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PROOF OF INSURANCE (2025 - 2026)DATE (MM/DD/YYYY) � CERTIFICATE OF LIABILITY INSURANCE 04/04/2025 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 be endorsed. If SUBROGATIONIS 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 SPECIALTY PROGRAM GROUP LLC/PHS 46505301 PHONE (866) 225-7966 (A/C, No, Ext): (AFAX No): The Hartford Business Service Center E-MAIL 3600 Wiseman Blvd San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Underwriters Insurance Company 30104 PROGRESSIVE SOLUTIONS INSURER B : 525 W WHITTIER BLVD LA HABRA CA 90631-3737 INSURER C INSURER D INSURER E : INSURER F : c*^*UC*Af =Q 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 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. INS LTIR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF M POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000' CLAIMS -MADE,, X�OCCUR DAMAGE TO RENTED rr n $1,000,000 X General Liability MED EXP (Any one person) $10,000 A X X 46 SBA BA4CXE 04/10/2025 04/10/2026 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG $4,000,000 FXPRO- LOC POLICY 0 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEB_i 2000000 $ BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accident) A ALL OWNED SCHEDULED AUTOS AUTOS HIRED NON -OWNED X AUTOS X AUTOS 46SBA BA4CXE 04/10/2025 04/10/2026 PROPERTY DAMAGE (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE 'AGGREGATE EXCESS LIAB ..e, CLAIMS- MADE RETENTION $ LEI WORKERS OMPENSATION AND EMPLOYERS' LIABILITY PER OTH- 1$TATLITE F.. E.L. EACH ACCIDENT ANY YIN PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT (Mandatory In NH) If yes, describe under Qg5gRIPTION OF OERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Those usual to the Insured's Operations. as s%K84=1■■A IM11 City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245-3895 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE cT�ea�, � Caaz2� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMEDINSURED SPECIALTY PROGRAM GROUP LLC/PHS PROGRESSIVE SOLUTIONS 525 W WHITTIER BLVD POLICY NUMBER SEE ACORD 25 LA HABRA CA 90631-3737 CARRIER NAIC CODE SEE ACORD 25 EFFECTIVE DATE: SEE ACORD 25 AUUI I IUNAL THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SL 00 00, attached to this policy. The Business Liability Coverage Part includes a Blanket Additional Insured By Contract Endorsement, Form SL 30 32. Certificate holder is an additional insured per the Additional Insured - Designated Person Or Organization Form SL3042 attached to this policy. Certificate holder is an additional insured per the Additional Insured - Owners, Lessees, Or Contractors - Completed Operations Form SL3036 attached to this policy. Elected and appointed officials employees and volunteers ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD w I CERTIFICATE OF LIABILITY INSURANCE - 04/04/2025 A 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 be endorsed. If SUBROGATIONIS 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 NUTMEG INS AGENCY INC/PHS N PHONE (866)225-7966 FAX 76210781 A/C, No, Ext): (AIC, No): The Hartford Business Service Center 3600 Wiseman Blvd EMAIL San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Fire and Its PC Afflllates 00914 PROGRESSIVE SOLUTIONS INSURER B 525 W WHITTIER BLVD INSURER C LA HABRA CA 90631-3737 INSURER D INSURER E INSURER F : _�... ...»....,:...,.,.,,,.,,. ..��.,, ,...-irr...-... 0C'1,1'I*IB"%M MI l.AhJ1'Gk 'F7• 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, tlNS LTR TYPE OF INSURANCEINgR ADDL WVQ POLICY NUMBER LILY EFF PO Y (MMfQQEACH POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY OCCURRENCE ( " ry OLAIMS MADE OCCUR IL�I RENTED DAMA.E'7O y Ragmlu� MED EXP (Any one person) PERSONAL S ADV INJU:RY. I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE PRODUCTS - COMP/OP AGG POLICY PRO LOC JECT 0 OTHER: 'C2YMBRNED gNG E LIM'Iff AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS HIRED NON -OWNED AUTOS AUTOS PROPERTY DAMAGE. (Pea aiccldent) UMBRELLA LIAR EXCESS I OCCUR CLAIMS- EACH OCCURRENCE AGGREGATE MADE DE T7 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY YIN X STAT DTH' ER E.L EACH ACCIDENT $1 „000,000 A PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA 76 WEG AL8BA1 06/16/2024 06/16/2025 E,L DISEASE -EA EMPLOYEE $1 „000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION FPERATtlONS 0 -T L DESCRIPTION OF OPERATIONS {LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Those usual to the Insured's Operations. of El Segundo l lrl egondo rev wrw av City S City SHOULD AN_. Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGUNDO CA 90245-3895 AUTHORIZED REPRESENTATIVE V-1`J00-Av 1.7 ALFUMU VVRry RAI Ivn. — 1w .1. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED NUTMEG INS AGENCY INC/PHS PROGRESSIVE SOLUTIONS POLICY NUMBER 525 W WHITTIER BLVD SEE ACORD 25 LA HABRA CA 90631-3737 CARRIER NAIC CODE SEE ACORD 25 EFFECTIVE DATE: SEE ACORD 25 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SL 00 00, attached to this policy. The Business Liability Coverage Part includes a Blanket Additional Insured By Contract Endorsement, Form SL 30 32. Certificate holder is an additional insured per the Additional Insured - Designated Person Or Organization Form SL3042 attached to this policy. Certificate holder is an additional insured per the Additional Insured - Owners, Lessees, Or Contractors Completed Operations Form SL3036 attached to this policy. Elected and appointed officials employees and volunteers ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD