Loading...
PROOF OF INSURANCE (2025) CLOSEDe, DATE (MM/DD/YYYY) AC40Rtl?' CERTIFICATE OF LIABILITY INSURANCE 03/18/2025 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 CONTACT .. Certificate a rt1ent 3 X Newf ont Insurance Services, LLC PHONE -365 V�I....... tVs. x)2m.�...-.., .__ .. „ 777 Mariners Island Blvd E-MAIL pDDRE tech certregUet@newtont cam.. - . Suite250 ..___ nNsraFs AFFOItp.IMlGcovERAGE .----- Nnlca San Mateo...... _ INSURER A Y I r Y - Rlverport Insurance Company 38911 CA 04 Berkley Nation, .m al Insurance Company INSURE 6684 D INSURER B . P Y --------------- .. ...._ Government'obs.com, Inc. NEOGOV INSURER c — 1 ( ) EOSeundo Continental Blvd Ste 565 CA 90245 1NsuRER o __ g INSURER F ......,.W......a.,......�w n�er���rwr� kl"RAOCM Rr-VIg1nNI NUMRFR.... 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„ LIMITS SHOWN MAY HAVE BEEN RE�D�UdcCrEDB BY CLAIMS. EXCLUSIONS OF�3UCH POLICIES. ...�,...,..,. .... ... .._.... ......... _...... ,,, mm_. y FOUCY EFF PCtLNCY E.XP... �.. NLTR TYPE OF INS I 'Y MM9fi d"V"YYY LIMITS POLICY '"EACH COMMERCIALDCONDITIONS� OCCURRENCE $ 1,000,000 , /�ALT1�Iz�Nt`Eti .. 1 000000 MADE CLAIMS .00CUR -/� 6*'d.EMS,ANB.(Pra'e�'�CtrrcN`,1...,.-...'.$.__ ............., .. ..-._,� MED EXP IAny one pin yson) $. 15,000 .. A ..... X TCP7011473 09/25/2024 09/25/2025 PERSONAL BADV INJURY $ 1,000,000 EN 1 GL AG GREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3 OOO,OOO PRO. POLICY ❑ dEOT 0 LOC AGG 3,000,000 � .....,----- ,.......... ,.. aTHER CaMaNi^IEO SCOMP/OP INGLEIIMIT AUTOMOBILE LIABILITY _LEkRceadl�o1.,.........- _. ,000,000 .$ �1 ........ ............. ANY AUTO BODILY INJURY (Per person) $ ,,, .OWNED SCHEDULED B TCA7011474 09/25/2024 09/25/2025 BODILY INJURY (Per accident) $ AUTOS ONLY HIRED NON -OWNED X b c E11., �.. .......... ........... Llti" AUTOS ONLY AUTOS ONLY ......_- . . ._— UMBRELIALIAB X, OCCUR FAM1"N'4aCi,..,RRE0+4LE ...... -J U --- 5,000,000 $ .....__ .. ....... ..... AEXCESS EX cess LIAR c1ASMs �ADL TCP7011473 09/25 2024 09/25/2025 AGGREGATE $ 5,000,000 .. . DED RETENTION$ i $ PER CiThd WORKERS COMPENSATION X E ER - A AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED?� NIA TWC7011475 09/25/2024 E L EACH ACCIDENT 09/25/2025 $ 1,000,000 ��------ ""'"" 'LOYFP. DISEASE EA EMP...._ $ 1,000,000 (Mandatory in NH) E,,,L, .._.. ---.......­r____-- IN yyes„ describe under E,L,DISEASE-POLIOYLNMk1 '$' 1,000,000 DESC'RIP710NOFOPERATIONSbelow DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All Operations of the Named Insured. El Segundo, City of (CA) is included as an additional insured as respects to General Liability, but only to the extent required by written contract or written agreement. CERTIFICATE HOLDER (:ANUI=LLA I IUN El Segundo, City of (CA) 350 Main Street ElSegundo, 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 CA 90245'�' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: TCP 7011473 - 17 COMMERCIAL GENERAL LIABILITY CG20261219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Per schedule on file with company, See Schedule, 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 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 requiired by a contract or agreerent, 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 POLICY NUMBER: TCP 7011473 - 17 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURE _ OWNERS, LESSEES OIL CONTRACTORS _ SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations where required by written contract 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 C. 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. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19