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PROOF OF INSURANCE (2025 - 2026) CLOSED
1 HAMPTED-01 1 TE '4 �® CERTIFICATE OF LIABILITY INSURANCE F F °A/p 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( PRODUCER License# OC36861 c Er►lily Stiverperre ;ACT Fresno CSG'-Afliant Insurance Services, Inc. PHONE9 E River Peak Place East Ste 310 " Na Fresno, CA 93720 4M etrtd iiVersIarrealijen c"" INSURED Hampton Tedder Electric Co. PO Box 2128 Montclair, CA 91763 INSURER F. Old RBP cblie ,lns'ur AXIS Surp,lu„s,1„ns4i Lloyds Syndicate 1301 Ltd 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, D CLAIMS. iNSRXCLUSIONSLTB�,APD CONDITIONS �INSURANCE OF SUCH Ado 51U R LIMITS SHOWN MAY HAVE BEEN REDUCED oucY E BY PAID P, LlMrrs POLICY NUMBER �, POLICY C7C COMMERCIAL GENERAL LIABILITY EACH H OCCURRENCE„ 52,000,0 A _X..' .� �.......... X /�sC�9asfas� 1_ CLAIMS -MADE X OCCUR MWZY 319156 24 4/1/2025 5/31/2025 DAMA`ITMI; TO REIITEI, 100 0 L AGGREGATE LIMIT APPLIES PER: POLICY IL�I Yeef LOC LIMIT AUTOMOBILE LIABILITY X ANY AUTO MWTB 319157 24 4/1/2025 5/31/2025 OWNED SCHEDULED HIRT AUTOS ONLY Np��IOSy N AUTOS ONLY AU�"O�NFC, ..X.. LLAX MADE EXCESS LIAB CLAIMS -MADE „ OCCUR „ mm" DED RETENTION P-001-003646857-02 4/1/2025 5/31/2026 EACH OC�CURRE,NCE AGGREGATE A WORKERS MPLOYERS' LRY �( PER OTH T�r.�_T ��... AND LIA IB N MWC 319155 24 4/1/2025 5131/2025 ANY PROPRIETOR/PARTNER/EXECUTIVE "" „E L EACH ACCIDENT. OpFICERIM MBER EXCLUDED? N /A (Mann atoryin NH) °° E L DISFASE - EA EMPLQ,( If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIM B Contractors Professi CM005545-03-2025 4/1/2025 4/112026 Each Claim/Aggregat C Excess Commercial Li i605070A2500157 4/1/2025 5/31/2026 Ea. Occ / Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Operations usual to the named Insured. The City of El Segundo is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability policy. ew AAtd' cl II A'7"rd1ht SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo tY 9 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Dept. of Public Works 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) U 1988-2015 AGUKU GUKYUKA I IUN. All rignLS re5erveu. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: MWZY 319156 24 POLICY TERM: 04/01/25 - 05/31/25 COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured 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. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 2. 'Bodily injury" or "property damage" occurring after: a. 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 b. 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; 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 33 12 19 POLICY NUMBER: MWZY 319156 24 POLICY TERM: 04/01/25 - 05/31/25 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS S 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 Or anization s Location And Description Of Completed Operations As required by written contract or agreement The locations as specified on the written contracts or agreements Information re uired 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" 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 1219 © Insurance Services Office, Inc., 2018 Page 1 of 1