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PROOF OF INSURANCE (2026 - 2026)CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/30/2025 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 endorsements . PRODUCER h#E: Arthur J. Gallagher Risk Management Services, LLC PHONEmm 745 Francs Street g (fir Ext1, 877-7-730 1222 EMAIL San Luis Obispo CA 93401 ARRRE 4: ._.__........... ___INSURE RO..AFFORDING _.. t" .pfi's INsuRFA �nremmrWriters at lyd's�Lpr 13Patriot Services, 041 Vail Avenue YYYY .._......�. NSURED PATRSER-of ������ � Landmark dRfisakk American Ins. C Commerce CA 90040 INSU' ER D United Spec! Sty Insurance COVERAGES CERTIFICATE NUMBER: 1685209636 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. __...m�_ _.... R ..... _.� INSR TYPE OF INSURANCE LTR% DD S SR _.. POLICY NUMBER PIOLICDY EFF MPIOd/LDFd EXP LIMBS A X CO MMERCUILGENERALLIABILITY Y Y CSIEL01148-01 2/10/2025 2/10/2026 EACH OCCURRENCE $1,000,000 - ITITIT CLAIMS -MADE � OCCUR -Iw'i� Imo. d`F 1 PREMISES iEa,occurranco IT....IT.. $ 100,000 MED EXP (Any one person .......��... $ 10,000 �...-................... .�.- ......................_... ...._......�,... PERSONAL & ADV INJURY .........-.. $ 1,000.000 .�.-....-.-. -- BEN: L. ......_.--- ......... ....�. AGGREGATE LIMIT APPLIES PER: AGGREGATE GENERAL . -- ... $ 2,000.000 p.., _------- Xq POLICY PRO- ❑ JEST ❑ LOC PRODUCTS - COMP/OP AGG T $ 2,000,000 S_ OTHER: Pollution Liability $2,000,000 B AUTOMOBILE LIABILITY Y BAP2017172-19 2/10/2025 2/10/2026 COMBINE D SWGLE LIMIT 4 d�ngl $1,000,000 _....... .. ANY AUTO - BODILY INJURY (Per person) . ...... ....... $ ......_.... .•._.-. OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED NON -OWNED rx", PlrrilTaAMAGE. -•-- $ AUTOS ONLY AUTOS ONLY •-••- -------- .--- $ A UMBRELLA LIAR X OCCUR CSIXEL00443-01 2/10/2025 2/10/2026 EACH OCCURRENCE $ 2,000,000 C - — D X EXCESS LIAB CLAIMS -MADE LHA66066 13785995 4/1/2025 4/1/2025 2/10/2026 2/10/2026 AGGREGATE ._. ...�- $ 2.000,000 ..---_....-.......�., _ DED RETENT ION $ QS - 2nd Layer Excess $ 7,p00,000 WORKERS COMPENSATION STATUTE ERRH- _.._. ..� AND EMPLOYERS' LIABIL R/ Y / N ANYPROPRIETORIPARTNER/EXECUTIVE ID E L EACH ACCIDENT $ ....... OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) NIA` E L DISEASE - EMPLOYEE _, -SEA $ If yes, describe under DESCRIPTION OF OPERATIONS below '.. E L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I'VE'HICLES (ACORO fOl, AddNtlonal Remarks Schedule, may be affached If more space is requi'rod) The certificate holderis nanled as additional) insured on the general llabliltylPollution liability per attached CG20100704 and auto liability per BENV CA 06 09 17. Waiver of subrogation applies per attached CSIEL0000017. Coverage Is primary and noncontributory per CSIEL0000013 Additional insured: City of El Segundo, is elected officials„ and appointed officials, employees and volunteers CIO N Forim 2MM Excess Follows (GL/ALlPollubon) ) QS 2nd Layer Excess Follows Form (GUAL) C. _00 It 41 7P K K"�A CERTIFICATE HOLDER _ ......... CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo CA 90245 AUTHORIZED REPRESENTATIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Policy Number: CSIEL01148-01 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 Policy Number: CSIEL01148-01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY CONTRACTORS POLLUTION LIABILITY TRANSPORTATION POLLUTION LIABILITY We waive any right of recovery against the person(s) or organization(s) shown in the Schedule below because of payments we make under this policy. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule below. SCHEDULE Name of Person or Organization: If no person or organization is entered in the Schedule above, then the waiver applies to, any person or organization that is: (1) An owner of real or personal property on which you are performing operations, but only at the specific written request by that person or organization to you, and only if: (a) That request is made prior to the date your operations for that person or organization commenced; and (b) A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker; or (2) A contractor on whose behalf you are performing operations, but only at the specific written request by that person or organization to you, and only if: (a) That request is made prior to the date your operations for that person or organization commenced; and (b) A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker. All other terms and conditions of this policy remain unchanged. CSI EL 000 0017 Page 1 of 1 Policy Number: CSIEL01148-01 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 Name Of Additional Insured Person(s) Or Or anization s : Location(s) Of Covered Operations Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an Additional insured. However, this status exists only for the specified in that contract. -project Information required to complete this Schedule„ if notshown above„ will be shown in the Declarations. 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: 1. 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 BENV CA 06 09 17 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. BUSINESS AUTO — ADDITIONAL INSURED WHEN REQUIRED BY CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section II - Liability Coverage A. - Coverage, 1. Who is an Insured, is amended to add: d. Any person or organization to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into, excluding contracts or agreements for professional services, which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of: 1. The coverage and/or limits of this policy; or 2. The coverage and/or limits required by said contract or agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. Includes copyrighted material of Insurance Services Office, Inc., with its permission„ BENV CA 06 09 17 Page 1 of 1 C O6/06I06CERTIFICATE OF LIABILITY INSURANCE DATE //2D025 ,Y ��„ 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 NAMES Francine E�s�Caldsrpa PHONE 916 645-3333 (916) 645-7105 Cornerstone Associates Insurance Services A/C N o ( ) AfC Nor 521 Lincoln Blvd E-MAIL sz fran@cornerstoneinsurance.net ADDR INSURER(S) AFFORDING COVERAGE Lincoln CA 95648 INSURERA: National Casualty Company 11991 INSURED INSURER e Patriot Services, Inc„ INSURER o a P.O. Box 145 INSURER D : _ .....— Montebello CA 90640 INSURER E ; ----•—•----'..._-___ nn .s rdt° .,r ov11101nrr kit INA92CD, THIS IS TO CERTIFY THATTHE POLICIES OF IN 11 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. '..1'LTR TYPE OF INSURANCE DNSR yryD POLICY NUMBER 0 ICY EFF MM/OO/YYYM POLICY MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISES. Ea occurrence MED EXP (An one person) $ NOT WITH OUR AGENCY PERSONAL&ADV INJURY $ G'EN't AGGREOATELIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS-COMP/OPAGG $ POLICY IRO LOC JECT OTHER COftD Ea =1 erASINGLEI LIMIT-- $ AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ ANYAUTO BODILY INJURY (Per accident) $ OWNED ' SCHEDULED NOT WITH OUR AGENCY AUTOS ONLY AUTOS HIRED NON -OWNED PRp ER. DAMAGE Prfe AraderftY $ AUTOS ONLY AUTOS ONLY H UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE NOT WITH OUR AGENCY AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION X STA UTE FRH- E.L. EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY Y / N A ANY PROPRIETOR/PARTNER/EXECUTIVE 1 y'1 N/A..... N/CC345088 06/01/2025 06/O1/2026 E.L.. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? :,.� (Mandatory In NH) DISEASE - POLICY LIMIT 1,000,000 $ ' If yes, descdbe under DESCRIPTION OF OPERATIONS below E.L... '.. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate is provided as proof of insurance referenced herein. 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. 350 Main Street AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD