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PROOF OF INSURANCE (2026)Client#: 1778682 GALLSLLC11 DATE (MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 3/06/2025 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) musthaveADDITIONAL INSURED provisions orr 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER AODGN RAE'mC5;5T _Tracey.�Ha.._m._ m.._o...nd Aac Est513 852-6300 .. ._ (,' A._13 852 6428USI Insurance Services LLC PHONE 312 Elm Street, 24th Floor E44AIL� tracey.hamrond usj,com _ .... .,....... a�.. _ .._.�. ... Cincinnati, OH 45202 , _............. C ..... INSURER(S) AFFORDING COVERAGE 513 852-6300 INSURER A: Federal Insurance Company 20281 INSURED �„w,,,mm, ........_ ...... ......... ........ ..........-�.,,�_,,,,,,,,,,-.. ........-,._.,_,_. _.._...... INSURER B : Cincinnati Insurance Company '..10677 CB General Holdings, LLC; Galls LLC.._° " INSURER C : 1340 Russell Cave Road NsuRERmomm Lexington, KY 40505 i"""""""'......ER_R_: NSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION 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 CONTRACTOR 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. _ ._... /NSR ADS # SUIIR POLICY EFF POLICY EXP .... LIMITS L%R.'_.._ TYPE OF INSURANCE IN R D POLICY NUMBER IMM(DDAI(YYj MM/DDIYYYM).... ......._. . A X, COMMERCIAL GENERAL LIABILITY 36090816 3/01/2025 03/01 /202 EACH OCCURRENCE $1 000 000 CLAIMS -MADE OCCUR R' SAM ST Ecc%E ec,rt $1,000 000 MED EXPJAny one person) $10 000 ....... .._...,.. .. ..... ..... _..... PERSONAL & ADV INJURY $1,000,000 NGEN'L AGGREGATE LIMIT APPLIES PER: GENERAL A .. G,G,REGATE s2,000,000 PRO- J a .... _.. s2,000,000 POLICY JECT PRO- x LOC PRODUCTS COMP/OP AGG $... ..... OTHER: w..-...._..�...... .,m.m,.,._ ............... -„� �v.. _..........._INED -.�._ A AUTOMOBILE LIABILITY 73649221 03/01/2025 03/01/202 � ) 11 SINGLE $1,,000,000 Mo -- _. X ANY AUTO on) $ BODILY INJURY (Per person) -__- BODILY INJURY (Per accident) $ OWNED SCHEDULED cct AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERFY DAMAGE X A X X OCCUR 56726792 3/01/2025 03/01/202 . EACH OCCURRENCE UMBRELLA LIAB $ 1 0 000 000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10 009290 ... �, Am_ 71843940 3/01/2 ...___ ._.. $ DED X RETENrIDN $10000 WORKERS COMPENSATION 025 03/01/202 X PER OF4!, AND EMPLOYERS' LIABILITY � �"""' YIN ACCIDE r $1 000 000 ILiT _... ANY PROPRIETOR/PARTNER/EXECUTIVE ' E L EACH Oyes, describe and EXCLUDED? NIA (Mandatory ......_.. ..... m: „'LL. ... ...uuu.. E L, DISEASE POLICY LIMIT $1 �00000 er DESCRIPTION OF OPERATIONS below.E..._... B Excess EXS0570374 3/01/2025 03/01/2026 $15,000,000 Liability DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder, only when there is a written contract that requires such status, and only with regard to work performed on behalf of the named insured. The General Liability and Workers Compensation policy include a Waiver of Subrogation endorsement in favor of the Certificate Holder as referenced above. SHOULD H ABOVE DESCRIBED POLICIES City of EI Segundo THE XPIRATIIONDATE THEREOF, NOTTICEN WILCANCELLED L BE BEFORE DELIVERED 350 Main St. ACCORDANCE WITH THE POLICY PROVISIONS. EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S48426458/M48314034 BLKZP CH U B B0 Liability Insurance Endorsement Policy Period MARCH 1, 2025 TO MARCH 1, 2026 Effective Date MARCH 1, 2025 Policy Number 3609-08-16 CIN Insured CB GENERAL HOLDINGS, LLC . . Name of Company FEDERAL INSURANCE COMPANY, , „ , , Date Issued MARCH, 3, 2025 This Endorsement applies, tothe following forms: GENERAL LIAI3ILT Y Under Who is An Insured, the following provision is added Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are ds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide there with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Llability Insurance Additional Insured - Scheduled Person Or Otani lion continued ............._ Form 80.02-2367(Rev. 5-02 Endorsement Page 1 CHUBB® Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titledOther Insurance. Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated„ pursuant to, a contract or agre m t.. to, provide, with such insurance as is afforded by, this policy. All other terms and conditions remain unchanged. Authorized Representative Q-0S A^ , 10, a, Liability Insurance Additional Insured -Scheduled Person Or Organization lastpape Form 8002- 7 (Rev. -07)Endorsement... , : ,.:,:„::a „ , : page„, Co—ndidons (dondnued) Transfer Or Waiver Of we, will, waive the right of recovery, we would otherwise have had against another person or Rights Of Recovery organization, for loss to which this insurance applies, provided the insured has waived their rights Against Others of recovery against such presort or organization, in a contract or agreement that is executed before such, loss. To the extent that the, insuredsrigbts to recover all or part of any payment made under this insurance have not been waived, those rights are transferred to us, The insured must do, nothing after Im to impair them. At our request, the Irmwed will bring suit or transfer those rights to. us and help us enforce, them. This condition does not apply, to medical "ptuses. LIMW Insurance Form 00-02-2000 (Rev. 4-01) Contract Page 24 of 32 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) ........................ WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule IWIM•, a619110 • - • - � � er• M ^• • r alM r RUM For policies or exposure in Missouri: Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 03-01-25 Policy No. 71843940 Endorsement No. Insured CB GENERAL HOLDINGS, LLC Premium $ Incl. Insurance Company Federal Insurance Company WC 00 03 13 (Ed. 4-84) m 1983 National Council on Compensation Insurance. Countersigned By Insured Copy