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PROOF OF INSURANCE (2025)
0 DATE (MM/DDIYYYY) ACCORDO CERTIFICATE OF LIABILITY INSURANCE 0311412025 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 CONTACT MARSH USA LLC. _ mm ... ,,, PHONE AX 1050 CONNECTICUT AVENUE, SUITE 700 (g ig F (1 "__"""_- - _,, LA/ No WASHINGTON, DC 20036-5386N4r�. INSURER(SAFFORDING COVERAGE NAIC C_N115487564—Techw24-25 """" mm""""" """ " n w INSURER H�?TFQR _I"N,1URANCECO """"" """"""" 19662 INSURED .�......" INSURER B : Trumbull Inurance Com an 27120 Avenu Holdings, LLC " —y 5860 Trinity Parkway, Suite 120 INSURER C : HSdgid$.U811)l 108.429424 Centreville, VA 20120 INSURERD: 19445 INSURER E : I andmark Ameriran Insurance Comoanv 33138 r+^X)OM n 'Me rC0r1C1f Ar0 KII IRAMCD• r l C nn7117Asao.I I RFVICIAN NI IMRFR• n THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ........................ .m . .......... ......._ .. . .___...._ INSR A661C R' POLICYEFF = POLICY LIMITS LTR TYPE OF INSURANCE POLICY NUMBER OD.. MWOD YY. A X COMMERCIAL GENERAL 1000NBK2KZB 03/15/2025 09/01/2025 EACHOCCURRENCE 1,000,000 G "LIABILITY .m CLAIMS -MADE X OCCUR 1000NDS3553 (NY Only) 02/05/2025 09/01/2025 . a�IvfEl7 PREMISES Ea o Curren ea� •$••••• 300,000 MED EXP (Any one person) -, "$ .......... ........ ..."...,. .�,.-.--........ . PERSONAL & ADV INJURY "GENERALAGGREGATE $ 1,000,000 GEN'LAGGREGATELIMITAPP�LIE�SPER $ 2,000,000 X POLICY ❑ PRO- L `J LOC tECT "PRODUCTS - COMP/OP AGG _......... $ 2,000.000 $ OTHER: I B AUTOMOBILE LIABILITY 1OUENBK2LOM 03/15/2025 09/01/2025 COMBINED SUNGLE LtMIT ( featt. m $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ „ AUTOS ONLY AUTOS HIRED NON -OWNED PAdi ERTYDAMAGE $ AUTOS ONLY AUTOS ONLY .1 PK .' ; .bnt) -. ................__. C X UMBRELLALIAB X OCCUR 10RHUBMlRFK 03/15/2025 09/01/2025 EACH OCCURRENCE $ _ 10,000,000 ..... EXCESS LIAB'... CLAIMS -MADE AGGREGATE $ 10,000,000 DED I I RETENTION $ $ F WORKERS COMPENSATION 1OWEAE7C2X 03/15/2025 09/01/2025 PER oTH- X �4L ?E ER AND EMPLOYERS' LIABILITY _IL """"""""""" 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE �YIN OFFICER/MEMBEREXCLUDED? Lmmm._,I (Mandatory in NH) NIA E.L. EACH ACCIDENT """""""""'""""� E.L. DISEASE - EA EMPLOYEE " .__... $ $ 1,000,000 .._ If yes, describe under_"""" DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Crime 02-582-85-35 12131/2024 12/31/2025 DED: $15,000 Limit: 2,000,000 E Tech E&O/Cyber LCY858672 06/13/2024 06/13/2025 DED: $100,000 Limit: 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of El Segundo, its agents, officers, servants and employees are named as additional insureds under the General Liability policy with respect to the operations and work performed by the named insured as required by written contract. CERTIFICATE HOLDER CANCELLATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: City Clerk THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 902450989 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD