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PROOF OF INSURANCE (2026)DATE (MM/DDIYYYY) A� CERTIFICATE OF LIABILITY INSURANCE - 7/2/2025 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 CONTACfi' Arthur J. Gallagher Risk Management Services, LLC PHONE 432 570 6 i FAX lira) 432 570-3450 Six Desta Drive, Suite 5900 I4ro„ No, Ewf),,, 345 E-MAIL Midland TX 79705 ADDRE�S,.,.. -m— wsuRERn:.Travelers Prop rt, 25674yCasualtyCOOfAme INSURED CATALIS-01 INSURER B : Charter Oak Fire Insurance COmpan�y � 25615 Catalis Public Works & Citizen Engagement, LLC. INsuRE,Rc , " Phoenix Insurance Company 25623 3025 Windward Plaza Ste 200 mm.. Alpharetta GA 30005 ce Company Inc 23140 wsuRERE: Travelers IdndemniteComuan mm............. y .. P ..y ,,. 25658 ,.. INSURER F . ,•.......�...w,.,.rrr .+rr.T�rrn wT� •.ee reaira c,ry, r r rre:rrara es wars RFVICIf*im IJIIMRFR• 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. ILTR -'�,. TYPE OF INSURANCE....... .--... A Y8:1 •SkI Sn D , ,..POLICY NUMBER �... MMIDDY E FF '�MMiCDONICY YYY LIMITS C X j COMMERCIAL GENERAL LIABILITY I Y Y H-630-2Y488107-PHX 25 f 5/20/2025 5/20/2026 EACH OCCURRENCE $ 1,000,000 . -bAMAGf='YCi CLAIMS -MADE X !OCCUR s R�IVi`LU... i as 1p R pr j 300 000 .� j n one 0 000 M D EIXP�A person) $ 1, I PERSONAL & ADV INJURY $ 1 000 000 .... _._ . j GEN'L AGGREGATE.. , ........ LIMIT APPLIES PER: 0 GENERAL.AGGREGATE $ 2,00.000 ... X PRO; POLICY ❑ LOC PRODUCTS COMP/OP AGG $ 2,000 000 dEG..6 � CATI;FIt $ ...., COMBINED B AUTOMOBILE LIABILITY Y I Y I BA-2Y489952-25-13-G 5/20/2025 5/20/2026 ) i $ 1 000 000 -------------- BODILYINJURY (Per pe rson) i$X ANY AUTO. 1� OWNED SCHEDULED ( 1 BODILY INJURY (Per accident) $ ` AUTOS ONLY AUTOS j - -- NON -OWNED 1 ` PR'OP�LR'TY OAJACs'E '— HIRED $ X X AUTOS ONLY ,i AUTOS ONLY f VPw aq `�?t1 1 A X = UMBRELLA LAB T X Y Y OCCUR CUP-3Y654799-25-I3 j 5/20/2025 5/20/2026 EACH OCCURRENCE $ 10 000,000 ., ... ...... ...... _._ EXCESS LAB CLAIMS -MADE t . AGGREGATE $ 10 000 000 _- ........ ......... DED 1 X I RET ENTION $ - � $ E WORKERS COMPENSATION Y PERi{ UB-2Y488979-25-13-G 5/20/2025 5/20/2026 - t-_ STATUTE TE FRH AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N N ' E L EACH ACCIDENT $1,000 000 7 OFFICER/MEMBER EXCLUDED. NIA (Mandatory in E.L.DISEASE. ,,..... .. f �� �If es, describe uI nder Y E.L. DISEASE- POLICLIOMITE $ 1,000,000 f f E , DESCRIPTION OF OPERATIONS below D s Professional Liability Y i I AES1234141-02 5/20/2025 5/20/2026 Professional $5,000,000 ` ' Cyber $5,000.000 Cyber Liability Y I DESCRIPTION OF OPERATIONS I LOCATIONS d VEHICLES (ACORD 101, Additional Rarnafks Schedule, may be attached if more spate is required) Certificate Holder is an Additional Insured as respects to the General Liability, Automobile„ Cyber/professional policies, pursuant to the policy's terms, delbnil'ions„ conditions and exclusions, as per endorsement CG D4 17 edition (02 19) , CA T3 53 edition (02 15), and CYS 0122. Waiver of Subrogation applies to certificate holder, as respects to the General Liability, Automobile, Cyber/p'rofessional policies and Workers Compensation pursuant to the policy's terms„ definitions, conditions and exclusions, as ,per endorsement CG D4 17 edition (02 19), CA T3 53, edition (02 15), CYS 0122, WC00031300. The insurance provided in the General Liability, Automobile and Cyber policies are primary and noncontributing as per endorsement CG T1 00 edition (02 19), See Attached... CERTIFICATE HOLDER 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 St. El USA Segundo, CA 90245 AUTHORIZED�REENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CATALIS-01 .__........ .,, LOC #: C+ R AnnITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Arthur J. Gallagher Risk Management Services, LLC CataI's Public Works & Citizen Engagement, LLC. .._m .... 3025 Windward Plaza Ste 200 POLICY NUMBER Alpharetta GA 30005 CARRIER I NAIC CODE EFFECTIVE DATE: AnnITIn1JAI RFMAPKC ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rlgnts reservea. The ACORD name and logo are registered marks of ACORD