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PROOF OF INSURANCE (2026)
`� a DATE(MM/DD/YYYY) f...... CERTIFICATE OF LIABILITY INSURANCE 02/28/2025 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 Wan 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 2 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NA#gE.' Aon Risk Services, Inc of Florida (866) 283-7122 FAX (800) 363-0105 G1 701 Bri ckel l Avenue suite 3200 _ Miami FL 33131 USA —ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: safety National Casualty Corp 15105 Landcare USA L.L.C. INSURERB: Federal Insurance Company 120281 5295 WestvieW Drive Suite 100 INSURERC: Frederick MD 21703 USA INSURER D: INSURER E: INSURER F: COVERA ES CERTIFICATE NUMBER( 570111095283 REVISION NUMBER: RM 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 BOTHER', 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. Units shown are as requested INSR LTA TYPE OF INSURANCE INSI,y WVD POLICY NUMBER MWDDvYY'YY MMr'DOdYYYY' LIMITS X COMMERCIAL GENER�ALL .,.....GL EACH OCCURRENCE $2 , 000, 000 LIABILITY SIR applies per policy terns & conditions n j $1, 000, 000 CLAIMS -MADE II X I... OCCUR L 1 PREMISES ozrn) oce ®�L _. ur. rLc22 .V....� ...... MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $2 , 000, 000 - GEN'LAGGREGATEUMITAPPUESPER: GENERALAGGREGATE $4,000,000. rn POLICY JE I2. a LOC PRODUCTS - COMP/OP AGG $4 , 000 , 000 12 OTHER: 6 r- A AUTOMOBILE LIABILITY CA 6675529 03/01/2025 03/01/2026 COMBINED SINGLE LIMIT $5,000,000' LO BODILY INJURY ( Per person) '.. 0 X ANY AUTO """"' OWNED SCHEDULED BODILY INJURY (Per accident) mod„ �-- AUTOS ONLY AUTOS - PROPERTY DAMAGE V HIRERED NON -OWNED (Peraccidem, ®.... ONLY AUTOS ONLY _„__ d U 03 51%2025 03/ 1 2026 EACHOCCURRENCE $2,000,000 B X UMBRELLALIAB UMBRELLALIAB OCCUR79836604 OCCUR EXCESS LIAB N CLAIMS -MADE AGGREGATE $2, OOO, 000 DED RET'E.NI ON A WORKERS COMPENSATION AND LDC4058321 1 2503 1/' X ER STATUTE OTH• FR„ EMPLOYERS' LIABILITY y B N ANY PROPRIETOR / PARTNER / EXECUTIVE ��' E.L. EACH ACCIDENT $1, 000 , 000 OFFICE MEMBER EXCLUDED? (Mandatory in NH) N / A EL. DISEASE -EA EMPLOYEE $1, 000 , 000,'. If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1, 000 , 000 L _3 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 in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION 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 AUTHORIZED REPRESENTATIVE 350 Main street E1 Segundo CA 90245-3895 USA (� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 91 DATE(MM/ 202YYYY) ° C RT'IFICAT`E OF LIABILITY I SURA C D2/28/2D26 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 holderIs 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 CONTACT Aon Risk services, IncNAMESe of Florida "� FAX _• JOl B ri ckell Avenue tA,C rye, Ext),: (866) 283 7122 (a N ), (800) 363-01o5 Suite 3200 E-MAIL Miami FL 33131 USA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Safety National Casualty Corp 15105 Landcare USA L.L.C. INSURER8: Federal Insurance Company 20281 5295 Westview Drive Suite 100 INSURERC: _ Frederick MD 21703 USA INSURER D: INSURER E: INSURER F: rnvCcnrrF=c I" PTIPIr 1T9Z WII"Rr-R- R7nilincins,7R REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLIOE S 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. Limits shown are as requested LT1R TYPE OF INSURANCE MEN WyVD POLICY NUMBER �+1,WDD yyyy MMd17'•[WYYYY LIMITS X COMMERCIAL GENERAL LIABILITY GL EACH OCCURRENCE $ 2 , 000, 000 CLAIMS -MADE x occuR SIR applies per policy ter is & condi' -ions , PREMISES Ea occurrence $1, 000, 000 MED EXP (Any one person) $ 5 , 000 PERSONAL& ADV INJURY $2,000,000 AGGREGATEGENERAL GENEAPPL POLICY .PCOEL00 PRODUCTSCOMP/OPAGG $4,000,000 . T OTHER: A AUTOMOBILE LIABILITY CA 6675529 03/01/202.5 03/01/2026 COMBINED SINGLE LIMIT $5 , 000, 000 jj- X ANYAUTO BODILY INJURY ( Per person) OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS ONLY NON -OWNED HIRED AUTOS L PROPERTY DAMAGE (Per accident} ONLY AUTOS ONLY __. B X 79836664 3 01 2025 03 01 2026 EACH OCCURRENCE $5,000,000 X '.... UMBRELLALIAB OCCUR '.... EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5 , 000, 000 DED RETENTION A WORKERS COMPENSATION AND LDC4 5$ 1 03 01 3 01 0 X PER STATUTE ORTH•. EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE �"� Y4] --" - „L.EACHACCIDENT •- $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A rE,L.DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under OF OPERATIONS below .L. DISEASE -POLICY LIMIT �""""'"'"DESCRIPTION $1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All California Landscape Operations. The City of El Segundo, its officers, employees and agents are included as Additional insured in accordance with the policy provisions of the General Liability policy. General Liability policy herein is to insurance available to an Additional Insured, but only in accordance evidenced Primary and Non -Contributory other with the policy's provisions. A Waiver of Subrogation is granted in favor of The City of E1 Segundo, its officers, employees and agents in accordance with the policy provisions of the General Liability, Automobile Liability and workers' compensation policies. n u) 0 0 0 CERTIFICATE HOLDER CANCELLATION R 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 AUTHORIZED REPRESENTATIVE 350 Main Street E1 Segundo CA 90245-3895 USA L 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GL 4058322 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • '" Ilh A Ji w . A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence, offense or loss to which this endorsement applies, but only for the limits agreed to in such contract or the Limits of Liability provided by this policy, whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. 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 your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. 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: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 26 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE ...__.. n ITIT d Person(s) or Or ani� zatic� L Name of Additional Insure ..._� Person(s) or Organization(s) as required by written contract. Any individually scheduled Designated Additional Insured shall not be construed to override nor negate this blanket Designated Additional Insured. CHANGE The person(s) or organization(s) shown in the Schedule above with whom you have agreed in a written contract to provide insurance such as is afforded under this Coverage Form, is included as an Additional Insured subject to the below: (1) Insurance for such Additional Insured(s) scheduled above shall be afforded only to the extent that such Additional Insured is liable for "bodily injury' or "property damage" arising out of your operations and resulting from the ownership, maintenance or use of covered "autos" by you while the covered "autos" are on premises owned or leased by the above scheduled Additional Insured(s). (2) The insurance afforded under this Coverage Form to such Additional Insured(s) applies only: (a) If the "accident' takes place subsequent to the execution and effective date of such written contract: and, (b) While such written contract is in force, or until the end of the policy period, which ever occurs first. (3) How Limits Apply to Additional Insured(s) The most we will pay on behalf of the Additional Insured(s) scheduled above is the lesser of: (a) The limits of insurance specified in the written contract or written agreement; or, (b) The Limits of Insurance provided by the Coverage Form. The amount we will pay on behalf of such Additional Insured(s) shall be a part of, and not in addition to, the Limits of Insurance shown in the Coverage Form Declarations and described in this section. Such amount will thus not increase the Limits of Insurance shown for the Coverage Form. (4) Exclusions (a) This endorsement does not apply to liability of the Additional Insured which arises out of the ownership of transportation operating rights granted to the Additional Insured by public authority. (b) This endorsement does not apply to the liability of the owner or anyone else from whom you hire or borrow a covered auto. SNCA 026 10 13 Safety National Casualty Corporation Page 1 of 2 (5) Obligations at the Additional Insured's Own Cost No Additional Insured will, except at their own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. The Additional Insured(s) scheduled above shall be subject to all other conditions set forth in the Coverage Form.. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 03/01/2025 Policy No. CA 6675529 Named Insured LANDCARE USA LLC DBA: LANDCARE Insurance Company Safety National Casualty Corporation Countersigned By Endorsement No. Premium $ Included Page 2 of 2 Safety National Casualty Corporation SNCA 026 10 13 POLICY NUMBER: GL 4058322 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY I' S T'OTT S TO US (WAIVER OF" S OG TI ) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Person(s) or organization(s) as required by written contract when such written contract is executed prior to an occurrence, offense or loss to which this endorsement applies. Any individually scheduled Waivers shall not be construed to override nor negate this blanket Waiver .................. [Information re uired to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 0412 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST 01THERS TO LIS This endorsement modifies insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE Name f Person Or Organization: Person(s) or Organization(s) as required by written contract when such written contract is executed prior to an accident to which this endorsement applies. Any individually scheduled Waivers shall not be construed to override nor negate this blanket Waiver. _._ ........— Information MmIllame CHANGE in the 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 "bodily injury" or "property damage" to which this insurance applies, caused by an "accident" and resulting from the ownership, maintenance or use of a covered "auto". This waiver applies only to the person or organization shown in the Schedule above. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 0 3 / 0 1 / 2 0 2 5 Policy No. CA 6675529 Named Insured LANDCARE USA LLC DBA: LANDCARE Insurance Company Safety National Casualty Corporation Endorsement No. Premium $ Included SNCA 027 10 13 Safety National Casualty Corporation Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE WHERE A WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS IS REQUIRED BY WRITTEN CONTRACT, SUCH ADDITIONAL ENTITIES SHALL BE CONSIDERED AUTOMATIC",AL:I,Y SC.H:EI:7U:I,ED BY THE COMPANY. IND:TVT.DUALLY SCHEDULED WAIVERS SHALL NOT BE CONSTRUED TO OVERRIDE NOR. NEGATE T.kI::C.S BLANKET WAIVER.. THIS FORM APPLIES ONLY TO THE FOLLOWING STATE(S) IF COVERED BY YOUR POLICY. IF A STATE IS NOT LISTED BELOW, THIS FORM DOES NOT APPLY IN THAT STATE. AZ, DE, FL, GA, IL, IN, KS, MD, MO, NV, NC, OK, OR, PA, TN, VA This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 03/01/2025 Policy No. LDC4058321 Endorsement No. Insured LANDCARE USA LLC DBA: LANDCARE Premium $ Included Insurance Company Safety National Casualty Corporation Countersigned By WC 00 03 13 (04 84) Page 1 of 1 ©1983 National Council on Compensation Insurance.