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PROOF OF INSURANCE (2025 - 2025),� DATE (MM/DD/YYYY) L ) CERTIFICATE OF LIABILITY INSURANCE 4/8/2025 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 CONTACT NAME Erin Viker Arthur J. Gallagher Risk Management Services, LLC PHONE ... F MX 745 Francis Street IAdC N�Xt) 877 730 _ No� 805 54M15 8224„ San Luis Obispo CA 93401 A,D°ASS, rill Vlker a Dorn INSURER INSURERTSiAFFORDINGCOVERAGE I NAIC# r LiCenSeSURED HAULDRU6-03 INSURER A Insurance Company of the West 27847 Maul-Awa Rubbish S INsURER a Greenwich Insurance Company, 22322 Service Company Inc 1205 Oahe Street C . Indian Harbor Insurance Company my 36940 Montebello CA 90640 INSURER D _Summit Specialty Insurance Company 16889 & Forster Specialty Insurance Co mm 44520 INSURERE Crum. ...._...!1 ....nc '---- ........... INSURER F : nr+,xeie rnn nc /+corlcif`ATc Ati llfi =o, ingca,41A IIAA RFVICI(AM MIIMRFR� 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. _ INSIi .�..-�..-.,,_.rv.- .._._.... .......... . AbUL S1 a'$V _......-...........POLICY NUMBER. __ ..:M�OLI YYY MCY EFF OLkCY ...... ......., . ,.- _ ........LIMITS.......... .... .m................ Y EXP TYPE OF INSURANCE LTR ,MYYY B X COMMERCIALGENERALLIABILITY Y Y GEC3001514-05 8/15/2024 8/15/2025 EACH OCCURRENCE $1,000,000 CLAIMS -MADE L-X.� OCCUR E iiai rr1 R_E, ED PDhr1BSE"gt;,Ynymtyurr nrl.,e p ) $ �.... ... .,.. _ 100 000 MED EXP ! (An _one person l $ 5 000 -------. �� PERSONAL&ADVINJURY .... $1,000,000 GLN L AGGR......... .. GATE LIMIT APPLIES PER _ GENERAL AGGREGATE ,,, $ 2 000 000 .µ. __,.. .X POLICY PRCa. p LOC tlEOT V PRODUCTS ,COMP/OP AGG $ 2.000 000 ., ..... OTI•IER'i $ C AUTOMOBILE LIABILITY -X Y Y AECO05480805 8/15/2024 8115/2025 C M IN rJ §9rL9LIMIf $1000,000 ...... ., ANY AUTO BODILY INJURY (Per person) $ -' OWNED SCHEDULED BODILY INJURY (Per accident) $ 1,000 000 AUTOS ONLYX AUTOS „X HIRED NON -OWNED P .idr�E.R r i" DAtwlAGE PR �� $ . AUTOS ONLY ..m. _ AUTOS ONLY an ac�ddonl; .. _.............. C UMBRELLA LIAB X OCCUR UECO066595 8/15/2024 1111/2/25 EACH OCCURRENCE $ 5 000 000 X LIAB CLAIMS -MADE AGGREGATES $ 5,000 000 fEXCESS DEL? RETENTION $ q WORKERSDEPLOVER' Y WLV 5043145 06 10/1/2024 10/1l2025 X STATUTE ERR_ AND EMPLOYERS' LIABILITY LIABI ITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBERI'll-. N /A E.L EACH ACCIDENT $1 000 000 - .,. (Mandatory in NH) E.L DISEASE EA EMPLOYEE ...... ........_ $1.000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L DISEASE - POLICY LIMIT I $1,000 000 D 2nd Layer Excess '.. SXSLOO1000045500 8/15/2024 '.. 1/15/2025 Each Occurrence 4,000,000 E EPK-148648 8/15I2024 8/151 025 Aggregate 4,000,000 Pollution Liability CPL TPL Pollution Liability 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate holder is named as additional insured with respect to general liability per attached CG20100704, Pollution Liability per CSI EL 000 0034 and auto EA24041093 CA04441013. Primary non-contributory applies liability per attached XIC 411101 Waiver of subrogation appI es per attached and and per attached CSl EL0000013 and XIC 4111013. Excess follows foci (GL/ L/Et-) Additional Insured, City of El Segundo, its officers„ officials, employees, and volunteers CERTI 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. Public Works Department 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Arthur I Gallagher Risk Management Services, LLC 745 Francis Street San Luis Obispo CA 93401 MDG2025 00002391 01 �'I�II�I��I��II'I�'I'�I IIII�IIII���I�III�IIIIII I�I�I'�IIII��"ICI UK"' City of El Segundo Public Works Department 350 Main Street El Segundo„ CA 90245 We are providing you with a Certificate of Insurance confirming our client's coverage. Want to get certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies of certificates via e-mail in the future. Or, do you no longer require a certificate of insurance for our client? Please contact us at COI.UpdateMyEmail@AJG.com and provide the following information for processing: 1. Confirmation that a certificate of insurance is no longer required; or 2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery 3. Insured Code: HAULRUB-01 4. This Certificate Number: 1093341353 To learn more about the Insurance and Risk Management Services offered by Gallagher, please visit us at www.ajg.com/us/about-us/how-we-work/core-360. Gallagher does not share your e-mail as detailed in our privacy policy found at https:// www.ajg.com/us/privacy-policy/. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED —OWNERS, LESSEES OR CONTRACTORS (BLANKET) ENDORSEMENT This endorsement modifies insurance provided under the following: CONTRACTORS POLLUTION LIABILITY Name Of Additional Insured Person(s) Or Location(s) Of Covered Operations Automatic status Oasgrequi required Organization(s) contract � or agreement with you. (1) Section III — 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 arising out of your ongoing operations performed by that insured. (2) With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to 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 bodily injury or property 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. All other terms and conditions of this policy remain unchanged. CSI EL 000 0034 Page 1 of 1 POLICY NUMBER: AECO05480805 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the pro4sions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: HAUL -AWAY RUBBISH SERVICE COMPANY, INC. Endorsement Effective Date: August 15, 2024 SCHEDULE The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 POLICY NUMBER: AECO05480905 XIC 411 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM A. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an "insured" w any person or organization you are required in a written contract to name as an additional insured, but only for "bodily injury" or "property damage" otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of: You, while using a covered "auto'; or 2, Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto' with your permission; Provided that: a. The written contract is in effect during the policy period of this policy; b. The written contract was signed by you and executed prior to the "accident' causing "bodily injury" or "property damage" for which liability coverage is sought; and C. Such person or organization is an "insured" solely to the extent required by the contract, but in no event if such person or organization is solely negligent. B. The Limits of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no event shall the Limits of Insurance set forth in this policy be increased by the contract. C. General Conditions, Other Insurance is amended as follows: Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether such insurance is primary, excess, contingent or on any other basis unless the contract specifically requires that this policy be primary. All terms, conditions, exclusions and limitations of this policy shall apply to the liability coverage provided to any additional insured, and in no event shall such coverage be enlarged or expanded by reason of the contract. All other terms and conditions of this policy remain unchanged,. XIC 411 1013 © 2013 X.L. America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy Number: CSIEL00583-05 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 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", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 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(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. 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 2. 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. CG 20 10 07 04 COMMERCIAL GENERAL LIABILITY CG 24 0410 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract. However, this status exists only for the project specified in that contract. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. ) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 10 93 © Insurance Services Office, Inc., 1992 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY & NON-CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY CONTRACTORS POLLUTION LIABILITY TRANSPORTATION POLLUTION LIABILITY PROFESSIONAL LIABILITY SCHEDULE Name of Person or Organization: If no person or organization is entered in the schedule above, then this endorsement applies to: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to provide Primary and/or Non-contributory status of this insurance. However, this status exists only for the project specified in that contract. In consideration of the premium charged, it is hereby agreed that this policy shall be considered primary to any similar insurance held by third parties in respect to work performed by you under any written contractual agreement with such third party. It is further agreed that any other insurance which the person(s) or organization(s) named in the schedule may have is excess and non-contributory to this insurance. All other terms and conditions of this policy remain unchanged. CSI EL 000 0013 Page 1 of 1