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PROOF OF INSURANCE (2025 - 2026) CLOSED-7 DATE (MM/DDIYYYY) = "'! CERTIFIICATE OF LIABILITY INSURANCE ov23/2025 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(les) 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 Auto Insurance Specialists [PHONE p s� Nicole Moreno . ®� PO BOX 10160 caa 66-57 iai 35 800-498Santa Ana CA 92711-0730 868 570-73 -3293. _Ml...... „ aisins'urancexom INSURED General Lighting and Electrical Services, Inc. 11823 Slauson Ave Unit 12 Santa Fe Springs CA 90670 IA rance OVERAGES CERTIFICATE NUMBER: REVISIVN NUIVI ItR; 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. TYPE OF INSURANCE 0 Nw,�, POLICYNUMBER litkdtl717YY MMfA/YYYY LIMITS COMMERCIAL GENERAL LIABILITY z EACH OCCURRENCE CLAIMS -MADE ID OCCUR � � U24AC132227-03 01/15/2025 01/1512026 L AGGREGATE, LIMIT APPLIES PER: POLICY ✓1 PET LOG AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY MED EXP (Any one person) I S PERSONAL & ADV INJURY ry$1,000,000 GENERAL AGGREGATE $ 2,OOo,000 PRODUCTS- GOMP/OP AGG 1$2 ,000,000 N iN 1 q&, �,. $ BODILY INJURY (Per person) �������������� $ ��� �� (Per accident) BODILY INJURY Per $ k�ROPl;RT'YDAMAGE' $ UMBRELLA LIAR ✓ u OCCUR I EACH OCCURRENCE A " EXCESSLIAB CLAIMS -MADE U24AC132227-03 P1/15/2025 01/15/2026 AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE r"--1 NIA OFFICER/MEMBEREXCLUDED? (� (Mandatory in NH) If ves. describe under I & Auto f . EACH ACCIDENT $ E.L.DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more Space Is required) g Projects d by contract, the City of El Se ,undo, its Officials and Employees are included as Additional Insured on the General Liability policies, per attached forms CO 2010 0704. Waiver of Subrogation apply to General Liability. Excess Liability follows Forin. CERTIFICATE HOLDER CANCELLATION City of El Segundo Its Officials and Employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segundo, Ca 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Web software. www.FormsBoss.com; T Impressive Publishing 800-208-1977 AE CERTIFICATE OF LIABILITY INSURANCE 0313112025 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 INFINITY INSURANCE AGENCY INC P MN 900 E Laurel Ave I00 McAllen, TX 78501-5792 EMAIL A: INSURED General Lighting & Electrical Services Inc. 11823 Slauson Ave, Ste 12 Santa Fe Springs, CA 90670 e-r_0T'1Cfe-ATC NUMBER: Infinity Select Insurance Company 20260 REVISION NUMBER; L1UVCMM%7CA vw,rw,ex rvr-+�. �.... .......��... THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY THIS IS TO CERTIFY NOTWITHSTANDING ANY REQUIREMENT„ TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT PERIOD INDICATED. THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO WHICH TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR.. TYPE OFpNSURANCE oDV~ 'I'!NSO $UaR WVD POL%C' NNUMSIER POLICY EFF MMA'DDdYYYY POLICY EXP MMPOD LtMNTS.. COMMERCIAL GENEVAL LIABILITY EA ,d 0 Ci6 f ENC1 S �.........9OCCUR ❑ � DAMOD—, „ Pd{EpugdSES !MLD 9�FA&I gr a amenl S .. ...m... _ .�PERSC?C+tAt.� X r�4�V tltl�W.kt.YR� .... .--......... -..e._� a T`O,REPAT„; GEN'L AGGREGATE LIMIT APPLIES PER: „ggNbWdR'tlM1tL ., ..... POLICY ❑ PRO- ❑ LOC „VEG'T OTHER COMBINED SINiaV.E L:tMI r 1,000,000 AUTOMOBILE LIABILITYAUTOMOBILE f`° ®R , 50004065901 01I15/2025 01/15/2026 80D L Y�N �rc� csi Ica r� Y IC1,?�VIfi ANY AUTO OWNED 'X SCHEDULED BODtlLYVN:VNRY PeuaccYderW9 -Y _., AUTOS ONLY AUTOS � PROPERTY DAMAGE HIRED NON -OWNED .., AUTOS ONLY AUTOS ONLY "Prart�eFYdrntl UMBRELLA LIAB OCCUR EXCESS LIAR CLAIMS -MADE ,AGGrxEGiTE . S _ ..... ..-_,.. $ DREIENTI(7N$ PER WORKRS...: E COMPENSATION PR „�,,,.,.._.—...., .....__. AND EMPLOYERS' LIABILITY YIN EL E CHACCIDENT',� • $ ,,, ^ ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA .,•_-„_, OFFICER+MEMISER (Mandatory EXCLUDED? In NHS „E L DLSEASE EA EMPLOYE ..� Ueys, DESCRIPTION descrcbe sunder OF OPERATIONS below POLICY L M47 E L DISEASE POI S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project Number: Vehicle: City of El Segundo it's Officials and Employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 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 �+ CERTIFICATE OF LIABILITY INSURANCE DATE Y) 10/09/09/2024 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. IMPORT -ANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 right's to the certificate holder in lieu of such endorsement(s), PRODUCER CONTAC Automatic Data Processing Insurance Agency Inc NAME° .... Automatic Data ProcessingInsurance Agency, Inc. (AICNN 1-800 524-7024 Nc» fAtC. Nw. Ext1, 1 Adp Boulevard Roseland NJ 07068 . ............ .�,�,..... .......�,�,_ - ...... ......._ INSURED General Lighting & Electrical Services Inc DBA: GENERAL LIGHTING & ELECTRICAL Services Inc 11823 Slauson Ave Ste 12 Santa Fe Springs CA 906706544 'OVERAGES CERTIFICATE NUMBER' aoa 1040 ..mm HartfordNCasRualty ISAFFORDING Company .......... Pa OVERAGE 29424 INSURER A INSURER B :....._. ............... _. _...w..-...--_ INSURER C INSURER D INSURER E : .....--..._ r«vwwta nlunnor-M 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. ...._.._ ...--_....—. I ...��...,.... _------�.-,,..,�,,,,..m ........ .. w..... --_ Y'EFF POLICYEXp TYPE OF INSURANCE A `tIIIIt... WVp POLICY NUMBER IM10Md.�IY'YY MMROOIYYY LTRCLAIMS-MADE ......... LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE OCCUR ESU � occL� �noe PREMISES ppN $ _ �....-...._.m MED FRCP (Any one e $ PERSONAL & ADV INJURY � ._.. GEN'L ..--..I _..--------mm� AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE -_..........._., $ -••••••• PRO- POLICY 'RO_ ❑ LOC PRODUCTS -COMP/OP AGG $ w._........ OTHER: - LWI C i41BI LP $ AUTOMOBILE LIABILITY Ea t�LCitNerllb ,_,__ _. ...... .. ANY AUTO BODILY INJURY (Per person) . $ ................. OWNED SCHEDULED ''� BODILY accident) $ AUTOS ONLY, AUTOS PRI'7I:Ri"Y'-ItlWAE; •••••• $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY •..IPou &d1,t9rnC"I - •••••-°•• $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $EXCESS LIAB H—CLAIMS-MADE AGGREGATE $ DED RETENTIONS '$ WORIi,ERSCOMPENSATION PER STAII.ITE ER AND EMPLOYERS' LIABILITY YIN E L EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE N 76WEGAA8PJT 10/19/2024 10/19/2025 ........... OFFICER/MEMBEREXCLUDED' .NIA E L DISEASE- EA EMFLOY6 S 1,000,000 (Mandatory in NH) — ... It s, describe under ''.... E L. DISEASE-POLICYLIMIT 1,000,000 DaRIPTION OF OPERATIONS beto�ww DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Job Locations: , CA Re: Ongoing projects CERTIFICATE HOLDER t..A144. GLL#%I IV PI 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 POLICY PROVISIONS. Aft: Jorge Prado AUTHORIZED REPRESENTATIVE 350 Main Street ElSegundo CA 90245 �� �n�`I....:. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD