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PROOF OF INSURANCE (2025 - 2026) CLOSED (2)
AC CERTIFICATE OF LIABILITY INSURANCE =713OJ2025 I°°"r"' 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. IM R the certificate o er is an A N INSURED ' NSUR D, the policy ies must be en oirse lif SUBRO A IS WAI , sulxj t 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 NAlwp ..... HenrlCkS Unique p L Ext) 949-305 5577 �'FA NCI PttOI 949 305 5011 77 Suite H37isk Management and Insurance Services LLC AiC No„s scottcunlquernsk a orvt 23052 Alicia Pkw ,ADDRESS,,: Y INSURER(S) AFFORDING COVERAGE NAIC # Mission Viejo CA 92692 INSURER A NORTHFIELD INS CO 27987 INSURED M. Pino & Associates Inc INSURER B STATE COMPENSATION INS FUND 35076 INSURER C . AI -Say Specialty Insurance Company .. .. ........ 27475 Ynez Rd #234 INsuRERR D Hlscox Insurance Company 1.........0200.. _. INSURE E Temecula CA 92591-4612 INSURER F . r o^4%1=nA,r* 0 r-G0TICfrATR inJI IUMPP• 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. _._ ._.. _ t1L",SUBR "POLICY-EFF " POTTCYEXP 7.....,�... ._. 1LT R TYPE OF INSURANCE POLICY NUMBER MMCDDIYYYY MMIODrYYYY ( LIMITS L'GR NNSO e'4h�0 I ) ) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ...._ ." CLAIMS -MADE a C 1OCCUR .D CE r0�1 RENTED PREMISES (La aamurreacce) $ 100,000 MED EXP (Any one person) $ 5,000 A W5638700 1/10/2025 1/10/2026 PERSONAL & ADVINJURY $ excluded ...'. GEN'L AGGREGATE LIMI...,,. .......... ....... " IT APPLIES PER. AGGREGATE µ,GENERALAGGREGA_. .... $ 2 00b 000 -..........,. .... ... ..... X ILOC POLICY k Ci PRODUCTS- COMPIOP AGG $ 2,000 ...... ....,�.. ..- ' AUTOMOBILE LIABILITY E,q,accirYertl_ .. �.B $ �..$ ,... .. ANY AUTO BODILY INJURY (Per per son) ... $ ALL OWNED SCHEDULED vm, — JURY (Per accident) INJURY _��_._.mm� AUTOS NON -OWNED �BODILY�I PROPIwR T)A(AO'F $ "mIT HIRED AUTOS AUTOS ( en j " � W W $ LIAB OCCUR EACH OCCUR RENCE „ ---- ------ ^„UMBRELLA B C:I..dwtlMl"w°-Pv^IAOL EXCESS L A�, AGGREGAT _ �..,....... $ .. _...___ .. q _ .. DED RETENTION $ $ WORKERS COMPENSATION � il: F„TAiT'4V1 ER AND EMPLOYERS' LIABILITY YIN CCIDENT E L EACH ACCIDENT $ 1000000 B ANY PROPRIETOR/PARTNER/EXECUTIVE ��--y��� OFFICER/MEMBER EXCLUDED? NIA 9203645 1/26/2025 1/26/2026 '-- .. " 1- -- L '... a; (Mandatory in NH) DISEASE EA E (LIIMIT __ ..,... If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY $ 1,000,000 C Cyber Liability AB-6767597-01 3/28/2025 3/23/2026 Limit: $1.000,000 D Errors &Omissions 969980.24 9/8/2024 9/8/2025 Limit: $1,000000 MPL1 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is named as additional insured when required by contract. rFRTICIrATF 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 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 V 1988- 014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (CONTRACTORS) (Includes Products -Completed Operations When Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following is added to SECTION 11 - WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization; and c. Subject to the following limitations and conditions on the insurance provided to such additional insured: (1) If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in SECTION III - LIMITS OF INSURANCE. (2) The insurance provided to such additional insured does not apply to "bodily injury" or "property damage" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (3) The insurance provided to such additional insured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the written contract or agreement requires you to provide such coverage or the end of the policy period, whichever is earlier. (4) The insurance provided to such additional insured is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if the written contract or agreement requires that the insurance provided under this Coverage Part apply on a primary basis or a primary and non-contributory basis, then this insurance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that other insurance. But, the insurance provided to the additional insured still is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under such other insurance. S2802-CG (3/20) © 2020 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 (5) The additional insured must comply with the following duties: (a) Give us written notice as soon as practicable of an 'occurrence" which may result in a claim. To the extent possible, such notice should include: (1) How, when and where the "occurrence" took place; (ii) The names and addresses of any injured persons and witnesses; and (iii) The nature and location of any injury or damage arising out of the 'occurrence". (b) If a claim is made or "suit' is brought against the additional insured: (i) Immediately record the specifics of the claim or "suit' and the date received; and (ii) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit' as soon as practicable. (c) Immediately send us copies of all legal papers received in connection with the claim or "suit', cooperate with us in the investigation or settlement of the claim or defense against the "suit', and otherwise comply with all policy conditions. (d) Tender the defense and indemnity of any claim or "suit' to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to the additional insured is primary to other insurance available to the additional insured which covers that person or organization as a named insured. S2802-CG (3/20) © 2020 The Travelers Indemnity Company. All rights reserved. Page 2 of 2