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PROOF OF INSURANCE (2026)DATE (MM/DD/YYYY) +!"� CERTIFICATE OF LIABILITY INSURANCE 01 /22/2025 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(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 NAME:.T Jeffrey Mueller .TA I NTIS Group, LLC I PHONE (440) 471-8220 1 FAX (440) 471-8225 A/C No Ex& : Alo Nga 24610 Detroit Rd, Ste 250 E-MAIL ss JeffM@ntisgroup.com INSURER(% AFFORDING COVERAGE NAIC # Westlake INSURED Transportation Charter Services, Inc. 1931 N. Batavia St. OH 44145 Orange CA 92865 COVERAGES CERTIFICATF NUMBER- 2025-2026 INSURERA: National Interstate Ins INSURER B: I/'ciohner Insurance Co. INSURER C ; INSURER D : INSURER E : P5411iliTAITS RFVIRION NLJMRFR- 21 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 1NDICATE-0,',110-1 THSTANDING ANY REQUIREMENT, TERM OR CONDITION OFAN`✓ CONTRACT OR OTHER DOCLIMENT 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. TN_ LTR TYPE OF INSURANCE ' } pM}Stj O POLICY NUMBER MMJDD/YYYY MM2001YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000.000 CLAIMS -MADE �, OCCUR PRI:MiSES Eaon�d6anc3 250,000 MED EXP AnY one person) m.. $ 10,000 . PERSONAL &ADv INJURY $ 5000 ,000 A Y XPP 1124890 01 02/01/2025 02/01/2026 '.. GEN'LAGGREGATE LIMITAPPLIES PER; GENF:RAI AGGREGATE $ 5,000,000 POUCY PRO,-5,000,000 JECT LOC PRODUCTS »COMP/OP ACwG $ O'rHER: Sexual Abuse & Moles. Is 1,000,000 AUTOMOBILE LIABILITY C0 SINED SINGLE LIMIT Eta acclOM $ 5,000,000 BODILY INJURY (Per person) $��� X ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y XPP 112489001 02/01/2025 02/01/2026 BODILY INJURY (Per accident) $ ...„... HIRED * ✓ NON -OWNED PROP(:'.'.RTY OAMAGE $ AUTOS ONLY AUTOS ONLY Pas e22denl Underinsured motorist BI $ Statutory UMBRELLA LIAB OCCUR '' °'""""' EAf.H OCCURREfJCE $ AGG,R,E,QATE s A � EXCESS LIAB CLAIMS -MADE: XEX 1124890 01 02/01/2025 02/01/2026 OED RETENTION S AL/GL s 5,000,000 WORKERS COMPENSATION PER OTH-. AND EMPLOYERS' LIABILITY YIN SrATi "'VT'ER E L EACH ACC1DEd�ST $ 1,000,000 - B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If N/A Y XWC 1124890 01 02/01/2025 02/01/2026 EL DISFASE - EA EMPLOYEE S 1,000,000 (MandatoryInNH) II,g+w describe under DESawRIPTRCYNOFOPERATIONSbelow '""�'®"' E„L DI.S'EASE-P(,WtiICYLIMIT ;$� 1,000,000 Charter Deductible $10,000 Auto PD (Comprehensive/Collision) A XPP 1124890 01 02/01/2025 02/01/2026 PP/Service Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City of El Segundo, its officer, officials, employees, agents, and volunteers are listed as Additional Insured pursuant to the terms and conditions of the policy and as required by written contract or agreement. These policies are written on a primary and non-contributory basis. I• 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. 350 Main St, AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 -_K, @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: XPP 1124890 01 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES ONE CONTRACTORS — SCHEDULED E SO d OIL ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) I Location(s) Of Covered Operations The City of El Segundo, its officer, officials, employees, agents, and volunteers 350 Main St, El Segundo, CA 90245 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) additional insureds, the following additional ex - or organization(s) shown in the Schedule, but clusions apply: only with respect to fiabrlrty for "bodily injury", This insurance does not apply to "bodily injury" "property damage"" or "'personal and advertis- or "property damage" occurring after: %ng injury'" caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work„ including materials„ parts or equipment furnished in connection with 2. The acts or omissions of those acting on such work, on the project (other than your behalf; service, maintenance or repairs) to be in the performance of your ongoing operations performed by or on behalf of the additional for the additional insured(s) at the location(s) insured(s) at the location of the covered designated above. operations has been completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to 1. The insurance afforded to such additional its intended use by any person or organiza- insured only applies to the extent permitted tion other than another contractor or sub - by law; and contractor engaged in performing opera- 2. If coverage provided to the additional in- tions for a principal as a part of the same sured is required by a contract or agree- project. ment, 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 10 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of in - additional insureds, the following is added to surance; Section III — Limits Of Insurance, whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the appli- required by a contract or agreement, the most cable limits of insurance. we will pay on behalf of the additional insured is the amount of insurance* 1. Required by the contract or agreement; or Page 2 of 2 C Insurance Services Office, Inc., 2018 CG 20 10 12 19