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PROOF OF INSURANCE (2025 - 2026)_ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 06/30/2025 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 HISCOX Inc. PHONE _m._ -m - (888)202-3007 5 Concourse Parkway E-MAILF I _ FAX Nai- Suite 2150 APQRbS C0!]!2 seox co¢tp Atlanta GA, 30328 INSURERS )AFFORDING COVERAGE _ _ NAIL# ..Q.Wco w. HISCOX Insurance Company Inc "10200 INSURED Corporate Health Education Solutions 26562 Via Cuervo Mission Viejo, CA 92691 i.wT� ur��wn cc5.. RFVICIntd NIIfIiRFl*° 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 A DL SU A POLICY OFF POLICY EXP" LIMBS R TYPE OF INSURANCE POLICY NUMBER M MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5 00O 200 CLAIMS -MADE X OCCUR _ffk7An�_R'0 _�"BAM . S.�..577:& Sk'? ^�, $ 100,000 _ """"• _..., MED EXP (Any one person) $ 5,000 A...._ Y Y P101.531.576.3 02/14/2025 02/14/2026 PERSONAL& ADV INJURY ........E $ 5,000,000 '.. -_...._ ......... ....._... _ ..GENEmm RALAGGREGAT $ S,000,OOO _G,EN,LAGGREGATELIMITAPPLIESPER:._.._......... X . POLICY JPROE'CT LOC PRODUCTS - COMP/OP AGG �..._.... $ S!T Gen. Agg. OTHER; C� M C�n(IL.i�8GI,E' LIMIT $ AUTOMOBILE LIABILITY _ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED P101.531.576.3 02/14/2025 02/14/2026 BODILY INJURY (Per accident) $ A AUTOS AUTOS ' NON -OWNED X PROPERTY DAMAGE'. Pa $ ..,..,...._.--.......w',.. X HIREDAUTOS AUTOS a pEC). CGL HNOA i lrnil r $ 2,000,000 UMBRELLALUAB '..Ot::]CCUR EACH OCCURRENCE $ EXCESS LIAB CLAVMS-MADE - ......... AGGREGATE ._.. ._..... ......... _...._... DED RETENTION $ WORKERS COMPENSATION PER OTH- ST T, ER ........ AND EMPLOYERS' LIABILITY Y / N EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE E.L OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) N / A E L DISEASE - EA EMPLOYEE $ If yes, describe under ,DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City of El Segundo, its officers, agents, employees and volunteers are included as additional insured. CERTIFICATE HOLDER t, AN(; LLA11lVN City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main StreetTHE EXPIRATION DATETHEREOF, El Segundo, CA 90245 ACCORDANCE WITH TE WILL BE DELIVERED IN HE POLICY PROVISIONS. '.. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD "..�,., 1 DATE (MMIDDIYYY ) 40 " CERTIFICATE OF LIABILITY INSURANCE 06/30/2025 THIS, CERTIFICATE 19 199111D AS A MMER UP IRFORMATION MY -ARD CONFERS NO 1116FITS UFUN TRE CERTIFIC, kTE HOLDER. TR19 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 .....�. ....m.. FAX Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA PHONE �_(888) 202-3007 "" .. c NeZ 5 Concourse Parkway EAAIL .� """" Suite 2150 r,D1rREs , ." niaG h1SCox com Atlanta GA, 30328 INSURER(S)AFFORDING COVERAGE ............ NAIC# INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B :,",,.""""""...,__,......._.m..m.. .... Corporate Health Education Solutions INSURER c : -- 26562 Via Cuervo Mission Viejo, CA 92691 INSURER D . INSURER E INSURER F : COVERAGES CERTIFICATE 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. _....._. .S ........._......�. .,_.. ....... _ ... ._...� _..._... I1N$R ..AODL 5iJ'�B'R POLICY EFF POLICY EXPu.. TAR TYPE OF INSURANCE POLICY NUMBER MM MIDD LIMBS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ �. CLAIMS -MADE E] OCCUR IDAA�tA RENiTimiwlmu._... ®.I%Eh91SFL,c;;gyg,/,r,Enr .. $ _------- MEEX D P (Any one person) $ ........_-.--... PERSONAL & ADV INJURY $ GEN'L AGGREGATE_. LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO. POLICY ❑ PRO" LOC PRODUCTS COMP/OP AGG Iq_......._.-.-........ $ ..._.- ...._ $ OTHER: C SINGLE 9,tlMtlT $ AUTOMOBILE LIABILITY a aac d n BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ..----" AUTOS NON -OWNED PROPERTY DAMAGE •••••— -- $ HIRED AUTOS AUTOS UMBRELLALWB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEO RETENTION $ $ WORKERS COMPENSATION PER TH- EOR ••••,,,, AND EMPLOYERS' LIABILITY Y❑ ' """""_' ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED7 A NIA E.L.EEAACHCH ACCCIDENT _ •"•" (Mandatory In NH) E.L, DISEASE EA EMPLOYEE -. $ If yes, describe under DESCRIPTION OF OPERATIONS below E L" DISEASE -POLICY LIMIT $ A Professional Liability Y P100.690.440.8 10/27/2024 10/27/2025 Each Claim: $ 2,000.000 Aggregate: $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of El Segundo, its officers, agents, employees and volunteers are included as additional insured. CANCELLATION City of El Segundo 350 Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 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 NAME. Acrisure Southwest Partners Insurance Services, LLC PHONE Loi94 -365- 1 4000 Westerly Place �')I r5isure.tn( N` Suite 110 ..�i._.............. �W _ _. Newport Beach CA 92660 INSURER AFFORDING COVERAGE ,,. ......., _........... ........ LicensejtJIB:j801370 INSU,RERA: Ohio Securi Insurance Company INSURED CORPHEA-01 INSURER B Corporate Health Education Solutions, LLC 27941 Avenida Armijo INI SURER C Laguna Niguel CA 92677 INSURER 0: ..... INSURER E : NSURERF: COVERAGES CERTIFICATE 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. mPOLYCY ....._ ... .... INSR AO Li aR PCILVCY EFF EXP LIMITS LTR TYPE OF INSURANCE'. PO!LN'CY NUMBER D M' [? COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE E. OCCUR PREMIISES /Ea ccunerno,;0p,,,,, _ $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO LOC JEOT......... PRODUCTS COMPIOP AGG ......... $ -... $ OTHER, ED d N/'•GGLE LIMIT $ AUTOMOBILE LIABILITY gaaMel ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED ••••� PROPERTY DA4rtAGE ............. ....-.. $ AUTOS ONLY AUTOS ONLY p ct a: _.. .......... ....... ..... UMBRELIALIAB OCCUR EACH OCCURRENCE $_,....._.'. EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION $ $ A WORKERS COMPENSATION XWS62648215 2/1/2025 2/1/2026 'X PER oTH STATUTE _. ER ,,,,,,,,,,,_,,,,,,,,,,, .„,. Y AND EMPLOYERS'LWBILnYIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? ❑ E.L. DISEASE EA EMPLOYEE. $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below �N/A E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Proof of Insurance. Event date: 10/02/2025. Address: 300 E Pine Ave, El Segundo, CA 90245. City of El Segundo 350 Main St El Segundo CA 90245 ACORD 25 (2016/03) CANC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD