Loading...
PROOF OF INSURANCE (2025 - 2026) CLOSEDUTILCOS-01 VSUN '4�oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 2/412025 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 olic ies must have ADDITIONAL INSURED p y(' ) 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 ..._..ol ............ rsement(s), this certificate does not confer r1 lrts to the certificate holder In lieu of such �rr� r _ � m ...... . ., PRODUCER MFi _-.".,,,, .... ,....... .. License # 077776 9 __......_ Verity Racht _—..... HUB International Insurance Services Inc. j PHONE No Ex( p � , 1 231 2572 548 W Cromwell Avenuec N Suite 101 E-MAILRroI c iU #lttbilnterrTat'on8d.com Fresno, CA 93711 INSURE'RIS1 AFFORDING COVERAGE INSURED Utility Cost Management LLC 1100 W. Shaw Avenue, Suite 126 Fresno, CA 93711 Allmerica Financial Benefit Insurance COVERAGES GE CERTIFY THAT THE POLICIES NUMBER _ "...... ....... __., R1! V451f3N NUMBER ..... ....... OLICIES 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, AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY R E BEEN REDUCED BY PAID CLAIMS. A X coMME.... w-- HAVE ..Y F PocrFxP rcAo.a..._.._. 1 Ot10000 EXCLUSIONS _ w�LIMITS „ RCIALGENERALLU\BILITY AOD� POLIO CFIk�MIDDSYwYt 300,000 TYPE OF INSURANCE POLICY NUMBE .. C RRkwNi,,E S ... p�,,,,�,u. CLAIMS -MADE � occuR J636703 2/5/2025 2/5/2026 DAMAGFTOFEr�ITEL1 ...... X0,.10 MED�xI�(�,„ycrra�rya^s�trM— .... e.... _ �...._.... „r�ONAL 4AP EGAH(' �... ....�,.__1„000„�00�0 ViMq_ 210001000 aFVflAGaRECATELIMIT APPLcSPER: �.... " PEo�............ ........_...m ...... .......___ W...__ .....w..��..�. � . cC—+ �� .2„a%QiO,tmclra X POLICY El E LOC PR IDUL ru - COB IPIOP A COMMNED S _ <3 Hi H. 9 M91 1„O o'000 A AUTOMOBILE LIABILITY .-.I.OTI1.9¢uGI.E 1....,_ ANY AUTO J636703. 2/5/2025 2/5/2026 can,....«p_ OWNED SCHEDULED - _ AUTOS ONLY X AUTOS mdiODILY IN�tl;RY Par�ida I „. X &S IftYA SONLY .... _..._...........irrynA e E..... X 2,000„000A..XUMBRELLA LIABOCCUR &CF.3i»;REhOY EXCESS GGREGATE �. �...... � J636703 215/2025 2/5/2026 2,000 000 DED RETENTION'S LIAR CLAIMS -MADE B 'WORKERSCOMPFNSATION .,,_. �( PER: &i1N s AND FMPLOYERS'LIASILWY YIN FIN 032700221 2/4/2025 2/4/2026 ° EL rA 8 Ida'-NT FB... ANY PROPR11TOWPARTNERffXEC1ITlVE 1,000,000 Fm'EPA MN,I, EXCLUDED E� ragsFo sF m rvsP oYI t 110001000 yy� N/A DFSC I Wundex Tlro1 N 8 r LRAT'CONS Iralaw' E L OIS SE -POLICY LIMN°' S 1,000 000 C IProfessional Llab 1ti7256057 512312024 512312025 Each Claim 1,000,000 C Professional Liab 107256057 5/23/2024 5/23/2025 Retention 25,000 ............... _,,,. _ ......... _. ...... _ ... DESCRIPTION OF OPFRATIONS I LOCATIONS I VEHICLES (ACORD'101, Additional Remarks Schedule, may be attached it mores ace Is required) City of El Segundo, Its officials, and employees as additional insured, Umbrella Coverage Is following form. Endorsements attached : CG2012 0413, PB6072 0711 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Joe Lillio, Director 350 Main Street ..... .......... El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ��M-uc, ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Effective Date: 2/4/2025 - Expiration Date:2/4/2026 Policy Number: J636703 BUSINESSOWNERS PB 60 72 0711 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT TO OTHER INSURANCE CLAUSE FOR ADDITIONAL INSUREDS - PRIMARY AND NON- CONTRIBUTORY WHEN N REQUIRED IN A WRITTEN AGREEMENT OR CONTRACT WITH YOU This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS Only with respect to any additional insured, in the COMMON POLICY CONDITIONS, form PB 00 09, under condition H. OTHER INSURANCE, paragraph 2.a. is replaced by the following: H. OTHER INSURANCE 2. Under any liability coverage provided by this policy, a. If for injury or loss we cover, there is other valid and collectible insurance available to any additional insured under another policy, our obligations are limited as follows: (1) Issued by another insurer, or if there is self insurance or similar risk retention that applies to a loss covered by this policy, then this insurance provided by us shall be excess over such other insurance, unless you have agreed in a written contract or written agreernent signed prior to the loss that this insurance shall be primary: (a) Then this insurance is primary. If other insurance is also primary, we will share with all that other insurance as described in d. below; and (b) The coverage afforded by this insurance is non-contributory with the additional insured's own insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured to any other person or organization's policy.; or (2) Issued by us or any of our affiliate companies, that applies to a loss covered by this policy, then only the highest applicable Limit of Insurance shall apply to such loss. This condition does not apply to any policy issued by us that is designed to provide Excess or Umbrella liability insurance. All terms and conditions of this policy apply unless modified by this endorsement. PB 60 72 07 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 ACP BPO 7872036862 INSURED COPY 47 01680 POLICY NUMBER: J636703 COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision., City of El Segundo Attn: Joe Lillio, Director 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 any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a B permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 12 04 13 2. This insurance does not apply to: a. "Bodily injury"' "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is re Wired�y a contract or agireernent, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1 Insured Copy