PROOF OF INSURANCE (2025 - 2025) CLOSED"� DATE (MMIDDIYYYY)
C"R "" CERTIFICATE OF LIABILITY INSURANCE
01 /27/2025
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.
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 CONTNAs.
C.a.-,--T
NAME -
als1 mFAXuNaaan
E360 INSURANCE SERVICES PHONE (88) 8626750
5..153
(Ac.ENo)
—
E-MAIL Jenella e360insurance com
16000 Ventura Blvd #400 ADDRESS: @ ......_--
Encino CA 91436
wsuReRA:
SPECIALTY INSURANCE COMPANY
U.S. ..........., a ._ ............ ..
29599
....... ..........
_, ..........
INSURED
INSURERS;
AmGuard Insurance Company
... ---
42390
--- .,.
9Enterprises,Employers
Inc.
HS
Preferred Insurance Co
........r .......".
10346
8726 Sepulveda #A
p
INSURERD:
Technology Insurance Company Inc
42376
��
wsuRER E,
CLEAR BLUE SPECIALTY INSURANCE
7745
Los Angeles CA 90045-4003
IN_SuRER F
.,�.,.,,r......,,�.+ /�cl•fTI ^AT KIIIIAMM M.
RiC4/IIQI^hJ AIIIMRFR•
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.
iNsl .... TYPE OF INSURANCE .,.. ADDL SUI3R . _..................... POUT Y EFF ' IPOLICY EXP.
LTR. �.. I POLICY NUMBER MMIDD MMYDD/YYYY. LIMITS
XX
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
._
CLAIMS MADE X OCCUR
_5AMAG�'I`i1. t NT'ED"_._
PREMISE§.,(Ea occurrenge) ,.
.1_,_
$ 100 000
1"X
BI/PD Ded $2 000
A
Y
Y
U24AC126285-04
06/26/2024
06/26/2025
soNALAa ADv wJURY
$ 1 000 000
G_EN'L
AGGREGATE LIMIT APPLIES PER:
s
"PE
GENERALAGGREGATE
$ 2 000 0 OO
�j
X
Plop•
` POLICY ,4ECT LOC
_PRODUCTS "-, COMP/OP AGG
2
$ OOO OOO
r,MOBIL'
AUTOMOBILE LIABILITY
i
.. _ .. ..IMIT
" 4 lT'I�SIN. L LIMIT "
000 000
X f ANY AUTO
BODILY INJURY (Per person)
$
B
SCHEDULED
ONLY X AUTOS
Y
LAAU515392
06/16/2024 i 06/16/2025 BODILY INJURY (Per accident)
$
.� AUTOS .=.....
I NON -OWNED
HIRED
X X
PROPERTY DAMAGE
I e �)
$
AUTOS ONLY AUTOS ONLY
I 4PV>"a0.,S,�S1e.N?.4.
..... ,.... ............ ....... ...... ...
�11
UR
UMBRELLA LIAB X CLAIMS
EACH
/\
X 11
� EXCESS LIAB f -MADE
Y
Y
U24AC126285-04
06/26/2024 06/26/2025 AGGREGATE ERRENCE
O
i s 2 00O 000
1
j
DFD RETENTION $
i $
WORKERS COMPENSATION
OTH-
r TE OT
X STATU
...
C
A�..
AND EMPLOYERS LIABILITY N
ANY PROPRIETOR/PARTNERIEXECUTIVE YIN
OFFICER/MEMBER EXCLUDED? F]
N / A
Y
EIG522297201
I .."
i E,L EACH ACCIDENT l
04/05/2024 % 04/05/2025
$ 1 OOO OOO
"""""
(Mandatorym NH""""""
EMPLOY
E.L DISEASE EA EMPL
$ 1,006,600
If yes, describe under
I j
POLICY LIMIT
[ $ 1 O00 000
DESCRIPTION OF OPERATION$ below
S E..L. DISEASE
LIMIT ' 1,000,000
D
Cyber Liability
TCL1724413 02
02/04/2024
02/04/2025
AGGREGATE 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
E) Professional Liability U24AC126285-04 06/26/2024 to 06/26/2025 Occurrence Limit: $2,000,000 Aggregate Limit $2,000,000
Certificate holder is listed as additional insured
ULK 111-IGA I t HULUtK
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
O 195S'ZU15 AGUKU UUKI'VKA I IVN. All rigm:5 reServou.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD