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PROOF OF INSURANCE (2025)JWSYS-1 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 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 endorsements . SCF Insurance Services, Inc. Plio 619-589i 0 Lice 62 a Ex I y N tl Icd N' . Box 13006 ngr sc nsurance.com La Mesa, CA 91944-1300 Ingrid Van Moppes, CLU "'ITITITIT INSU�aEPtsIAFF�B.piNG co' _. NAIc .............. ....... INSUREr A T ravelers Insurance 1i 9070 INSURED W System Corporation INSURER B : Master Chef INSURE c: ...... ,.,.,._...... Master Chef 2731 Via Orange Way 9113 INSURER D .... _. ... ...... Spring Valley, CA 91978 INSURER E INSURER F : COVESAGES CERTJfICATE 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 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. IN, A DL 3U8 POLVCY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,0001 X CLAIMS-MADEOCCUR X X $$0-005XO2$280 12122/2024 1212212025 DAMAOETO RENTED 1�.•, 300,000P�I:«�1����r�� X BUSIne33 OViR1erS XP (Any 9ne ors n S,OOQ _ _...... .._. PERSONAL & ADV INJURY $ 1,000,000 .... _.....,.. 2,000,000 OEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLtC''f' j ElLOC PRQQ,gg,T - CAMP/OP AGG .. $ TRH R: IfVLLE)�L)Mdf $ AUTOMOBILE LIABILITYfwlEmG¢ �, ANY AUTO DI YQN 1{aRY (Perperson OWNED SCHEDULED INJURY (Per aceodent) $_ AUTOS ONLY AIU��TOSyy�qq DD �BORDILY ;�erOOEl nk AM. $ AUTO AL I ONLY 4NI Y ...... UMBRELLA LIAR OCCUR EACH OCCURRENCE $ _, EXCESS LIAB CLAIMS -MADE $ __ LAGGREGATE DED RETENppTIIqON $ $ PT,R I LR H PLOYE LIA _........_ .. A'f� 1 rt YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L, EACH ACCIDENT $ PICE M Mn) EXCLUDED? ❑ N f A sndskgry In NH} ' E L DISEASE - EA EMPLOYEE. $ _ If es, descrltre under RIPTION OP.OP ATI N I �A�S - PC J.:... IT A Travelers Ins 680-005XO28280 2122/2024 121'2212025 PROPER 37,453 DESCRIPTION OF OPERATIONS I LOCATIONS I VENCLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The Ci of El Segundo Its elected and ap Ointed officials, and employees he City El Segundo receive shouldKe named as aWdltionai Insureds. of Will hirty 30) da written notice in the event of cancellation, non renewed or reduc lon, 1t�day notice of c-ancellation for non-payment of premium. Coverage is primaryand non-contributory. r. r.T, na rr.w«ra.- rrrwv rw a^.n !'Attu l I AT'InM CITYELS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, N0710E WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of El Segundo 350 Main St. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) OO 1988-2015 ACORD CORPORA I IVN. All rights reservea. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Non -Owned Watercraft — 75 Feet Long Or Less I. Blanket Additional Insured — Mortgagees, B. Who Is An Insured — Unnamed Subsidiaries Assignees. Successors Or Receivers C. Who Is An Insured — Employees — Supervisory Positions D. Who Is An Insured — Newly Acquired Or Formed Limited Liability Companies E. Who Is An Insured — Liability For Conduct Of Unnamed Partnerships Or Joint Ventures J. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To Premises K. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To Operations F. Blanket Additional Insured — Persons Or L.. Medical Payments — Increased Limit Organizations For Your Ongoing Operations As M. Blanket Waiver Of Subrogation Required By Written Contract Or Agreement N. Contractual Liability —Railroads G. Blanket Additional Insured — Broad Form Vendors H. Blanket Additional Insured — Controlling Interest O. Damage To Premises Rented To You PROVISIONS A. NON -OWNED WATER CRAFT — 75 FEET LONG OR LESS 1. The following replaces Paragraph (2) of Exclusion g., Aircraft, Auto Or Watercraft, in Paragraph 2. of SECTION I — COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: (2) A watercraft you do not own that is: (a) 75 feet long or less; and (b) Not being used to carry any person or property for a charge; 2. The following replaces Paragraph 2.e. of SECTION II — WHO IS AN INSURED: is responsible for the use of a watercraft that you do not own that is: (1) 75 feet long or less; and (2) Not being used to carry any person or property for a charge. B. WHO IS AN INSURED — UNNAMED SUBSIDIARIES The following is added to SECTION II — WHO IS AN INSURED: Any of your subsidiaries, other than a partnership or joint venture, that is not shown as a Named Insured in the Declarations is a Named Insured if: a. You are the sole owner of, or maintain an ownership interest of more than 50% in, such subsidiary on the first day of the policy period; and a Any person or organization that, with your express or implied consent, either uses or b. Such subsidiary is not an insured under similar other insurance. CG D417 02 19 ® 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 5 Includes copyrighted material of Insurance Services Office, Inc. with Re permleslon. COMMERCIAL GENERAL LIABILITY No such subsidiary is an insured for "bodily injury" or "Property damage" that occurred, or "personal and advertising Injury" caused by an offense committed: a. Before you maintained an ownership interest of more than 50% in such subsidiary; or b. After the date, if any, during the policy period that you no longer maintain an ownership interest of more than 50% in such subsidiary. For purposes of Paragraph 1. of Section II — Who Is An Insured, each such subsidiary will be deemed to be designated in the Declarations as: a. A limited liability company; b. An organization other than a partnership, joint venture or limited liability company; or c. A trust; as indicated in its name or the documents that govern its structure. C. WHO IS AN INSURED — EMPLOYEES — SUPERVISORY POSITIONS The following is added to Paragraph 2.a.(1) of SECTIO N II — WHO IS AN INSURED: Paragraphs (1)(a), (b) and (c) above do not apply to "'bodily injury" to a co -"employee" while in the course of the co -"employee's" employment by you arising out of work by any of your "employees" who hold a supervisory position. D. WHO IS AN INSURED — NEWLY ACQUIRED OR FOR MED LIMITED LAIBILITY COMPANIES The following replaces Paragraph 3. of SECTION II — WHO IS AN INSURED: 3. Any organization you newly acquire or form, other than a partnership or joint venture, and of which you are the sole owner or in which you maintain an ownership interest of more than 50%, will qualify as a Named Insured if there is no other similar insurance available to that organization. However. a. Coverage under this provision is afforded only: (1) Until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it; or organization in writing to us within 180 days after you acquire or form it; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. For the purposes of Paragraph 1. of Section II — Who Is An Insured, each such organization will be deemed to be designated in the Declarations as: a. A limited liability company; b. An organization, other than a partnership, joint venture or limited liability company; or c. A trust; as indicated in its name or the documents that govern its structure. E. WHO IS AN INSURED — LAIBILTY FOR CONDUCT OF UNNAMED PARTNERSHIP SO R JOINT VENTURES The following replaces the last paragraph of SECTION 11— WHO IS AN INSURED: No person or organization is an insured with respect to the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declaration's. This paragraph does not apply to any such partnership or joint venture that otherwise qualifies as an insured under Section II — Who Is An Insured. F. BLANKET ADDITIONAL INSURED — PERSONS OR ORGANIZATIONS FOR YOUR ONGOING OPERATIONS AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is not otherwise an insured under this Coverage Part and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury" or "property damage" that: a. Occurs subsequent to the signing of that contract or agreement; and (2) Until the end of the policy period, b. Is caused, in whole or in part, by your acts or when that date is later than 180 days omissions in the performance of your ongoing after you acquire or form such operations to which that contract or organization, if you report such Page 2 of 5 ® 2017 The Travelers Indemnity Company. All rights reserved. CG D417 02 19 Includes copyrighted ina rial of Insurance Services OIHoe, Inc. with Its permission. COMMERCIAL GENERAL LIABILITY agreement applies or the acts or omissions of arty person or organization performing such operations on your behalf. The limits of insurance provided to such insured will be the minimum limits that you agreed to provide in the written contract or agreement. or the limits shown in the Declarations. whichever are less. G. BLANKET ADDITIONAL INSURED — BROAD FORM VENDORS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is a vendor and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury" or "property damage" that: a. Occurs subsequent to the signing of that contract or agreement; and b. Arises out of "your products" that are distributed or sold in the regular course of such vendors business. The insurance provided to such vendor is subject to the following provisions: a. The limits of insurance provided to such vendor will be the minimum limits that you agreed to provide in the written contract or agreement or the limits shown in the Declarations, whichever are less. b. The insurance provided to such vendor does not apply to: (1) Any express warranty not authorized by you or any distribution or sale for a purpose not authorized by you; (2) Any change in "your products"made by such vendor, performed at such vendors premises in connection with the sale of "your products": or (6) "Your products" that, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or on behalf of such vendor. Coverage under this provision does not apply to: a. Any person or organization from whom you have acquired "your products", or arty ingredient, part or container entering into, accompanying or containing such products; or b. Any vendor for which coverage as an additional insured specifically is scheduled by endorsement. H. BLANKET ADDITIONAL INSURED — CONTROLLING INTEREST 1. The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that has financial control of you is an insured with respect to liability for "bodily injury", *property damage" or "personal and advertising injury" that arises out of: a. Such financial control: or (3) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer. and I. then repackaged in the original container, (4) Any failure to make such inspections, adjustments, tests or servicing as vendors agree to perform or normally undertake to perform in the regular course of business, in connection with the distribution or sale of "your products"; (5) Demonstration, installation, servicing or repair operations, except such operations b. Such person's or organization's ownership, maintenance or use of premises leased to or occupied by you. The insurance provided to such person or organization does not apply to structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. 2. The following is added to Paragraph 4. of SECTION II — WHO IS AN INSURED: This paragraph does not apply to any premises owner. manager or lessor that has financial control of you. BLANKET ADDITIONAL INSURED — MORTGAGEES, ASSIGNEES, SUCCESSORS OR RECEIVERS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is a mortgagee, assignee, successor or receiver and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to its CG D417 02 19 ® 2017 The Travelers Indemnity Company. All rights reserved. Page 3 of 5 Includes copyrighted matarial of Insurance Services Office, Inc. with Its permiselon. COMMERCIAL GENERAL LIABILITY liability as mortgagee, assignee, successor or receiver for "bodily injury", "property damage" or "personal and advertising injury" that: a. Is "bodily injury" or "property damage" that occurs, or is "personal and advertising injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement; and K. b. Arises out of the ownership, maintenance or use of the premises for which that mortgagee, assignee, successor or receiver is required under that contract or agreement to be included as an additional insured on this Coverage Part. The insurance provided to such mortgagee, assignee, successor or receiver is subject to the following provisions: a. The limits of insurance provided to such mortgagee, assignee. successor or receiver will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such person or organization does not apply to: (1) Any "bodily injury" or "property damage" that occurs, or any "personal and advertising injury" caused by an offense that is committed, after such contract or agreement is no longer in effect; or (2) Any "bodily injury", "property damage" or "personal and advertising injury" arising out of any structural alterations, new construction or demolition operations performed by or on behalf of such mortgagee, assignee, successor or receiver. J. BLANKET ADDITIONAL INSURED — GOVERNMENTAL ENTITIES — PERMITS OR AUTHORIZATIONS RELATING TO PREMISES The following is added to SECTION II — WHO IS AN INSURED: Any governmental entity that has issued a permit or authorization with respect to premises owned or occupied by, or rented or loaned to, you and that you are required by any ordinance, law, building code or written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of the existence, ownership, use, maintenance, repair, construction. erection or removal of any of the following for which that governmental entity has issued such permit or authorization: advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, elevators, street banners or decorations. BLANKET ADDITIONAL INSURED — GOVERNMENTAL ENTITIES — PERMITS OR AUTHORIZATIONS RELATING TO OPER- ATIONS The following is added to SECTION II — WHO IS AN INSURED: Any governmental entity that has issued a permit or authorization with respect to operations performed by you or on your behalf and that you are required by any ordinance, law, building code or written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property, damage" or "personal and advertising injury" arising out of such operations. The insurance provided to such governmental entity does not apply to: a. Any "bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the governmental entity; or b. Any "bodily injury" or "property damage" included in the "products -completed operations hazard". L. MEDICAL PAYMENTS — INCREASED LIMIT The following replaces Paragraph 7. of SECTION III — LIMITS OF INSURANCE: 7. Subject to Paragraph S. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person, and will be the higher of: a. $10.000; or b. The amount shown in the Declarations of this Coverage Part for Medical Expense Limit. M. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph S.. Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILriY CONDITIONS: If the insured has agreed in a contract or agreement to waive that insured's right of recovery against any person or organization, we Page 4 of 5 ® 2017 The Travelers Indemnity Company. All rights reserved. CG D4 17 02 19 Includes copyrighted materiel of Insurance Services Office, Inc. with ils permission. COMMERCIAL GENERAL LIABILITY walve our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property damage" that occurs; or b. "Personal and advertising injury" caused by an offense that is committed: subsequent to the execution of the contract or agreement. N. CONTRACTUAL LIABILITY — RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is deleted. O. DAMAGE TO PREMISES RENTED TO YOU The following replaces the definition of "premises damage" in the DEFINITIONS Section: "Premises damage"' means "property damage" to: a. Any premises while rented to you or temporarily occupied by you with permission of the owner. or b. The contents of any premises while such premises is rented to you, if you rent such premises for a period of seven or fewer consecutive days. CG D417 02 19 02017 The Travelers Indemnity Company. All rights reserved. Page 5 of 5 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following replaces Paragraph (2) of Exclusion b., Contractual Liability, in Paragraph 2. of SECTION I — COVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: (2) Assumed by you in a contract or agreement that is an "insured contract", provided that the "bodily injury" or "property damage" occurs subsequent to the execution of the contract or agreement Solely for the purposes of liability assumed by you in an "insured contract", rea- sonable attorney fees and necessary litigation expenses incurred by or for a party other than an insured will be deemed to be damages because of "bodily injury" or "property dam- age", provided that: (a) Liability to such party for, or for the cost of, that party's defense has also been as- sumed by you in the same "insured con- tract'; and (b) Such attorney fees and litigation ex- penses are for defense of that party against a civil or alternative dispute reso- lution proceeding in which damages to which this insurance applies are alleged. 2. The following replaces the beginning of Para- graph 2., and Paragraphs 2.a., b., c., d. and e., of SUPPLEMENTARY PAYMENTS — COVER- AGES A AND B of SECTION I — COVERAGES: a. The "suit" against the indemnitee seeks damages for which you have assumed the liability of the indemnitee in a contract or agreement that is an *"insured con- tract": b. This insurance applies to such liability as- sumed by you; c. The obligation to defend, or the cost of the defense of, that indemnitee has also been assumed by you in the same "in- sured contract"; d. The allegations in the "suit" and the in- formation we know about the "occur- rence" or offense are such that we de- termine that no conflict exists between your interests and the interests of the in- demnitee; e. You and the indemnkee ask us to con- duct and control the defense of that in- demnitee against such "suit" and agree that we can assign the same counsel to defend you and the indemnitee; and 3. The following replaces the last sentence of Paragraph 2. of SUPPLEMENTARY PAY- MENTS — COVERAGES A AND B of SEC- TION I —COVERAGES: Our obligation to defend your indemnitee and to pay for attomeys' fees and necessary litiga- tion expenses as Supplementary Payments ends when: 2. If we defend you against a "suit" and your in- a. We have used up the applicable limit of demnitee is also named as a party to the insurance in the payment of judgments, "suit", we will have the right and duty to de- settlements or medical expenses; or fend that indemnitee if all of the following conditions are met: b. The conditions set forth above, or the terms of the agreement described in Paragraph f. above, are no longer met. CG D4 2107 08 ® 2008 The Travelers Campania% Ina Page 1 of 1 Includes the copyrighted rna6erial of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PROTECTION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following exclusion is added to Paragraph 2., Exclusions. of SECTION 1 — COVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Violation Of Consumer Financial Protection Laws "Bodily injury" or "property damage" arising out of any.actual or alleged violation of a "consumer financial protection law", or any other "bodily in- jury" or "property damage" alleged in any claim or "suit" that also alleges any such violation. 2. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE B PERSONAL AND ADVER- TISING INJURY LIABILITY: Violation Of Consumer Financial Protection Laws "Personal injury" or "advertising injury" arising out of any actual or alleged violation of a "con- sumer financial protection law", or any other "personal injury" or "advertising injury" alleged in any claim or "suit" that also alleges any such violation. 3. The following is added to the DEFINITIONS Section: "Consumer financial identity information" means any of the following information for a person that is used or collected for the purpose of serving as a factor in establishing such person's eligibil- ity for personal credit, insurance or employment, or for the purpose of conducting a business transaction: a. Part or all of the account number, the expi- ration date or the balance of any credit, debit, bank or other financial account. b. Information bearing on a person's credit worthiness, credit standing or credit capac- ity. c. Social security number. d. Drivers license number. e. Birth date. "Consumer financial protection law" means: a. The Fair Credit Reporting Act (FCRA) and any of its amendments, including the Fair and Accurate Credit Transactions Act (FACIA); b. California's Song -Beverly Credit Card Act and any of its amendments; or c. Any other law or regulation that restricts or prohibits the collection, dissemination. transmission, distribution or use of "con- sumer financial identity information'. CG D6 18 10 11 0 2011 The Travelers Indemnity Company. All rests reserved. Page 1 of 1 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following exclusion is added to Paragaraph 2., Exclusions, of SECTION I - COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY. Violation Of Blomatdc Information Privacy Laws "Bodily injury" or "property damage" arising out of any actual or alleged violation of a "biometric information privacy law", or any other "bodily injury" or "property damage" alleged in any claim or "suit" that also alleges any such violation. 2. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY: Violation Of Blometric Information Privacy Laws "Personal and advertising injury" arising out of any actual or alleged violation of a "biometric information privacy law", or any other "personal and advertising injury" alleged in any claim or "suit" that also alleges any such violation. 3. The following is added to the DEFINITIONS Section: "Biometric information": a. Means information about a person's physical, biological or behavioral characteristics that can be used to identify such person. b. Includes a person's retina or iris scan, fingerprint, voiceprint, scan of hand or face or other body geometry, DNA, vein pattern, keystroke pattern or rhythm, gait pattern or rhythm, or sleep, health or exercise data that contain identifying information. "Biometric information privacy law" means the parts of any law, ordinance, regulation or governmental rule that govern or relate to the collection. storage, disclosure, retention, destruction, protection, use, sale, lease or trade of "biometric information". CG D9 " 0123 0 2022 The Tnwelam Indemnity Company. All rights mserved. Page 1 of 1 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endors ement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I - COVERAGES - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Discrimination "Bodily injury" arising out of discrimination based upon a person's sex. sexual orientation, marital status, pregnancy, race, color, creed, religion, national origin, citizenship, veteran status, age, genetic information or physical or mental disability, or any other characteristic, attribute, trait, condition or status that qualifies a person for protection against discrimination under federal, state or local law. 2. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I - COVERAGES - COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY: Discrimination "Personal injury" arising out of discrimination based upon a person's sex, sexual orientation, marital status, pregnancy, race. color, creed, religion, national origin, citizenship, veteran status, age, genetic information or physical or mental disability, or any other characteristic, attribute, trait, condition or status that qualifies a person for protection against discrimination under federal, state or local law. CG D7 42 02 19 ® 2017 The Travelers Indemnity Company. Al rights resewed. Page 1 of 1 Includes copyrighted material or Insurance Services Office, Inc. with Its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. d"`0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS This insurance does not apply to "bodily injury," "properly damage," "personal injury," or "advertising injury" whether actual, alleged or threatened, which arises out of electric or magnetic fields of any field strength, static or time -varying, at any wavelength or frequency. CG D1 63 09 96 Copyright, The Travelers Indemnity Company, 1996. Page 1 of 1 � � i � � � �. i �, COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1.1 O, :1014 lei I. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART EMPLOYEE BENEFITS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART Provisions 1. Injury, damage or loss might be covered by this policy and also by other policies issued to you by us or any Travelers affiliate. When these other policies contain a provision similar to this one, the amount we will pay is limited. The ma)amum that we will pay under all such policies combined is the highest limit that applies in any one of these policies. 2. This does not apply to any personal liability policy or to any Umbrella, Excess or Protective Liability Policy. CG T3 33 1103 Copyright, The Travelers Indemnity Company, 2003 Page 1 of 1 Rlf-40AM Z161: "-INTERLINE CITY OF EL SEGUNDO WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECTS AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LABOR CODE § 3706, INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury under the laws of California one of the following declarations: (_) I have and will maintain a certificate of consent of self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Labor Code § 3700 for the performance of the work set forth the agreement with the City of El Segundo. Policy No. (_) I have and will maintain workers' compensation insurance as required by Labor Code § 3700 for the performance of the work for which the agreement with the City of El Segundo is executed. My workers' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # (X) I certify that, in the performance of the work set forth in the agreement with the City of El Segundo, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Labor Code § 3700 1 must immediately comply with those provisions or the agreement will automatically become void. ,�� ^ 5123125 Signature of Applicant h� , Date Print Name Willy Gatus Agreement for: Dated: Reviewed by: