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PROOF OF INSURANCE (2026 - 2026)
A �p 0ATE(MN11DD/YY�ft'', �"VR CERTIFICATE OF LIABILITY INSURANCE 06/27/25 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 pollcy(ies) must 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 PRODUCER Bornstein Insurance 22850 Crenshaw Blvd., Ste., 203 Torrance, Ca 90505 INSURED EAGLE PROTECTION SERVICE, INC. DBA: EAGLE PROTECTION OF CALIFORNIA PO Box 1428 Torrance, CA 90505 310 320-9100 P"'.nvrp:°. ar-'cc. r'CDTICTIPA^r KII IA.AOCD' 0 Bornstein or Andrea Tre"o Edgings 0 325-4343U21(3"1C) 325-7037 bornins . com or andrea@borni.ns.com Integon National Insurance 15MACInK.l trio Ift AHie't3. 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. LTR TYPE OF INSURANCE IAI.. x C R h ! fYY"V"k' Pi?L4CY ;X YyY1 LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE -$ 11000,000 CLAIMS -MADE M', OCCUR DAMME IZ5 E" i SES L,nOrclfw api F $ 100 r7'}, RAPKG0002716 134/13/2025 y4/13/2026 YYX A y y PERSONAL 8 ADV INJURY $ 1 1000 1( GEN L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 5,000100 POLICY � Ea LOC 5,000,001 PanDUCTS-COMP/OPAGG T1 $ AUTOMOBILE LIABILITY '.. ANYAUTO 2003901412 06/01/2025 )6/D3/2026 BODILY INJURY (Per person) B ALLOWNED SCHEDULED - AUTOS AUTOS BODILY URY (Per accident) $$ X HIRED AUTOS NON -OWNED AUTOS PA PERTY DAMAI.q.E $ UMBRELLA LIAR OCCUR HCLAIMS-MADE I EACH OCCURRENCE AGGREGATE EXCESS UAB n cn -nN. WORKERS COMPENSATION ITf TUTE b H- ---- �AND EMPLOYERS' LIABILITY ... FL: EACH ACCIDENT „ ........�........ $ ANY PROPRIETOR/PARTNER/EXECUTIVE N/A•---, OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ............ E_,L, DISEASE- FA EMPLOYEE MIf 5 clgscribe under "' P+.,1PTI N OF OP RATIONS below G - PO ICY I IT DESCRI.PnON OF OPERATIONS I LOCATIONS / VO4ICJE.S (ACORD 101. Add6onal Ramarks Schedde, may/ be a4{a dif more sp- we i5 pOgryui�fetl) Certificate Holder is need as Additional Insured with respect to Commercial General Liability for services performed by the Named Insured, per Additonal Insured Endorsement Form CIS 20 10 12 19 and Form CG 20 37 12 19 with a Waiver of Subrogation, per Form 00 GLO510 00 08 09. City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE its officials, and employees THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk 350 Main Street, ROOM 5 AUTHORIZED REPRESENTATIVE El Segundo, CA 90245-3813 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BAPKG0002716 COMMERCIAL GENERAL LIABILITY CG 20 10 1219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON O ORGANIZATION This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) CITY OF EL SEGUNDO, ITS OFFICIALS AND EMPLOYEES Location(s) Of Covered Operations 350 MAIN STREET, ROOM 5 EL SEGUNDO, CALIFORNIA 90245-3813 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with, respect to liability for "bodily injury', "property, This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 2010 1219 POLICY NUMBER: BAPKG0002716 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations CITY OF EL SEGUNDO, ITS OFFICIALS AND 350 MAIN STREET, ROOM 5 EMPLOYEES EL SEGUNDO, CALIFORNIA 90245-3813 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury' or "property damage" caused, in whole or in part, by your work"' at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured 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 the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 3712 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NO. BAPKG0002716 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Person or Organization: THE PERSON, ORGANIZATION, TRUSTEE OR ESTATE TO WHOM YOU ARE OBLIGATED BY WRITTEN CONTRACT TO PROVIDE INSURANCE SUCH AS THAT AFFORDED BY THIS POLICY. 0 Contract Number: Description of Project: Location of Project: We waive any right of recovery we may have against the person or organization designated in the Schedule as subject to this endorsement because of payments we make for injury or damage arising out of work you perform under a contract with the designated person or organization. The waiver applies only to the designated person or organization and the work you perform must be under the contract, and for the project and location, designated in the Schedule. All other terms and conditions of the Policy remain unchanged. 00 GL0510 00 08 09 Page 1 of 1 ACC), CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIfYYY) 07/14/2025 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 NAlm"T�OT Autornatic Data Processing Insurance Agency, Inc. Automatic Data Processing Insurance Agency, Inc. IIiN rAIr. N.1„ 1-800 524-7024 -xl. 1 Adp Boulevard I. �."....._ _AI INSURER SIITAFFOROING COVLRAGIE HAfl Roseland NJ 07068 MNSURE'R A : State Compensation Insurance Fund 35076 .... .w............ .. - INSURED Eagle Protection Services Inc. INStNRER B „ INStq...REFk C 2700 W 182ND ST STE 201 INSURER D „ _ INSURER E... Torrance CA 90504 INSURE F COVERAGES CERTIFICATE NUMBER: 4427731 REVISION NUMBER: THIS 18 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. LTR PE O INSURANCE POLICY NUMEBER. MM�fDDdYYY ' `"""" --'� MM/OD/A''YYY. LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR .,� PRF.Mi,S r�E y oca�v�,rrn[�rJ_,-_ $ ......... MED EXP (Any one peTsorn) $ PERSONAL & ADV INJURY $ _.,...---... GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE... $ ❑ P'Rt'T POLICY LOC JEC'... PRODUCTS COMP/OPAGG ........................ $ C1"P"b�E'ri $ AUTOMOBILE LIABILITY COMBINED SN(—.,LE. L.I M I $ ANY AUTO BODILY INJURY (Per person) $ OWNED . '' ,.._.....--mow....... BODILY INJURY (Per accident) ........ $ ASCHEDULED AUTOS ONLY UTOS HIRED NON -OWNED -PR/TT TY DAMAG AUTOS ONLY „ AUTOS ONLY _(_Pere%f_dAn a UMBRELLA LIAB OCCUR EACH OCCURRENCE 1-'DE EXCESS LIAB _- _.,............. CLAIMS MAptw AGGREGATE AGGR -. $ .�.._...,....,.. D RET.ENTION $$ A VKJKKtKS GUMPENSA I ION AND EMPLOYERS' LIABILITY in YIN Y1 N / A N 9274922-2025 05/01 /2025 05/01 /2026 �E L EACH ACCIDENT $ 1,000,000 •- "--�- •------ " E.L, DISEASE - EA EMPLOYEE$ 1,000,060 E.L,DISEASE-POLICYLIMI'T $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) la City of El Segundo, its officials and employees City clerk 350 Main St Room 5 ElSegundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE All ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD