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PROOF OF INSURANCE (2026 - 2026)
CERTIFICATE OF LIABILITY INSURANCE DAT6/30/2D/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 . CONTACT ..._._ ...._..-.....---. "L.AX ._ ......-..-.. PRODUCER N ME1 Erin Vlker _ Arthur J. Gallagher Risk Management Services, LLC Pt1oNF 877 73q 1222 Arc,N 1, 805645-8224 745 Francis Street Ed41A11. San Luis Obispo CA 93401 _, P19AR. 6.._............... ......... ..... NAIC # 1NFFORDING COVERAGE " --- I ( „ IqS RERR A : Underwriters at Lloyd's, London 32727 Key e Disposal & Recycling, _.. _... INSURED KEYDISP-01 LN1 11ER B Ke RI4k Insurance Corn On ...10885 LLC ___.. � fit.....-... ....�_....�... Y P INSURER c ° U laud S_aciallY_ Insurance omrart 16988 P.O. Box 459 Montebello CA 90640-0459 INSURER D . Insurance CoI ppnITy of the WestmmITITITT _• mm 27847 _ENSURER E Westchester Surplus, Lines. Ins.........�IT 1NSU�RER. F c COVERAGES CERTIFICATE NUMBER:21'36383218 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. NNSR, ............... TYPE OF INSURANCE ADOL tl. POLICY NUMBER PrOdi C Y•Y1t POL1C0" „ErX,t,, .. LIM......._.nS . ..._..... INSO LTTt A X COMMERCIAL GENERAL LIABILITY Y CSIEL01114-01 1/28/2025 1/28/2026 EACH OCCURRENCE $.1,000„000 .... �x I ..... CLAIMS -MADE II�J......, OCCUR PRMI.a cturen. ..... $' 100„000......_. ru -_ MED EXP Any one personlmm• $10,0'00 •• •_. ......... .".. ............ PERSONAL RADVINJURY 1,000,000 GEN"L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000,000 _- PRO- t PRODUCTS " COMPMP AGG $ 2 000,004 X POLIiCY' -�. JECT LOC ........._......�...-....--_ OTHER: Pollutlon Liabi0ty $ 1 000 000 B AUTOMOBILE LIABILITY BAP2036803-13 1/28/2025 1/28/2026 C MBVNEOSING-L LIMIT $1000000 BODILY Ix ANY AUTO INJURY (Per person) $ OWNED '.. SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY _...." AUTOSPROPE•RTY OAMA HIRED NON -OWNED GE $ AUTOS ONLY X AUTOS ONLYm--- $ A X UMBRELLALIAB 1.�l OCCUR CSIXELOO434-01 1/28/2025 1/28/2026 EACH OCCURRENCE $"5000,040 USXTL0853025 1/28/2025 1/28/2026 EXCESS LIAB C'LAIMSwM)ADE• AGGREGATE. $.5 000„000 WORKERS COMPENSATION WLV 5079160 01 4/3/2025 4/3/2026 X E T $ DED RE Lt�ITION GLIPo D �.P?AUTE R AND EMPLOYERS' LIABILrrY Y r N- ANYPROPRIETOR/PARTNER/EXECUTIVE I.......... I N / A E L. EACH ACCiDFN'r 51,0001000 OFFICER/MEMBER EXCLUDED? ('Mandatory in NH) O0„700 E.L..OISEASE"EAEts�tPLOYLF $1 O".._. _u DUes. describe under E.L. OISEA'SE • POLIr�Y LIMIT $' 1,000,000 DESCRIPTION OF OPERATIONS below E 2nd Layer Excess G48801079 001 4/14/2025 1/28/2026 Each Occurrence 4,000,000 Aggregate -XS 4,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS r VEHICLES (ACO-RD 1e1, Additional Remarks Schedule, may W at4aclwed if more spaao Is required) Certificate holder is listed as additional insured With respects to general liability per attached CG 20 10 07 04 Additional. Insure& The City of El Segundo, its elected and appointed officials, employees, and volunteers 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 ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Department 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 United States._ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 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 project specified in that contract. Information required to complete this Schedule„ if not shown above, %Rl 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