidents under Section I — Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products -completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the ""products -completed operations hazard" is provided„ any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -completed Operations Aggregate Limit, and not reduce the General. Aggregate Limit nor the Designated Construction Project General Aggregate Limit, D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints„ designs, specifications ortimetables, the project will still be deemed to be the same construction project. E. The provisions of Section III — Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED HCS 040 02 11 12 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2 ACCIl EP CERTIFICATE OF LIABILITY INSURANCEDATEYYYY) AA....: sas8�t 611/202/1/2024 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 REPRESENTATIVEOR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED pT'o0dions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditiOA of the policy, certain Policies may require an endorsement. A statement on this cerdfPcatp does not conferright's to the cemt"dfcate bo4der in lieu of such andorsemantlst. PRODUCER USI Insurance Services, LLC 2502 N Rocky Point Drive Tampa, FL 33607 INSURED SOUTH COAST PAINTING INC 28364 South Western Avenue #465, Rancho Palos Verdes, CA 90275 COVERAGES CERTIFICATE NUMBER - 844-290-4908 Ace American Insurance 2207 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE -SEEN ISSUED TO THE INSU11 R11 ED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N07WPITHSTANDING AW RE+CUIREMEW, TERM OR CONDITION OF ANY CONTRAC'T''OR OTHER DOCUM04T WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE ENSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND OONDITIONS OF SUCH POLICIES, LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 11LTR4 TYPE OF INSURANCE OL Ll,cy Nyi..tl6p16R, '204r''P POLIGY 6XP UMR5 COMWAOAU.. GENERA„ UAMUTY EACHOCCURRENCE �.9 _..v..�..m.. ........_. CLAIMS -MADE OCCUR rndrrc7. 5 MED E%P,",; fAny we Person! , , 5 I .. PERSONALBADV INJURY ....._ S OEIa"LAGGREO ATE LIMITAPPLIES PER! GENERAL AGGREGATE 5 PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG ""'....".."""'"...." $ ' OTNE'SC. 5 AUTOMOBILE UABIurY COPAWNE6 SINGLELIMR S ANY. BODILY INJURY (Per person) ..._ ...._..""""""'" S OWNED AUTOS ONLYHSCHEDUIED AUTOS BODILY INJURY Per acddenl ( Ii $ HIRED NON -OWNED PROPERTY DAMAGE O S AUTOS ONLY AUTOS ONLY ... .. , 5 I BRELLA UAB OCCUR EACH OCGURRENC'E m_IT ' S �7,u,Em[) EXCESS UAe OLAIMS-MADEAGGREGATE $ RETENTION S S WOPR4CE'R3 CONFENBAT4DN X TE' -.. - ANO EMPLOYERS" LIABILITY Y J N ANY'PROPAI-^rOrfPARTI4ERfrX'ECUI"CUE E.L. EACH ACCIDENT 5 2,000,000 A OFFICERN.M REXCLUDED? ' �'I,..,. N/A . C-55625979 611 J2024 V112025 F-L,DISFASE-EAEMPL2MEE $ 2,000,O110 (Mand'a racy IRNN) poti damdpPlyd under CA IFTION OF OPERATIONS" e?Aw E.L DISEASE- POLICY LIMIT 13 2,000,WD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addklorml Remarks Seh.&d.. may be attached It —spate. is recpdred) Pail,tate = CA SOUTH COAST PAINTING` INC 2836430 astBrTIAWBPsue 4455 Rancho erdes, CA 90276 SHOULD ANY OF THE ABOVE DE5'C'.WSED POLICPSS BE CANCELLED BEFORE THE EXPIRATION DATE r"4AROF., NOTICE WILL BE DELIVERED IN ACCORDANCE W4TN THE POUC'Y FROVISIDNS.. I Aw ACORD 25 (2016103) The ACORD name and logo are r nw ks o f A o RD g registered