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PROOF OF INSURANCE (2025 - 2026)70 DATE (MM/DDffYYY) ACCO'RL)IIi CERTIFICATE OF LIABILITY INSURANCE 1114� ' 01 /30/2025 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 endorsements . PRODUCER CONTACT Mary Ottoson NAME — .. 140 N Walnut Ave � AN .Ext ( ) --_ ... RW�k 626 .....334 0 99 Stateapdrin (.„...w....._ 9a....... George Ottoson PHONF 626 523 0200 San Dimas, CA 91773 INSURER(S) AFFORDING COVERAGE 1 NAIC # INSURED ATLAS PLANNING SOLUTIONS 6578 Barranca Drive Riverside, CA 92506 .m . INSURER A: State Farm Mutual Automobile Insurance Company 5 ompany � 25178 INSURER B .m�............................ INSURER_C ... ..�..................... .... ....... I,.:_ ---- INSURER D ;. .................. .. INSURER E ... .. INSURER F r+�.r xaic.rsw n�c a. rC071CIrnTC RII INN1wtC12- Or-VI.Alf)INI hIl1MRFRr 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. ILTR _.._.... ..."TYPE OF INSURANCE 1MSD I .m. ......, POLICY NUMBER .... 6LICY-EF'F POLidy EiY'is' , �.....,.. ---._._._ .......,... ..... .......---- . WVD ._MMIDD/YMYV MM/OOAYYYY LIMITS - COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I 0 CLAIMS -MADE X, OCCUR F"F,F,fril. f .,( a C Tq.r V) I. DAMAGE TO RENTED -- 300 00-- MED EXP (Anyone person) $ 5,000 A � X X 92-GH-W958-1 01/14/2025 01/14/2026 R$ 2 000,000 PERSONAL.aADVwJuY . GEN L AGGREGATE LIMIT .. . IT APPLIES PER: Pf20 GENERAL AGGREGATE $ 4,000,000 4 OOO OOO POLICY JECT ".. LOC PRODUCTS COMPI .. AGG $ OTH:EW L LVSugVf AUTOMOBILE LIABILITYxadE4'9J"'IN S ANY AUTO BODILY INJURY (Per person)S ...... ........ .. ee..�,- -.. OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY ...iFqr.SaF.�pI),.. .... , ^ $ ,� ..... ... ..... 1$ X OCCUR RENCE A I IMSMAOE EXCESS ABAB...... { CLAIMS -MADE 92-GH-X515-4 01/14/2025 ' 01/14/2026 AGGREGATE A ..."""" _I._$ 0 2 000 000 _ .__ .. _� DED RETENTION $ � r I WORKERS X I PER OTH $ ..........."" --- - Y ANY DPROPRIIE OR/PARTINOEREXECUTIVE •;'/N I I E L ACH ACCIDENT I S ,000,000 "" A OFFICER/MEMBER EXCLUDED? ( in NH) N / A X 92-TA-H706-1 08/01/2024 11/01 /2025 """""" 1,000,000 $...........If (Mandatory yes, describe under yy E L.-DISEASE - POLICY LIO IT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS below lµ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo are listed as Additional Insured. Waiver of Subrogation for Commercial General Liability and Workers Compensation are included/attached. L;LK I IFILA 1 t N City of El Segundo 350 Main St. El Segundo, CA 90245 1..ANI.0 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 U 19Stl-ZU75 AGUKLJ L:UKI'UKAI IUN. AU ngnis reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001466 132849.14 04-132022 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 12/08/2024 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 NAME ,.. ... ..- Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA PHONE FAX (888 202-3007 (A/W Mq..fxtd — ) (.,.ql. 5 Concourse Parkway E MAUL Suite 2150 AODRE$S �ontacIt hlscox corn ... Atlanta GA, 30328 —„ an 1, NG COVERAGE NAIc a __ INSURER A: HISCOX Insurance Company y Inc 10200 INSURED Atlas Planning Solutions 6578 Barranca Dr Riverside, CA 92506 w�ewi+rc f`CGTICIPATC sDuecco• RFVI-glnN NIIMRFR- 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. ... .,.....,,,. .......... ..... .... ...TYPE OF INSURANCE ... ............... f -- ,...... ,,.,.....POLICY NUMBER ---- .......L.MOLICY(EFF ILTRµ� "" ... � —AWL Sq/��ft POLICY EFF PO JCY EXP I MM! ,_ ._........ D(YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR .� ........- - ,,.... Mr p'EIXP (Any one,I erson!... ,.,w....$ - ....................... JURY $ P,ERSONAL R ADV IN....,...........,. ...,,_.................. ........� ---. ......... ..�... .......... GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ _ I,$JEC� PRO.....$ � -COMPIOP.AGG ....... ...... ...__,OTHER: OdatBgNEDSING LEUNIII $ AUTOMOBILE LIABILITY E.a accddeIIIURY BODILY INJURY (Per person) $ ANY AUTO " ALL OWNED SCHEDULED i.... -_ BODILY INJURY (Per accident) $ . AUTOS ..,, AUTOS I�-- NON -OWNED mm. P - ..... ----- $ HIRED AUTOS � 1 ... AUTOS .........., orOaE.cide�ry,gDAMACF .....,..w.....�. � I � ...,...... -.-. ....µ.. J $ UMBRELLA LIAB iµ EACH OCCURRENCE $ .. j EXCESS. LIAR CLAIMS MADE, AGGREGATE ..... m.. $ ...... ........ ........ ....00CUR DED I, RETENTION $ $ WORKERS COMPENSATION PER OTN STATUTE FR Y❑ f E LEACH ACCIDENT $ . —. OFFICER/MEMBER ER ExCTNERIE (Mandatory in NH) NIA E, L. DISEASE EA EMPLOYEif E $ — Y DESCR PTION OF OPERATIONS belowE E.L. DISEASE -POLICY LIMIT $ A Professional Liability P100.057.330.7 01/22/2025 01/22/2026 Each Claim:$3,000,000 Aggregate: $ 3.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) l*' City of El Segundo 350 Main St. El Segundo, CA 90245 V CLLM 1 I V 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 ,r V 1!JtIt$-LUID AL,UKLJ I.VKrWKAI IVIY. MII nyn►s ICJtlI VCU- ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 6.1 Policy No. 92 GHW958 1 0548—FBB4 CPage 18of2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 92 GHW958 1 Named Insured: ATLAS PLANNING SOLUTIONS INC 6578 BARRANCA DR RIVERSIDE CA 92506-5374 Name And Address Of Additional Insured Person Or Organization: CITY OF EL SEGUNDO 350 MAIN ST EL SEGUNDO CA 90245-3895 1. SECTION If — WHO IS AN INSURED of SECTION II — LIABILITY is amended to in- clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily injury", Aproperty damage", or "personal and advertis- ing injury" caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or b. Products — Completed Operations "Your work" performed for that additional insured and included in the "products - completed operations hazard". However, Paragraph 1. above is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permit- ted by law; b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al insured; and c. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782,05, the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali- fornia Civil Code Section 2782 or 2782.05 for your sole liability; or (2) You are required by contract or agreement to provide for such addi- tional insured. We have no duty to defend or indemnify the additional insuredunder this endorsement un- til a claim or "suit" is tendered to us. ©, Copyhght„ State Farm Mutual l Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission, CONTINUED CMP-4786.1 Page 2 of 2 . 2. Any insurance provided to the additional in- (3) The nature and location of any injury sured shall only apply with respect to a claim or damage arising out of the "occur - made or a ",suit" brought for damages for rence" or offense; which you are provided coverage. b. Tender the defense and indemnity of any 3. With respect to the insurance afforded to the claim or "suit" to us and to all other insur- additional insured, the following is added to ers who may have insurance potentially SECTION II — LIMITS OF INSURANCE: available to the additional insured; and If coverage provided to the additional insured c. Agree to make available any other insur- is required by contract or agreement, the most ance the additional insured has for de - we will pay on behalf of the additional insured fense or damages for which we would will be the lesser of the amount of insurance: provide coverage under SECTION II — a. Required by the contract or agreement; or LIABILITY. b. Available under the applicable Limits Of 5. With respect to the insurance afforded the ad - ditional insured, the following replaces SEC- Insurance shown in the Declarations. TION II —LIABILITY of Paragraph 7. Other This endorsement shall not increase the ap- Insurance of SECTION I AND SECTION II — plicable Limits Of Insurance shown in the COMMON POLICY CONDITIONS: Declarations. a. This insurance is primary to and will not 4. With respect to the insurance afforded to the seek contribution from any other insurance additional insured, the following is added to available to the additional insured, provided Paragraph 3. Duties In The Event Of Occur- that the additional insured is a named in- rence, Offense, Claim Or Suit of SECTION sured under such other insurance. II — GENERAL CONDITIONS: b. Regardless of any agreement between The additional insured must: you and the additional insured, this insur- ance is excess over any other insurance a. See to it that we are notified as soon as whether primary, excess„ contingent or on practicable of an "occurrence" or an of- any other basis for which the additional in- fense which may result in a claim. To the sured has been added as an additional in - extent possible, notice should include: sured on other policies. (1) How„ when and where the "occur- There will be no refund of premium in the event rence" or offense took place; this endorsement is cancelled. (2) The names and addresses of any in- jured persons and witnesses; and All other policy provisions apply. CMP-4786.1 1007033 148011 08-21-2014 ©, Copyright, Skate Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted rnaterlal of Insurance Services Office, Inc., with its permission. PolicyNo. 92 GHW958 1 0548-FBB4 CMP 4787 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CMP-4787 WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy r: 92 GHW958 1 Named Insured: ATLAS PLANNING SOLUTIONS INC 6578 BARRANCA DR RIVERSIDE CA 92506-5374 AddressName And r r Organization, CITY OF EL SEGUNDO 350 MAIN ST EL SEGUNDO CA 90245-3895 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" done under contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule. All other policy provisions apply. CMP-4787 1006225 137715.1 11-19-2013 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc„, with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be otherwise due on such remuneration. CITY OF MI 0 MAIN STREET EL •. 902 5 % of the California workers' compensation premium Schedule 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 11/01/24 Policy No. 92 TAH706 1 Endorsement No. Insured ATLAS PLANNING SOLUTIONS Insurance Company State Farm Fire and Casualty Company Countersigned By WC 04 03 06 (Ed. 4-84) 1007722 124282.2 01-25-2019