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PROOF OF INSURANCE (2025 - 2026)DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/01/2025 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 Todd Hummer NAME: H2 Insurance Services Inc PHONE (800) 628-2882 C A/C No No): '(909) 266-0359 CA License #OC66703 ADDRESS: thummer@h2ins.com 2058 N Mills Ave #522 INSURER(S) AFFORDING COVERAGE NAIC # Claremont CA 91711 INSURERA: Mesa UW 36838 INSURED INSURER B : Evanston Insurance Company 35378 Certifix, Inc INSURER C : ty 32727 Hartford Casual I 1950 West Corporate Way INSURER D : Lloyd's 32727 Anaheim CA 92801-3824 1INSURERF: ......�.....�� ^0M 10le-AYE kit ta,1rrr ra. 24-25 PKG. EX. E&O 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. TYPE OF INSURANCE POLICY NUMBER MMCD Y P'F MMIDD LIMBS NSD WVD X...... COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 N'�REN�r41SS Ea oc�.ueW ncrs. $ 100,000 rA CLAIMS -MADE � OCCUR MED EXP (Any one person) $ 51000 Y Y MP0004002005015 08/29/2024 08/29/2025 PERSONAL & ADV INJURY $ 1,000,000 GEN't.AGGR:EGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 Xs POLICY PRO- ❑ LOC JEC1" PRODUCTS- COMP/OPAGG $ Included OTHER: I EOI�q INED INGLE7LWit'�6" $ j AUTOMOBILE LIABILITY BODILY INJURY (Per person) '.. $,U. ANYAUTO BODILY INJURY (Per accident) - $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAGE. Per acculenp $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB X1 OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LIAB CLAIMS -MADE Y Y EZXS3169930 08/29/2024 08/29/2025 AGGREGATE $ 2,000,000 X DED RETENTION $ $ PER IH- WORKERS COMPENSATION STATUTE E�R ER AND EMPLOYERS' LIABILITY $ 1,000,000 C ANY PROPRIETORIPARTNER/EXECUTIVE �Y/N —p �.�� � �� N/A Y 72WECBP1GLL 04/01/2025 04/ 01/2026 E.L EACH ACCIDENT OFFICER/MEMBEREXCLUDED? L_J (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT 1 000 000 $ ' If yes, describe under DESCRIPTION OF OPERATIONS below Errors & Omissions $2-000-000 p Errors and Omissions PSN0640060269 ' 08/23/2024 08/23/2025 Cyber Liabilty $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The City of El Segundo is listed as additional insured per written contract CERTIFICATE HOLDER k;Ar4UIZI_1_AI1Ur4 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 Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD MESA UNDERWRITERS SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY., LIMITED Al - PRIMARY NON-CONTRIBUTORY - WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Blanket Additional Insureds - As Required By Contract A. Subject to the Primary and Non -Contributory provision set forth in this endorsement, SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person or organization whom you have agreed in a written contract, written agreement or written permit 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 liability for "bodily injury" or "property damage" or, to the extent applicable under the Coverage Part to which this endorsement applies, "personal and advertising injury" caused, in whole or in part, by: Your ongoing operations, "your product", or premises owned or used by you; With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or, to the extent applicable under the Coverage Part to which this endorsement applies, "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services by or for you, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrong -doing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or, to the extent applicable under the Coverage Part to which this endorsement applies, the offense which caused the "personal and advertising injury", involved the rendering of, or failure to render, any professional architectural, engineering or surveying services. 2. Your maintenance, operation or use of equipment, other than aircraft, "auto" or watercraft, rented or leased to you by such person or organization. A person or organization's status as an additional insured under this endorsement ends when their contract, or agreement with you for such rented or leased equipment ends. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the rental agreement or equipment lease expires. The provisions of this coverage extension do not apply unless the written contract or written agreement has been executed (executed means signed by the named insured) or written permit issued prior to the "bodily injury" or "property damage" or, to the extent applicable under the Coverage Part to which this endorsement applies, "personal and advertising injury'. MUS 01 01 20127 0316 Insured Copy Page 1 of 2 Primary and Non -Contributory Provision The following is added to Paragraph 4.Other Insurance, b. Excess Insurance under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance shall be excess with respect to any person or organization included as an additional insured under this policy, any other insurance that person or organization has shall be primary with respect to this insurance, unless: 1) The additional insured is a Named Insured under such other insurance; 2) You have agreed in a written contract, written agreement or written permit to include that additional insured on your General Liability policy on a primary and/or non-contributory basis; 3) The written contract or written agreement has been executed (executed means signed by the named insured) or written permit issued prior to the "bodily injury' or "property damage" or, to the extent applicable under the Coverage Part to which this endorsement applies, "personal and advertising injury"; and 4) With respect to indemnity, you have been adjudicated liable in full for the "bodily injury' or "property damage" or, to the extent applicable under the Coverage Part to which this endorsement applies, "personal and advertising injury". Waiver Of Transfer Of Rights Of Recovery The following is added to Paragraph 8. Transfer of Rights Of Recovery Against Others To Us under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: We will waive any right of recovery we may have against a person or organization because of payments we make for "bodily injury' or "property damage" arising out of your ongoing operations or "your work" done under a written contract or written agreement and included in the "products -completed operations hazard", if: You have agreed to waive any right of recovery against that person or organization in a written contract or written agreement; 2. Such person or organization is an additional insured on your policy; or 3. You have assumed the liability of that person or organization in that same contract, and it is an "insured contract'. The section above only applies to that person or organization identified above, and only if the "bodily injury' or "property damage" occurs subsequent to the execution of the written contract or written agreement. All other terms and conditions of this policy remain unchanged, MUS 01 01 20127 0316 Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT Policy Number: 72 WEC BP1 GLL Endorsement Number: Effective Date: 04/01/25 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: CERTIFIX , INC 1950 W CORPORATE WAY ANAHEIM CA 92801 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. Endorsement is not applicable in KY, NH, NJ or for any MO construction risk Countersigned by Authorized Representative Form WC 00 03 13 Printed in U.S.A. Process Date: 03/14/25 Policy Expiration Date: 04/01/26