PROOF OF INSURANCE (2026 - 2026) CLOSEDDATE (MMIDDNYYY)
AC"R", CERTIFICATE OF LIABILITY INSURANCE 2/4/2025
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) 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
P+d'A9ME;�Il�anfl0n team OSw
AssuredPartners Design Professionals Insurance Services, LLC
rA'x
aNea ExilT Ac II _.......... ......
714-824 39
3697 Mt. Diablo Blvd Suite 230
Lafayette CA 94549
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EMAIL
AD fc ert D(slcgrfF q&fi SsuredPglf!q cs.CDirn .......
IS .... NAIC #
INSURERS' AFFORDING COVERAGF,mm ...........,,IT, _
��sssA 6Ac 74�
INSURER A Underwriters at I l sy "s, Lcndaq,,. ..IT. _ 32727
_ ^
INSURED MUNIRES-01
INSURER At•-Ba�SgLc'$Ity_iiLsUrance qOm�'ySriy 607
LLC (MRG)
Municipal Resource Group,�
INSURER Hartford Underwriters Incur n Ca.Cvm a 30104
PO BOX 561
Wilton CA 95693
_........
INSURER a : HARTFORDwwINSURANCE COMPANY 38288
IMiSURER E +:.
INSURER F t
rnvr_onnCc PFRTIF!CATF NUMIMBER' 1'27'ri'i445n 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 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.
..... ..... _...
TIN ADDk S '..BR POLICY EFF POLMCY ExP LIMITS
LTTYPEOFINSURANCE POLICY NUMBER OD YYM MMIUD
C
X
COMMERCIAL GENERAL LIABILITY
Y
Y
:57SBABH7WF5
2/2/2025
2/2/2026
EACH OCCURRENCE
$2.000,000
CLAIMS-MADEI—X OCCUR
oN`
',_ellEt415 1.
$1-000,000
Contractual Liab
MED EXP An one Person)
( y ®............
$ 10,000
X
Included
_�._...... .. ...........
PERSONAL&ADVINJURY
.........,..... ..........
$2,000,000 ..............__,
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4 000 000
X
POLICY ❑ PRO- LOC
ODUCTS COMP/OP AGG
PR. ......
$ 4 000 000
........
OTHER:
C
AUTOMOBILE LIABILITY
Y
Y
57SBABH7WF5
2/2/2025
2/2/2026
COMWNED SINGLE LIWT
$2,000,000
... ANY AUTO
BODILY INJURY (Per person)
_BODILY
$
.._•.... OWNED SCHEDULED
INJURY(Peraccident)
', $
AUTOS ONLY AUTOS
X HIRED NON -OWNED
F
i5RO_PE R`P`7D'_AE
•---
$'
AUTOS ONLY AUTOS ONLY
Po+0t� ••••--
®-
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
...
$
EXCESS LIAB�_d CLAIMS -MADE'..
AGGREGATE
$
DED RETENTION $
$
D
WORKERS COMPENSATION
Y
57WECAB10L8
211/2025
2/1/2026
PER OTR
� STATUTE ER
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
.....NIA
E L EACH ACCIDENT _.
. ........
$1 0 00,000 ..
OFFICERIMEMBER EXCLUDED? 0
(Mandatory in NH)
E L DISEASE - EA EMPLOYEE
mmm
$1,000,000
$ mm .....
If yes, describe under
DESCRIPTION OF OPERATIONS below
SE POLICY LIMIT
E.L. DISEASE -
$ 1,000,000
A
Professional Liability
MPL505106425
2/5/2025
2/5/2026
Per Claim
Aggregate limit
$2,000,000
$4,000,000
B
Cyber Liability
AB661825004
2/5/2025
2/5/2026
PerCWmIS ,000,000
Agg Lmt/$2,000,000
DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may bo attached If more space is requIry d)
Insured owns no company vehicle's„ therefore, hiredlnon-owned auto is the maximum coverage that applies. Professional services includes Management
consulting and strategic planning Services, and workplace investigations. An Insured extends to a natural person performing services or duties wiihin the scope
of their Written agreement With an Irisured Enldly and for Whom the Insured Entity is legally liable, but only While acting Within the scope of such person"s duties
pperformed on behalf of the Insured Entity.
Re; Alm Operations of the Named' Insured. City of El Segundo and its officers„ officials„ employees, agents, representatives, and certified volunteers are named
insured liability and auto liability as required per Written contract. General Liability i8 Prima 1Non-Contributory per policy
as an additional as respects general
form wording. Insurance coverage includes Waiver' of subrogation per the attached endorsement(s), SEVERABILITY OF INTER Separation of Insureds -
Except With respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance
,applies. a. As if each Named insured Were the only Named Insured; and b. Separately to each Insured against whom claim is made or suit is brought..
^I=Mm 01^A^ c r.d^11 ran eta.... CANCE I AT!0N in i7Av Notice of Cancellation
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.
Attn: Human Resources Dept.
AUTHORIZED REPRESENTATIVE
350 Main Street
El Segundo CA 90245�
ACORD 25 (2016/03)
91938-2015 AGURU GUKPUKA I IUN. Au ngnis reserves.
The ACORD name and logo are registered marks of ACORD