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PROOF OF INSURANCE (2026 - 2026)ACC>RO CERTIFICATE OF LIABILITY INSURANCE DATE`MMIODNYYY) 02/10/2025 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(fes) 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 PRODUCER CONTACT John Bettis Bettis Insurance Services, Inc NAME PHONE Alc ibettrsl@bettrslns rI FAx (310)521 0111 PO Box 2816 San Pedro CA 90731-0197 Grp (310I521-4480 E-MAIL rNs,4rREgA�forl&�gl� �pvi _. ..__.. ... _ .._ .._,. ._ .... n_ .� _. Insurance Co pany of the West 7T84'i ...-. Mike SecondlCid Plumbing glaigrRB c ,re(ion Mutual Insurance Co (Rated A VII) 14907 INSURED James River Insurance Co 12203 _ tY 9 Company 41297. 525 W. Mariposa St. g6SBFS F Sctrttdale Insurance .� _ El Segundo CA 90245- )www g..... _ _ _ .._ .. ... ... _ ..m ..__- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THiE WSU RED NAMiED ABOVE FOR TIME: POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR. CONDrTiON Of ANY CONTRACT OR OTHER DOCUMENT'' lTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN M SUBJECT TO ALL THE 'TEIRMS, EXCLUSIONS AND C'ONOITIONS Or'SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED' BY PAID Ct Ai'ii _ _.._. wPEOrVNw'kDRANCE�_....._.._. ..--....,, �., ...... _...�._:, .._:�__.�. u..._..... . .._._.,.......,�. _.m.,_ �.... ..........� E.dd�6T5...._...,..._.,.—...�....._._,. INSR ApOL SU64i pOL6CYEFF PO@�kCy`.EP IsrFIIExrNwres._ ._ 500 CLAIMS OCCUR' NCH riNEN� E 'J $ x P000fi0D5093 02/15/2025 2/15/2026 E..,00 B ' X COMMERCIAL GENERAL LIABILITY X 1,000,0001 X _ 5 000 9 X N L AGGREGATE LIMIT APPLIES PER: � L.RSrTIdAtF ADV IN,glrrdY ..� _2 000000 POLICY JECT Loc �. a.I700 000 1 _ $ �C�4" MBWEO SdNOLE LIMIT $ 1,000,000 C AUTOMOBILE LIABILITY Ci�0920869-1 02J24t`205 0212�026 Y (Per pesxdn) $ OWNED SCHEDULED BODILY INJURY ANY AUTO :_..._.,, ` B. . ODILY INJURY AUTOS ONLY AUTOS (Per acGdenl) $ X HIRED X NON -OWNED PROPERTY DAMAGE �$ — ........_ AUTOS ONLY -."� AUTOS ONLY _ $ D UMBRELLA LIAR".. OCCUR EAl H Rs~r";U1{'RFNI C $ 1,000,000 1 OBO 000 - ..� EXCESS LIAB ,_..M ..�....� _._ ..�.CLAi����IzL C�S4043172 �2115/2025 2/15/2026 �.�r�rR�cx�T._ _ ..., $'..r�..,___- R :Nr I A WOD KERS COMPEN.i EMPLYFRS'TION WPL 5054200 05 �03/0212025 310212026 X..! ERaIITF .i ._1.�s� I YI AKY PRc caRN rr a rlaE �E soursu Iv NI 1,000,000 OFFNCEIZIMEMBFR EXCdLUOE07 (Mandatory in NH) dtl es des cl,Ibta caid e FL DISEASE -POLICY LIMIT S 1,000,000 _ C Auto PhyscM Damage CPA 0920869-1 '02r"2412025 02124d2026 Comp Ded $500 Co)) Dec $1000 I DESCRIPTION OF OPERATIONS I LOCATRONS i V,EWPLES dACORD 101, Additional Remarks Sohaduia, may be attached lr more a ate Is ragW mzrd City of El Segundo is named as additionat insured a% per additional insured en dorsem�nl CG2033 04T3 When required by written contract. Waiver of slrbr'og alion applies when required by written contract gaffer attached form # CG 2404 0509. Coverage is primary & noncontributory per form # AF 001397 0916 CERTIFICATE HOLDER nANCgh I ATION Ai 001387 SHOULD ANY OF THE ABOVE DESCIRdBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATIOItt DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE. WITH THE POLICY PROVISIONS. 350 Main Street ElSegundo CA 90245- 1 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AC00R" CERTIFICATE OF LIABILITY INSURANCE DATE (IMMIDDIYYYY) 02/10/2025 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 pollcy(les) 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 endorsement1s). PRODUCER CONTACT John Bettis Bettis Insurance Services, Inc --NAME.. PHONE CT -0111 PO Box 2816 E-MAIL ibeffisl @beftisins,com San Pedro CA 90731-0197 A00RESS-'___ __ ___ — _ — ____ qOV90AGF- C___ _,,,,,RRAJnLyrance Company ofthe West 27847 INSURED Mike Erland James River Insurance Co 12203 Second C4 Plumbing eNR cOre onMutual Insurance Co (Rated A V11) 14907 525 W. Mariposa St. ,Scottsdale Insurance Company 41297 ElSegundo CA 90245- r.nVPRAr.I:_q rr-QTIr.1r.ATF: tdl IURPR- OPVI'QIn?d MIJUAr-Q. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWTHSTAN01ING ANY REOUIREMENT, 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. rNSR �ADD IL 3 OR POLICY EFF POL3CYEXP I TYPE OF INSURANCE 1— M_ JAMUDWYyu LIMITS _.0U&DVLyy1U B X COMMERCIAL GENERAL LIABILITY X P0000005093 02JI 5/2025 02115/2026 ttgqqky� S 1,000,000 1�1 DAMAGE TO RENTED 50000 CLAIMS -MADE OCCUR M[A �m_Lkn 5,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 POLICY PRO- 0 LOC 1=H ,Ggqt,.RAL 9_99pjq�'AGG�'AL_ 2,0X000 if— $ C AUTOMOBILE LIABILITY — CM0920869-1 0212412025 02J202026 COMBINED SINGLE LIMP` $ 1,000,000 ANY AUTO BODILY INJURY (Per person) S OWNED I-X ISHEOULED BODILY INJURY (Per accident) AUTOS ONLY AUT NON?6 HIRED CO Rfi AMAGE $ AUTOS ONLY AUTO'S ONLY D UMBRELLA LIAB X OCCUR CX84043172 02115/2025 02/1512026 1,000.000 EXCESS S LIAB AeGRk 1,000,000 SE"N A WORKERS COMPENSATION WPL 5054200 05 03102/2025 03102�2026 X P8" OTH. AND EMPLOYERS'LIAMUTY YfN . .. ... 