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PROOF OF INSURANCE (2026 - 2026)CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 6/23/2025 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 NAMPiE:„w Michael Somoles The Baldwin Group Southeast, LLC PHDNE St3-984-3236 O 4211 W. Boy Scout Blvd. E-MA Suite 800 pmgg _.B.RPcert"ficate'si Tampa FL 33607 INSURERS .......... — INSURER Great Northern _... _._............._..... INSURED Insural The Baldwin Group West, LLC ._(fka Burnham Benefits Insurance Services, LLC) rINSURB:Federal C.4211 W„ Boy Scout Blvd.„ Suite 800 Tampa FL 33607E [ r1n1k/=0ne:I CERTIFICATE NUMMBER' 1Rn5nsssos 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. _ ....... ------- .... tNAkrNC Sti7B ....._. POLICY EFF POLICY ExP LTR TYPE OF INSURANCE INSD WVn POLICY . NUMBER ''. MM/DDYY LIMBS A COMMERCIALGENERALLIABILITY Y 36069302BHM 3/1/2025 3/1/2026 EACH OCCURRENCE $1,000,000 �__X._ CLAIMS -MADE IL OCCUR Iq"REMIStLLS fEazo—amewtewt,)..,,,,,,,,, $1 000 000 .X MED EXP (Any one_personI $ 15 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: '. GENERALAGGREGATE $ 2,000,000 POLICY JECT X LOC PRODUCTS COMP/OP AGG $$ Included OTHER: A AUTOMOBILE LIABILITY 73620127 3/1/2025 1 3/1/2026 COMBINED SINGLE LIM rr Ea sacra,rol) _ $1,000,000 ......... ._........-. .......... X ANY AUTO BODILY INJURY (Per person) ..._........ $ ......... _....__.. - ........... OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED PROPRTY DAMAGE .... --•IT $ AUTOS ONLY AUTOS ONLY - = e " ° - •••••• •••• •••-••• ......••• B X uMBRELLALIA6 X OCCUR 78188562 3/1/2025 311I2026 EACH OCCURRENCE $25, OOQ000 EXCESS LU1B - CLAIMSMADE AGGREGATE „,,,,$ _�.. 0,000 2600 ,� .•........ Dip RETENTION $ I WORKERS COMPENSATION II H- STAT4TE FIR AND EMPLOYERS' LIABILI Y YIN __.. ANYPROPRIETOR/PARTNERIEXECUTIVE j""""] " E.L. EACH ACCIDENT $ •••M•••••mm ••••• OFFICER/MEMBEREXCLUDED? �u-WWWWWmm (Mandatory in NH) NIA E.L. DISEASE - E4 EMPLOYE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of El Segundo„ its officials, and employees are included as Additional Insured with respect to General Liability -if required by Written contract and subject to terms, conditions„ and exclusions of the policy. Coverage is provided on a (Primary & Non -Contributory basis on the General Liability if required by written contract and subject to terms, conditions, and exclusions of the policy. Umbrella Liability policy follows form over General Liability- '•subject to terms„ conditions, and exclusions of the policies. City of El Segundo 350 Main Street El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD C H U B B• Liability Insurance Endorsement Policy Period MARCH 1, 2025 TO MARCH 1, 2026 ffecdve Date MARCH 1, 2025 Policy Number 3606-93-02 BHM Insured THE BALDWIN INSURANCE GROUP, INC. Name of Company GREAT NORTHERN INSURANCE COMPANY Date Issued MARCH 7, 2025 This En not applies to the following foams: GENERAL LIABILITY Under Who Is An Insured, the following provision is added Who Is An Insured Addllronal Insured - persons or organizations shown in the Schedule are i rrrWs; but they are imavds only if you are Scheduled Person obligatedpursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organizadon this policy. However, the person or organization is an irmwed 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 %ured; • 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 organizationis an hwured 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 agreernenL This limitation on does not apply to the liability for damage.% loss, cost or expense for injury or darnage, to which this insurance applies, that the person or organization would have in the absence of such contract or nt.. t lability lneumruae AM&vW I IsdPerson Or 00panizagon confhuod Form SOQ2-2387(Rev 5-M Endoreement Page 1 CHUB® Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance _.. If you are obligated, Pursuant to a contact or agreerneDt, to provide the person or organization Prlf aty, IINdn entr%butaq shown in the Schedule with primary msum= 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 Ora anizadon or organization. Schedule PERSONS OR O'RGAWAA'I IONS THAT YOU ARE OBLIGATED. PURSUANT TO A CONTRACT OR AGREEMENT, TO PROVIDE WITH SUCH INSURANCE AS IS AFFORDED BY THIS POLICY. All other terms and conditions remain unchang Authorized Repreeentadve tV'Ity Insurance Addt&wW Insured - Sdwdilsd Pemoo Or OMwaabm kwtpqp Form 8042 2987(Rw 5-M Endorswwnt Page 2 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/26/2024 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). PRODUCERAEi" Michael Somoles The Baldwin Group LLC Pt^g 813-984-3236 4211 W. Boy Scout Blvd. Suite 800 UAII. .