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PROOF OF INSURANCE (2025 - 2026)ryq, DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/90/2025 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 CONTACT NAME -....__.... AOn Risk Insurance Services West, Inc. -T (gbE) 283 7122 1 FA;T Cg00) 363-0105 San Francisco CA Office (AG .EXI):(Aya 425 Market Street �E-Mai-� Suite 2800 ADDRESS: San Francisco CA 94105 USA INSURER(S) AFFORDING COVERAGE NAIC N INSURED Lyft, Inc. 185 Berry Street Suite 400 San Francisco CA 94107-2503 USA INSURERA: Old Republic union Insurance Company 31143 INSURERB: Safety National Casualty Corp 15105 INSURER C.- INSURER D: INSURERE:.......�.._._.._.,.,., .,.........�._._,_.....�..�..�........................�....... �.. ............. _.._........m., INSURER F: nrtiir�c,Ax f`C0T1=1f'ATC nllla1l12F92« v7AI11001R;1R REVIGIrIN 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. Limits shown are as requested INSR LTA TYPE OF INSURANCE INSD ADDL SUM VO' WY POLICY NUMBER M+D'07YYYY MLVD0,YyYY$ LIMITS 'A X COMMERCIAL GENERAL LIABILITY MwZY EACH OCCURRENCE $1, 000, 000 CLAIMS -MADE X OCCUR ......... SIR aPP1 i es perpolicy terns applies & condi ions `"$100 0.0...0.. MED EXP (Any one person) ._.......................-...... PERSONAL&ADV.INJURY $1,000,000 GENT AGCREGArL•' 1...1IMIT APPLIES PER: AGGREGATE m GENERAL AG $2 , 0UU , UUO ••••••,... ElJECT El LOG PRoouors-coMP/oPAGG $2,000,000 OTHER: AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY ( Per person) ....",.,..•.,, .......W ... �,� OWNED SCHEDULED BODILY INJURY (Per accident) w.... mmmmmm mm- AUTOS ONLY AUTOS PROPERTY DAMAGE HIREDAUTOS NON -OWNED (Peracciden[i ONLY ...._.. AUTOS ONLY ..�.�... _._.,...""... w. ..... UMBRELLA LIAB OCCUR EACH OCCURRENCE tEXCESSLIAB CLAIMS MADE L� AGGREGATE ..... ..............�.,,.ED FILTE'.NrkON B WORKERS COMPENSATION AND PRA406827 07/01 Y0 5 7/0I/'2026 X PER S"rA'rUTE OTH- EMPLOYERS' LIABILITY Y' r 1Wy ANY PROPRIETOR / PARTNER /EXECUTIVE I N -- ER E L EACH ACCIDENT •••• $1, 000, 000 . OFFICER/MII I (Mandatory In H EXCLUDED? {{{ 1 (Mandatory In NH) N/ A E.L. DISEASE -EA EMPLOYEE $1, 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below """"""""""""""" """"""•' E..L. DISEASE -POLICY LIMIT """""""'""""'�' $1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached II more space Is required) Proof of insurance for Lyft, Inc. RE: General Services Agreement between The City of El Segundo and Lyft, Inc. Any such coverage extended to the Additional Insured by the General Liability policy will apply as Primary and Non -Contributory, to the extent of liability assumed under contract. Waiver of Subrogation applies for General Liability and workers' Compensation coverages where required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE 350 Main Street E1 Segundo Co, 90245 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD `m c d N v 0 S ro rn m CO O r LO O Z N l0 w Cl U LYFT-XL-01 BSCH!-Ike 144C411:?R0 DATE (MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 9/17/2024 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(ie d.. __....____ _.. .... s) 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 Alliant Insurance Services, Inc. 3850 N Causeway Blvd Suite 1150 Metairie, LA 70002 INSURED Lyft, Inc. 185 Berry St #400 San Francisco, CA 94107 A:M B: INSURER D : COVERAGES CERTIFICATE NUMBER: .........� REVISION NUMBI R, I. ...... _...... 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 TYPE OF INSURANCE �ADDL�SUB._, ............... .. .............F _._.._. ...... ,,,,,.... ....... .. .....,_. _ .......... R� POLICY NUMBER POLICY EFF POLICY EXP LIMITS . _ .. __...� Id J6Ayt?. AYE ........ I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE,_, $ ___ . CLAIMS -MADE OCCUR RENTED REM13E,5AI ii P�r� mmw) $ .. ...,..r._..__m__..___ _._ ......... MED EXPDAMAGE T„ny one.person,) 8 L PERSQNA.., , L"sEN'LAGGREGATE LIMIT APPLIES PER: G,E.NERALAGGREGATE, POLICY LOC PRODUCTS - CO,MPlOP AGG, $ f PE ..._ _....................... �I $�.,,........... __ ... HEAR, OMBBh98:,U)'StlRt1CwLE14MGT AUTOMOBILE U ANY AUTO ....... _ ...._. f�,,a'a(d fnntl ....... TOM OBILE LIABILITY BODILY INdUIRY (Per Pe „ on) $ ... ..., ......... -� OWNED SCHEDULED AUTOS ONLY N� AUTOS BODILY INJURY (Peraccidenl)� S p HIRED NO 10%NEP P�OPERIY DAMAGE .. AUTOS ONLY ....._ At,f'fOS NLY .�(.e acc�de.nf,),,,,, $.............. 4 .. ..w..........._ ...._.:.m.... ................. .....I $ OCC UMBRELLA LIAB CLAIMS MADE EACH O CURRENCE -- $. M, ,,, EXCESS LIAB UR AN ......... ... ......... ,. .. DIED RETENTION $ ......, ...; S WORKERS COMPENSATION Y / N P PER I OTH ANY PROPRIE ORIPARBILITYTNER/EXECUTIVE I T WU EACH ��-T.A R.R. - ... in NH y / ° ACCIDENT $ ' OFFICER/MEMBER Mancharin NHEXCLUDED? NIA` � , ,PI t� ' "„!� '" ,( r d ( E..L DISEASE, EAwEMPLOYEE� $ ........ _... __ If yes, describe under DESCRIPTION OF OPER.ATIOhS below ... E.L. DlSEASE� • POLICY LIMIT _._. CABA2T6624548270 _.. � mmnnnmm 1,000,000 A Symbol 10IPrimary „.� � 10/1/2024 10/1/2025 Period 2/CSL 1,000,000 A Symbol 10/Primary CABA3T6624548270 "` µ 10/1/2024 1011/2025 Period 3/CSL W DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORiO 101, Additional Remarks Schedule, may bye atlasched if snore space �is requ+red) The Auto Physical Damage limits are provided under Period 2 and Period! 3 policies and will be ACV or the Cost of Repair„ whichever is less, less the $2,500 deductible. Policy for Period 3 includes UM/UIM $1,000,000 CSL Proof of insurance for Lyft, Inc. re: General Service Agreement between The City of El Sungundo and Lyft, Inc. Any such coverage extended to the additional insured will apply as primary and non-contributory, to the extent of liability assumed under contract. Waiver of subroation applies for g pp Automobile Liability coverage where required by written contract, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 ----- .......mr,.. AUTHORIZED REPRESENTATIVE ._ ----------- --- _. ...._ _. .......... ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CABA2T6624548270 EFFECTIVE DATE: 10/01 /2024 COMMERCIAL AUTO MCA A 011 0622 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE (Name Of Additional Insured Person(s) Or Organ ization(s): Any person or organization where required by regulation, statute, ordinance, or to the extent required by contract or agreement. As required to provide additional insured status on a primary, noncontributory basis, in a written contract or written agreement executed prior to loss, except where such contract or agreement is prohibited by law. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who is an Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, when you and such person or organization have agreed in writing, in a contract or agreement, that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to their liability for "bodily injury" or "property damage" to which this insurance applies, caused in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; and caused by an "accident" resulting from the ownership, maintenance or use of a covered "auto". However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by contract or agreement to provide such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your written contract or agreement for the additional insured shown in the Schedule has been fulfilled or expires or this Policy expires, whichever date is earlier. B. Primary And Noncontributory Insurance This insurance is primary and will not seek contribution from any other insurance available to the additional insured shown in the Schedule, provided that: MCA A 011 0622 Includes copyrighted material of Insurance Service Office,lnc., Page 1 of 2 with its permission. 1. The additional insured is a Named Insured under such other insurance; and 2. You have agreed in writing, in a contract or agreement, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. C. The following condition is added to Paragraph B. General Conditions: Waiver Of Subrogation We waive any right of recovery we may have against the additional insured shown in the Schedule because of payments we make for "bodily injury" or "property damage": a. As a result of your written contract or written agreement with the additional insured; and b. Arising out of an "accident' resulting from the ownership, maintenance or use of a covered "auto". This Waiver of Subrogation applies only to the additional insured shown in the Schedule. D. SECTION II — COVERED AUTOS LIABILITY COVERAGE, C. Limit Of Insurance is amended to add the following: With respect to the insurance afforded to the additional insured shown in the Schedule, the most we will pay on behalf of the additional insured shown in the Schedule is the amount of insurance: a. Required by the contract or agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. E. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Includes copyrighted material of Insurance Service Office,lnc., MCA A 011 0622 with its permission. POLICY NUMBER: CABA3T6624548270 EFFECTIVE DATE: 10/01 /2024 COMMERCIAL AUTO MCA A 011 0622 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ,� � • � � � � • � � � � • "" 1.1 �►' This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name Of Additional Insured Person(s) Or Organ ization(s): Any person or organization where required by regulation, statute, ordinance, or to the extent required by contract or agreement. As required to provide additional insured status on a primary, noncontributory basis, in a written contract or written agreement executed prior to loss, except where such contract or agreement is prohibited by law. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who is an Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, when you and such person or organization have agreed in writing, in a contract or agreement, that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to their liability for "bodily injury" or "property damage" to which this insurance applies, caused in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; and caused by an "accident" resulting from the ownership, maintenance or use of a covered "auto". However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by contract or agreement to provide such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your written contract or agreement for the additional insured shown in the Schedule has been fulfilled or expires or this Policy expires, whichever date is earlier. B. Primary And Noncontributory Insurance This insurance is primary and will not seek contribution from any other insurance available to the additional insured shown in the Schedule, provided that: MCA A 011 0622 Includes copyrighted material of Insurance Service Office,lnc., Page 1 of 2 with its permission. 1. The additional insured is a Named Insured under such other insurance; and 2. You have agreed in writing, in a contract or agreement, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. C. The following condition is added to Paragraph B. General Conditions: Waiver Of Subrogation We waive any right of recovery we may have against the additional insured shown in the Schedule because of payments we make for "bodily injury" or "property damage": a. Asa result of your written contractor written agreement with the additional insured; and b. Arising out of an "accident" resulting from the ownership, maintenance or use of a covered "auto". This Waiver of Subrogation applies only to the additional insured shown in the Schedule. D. SECTION II — COVERED AUTOS LIABILITY COVERAGE, C. Limit Of Insurance is amended to add the following: With respect to the insurance afforded to the additional insured shown in the Schedule, the most we will pay on behalf of the additional insured shown in the Schedule is the amount of insurance: a. Required by the contract or agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. E. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Includes copyrighted material of Insurance Service Office,lnc., MCA A 011 0622 with its permission. POLICY NUMBER:CABA2T6624548270 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF FIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Lyft, Inc. Endorsement Effective Date: 10/01 /2024 SCHEDULE Name(s) Of Person(s) Or Organ ization(s) -, Any person or organization where required by regulation, statute, ordinance, or to the extent required by contract or agreement. inforrnation required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the 'loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER:CABA3T6624548270 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF FIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVED OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Lyft, Inc. Endorsement Effective Date: 10/01 /2024 SCHEDULE Name(s) Of Person(s) Or Organiation(s): Any person or organization ordinance, or to the extent required by contract or agreement. required by regulation, statute, Information required to complete this Schedule;, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the 'loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1