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PROOF OF INSURANCE (2025 - 2025)ADLER-1 OP ID]: RORO CERTIFICATE OF LIABILITY INSURANCE D03ing3J05IDOIY51202 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(les) must 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 . SAX 951 085-0665 CONTACT _ PRODUCER PJIAIk!! ,n Roberta R Rosas .):...,��685-0 .e... Loomis Insurance Services PHONE F 961 685 T478 Arc' PO BOX 3128 E MAIL Riverside, CA 92519 AO2B't ' rrOSaSl p0ERP iSA Michael ,i Runner FORDING COVERAGE �..-. INSURED Adlerhorst International„ LLC 3961 Vernon Avenue Riverside, CA 92509 A',,Northfiejd Insuran I. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED REDUCED BY PAID CLAIMS. EXCLUSIONS CONDITIONS OF SUCH POLICIES. LIMITS SHOWN BEEN R ......- ..... . POLIO f OFF oLiCi"WmITXP LIMITS cMA�YNHAVE BPETCONSD INR 2,000,00 GENERAL EACH OCCURRENCE $ _ 1 ACET L Er"_ 100,00 A X COMMERCIAL GENERAL uneanv X WS815093 08108/2024 OBl08/2025 I FeEM15ES J�....S,rcar s CLAIMS -MADE �µX OCCUR MED EXP ,y,one peasoo') S ........ w, i00 ArY PERSONAL. & ADV INJURY S 2,000,00' _ .�.�.. � .....__�,.,.... �,�� OREGATE .... S ......_. 2,000,00' GENERAII AC 0 ----- .._._ .._..�..� .,_._ PRODUCTS - COMPrOP AGO S EXCLUDED GEr�N'L AGGREGATE LIMIT APPLIES PER: X POLICY f7 PRO- LON: i.gM— AUTO MOBILE LIABILITY ..,.. t.o�clkC gin.—�L S, .'. ........ ANY AUTO BODILY INJURY (Per person) $ ,......" ALL OWNED............... SCHEDULED BODILY INJURY (Per accident) $ ._..— ............... -_ , ....'. AUTOS AUTOS PROP TYWDA4MAd S NON-OWNEDACOIL.AEN'q') .IT.IT. ..._ _ HIRED AUTOS AUTOS-'-'._. $ y UMBRELLA LIAR OCCUR EACH OCCURRENCE. 5.� EXCESS LIAB CLAIMS -MADE, M ........AGGREGATE ......._.�...S� -mom...._.... _ ..... . OEO RETENTION WC STATU- I OTH- WORKERSCOMPENSATION TlOit.Y�i'MiIS.'..... .._ F R••-- AND EMPLOYERS' LIABILITY ACCIDENT S AC AANY PROPRIE'fC)"ARTUPECY�N1A WNCERIh4EMBER EXCLUDED' .._ LEACH E.-EA EMPLOYE S (Mandatory InNRI ..__. - .... M yyos, describe under DESCRIPTION OF OPERATIONS b&*W EaA,S' E - POLgCY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) of El Segundo, city of El Segundo Police Dept is named as Additional gu City , Y Y Insured with respect to work/services provided by the Named Insured. City of El Segundo Police Dept City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 348 Main Street AUTHORIZED REPRESENTATIVE El Segundo, CA 90246 n . o n UUQ-A.U- lVawy ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD WS615093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, BLANKET ADDITIONAL INSURED (NON -CONTRACTORS) This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following is added to SECTION i] -WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an Insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; b. If, and only to the extent that, the injury or damage Is caused by your acts or omissions in the performance of your ongoing operations to which that written contract or agreement applies or by the acts or omissions of any person or organization performing such ongoing operations on your behalf; and c. Subject to the following limitations and conditions on the Insurance provided to such additional Insured: (1) If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional Insured by that written contract or agreement. This provision will not increase the limits of insurance described in SECTION III - LIMITS OF INSURANCE. (2) The Insurance provided to such additional insured is excess over any valid and collectible other Insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if the written contract or agreement requires that the Insurance provided under this Coverage Part apply on a primary basis or a primary and non-contributory basis, then this insurance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that other Insurance. But, the insurance provided to the additional insured still is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional Insured when that person or organization Is an additional Insured under such other insurance. (3) The insurance provided to such additional insured does not apply to: (a) Any person or organization for which coverage as an additional insured specifically is scheduled by attachment of an endorsement under this Coverage Part, or for whom you have purchased an Owners And Contractors Protective Liability policy; (b) Any person or organization who distributes or sells "your products" In the regular course of that person's or organization's business with respect to liability arising out of "your products"; (c) Any person or organization from whom you have acquired "your products", or any Ingredient, part or container entering Into, accompanying or containing such product with respect to liability arising out of "your products"; (d) Any premises owner, manager or lessor with respect to liability arising out of the ownership, maintenance, or use of that part of any premises leased to you; S2853-CG (3120) 0 2020 The Travelers Indemnity Company. All rights reserved. Page 1 or 2 WS615093 (e) Any equipment lessor with respect to liability arising out of the maintenance, operation or use of equipment leased to you by such equipment lessor; (f) The Independent acts or omissions of such additional Insured; or (g) "Bodily Injury" or "property damage" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (1) The preparing, approving or falling to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (11) Supervisory, Inspection, architectural or engineering activities, (4) The additional Insured must comply with the following duties: (a) Give us written notice as soon as practicable of an "occurrence" which may result in a claim. To the extent possible, such notice should Include: (1) How, when and where the "occurrence" took place; (if) The names and addresses of any injured persons and witnesses; and (111) The nature and location of any injury or damage arising out of the "occurrence". (b) if a claim Is made or "suit" is brought against the additional Insured: (1) Immediately record the specifics of the claim or "suit" and the date received; and (if) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit' as soon as practicable. (c) Immediately send us copies of all legal papers received In connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. (d) Tender the defense and indemnity of any claim or "suit" to any provider of other Insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the Insurance provided to the additional Insured Is primary to other Insurance available to the additional insured which covers that person or organization as a named Insured. 82853-CG (3/20) 0 2020 The Travelers Indemnity Company. All rights reserved. Page 2 of 2 k AmTrust North America, Inc. Technology insurance Company„ Inc. 800 Superior Avenue East, 21st Floor Cleveland, OH 44114 PAYO Net Rate Schedule Payroll Company: Print Dale: 7/3/2024 ADP Insurance Services One ADP Blvd, MS 325 Agency Phone: 600 524-7024 Roseland NJ 70680 Agent IDI 99 B Payroll Co Phone, (973)712-3500 Insured Contact: Veronlque Reaver Payroll Co Email: SBS-Insurance@adp.com Insured Phone: 9516852430 Payroll Co ICl//: 5 Insured Email: office@adlerhorst.00m ................ Policy Insured Fein New/Renew Effective Expiration Agent — ADP Insurance Services - TWC4457691 Adlerhorst International, LLC 330067314 New 7/1/2024 7/1/2025 Allentown Eff Date Slate Class Classification Net Rate CLERICAL OFFICE EMPLOYEES — N.O.0 — 7/112024 CA 8610 Non -Governing Class 0.005403 7/1/2024 CA 8831 Kennels 0.022489 Type: E Description: Blanket waiver of subrvggallon Is added to the ppolicy. Adding forrn(s): VWC990p01E_Class i/WC9900Ct1E—PmtSched [PolicyLlstPayoByPayrollCo] Ate' 03105/05" CERTIFICATE OF LIABILITY INSURANCE DATE /l2025 7 025 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 endorsement(s'). ONIACI PRODUCER NAME,. Beairia UdaVB Kellogg& Moreland Agency, Inc. DBA PHONE (909) 792-8950 APC Na : (909) 792-2030 Aac No g; Arroyo Insurance Services ADRDRE9 beatdzu@arroyoins.com 1654 Plum Lane INSURERS AFFORDING COVERAGE NAIC N Redlands CA 92374-4532 INSURERA: California Automobile Insurance Company 38342 INSURED �................ INSURER B :: ADLERHORST INTERNATIONAL LLC INSURER C : .......... - 3951 Vernon Ave INSURER D : INSURER E: Jurupa Valley CA 92509-2924 i INSURERF: COVERA+G'ES CERTIFICATE NUMBER: 24/25AUTO REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADMSM INSD POUCY NUMBER P,P11r11LICYE DO "Y M� Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCETORENTEO 5 CLAIMS -MADE OCCUR PREMISE'SIKaqgrrauaxe S MEO E�XP {Anemone PERSONAL AAOVINJURY S' GENERAL AGOREGATE GEN'LAGGREGATELINUTAPPLIIESPER- POLICY PRO LOO PRODUCTS • COMP/OPAGG 5 S J'ECT ......._. OT'HER"� CE"Oa"sd01 IN'GLE MIT $ 1,O00.t)OR) AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ ANY AUTO BODILY I INJURY (Par accident) $ A OWNED ..fi�,,rr SCHEDULED BA040000075157 08/29/2024 08/29/2025 AUTOS ONLY ^+""`+ AUTOS $ HIRED +gyp NON -OWNED +r""M AUTOS ONLY �"""" AUTOS ONLY Per aC6d6n Broadened Coverage s UMBRELLA LIAB OCCUR EACHOCCURRENCE Ste... - EXCESS AIMSMADE AGGREGATE DD RETENTION $ P1:R OATH• S WORKERS COMPENSATION ER SYATACC �- AND EMPLOYERS LIABILITY Y d N E.L. EACH ACCIDENT D ANY 'PROPRIETORMARTNERPFXFCI.ITIVF E.L.USEAS EMPLOYEE S S OFFILERMEMBER EXCLUDED? � NIA (Mandatory id Nkf), .. dyas,describevndal DESCRIPT*N1 OF OPERATIONS', Wow ...... ......... E.L,DISEASE -POLICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It more space Is required) Verification Of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo Police Department ACCORDANCE WITH THE POLICY PROVISIONS. 348 Main Street AUTHORIZED REPRESENTATIVE ElSegundo CA 90245; iec+ia [ �Li:f,4✓ ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD A6�Mle CERTIFICATE OF LIABILITY INSURANCE 03/05120251202DATYYY) 5 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 CONTACT Automatic; Processing Insura NAME g Insurance Agency Inc. Automatic Data Processing Insurance Agency, Inc. PHONE 1800524 7024fic v .fIl.rm N ITITITmmmm 1 Ad Boulevard p NJ 07066 Roseland IA1. tSURERa) PFORDINGcovE Technology _��T-� Company, Inc gE mm � � mmmm 42376 INSURER A^ __..... _.._.�.,_..._..�_......�,m.r.—..r. -- ....�...........�� .. - ITITITITITITITITITITAdlerhor....��w,....... INSURED St International, LLC _.�..,-.�-. JNSURERB,,. ... ... w_...._.�--. VITSURERC �.,,..� .,.- ... m,.— ....... ..... .. ....._�... 3951 Vernon Ave INSURER o. INSORE�R ,,�......�.....—.......�.......... �..._ Riverside CA 92509 INSURER,F: COVERAGES CEKTIPIGAI t NUMtftK: �,uo` c" ••�• "„"• •" • "' 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. _ ... .. __...� #NSR .--..�.�TYPE of INSURANCE POLICY "Inl)•i., 0' ......... ...... .. .....�L,I�.�FF PkS�fY EkP LIMITS LTR NUMBER. MM 00 YY oo M YY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ ..--.- CLAIMS -MADE OCCUR PREMISrS i,;e rrurraavice)_ $ -,-°, MEO EXP IAey,one pararm, . , 5 _m----.-..,.. ..... ... . ......... PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: -.$ GENERAL AGGREGREGATEm E .. .... _. PRO- PRODUCTS-COMPIOPAGG $ POLICY ❑ J'ECT LOC ..,,,.. -.. ..._...._ ..._......�............_- OTHER, $ I $ AUTOMOBILE LIABILITY _ _..._ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY ,, AUTOSFtitl-.rkD1.....WWX""'""m""" HIRED NON -OWNED Pe,td0tedenp $ AUTOS ONLY AUTOS ONLY t .- --�••- _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCEw� ;$ EXCESS LIAB Cq„yy{M,$.MADE AGGREGATE_ $ DED RETEN"noN'$ WORKERS COMPENSATION w: $TATUTE'� ,. ER. ............... ....� AND EMPLOYERS' LIABILITY ANYPROPRIErO�RdPARTN5NE�XECVTTVE �YvINCCIDENT S _ 1,00 A OFFICERIMEMDER'EXCLUDED? l NIA N TWC4457691 07/01/2024 07101/2025 ELEACH.SE-EA. -• 1,000,000 E.L. L. IMandatory In NH) I....-�...._ ..........�_ EMP'LCDYrE $--......_.. If as„ doscAba uedar E.L. DISEASE -POLICY LIMIT � 1,000,000 D SCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo Police Department ACCORDANCE WITH THE POLICY PROVISIONS. 348 Main Street AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 d ©1566.2015 ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD