Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PROOF OF INSURANCE (2025 - 2026) CLOSED
$tw.. DATE (MM/DDIYYYY) AC "R " CERTIFICATE OF LIABILITY INSURANCE `64�' 03/27/2025 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 CON AAMIE CI Pe)man Nabatian 888 862 6750 PAX E360 INSURANCE SERVICES PHONE213) 302 5153 N,C-+tv. ,xRt,, ,. .. ... E-MAIL ..,,,,,-. inSUrance c.om 16000 Ventura Blvd #400 E-MAIL Jenell t to e360 Encino CA 91436 COMPANY U.S. CInsurance 29599 ...... -- INSURED INSURERB AmGua dINSURERA: Company 42390 L.A. High Tech Enterprises, Inc. iNsuRER. : Employers Preferred Insurance -Co 10346 8726 S Sepulveda Blvd. #A INSURERD Technology Insurance Company, Inc 42376 INSURERE,. CLEAR BLUE SPECIALTY INSURANCE .............. 37745 Los Angeles CA 90045-4003 INSURER F e roDTrrtrnre snutaQOD. ItEM,fIRI0N 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 BYPAIDCLAIMS. ...., ._ r �AODL S.UBR YNUMBER ...MMdIDD1Y'd'1'Y MtO11 6tkYT' EY"Y...! URANCE - -�� POt,I. � LIMITS T.i C OMMERCIALOGEN /�----TYPE GENERAL LIABILITY EACH OCCURRENCE _- t CLAIMS 1 X ] OCCUR OF«tivlAdsim' i 2 )'9aMN�S' (a ex,y.�uaxttrgp,Mr) '$ 100 000 X BI/PD Ded $2,000 T A - Y Y U24AC126285-04 06/26/2024 06/26/2025 PERSONAL & AOL INJURY $ .1 000 000 .... GEN'L AGGREGATE LIMIT APPLIES PER GECVt RAL A�OORE/",ArE $ 2,000,000 PidO. LOC POLICY X � � JIiCT PROOU�GI'S - COMP/OP AGG $ 2,000,000 OTHER[ $ _ AUTOMOBILE LIABILITY COMBINED UNC LC LIkN (qg'm* ^m $ 1,000,000 .. .......... a.. X ANY AUTO person) BODILY INJURY (Per erson $ B OWNED j Y SCHEDULED X Y LAAU515392 06/16/2024 06/16/2025 r BODILY INJURY (Per accident) $ AUTOS ONLY 4 1 AUTOS HIRED �X� NON -OWNED RDPtl=R"E"Y DiLMAiF '?'yan�waciltldml� $ _,..,.-...... ...,.. AUTOS ONLY AUTOS ONLY „u-. ..$ - UMBRELLA X OCCUR E REhIOE L.-. — .... .... ....... A EXCESS ABAB LAIMS-MADE _ .... � �... ..-- . Y Y U24AC126285-04 06/26/2024 06/26/2025 4 AGGREGATE .. -... $. 2,000,000 ......... DL RErE'MrION�$ $ -- S COMPENSATION WORKER X P(.RAN f I OTFd tmR C YIN ANY PRCPPRIETORIPAR�TINETMEXECUTI'E p OI" FICERfMCMBER EXCLUDED? FYI I NH) N / A Y EIG522297202 04/05/2025 04/05/2026 E: L EACH AC_ CIDENT E L DISEASE EA EMM!! �i' /90 $ 1 000 000 (Mandatory m If yrss. describe under .. - .. E L DISEASE - PoucYLOYEEI tlpduV97 ....... ............ ......... .............. '$ 1,000,00i� DE'SCRIPTIONoFOPERAtIONSbelow : LIMIT 1,000,000 D Cyber Liability TCL1724413 03 02/04/2025 02/04/2026 AGGREGATE 1,0010,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be attached if more space is required) E) Professional Liability U24AC126285-04 06/26/2024 to 06/26/2025 Occurrence Limit: $2,000,000 Aggregate Limit $2,000,000 The City of El Segundo, its elected and appointed officials, employees, and volunteers are included as additional insureds City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main St. ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGUNDO CA 90245 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: U24AC126285-04 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED.- D.- OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s): Operations Any person or organization, when you and such parties have agreed in writing in a contract or agreement pertaining to "your work" performed during the policy period. This additional insured coverage does not apply to "excluded residential construction". "Excluded residential construction" means: a) the ground -up construction of any building whose units will be individually owned and titled; and, b) "your work" performed on the conversion of any building into a condominium or townhome. Information re uired to com lete this Schedule, if not shown above,. will be shown in the Declarations. 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: U24AC126285-04 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES O 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 Oraanization(s): Location1s) Of Covered Operations Any person or organization for whom you are performing operations during the policy period when you and such person or organization have agreed iin writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Information required to complete this Schedule, if not shown 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. will be shown in the Declarations. 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 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: U24AC126285-04 COMMERCIAL GENERAL LIABILITY HCS 040 06 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. PRIMARY AND NON-CONTRIBUTORY TO OTHER INSURANCE With respect to any person or organization that is an additional insured under this Coverage Part, the following is added to paragraph 4. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If you have agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary and we will not seek contribution from that other insurance. For the purpose of this endorsement, the additional insured's own insurance means insurance on which the additional insured is a Named Insured. When this endorsement is attached to the policy it supersedes all other insurance conditions within. HCS 040 06 10 13 B. WAIVER OF SUBROGATION — BLANKET Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" included in the "products - completed operations hazard". However, this waiver applies only when you have agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or agreement: a. Is in effect or becomes effective during the term of this policy; and b. Was executed prior to loss. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1