1,000,000 ANY PfkOPRkETORePAR"tNERI'EXI�C,tl.JTIVE F El S 01'flCERROEIARER EXCLUDED? NIA (Mandatory In NH) EL 1,000,000 tryes" dwribaunder DESa8121QP�Z- OPFRA'TIONS tallnw L L DI$EASE - POLICY LIMIT S 1,00(),000 Auto Physcal Damage CM0920869.1 212412025 " 212412026 Comp Ded $500 Colt Dec $1000 DESCRIPTION OF OPERATIONS OLOCATIONS IVEHICLES JACOPO fOl, Additional Remarks Schetlulaaloy be aftaphod 4mora spuo I's raqutmdt The City of El Segundo, its officers, officials, employees and volunteers are named as additional insured when required by written contract per additional insured endorsement CG2010 0407 and CG2033 0704 when required by written contract. Waiver of subrogation applies when required by written contract per attached form #CG 2404 0509, Coverage is primary &noncontributory perform #AP5031US 0410 City of El Segundo Public Works Department Engineering Division 350 Main Street ElSegundo 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 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: P0000005093 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. mwiA 0 0• w This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) I - Or Organ ization(s): Location(s) Of Covered Opera ions Where required by written contract or written agreement All operations of the Named Insured Information required to cons late this Schedule if not shown above will be shown in the Deolarations. A. Section 11 — 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 tocation 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 in- tended use by any person or organipation other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 Q ISO Properties, Inc., 2004 Page 1 of 1 El POLICY NUMBER: P0000005093 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Otganization(s): Location And Description Of Completed Operations, Where required by written contract or written All operations of the Named Insureds agreement Information required to cornpPete this Schedule, if not shown above, will be shown in the Declarations. Section 11 — Who Is An Insured m amended to include as an adoitional, insured the person(s) ororganization(s) shown in the, Schedule, but only with respect to liability for "bod4y)njury" 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 P° products -completed operations hazard". CG 20 37 07 04 Q ISO Properties, Inc., 2004 Page 1 of 1 El THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY LIMITATION - AMENDED AGGREGATE LIMITS OF INSURANCE PER PROJECT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Section III — Limits of Insurance - The General Aggregate Limit applies separately to each "Project" of the Named Insured. Notwithstanding the application of the General Aggregate Limit to each "Project" of the Named Insured, under no circumstances will we pay more than $5,000,000 for all claims under this policy that are subject to the General Aggregate limit. For the purpose of this endorsement, the following definition is added: "Project" means all work done by you or on your behalf, away from premises owned or rented to you, to complete an individual bid or negotiated contract to provide services for a specified period of time. Multiple jobs, work orders, purchase orders, or work done at multiple "locations" under one contract are not separate "projects" within the meaning of this coverage. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5012US 12-03 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. POLICY NUMBER: P0000005093 COMMERCIAL GENERAL LIABILITY CG 24 04 06 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "VOLIT wor'w' done under a contract with that person or organization and included in the "product&completed, operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 Q Insurance Services Office, Inc,, 2008 Page 1 of 1 N THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Or Organization(s): If no entry appears above, this endorsement applies to all Additional Insureds covered under this poli Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.. AP5031 US O4-10 Page 1 of 1