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PROOF OF INSURANCE (2025 - 2026) CLOSEDCOUN&AS-01 ______b E /YYYY) CERTIFICATE OF LIABILITY INSURANCE Ai21r2211205 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) TCTAcr Danna PclrtelWPRODUCERilmr NE 1ccrrrprlPartnFirg N, :.v19131359-8213 (AIC,No) 4435 Main St, 4th Floor Kansas City, MO 64111 INSURED RER INSUC . Pa'cI�„• =1-111 __ ... _ fw, n pr`agrlq µ p_mp�t Counsilman-Hunsaker & Associates, Inc. �.,..� 12851 Manchester Road Suite 120NsuRE,R D __ .. St. Louis, MO 63131NSR;wx. VNSURER P .......... COVERAGES CI RTIFICATE NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE_ D BELOW HAVE BEEN ISSUED THE INSURE VISION ABOVNUME FO �• LISTED D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTDOCUMENT 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, ONS OF S... POLICY CLAIMS. LIMITS tlNSR n, � BR ... Pouc� BY PAID_...... ... AND CONDITIONS INSURANCE SUCH POLICIES. LIMITS SHOWN MAY HAVE � REDUCED � cY ExP �� BEEN EXCLUSIONS _ .m ...—__._ Y NUMBER �� POL ,000 000 COMMERCIAL GENE ., ' DAMAGE TO RENTED 1 'll 000 A X j ACH OCCC1kT4ENC �� CLAIMS -MADE --'3 OCCUR 602003438 6/1/2024 6/1/2025 P.G�i1.3..lk.sw�JITT.acvi ,00 10 000 „CpdEO EXP.i`ar7a ... _ 2,600,000 PERSONAL & ADY IQJURX .n_. .,,...- _.____ 4r000 00C1 ,GRE�ATF . _ .�. �.. ...,a ... PER: GIWERAL , .LIMITAPPLIESP � i iCw'Ef V"V'm. AGGREGATE ....�4 000 000 ro r POLICY JC JE"rT LOC PfY'OD4JCT',, ,OOE+I(70";,;%CCr .....�...__�......� .._..-..._ g yB9,N D� MG� L d 164t.�. ..- A AUTOMOBILE LIABILITY- � T ......000rt1tI0 ANY AUTO 602007'3438 6/1/2024 6/1/2025 adJPIIYINJ69RY ParPersony OWNED SCHEDULED{,}DgLYgN,GURY(,Pergr;.n�-6dengT, �,_— — ApUTOS ONLY A�UyTOS,+ ITPOPER•rY' AtNdA{1E AX.m AL9YFa"JOS. ONLY X.. AGJTO E1rY' .,gPcc�aMoe�l.. .— S ......... .- ............ .......=6/�1/201124� ....... 4,0001000 A X UMBRELLA LIAB X OCCUR Ct"1E7IJ6eRIwN'CE__ YY' �y _J E 60200 T3466/1/2025 1 4,000,000 _ . IMS-��0 .!�GOREGATg, R � ..... EXCESS LIyAB CLAIMS MAD DED I ^ 1 RETENTIONS 9 TPiikT: fJll 13 _ WORKERS COMPENSATION X � AND rCdEkaMtoPrLyOYMd E�RSRlLIABILITY . YIN 7014879520 611/2024 611/2025 EE',LL EDAIST.EI'rI1SAE.., DENT 1,. 000m 000 ANY PH'OP'kIETORIPAWETNER1E-7ECUTVE EXCLUDE N NIA 1,000,000 ,e000 IEes<descrdadtnkeELDISEAS� -Eg YL1wT SCPTVOOF.PERATIONSkmow �000 000 C Professional Liab, 3OH 0440098-25 Ri_TI2025—21026OAgg. $5,000„00 C Professional Liab. 13 OH 0440098-25 3/21/2025 3/21/2026 Retention 50,000 DESCRIPTION. OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule may be attached if more space is required) Project Name: El Segundo, CA - CHAMP Additional Named Insured: Counsilman-Hunsaker National, LLC, CH National Engineering, CH -DC, LLC, Counsilman-Hunsaker Operations, LLC General liability includes additional insured, waiver of subrogation and coverage is primary all when required by written contract and where allowed by law. Umbrella policy is follow form. Subject to policy language. 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 POLICYPROVISIONS. 350 Main St. El Segundo, CA 90245 """"� _ AUTHORIZED REPRESENTATIVE . ..............m.. ........ - ..._..........--...._..�......_.--.........�__.� _ ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD