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PROOF OF INSURANCE (2025 - 2026) CLOSEDDATE (MMIDDIYYY` ) ACC>R 2/20/2025 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. T CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIC BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI7 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 endorsement(s). PRODUCER CONTACT Silvia Vela Marsh & McLennan Agency LLC o�oaoNc'"'__.� Marsh & McLennan Ins, Agency LLC ALSOViejoCA92656 �A 4R�ES�Sz OCCertINNSURERISlAFFORDINGCOVERAGE. y f? _ _ marsE mma.COm alc u INSURED Efficient X Ray Inc. DBA Efficient Environmental Services 9650 Topanga Canyona Place Chatsworth CA 91311 Ines Insurance s er u.r�p...us...�,..�-- m. ericacation Ins Company n Insurance _ moen s Fund of CA CnVFRAC.FR CFRTIFICATF NIIMRFR-QAdQA';7AA RFVISI0bJ NIIMRFR- 27154 35076 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T11 H11 E 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. INSR - PE Afia $YSk3'I4' POLICY EFF T� P'OLICY EX P � LIMITS LTR TYPE OF INSURANCE lNSD WVID POLICY NUMBER !MM/DD/YYYY I MM/ D/YYXln A X COMMERCIAL GENERAL LIABILITY Y N G48967590001 2/20/2025 2/20/2026 OCCURRENCE $1,000,000 [EACH MAUE NTEDREMISES CLAIMS -MADE XOCCUR (Ea occurrence) _, $ 300,000 r MED EXP (Any one person) $ 25,000 _ PERSONAL&ADVINJURY $1,000,000 I GEN'LLAAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000000 POLIh❑TLOC I _, ..$ ODUCTS - COMP/OP . .a.A_ -._ $2,000 000 .___ ', _ OTHER:[ DE $ 5,000 B AUTOMOBILE LIABILITY Y N H08887 l06001 2/20/2025 2/20/2026 COMBINED SINGLE iOtu'IT $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED �MSCHEDULED BODILY INJUR Y (Per accident) $ ..,, _ X AUTOS ONLY AUTOS HIRED NON -OWNED PIS PERTY�fldi+,n1AGE. �� $........� ._.. X AUTOS ONLY w. AUTOS ONLY w»I "er c !do ..... ...... .,,,._.... A UMBRELLA LIAB X OCCUR �. G48967607001 2/20/2025 2/20/2026 EACH OCCURRENCE RENCE $1,000,000 �_ X.. EXCESS LIAB -MADE CLAIMS AGGREGAT $ 1 „000 000 _ X DED RETENTION $ $ C WORKERS COMPENSATION 93376652024 5/1I2024 5/1/2025 X PFR OrH- AND EMPLOYER'S" LIABILITY Y / N _,.,_LSTATtJTEJ_ . ANYPRriPR@E'roRPPA�R'rINF.R)EX.ECUTIVE E,L, EACH ACCIDENT $ 1_000.000 ia'FFICIRIMEMBE'REbGr"I Ut?QED"/ NIA ...,�.�.- ......,,,,-..,m (Mandatory In NH) E,L DISEASE -EA EMPLOYEE $1,000,000 describe under,L. _...... ... .....____I .....-.,. ., ...,.. DIf ESCRIPTION OF OPERATIONS below E.L.DISEASE- POLICY LIMIT 0 $1,000,000 A Contractors Pollution Liab G48967590001 2/20/2025 2/20/2026 Each Pollut Condition $1,000,000/Ded $5K Professional Liab. Claims Made Each Prof Liab Claim $1,000,000/Ded$10K Claims Made Retro Date:2120/2014 Gann Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo is included as Additional Insured with respects to the General Liability per the attached endorsement. City of El Segundo 350 Main St. El Segundo CA 90245 II L*J I,. 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 (2016103) The ACORD name and logo are registered marks of ACORD INSURED: Efficient X Ray Inc. POLICY #: G48967590001 POLICY PERIOD: 02/20/2025 TO 02/20/2026 Westchester A Chubb Company PRIMARY AND NONCONTRIBUTORY — OTHER INSURANCE CONDITION Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary and Noncontributory Insurance This policy is primary to, and will not seek contribution from, any other insurance available to an additional insured under this policy, provided that: a. The additional insured is a named insured under such other insurance; and b. You have agreed in a written contract or agreement that this insurance would: (1) act as primary insurance; and (2) would not seek contribution from any other insurance available to the additional insured. All other terms and conditions of this policy remain unchanged. ENV 3252 (12-18) (266562.1) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page i of i INSURED: EfficientXRaylnc, POLICY #: G48967590001 Westchester A Chubb Company t . POLICY PERIOD: 02/20/2025 TO 02/20/2026 R ADDITIONAL INSURED ENDORSEMENT — ONGOING WORK OR OPERATIONS Named Insured Efficient X Ray Inc. Policy Symbol Policy Number Policy Period CPW G48967590001 02/20/2025 TO 02/20/2026 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Endorsement Number 02/20/2025 Insert the policy number. The remainder of 03cinformation is to be completed orf9lr when this endorsernent is issued suhstNluent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE: Name of Person(s) or_ rganixation(s): As required by written contract or agreement signed by both parties prior to a loss to which this insurance applies (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured the persons or organizations shown in the Schedule, but only with respect to liability for injury or damage, to which this insurance applies, 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 insureds. However: i. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. 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. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: Exclusions This insurance does not apply to injury or damage occurring after: a. All work or operations, including materials, parts or equipment furnished in connection with such work or operations, on the project (other than service, maintenance or repairs) to be performed by you or on your behalf at the site of the covered operations has been completed; or b. 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 the additional insured as a part of the same project. ENV-3250 (12/18) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 2 (221012.1) Westchester A Chubb Company"' C. 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 required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: i. 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. All other terms and conditions of this policy remain unchanged. ENV-3250 (12/18) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 2 of 2 (221012.1) INSURED: Efficient X Ray Inc. POLICY #: G48967590001 Westchester A Chubb Company POLICY PERIOD: 02/20/2025 TO 02/20/2026 K= ADDITIONAL INSURED ENDORSEMENT — PRODUCTS -COMPLETED OPERATIONS HAZARD Named Insured _. ... _ �.,.._...—.. Endorsement Number Efficient X Ray Inc. Policy Symbol policy Number =0'2J' y Period Effective Date of Endorsement 20/2025 02/20/2026 CPW G46967590001 TO 02/20/2025 I........_._......... .m..._..............w... m . ........... Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Dame of Person pax_ �;ga�ai� ;ti n � s required by written contract or agreement signed by both parties prior to a loss to which this insurance applies. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) 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 injury or damage, to which this insurance applies, caused by or resulting from your work performed for that additional insured and included in the products -completed operations hazard, and only to the extent that such injury or damage is caused, in whole or in part, by your negligence or the negligence of those acting on your behalf. However: i. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. 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. B. 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 required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: i. 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. All other terms and conditions of this policy remain unchanged. ENV-3251 (12/18) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 (221012.2)