••~ .81 ss: BRPcerlificate Tampa FL 33607 INSURERCs INSURER,A: Pacific Indemni INSURED The Baldwin Group Colleague Inc.; BRP Colleague Inc. INSURER. B :. BRIP Colleague II Inc. -- .......... . 4211 W. Boy Scout Blvd., Suite 8 INsuRER D.__-_................. Tampa FL 33607 INSURERE: CERTIFICATE NUMBER: 360329803 tAM..t±° 813 984-3236 Ba9dwinR�I§Wartners.com AFFORDING COVERAGE ---- NAIC# v Comnanv 20346 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. ...... .....-.�.. ..... ......--- ,_.... ......................_-......... ......... _ _._.._ .._"' INSR ADD iSUBR POLICY EFF POI.tCY EXP LIMBS TYPE OF LTR POLICY NUMBER I'MMIDDM D COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _. _. CLAIMS -MADE 0'. OCCUR AMA in_'I"5 PREMI �KLiEa $ MED EXP (Any one person) ....... _...... $ ......... ..._.__,......... �.__.. ...� PERSONAL&ADVINJURY .-..-.�.y.. $ .............---...... '.. GEN'L .mwww.®.....-. --.._..�.....�. AGGREGATE LIMIT APPLIES PER: GENERAL• AGGREGATE $ POLICY PRO.. LOC JECT PRODUCTS - COMP/OP AGG _. __- _. -. $ OTHER:. COMBINED SII�IGI.LLIMIT $ AUTOMOBILE LIABILITY •IT$ ANY AUTO BODILY INJURY (Per person)mm ................ ....-.,.....- -............. ....._.' ............ OWNED SCHEDULED BODILY INJURY (Per accident $AUTOS ONLY AUTOS HIRED NON -OWNED _ PROPER TY DAMAGE .. - AUTOS ONLY AUTOS ONLY L P r I ° 00 - ••$ -••� w..-- UMBRELLA LIAB 'OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE .................. $ LRETENTION $ ..... A WORKERS COMPENSATION 71740952 1/1/2025 1I112026 X R OTH ST ATUTE ER _IT, AND EMPLOYERS' LIABILITY Y / N "-' ANYPROPRIETOR/PARTNER/EXECUTIVE E. L EA CH ACCIDENT .._ $ 1,000.000 EREXCLUDED? OFFICERIMEM(Mandatory (Mandatory in NH) N / A EL, DISEASE - EA EMPLOYEE $1,000,000 .... �. If yes, describe under DESCRtPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo 350 Main Street 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 CERTIFICATE OF LIABILITY INSURANCE DATE(M 4/14/202YYY) 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(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 endorsement s PRODThe CER Baldwin wi Scout Blvd. " CONTACT MIChaBI moles les The Baldwin Group Southeast, LLC P 42 1 813-984 3236c No ; 813 984-3236 Suite 800 y �1- BRPcerii8cate�BaldWand w kPariners cDnt Tampa FL 33607 INSUR�ERIS mAFF-ORDING COVERAGE Arch INSURED EINSURER B The Baldwin Group West, LLC (fka Burnham Benefits Insurance Services, LLC) ERC421f W. Bo,y Scout Blvd., Suite 800 ER D, Tampa FL 33607 ERE. imilmmM.1'NCIn14t Kill IMRFR• 21199 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. ... ..__.' _.0 .._._._.� _......._ u....... . . YEXP IC INSR..... TYPEOFINSURANCE ADS mm POLICY NUMBER MfOi1FD4 EFL; EPWRO.g1D0 Yy LIMITS TiNsn COMMERCIAL GENERAL LIABILITY'', EACHOCCURRENCE ._,., rvP�S.!5,mEa mS CLAIMS -MADE OCCUR r nwsi ...._. ........._.� MED EXP (Any one rnaraon..._, ''$ .........._IT PERSONAL& AD'W'iN.PUp''Y $' GE.L... AGGREGATE LIMITAPPLIES PER : GENERAL AGGREGATE $ PRO POLICY JECT PRODUCTS-COMPdOPACG S OTtER: COMOME k.NMI'T $ AUTOMOBILE LIABILITY deDkt31N51-E.. ANYAUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED d PROPERTYDAMAWGE. -'" $ AUTOS ONLY .w,,.,,, AUTOS ONLY -'p-xder�1T ''.... UMBRELLALIAB OCCUR ..,, EACHOC�CURRENCE- $— .. EXCESS LIAR CLAIMS•MADE AGGREGATIa DED I I RETE:NTlON $ ''.... OTRH $ WORKERS COMPENSATION STATU_r[ AND EMPLOYERS' LIABILITY YIN "E " ' ANYPROPRIETORIPARTNERfFXE Ul*yVE E L EACH ACCIDENT' L. _.... �...W.._._ S ...... - OFFICERIMEM�BEREXCLUDED"1 (Mandatory in NH) N/ A E L. DISEASE EA EMtLOYEE S Yi yyes. describe under D'E.$CRIPTIONOF OPERATIONS below E IL, DISEASE • POLICY LIMIT S A Errors & Omissions SPL004221114 3/1/2025 3/1I2026 Each claim limit Aggregate limit $5 000,000 $5,000,000 '.. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo 350 Main Street El Segundo CA 90245 V TaOa•cul O AbVRY 1.rvRrvRM r •vim. r 9INN— Ica`• .`... ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD