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PROOF OF INSURANCE (2025 - 2026)9 DATE (MM/DD/YYYY) 4C " ""' CERTIFICATE OF LIABILITY INSURANCE mow"„ 12/24/2024 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 NCONTArArE PESTSURE CERTIFICATES NFICAI ES Alliant Insurance Services, Inc. PHONE 888-984 3813 rnrc Na 214-2?3.3193 CAiG �7o_EigtJ & 1a 16000 N. Dallas Pkwy E-MAIL Suite 850 ADDREs,S PETSLIRECFRTS 17:L.IANT.COM Dallas TX 75248 INSURER(S) AFFORDING COVERAGE NAIL# THIS IS TO CERTIFY THAT THE POLICI11 ES 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. _,,,,,, n .. ....... ...... TYPE OF INSURANCE., .... ...e,. PO'LICY... INSR Ri NUMBER �....NMW WYYYY ryPq,Mp D/YY P lE LIMITS LTR DIYYYY X A COMMERCIAL GENERAL L I TR Y Y MWZY313733-24 10/1I2024 10I1I2025 EACH OCCURRENCE F 00000 I $ 2 Ct oelC � CLAIMS -MADE X AA T(� NYIJ RT,dw9i 5.S LEA pcccrrw5srve,)_ I $ 100 000 MED EXP IA�roy rrnr�,ecsenl $ 0 r i PERSONAL & ADV INJURY $ 2,000,0010 GENLAGGREGATELIMITAPPLI ES PER: �� f GENERAL AGGREGATE � $ 4 000 000 x � POLICY B RO- LOC i � PRO UCTS COMP/OP AGG I $ 4 000,100f) , 1 JErt T _. J $ OTHER A AUTOMOBILE LIABILITY MWTB313749-24 10I1I2024 10/1 /2025 CCYM84NLD SIr+lGLE Lrui7 F a e�cldena ' i. $ 2,000 000 .... f I ANY AUTO ` (Per person) Y f $ p OWNED J SCHEDULED '[ I IITNJJ URY i j BODILY INJURY (Per accident) BOODDI $ AUTOS ONLY q" NON -OWNED HIRED - )AbrIAG'F 9¢, ccw[(erra)'. °° $ . AUTOS ONLY AUTOS ONLDY I ,( ....... , .... ...,.. $ B UMBRELLA LIAR X 1 �OLAIM6MADE �. US0006587OLI24A 10/1/2024 10/1/2025 E R RH,R'JCF �$20D000 0 EXCESS LIAR .__._._ m ....... .. A AGGREGATE f — E, I $ 2 000 000 ..,.,. , ,,,....,... I I DELk X RETENTIONPCR _� A WORKERS COMPENSATION Y MWC311397-25 1/1/2025 1/1/2026 X STATUT # :.-L O"TH .. Y/N } _ ,,. Ar rr PRraPRus T'Oat/PAR 1 tJFRrEXEC4aA6VAC NE RYE"➢ EL EACH ACC IDENT . $ 1,000 000 ONfi dC.rNfidMO.MeC-RFX NIA Mandalo m NH) j C7YFE 000 000 a 1 _W__ I(yes describe under ( DESCRIPTION OF OPrR'#A IONS biAaw f i f I E.L DISEASE POLICY LIMIT ,$ 1, 000,000 I I i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All locations and operations for Dewey Services, Inc. Add'I Insured coverage is provided by form by CG 20 10 12 19, See Attached. The City Of El Segundo Is Named As Additional Insured. Completed Operations Is Included On The General Liability Policy. A Waiver Of Subrogation Is Provided In Favor Of The City Of EI Segundo. 30 Days' Notice of Cancellation Will Be Provided To Certiftc-ate Holder (10 Days For Non -Payment Of Premium.) City of El Segundo public Works Department General Services Division 150 Illinois Street El Segundo, CA 90245 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 V 19tft$-LU19 AGUKU t,UKr'UK/iI IUM. MD nyn►s reaerveLl. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD MWZY313733-24 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: MWZY313733-24 COMMERCIAL GENERAL LIABILITY CG20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Omanization(s Location And DescriptionOomedOro All persons or organizations when required by contract All completed operations. or agreement. u I Information required to com late 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" 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". 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 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. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: MWZY313733-24 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): All persons or organizations when required by contract or agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, PESTICIDE OR HERBICIDE APPLICATOR COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART/FORM SCHEDULE Description Of Operations: Pesticide and/or Herbicide application With respect to the operations shown in the above Schedule, Paragraph (1)(d) of Exclusion f. Pollution of SECTION I - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY does not apply: If the operations meet all standards of any statute, ordinance, regulation or license requirement of any federal, state or local government which apply to those operations; or 2. With respect to such operations, if there is a failure to meet the standards described in Paragraph 1. above and such failure qualifies as an "occurrence", this will not void coverage under this endorsement. All "bodily injury" and "property damage" occurring during the policy period as a result of such failure to meet standards described in Paragraph 1. above will be considered one "occurrence" and the date of the "occurrence" will be the date of a single erroneous application or the first application of a series of related erroneous applications; or -3. At or from any premises, site or location which is or was at any time owned or occupied by, or rented or loaned to any insured and used for the purpose of performing the operations listed in the above Schedule. However, in no event does this insurance apply to pesticides and/or herbicides that at the time of the application are banned by government or regulatory authorities. GL 291 008 0122 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 POLICY NUMBER: MWZY313733-24 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR 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 All persons or organizations when required by contract All locations. or agreement. Information re, wired to com late this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B 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. 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 MWZY313733-24 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 additionalinsured 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 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) POLICY NUMBER: MWC311397-25 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. PERSON OR ORGANIZATION % of the California workers' compensation premium SCHEDULE All persons or organizations when required by contract or agreement. DATE OF ISSUE: 01101/2025 JOB DESCRIPTION @1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers' Compensation Insurance Forms Manual@ 1999.