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PROOF OF INSURANCE (2025 - 2026)M CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/21 /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. d/b/a/ Hiscox Insurance Agency in CA NAMNE ... FAx PH (888) 202-3007 (Arc N 5 Concourse Parkway tE-MAIL Fes) t Suite 2150 &Drab s: coltitacl@hiI Dxmco — Atlanta GA, 30328 _„ INS gRER(§)AFFORDINGCOVERAGE ............... NAIC# 1MQ11 WO A . Hiscox Insurance Comoanv Inc 10200 INSURED TINOSI, INC 1035 Arroyo Verde Rd #C South Pasadena, CA 91030 �I %IMMAA^_'CC` rcoTICIPATC hl I1IUtrII.r-0- RFVI.glfltd NtIMRFR- 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 ADO SU'f3R. POLICY MMLDICD/ YY LTR TYPE OF INSURANCE POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2000,000 XPREMISES$ �. CLAIMS -MADE OCCUR (Eaoccurrencal ITITITITITIT,„.,,, „- X CGL is on BOP Form MED ExP (Anyone person) Is 5,000 A Y Y P100.385.631.6 07/10/2025 07/10/2026 PERSONAL& ADV INJURY I $ 2,000,00000 GLN L AGGREGATE LIMIT APPLIES PER: GGREGATE GENERAL AGGREGATE OO ' $ 2 OOO,O.-----_ X POLICY E JECTPRO- E LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT CSk9S'BINE INE ..1 Af91 $ - ................ ANY AUTO BODILY INJURY (Per person). $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED x BODILY INJURY (Per accident) R OPERTY DAMAGE $ $ HIREDAUTOSLEAUTOS ..Ll"� �'at. accident) ...-- --- $ UMBRELLA LIAB OCCUR F_-[CLAIMS-MADE EACH OCCURRENCE $ EXCESS LIAR AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- ER AND EMPLOYERS' LIABILITY Y „STATUTE ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - Fr4 EMPLOYEE $ '.. If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability Y P100.384.022.6 07/10/2025 07/10/2026 Each Claim: $ 2,000,000 Aggregate: $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) City of El Segundo 350 Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE El Segundo, CA 90245 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 (2016/03) The ACORD name and logo are registered marks of ACORD Outlook Re: Tinosi, Inc. / City of El Segundo From Jason Call <jason@tinosi.com> Date Mon 7/21/2025 6:34 PM To Brennan, Sharon <sbrennan@elsegundo.org> @ 2 attachments (194 KB) id-card.pdf, PL_BOP_ACORD_CityofElSegundo_07_21_2025-2888860655156.pdf, Hi Sharon, Please find the attached insurance acord per the instructions. My auto insurance company, Geico, said that my present policy covers me when I visit clients since I am basically just a guest speaker, not a contractor doing physical work at your site. I'm attaching the proof of insurance again. Please let me know if you need anything else. Thank you! Respectfully, President & Lead Instructor Understand The Tool that Keeps You Safe! GasMonitorCompetence.com rww,hnked'n, o in asoncall 626-209-9644 Ta No Li ce uT nk book ube edln On Fri, Jul 18, 2025 at 4:33 PM Brennan, Sharon <sbrennan@elsegundo.org> wrote: Jason, Nice to speak with you today. As discussed, please send over the below insurance for your agreement with the City of El Segundo. Thank you! • General Liability Certificate of Insurance $1M/$2M per occurrence. Certificate Holder: City of El Segundo, its elected and appointed officials, employees, and volunteers, 350 Main Street, El Segundo,CA 9024S o Business Auto Insurance $11VI Professional Liability $11VI Best, Sharon Mary Sharon Brennan I Risk Manager City of El Segundo 350 Main Street • El Segundo, CA 90245 mobile: 310-426-0093 office: 310-524-2332 1 sbrennan@elsegundo.org I elsegundo.org The information transmitted in this email is intended only for the person or entity to which it is addressed. This email may contain proprietary, business -confidential and/or privileged material. If you are not the intended recipient of this message, be aware that any use, review, retransmission, distribution, reproduction or any action taken in reliance upon this message is strictly prohibited. If you received this in error, please contact the sender and delete the material from all electronic devices. Im ortant Information Here are your Policy Identification Cards We've provided two (2) cards for each vehicle on your policy. Need additional ID cards" The GEICO Mobile app is the quickest way to get additional ID cards. You can also send a copy of your ID cards to anyone that needs them right from the app! Evidence of Insurance Here are your Evidence of Liability Insurance Cards. Two cards have been provided for each vehicle insured. One card must be carried in the proper insured vehicle. Proof of insurance is required to register or renew the registration of your vehicle. A law enforcement officer can ask you to prove that you have liability insurance meeting the basic requirements of California law. A violation of these requirements can result in a fine of up to: $1,000 for the first time; $2,000 for additional times. Also, a judge can have your vehicle impounded. False proof of insurance may result in a fine up to $750 and 30 days in prison. Cut Along the Dotted Line x California Evidence of Liability Insurance a (3EIC GEICO General Insurance Company PO BOX 9506 Fredericksburg, VA 22403-9506 u a NAIL Code 2020 HYUNDAI IONIQ a 35882 Vehicle ID No _.... _. .......... � Policy Number Effective Date I Expiration Date d _......1/ a 0217 92-87-04 05/06/25 11 06/25 mmm ,I Named Insured(s) Address 1035 Arroyo Verde Rd Apt C Jason Gregory Call S Pasadena CA 91030-2961 I +'FOLD HERE FOLD HERE FOLD HERE FOLD HERE FOLD HERE FOLD HERE I IONIQ tl Addition...- _"....� .. al Drivers This policy complies with Sections 16056 or 16500.5 of the California Vehicle Code. i u 9 AND JASON G CALL 1035 ARROYO VERDE RD APT C S PASADENA CA 91030-2961 Cut Along the Dotted Line California Evidence of Liability Insurance (ir=1 0. GEICO General Insurance Company u PO BOX 9506 Fredericksburg, VA 22403-9506 2020 IQ 35882 Vehicle DNo I ION .. N N...............AIC ....e. Policy Number I Effective Date I Expiration Date _.. _... 1 /06/25 Named 9nsu2-87-04 05/06/25 red(s) Address _ a 1035 Arroyo Verde Rd Apt C i Jason Gregory Call S Pasadena CA 91030-2961 mFOLD HERE FOLD HERE FOLD HERE FOLD HERE FOLD HERE FOLD HERE 2020 HYUNDAII Additional Drivers I tl I tl 1 9 I � I 4 , N .............. This policy complies with Sections 16056 or1 _ 6500.5 of the California Vehicle Code. 0 n ' CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 07/21 /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. PRODUCER --- NAM Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA PHONE 844-357-0403 FAx 5 Concourse Parkway E-MAIL ntb.",.......... °._°° """"""""""""_ talc Nei Suite 2150 AQPRESSLSO rrtgt, hiscox.com ............ Atlanta GA, 30328 PRODUCER. INSURER{S) AFFORDING COVERAGE NAP ITITITITITU D 10200 INSURED INSURERA Hiscox Insurance Company Inc. TINOSI, INC INSURER B . ------------....._, ............. .., _......... _._._ 1035 Arroyo Verde Rd .. IN #C SURER C : _.. ... ....... _.,.,...... ......... South Pasadena, CA 91030 INSURER D : ......_____... ........... ............... INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER.: LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) 1035 Arroyo Verde Rd, South Pasadena, CA 91030 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY DATE (MM/DD/YYYY) DATE LIMITS LTR (MM/DD/YYYY) X PROPERTY BUILDING $ ..... CAUSES OF LOSS DEDUCTIBLES X PERSONAL PROPERTY $ $ 50,000 BASIC BUILDINGWWWWWWW"'' X BUSINESS INCOME $ - -- P100.385.631.6 07/10/2025 07/10/2026 X EXPENSE BROAD CONTENTSµmm EXTRA $ .. A X SPECIAL RENTAL VALUE ............ EARTHQUAKE BLANKET BUILDING $ .,......__...................._. .......... ..................... WIND BLANKET PERS PROP $ FLOOD BLANKET BLDG & PP $ ............ $ INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS $ POLICY NUMBER NAMED PERILS $ CRIME $ TYPE OF POLICY $ .... $ BOILER & MACHINERY/ $ ... EQUIPMENT BREAKDOWN .. .............ITITITITIT, $ $ SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 0 Main Street 35 0 MaiSegun St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1995-2015 ACORD CORPORATION. All rights reserved. ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD