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PROOF OF INSURANCE (2025 - 2026)Policy Number: CPS8041949 Date Entered: 07/17/2025 AC R DATE(MIWDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE F7/1MM" 21025 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 CONTACI Kevin Govey Insurance Agency _ 6060 W. Manchester Ave. Suite 201 PHONE g� y►:64 e�g �l (310)641 7378 k owe insurm EVIL com Los Angeles, CA 90045 ADPR�. __ _ Socttadale Insurancei N 3�4E ._. w m _. _.. ..1 __N=# , ... INSURERA:OmPany/Nation.l ide INSURED Daniel Molina DBA Diligent Group INSURER C : 3050 Fields Ave Los Angeles, CA 90016 COVERAGE'S CERTIFICATE NUMBER: 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. _. w..._ _.- w.. INSR - lmmmplyyyyl TYPE OF INSURANCE 7..... POLICY NUMBER PCILIC"f EFF' ) pow "d LIMITS COMMERCIAL GENERAL LIABILITY 1 000,00 0 CLAIMS -MADE ® OCCUR X' CPS8041949 8/01/2025 8/01/2026 }. ... $ 100,00 $ 00_ EXP iAn orre perso n).. � � $5,000 & INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: i „_m,.,w.w ._. ENE GGREGATE . -. .. S2,000,000 PR0. � � 1 POLICY f JECT LOC ❑ 1 AGG PRRSONAL - COMPIOP, oDUCTS _ $ _ .. OTHER, Deductible $50000,000 0 AUT AUTOMOBILE LIABILITY I COMBINED I TE Lima` am o-don ) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY x Per a denl) $ J AUTOS ONLY AUTOS HIRED NON -OWNED er AUTOS ONLY AUTOS ONLY y rP $ UMBRELLA LIAB OCCUR EACH OCCURRENCE„m $m EXCESS 9�S IJA.. B�. �. .......... CLAIMS -MADE AGGREGATEN $ OED RETENTION $ a $ WORKERS COMPENSATION TATUTE ER AND EMPLOYERS' LIABILITY MANY PROPRIETORIPARTNERIEXECUTIVE � OFFICER/MEMBEREXCLUDED? N I A J E L. EACH ACCIDENT $ -��uuWWWW�IT � (Mandataq in NH) EMPLOYEE ESL DISEASE EA EMPLOYEE I $ mm .,,,.Y...._...........- If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOGAIMS I VEHICLES (ACORD 101, Addtdonal Remarks Schedule, maybe attached If more space Is required) The following is endorsed and included in the above policy: The City of El Segundo will receive notice of canellation, nonrenewal,or redution. Coverage is primary and non contributory such that any other insurance tha may be carried by th City of El Segundo will be excess CERTIFICATE HOLDER CANCELLATION' Additional Insured: City of El Segundo, its elected and SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE appointed officals and employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN a PPACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St. El Segundo, Ca 90245 1 AUTHORIZED REPRESENTATIVE ©1 88.2015 ACORD CORPORATAON, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AlIC400RO 44�_ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) — ------- - 08101/2025 THIS CER171FICATE IS ISSUEDASAMATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CE"FICATE HOLDER. THIS CFRnFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, EXTENDOR ALTERTHE COVERAGE AFFORDED BYTHE 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: ffthe certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. tfSUBROGATION IS WAIVED, subject to theterms and conditions ofthe policy, certain policies may require an endorsement Amm statement on this certificate does not confer rkjtfttD the certificate holderin lieu ofsuch endorsement(s)- PRODUCER CONTACT NAME. Kevin Gowey(2950307) PHO , N E . . ..... . . 6060 W Manchester Ave Ste 201 (A/C, NO, E)M: 310-641-2279 (A/C, NO): 310-641-7378 — — -- — ---------- --- -- - - _ . .. . ... E-MAIL Los Angeles CA 90045-4266 ADDRESS: kgowey@farmersagent.com INSURER(S) AFFORDING COVERAGE NAIC# . . . ......... . .... ......... . .......... . . ...... INSURED INSURER A: Truck Insurance Exchange 21709 INSURERS Farmers Insurance Exchange 21652 DILIGENT GROUP "I . . . ....... — ------ INSURERC: Mid Century Insurance Company 21687 3050 FIELD AVE INSURER D: LOS ANGELES CA 90016 ........ ..... . ...... INSURER F: F- INSURERE: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. INSR TYPEOFINSURA C­E AD%n�BR POLICYNUMBER PoLi��i'FF ��U`Exp...... LIMITSLTR IN (MTOU F COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [] OCCUR GENT AGGREGATE LIMIT APPLIES PER: IPOLICY...... OLICY I PROJECT E] LOC OTHER: --I—"— .......... AUTOMOBILE LIABILITY ANYAUTO B OWNEDAUTOS X SCHEDULED ONLY AUTOS N HIREDAUTOS X X NON -OWNED ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVE OFFICER/MEMBER N/A EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS b.I­ N 09/01/2024 � 09/01/2025 DESCRIPTION OFOPERATIONS/LOCATt(>NS/VEHICLEMS�ACORD 101. Additional Remarks Schedule, may be attached if morespace, is required) 2021 CHEVROLET EQUINOX L'T; VIN- 3C KEV3MS175378 CERTIFICATE HOLDER . ...... . ..... . ..... City of El Segundo, its elected and appointed officials and employees 350 Main St ElSequndo CA 90245 CANCELLATION EACH OCCURRENCE $ . . ...... . . ........ DAMAGETO RENTED $ PREMISES (Ea Occurrence) — --------- M ED EXP (Anyone person) $ PERSONAL &ADV INJURY $ GENERALAGGREGATE $ PRODUCTS- COMP/OP AGG . ... ..... . ........... COMBINED SINGLE LIMIT $ (Ea accident) ...... . ....... ........... BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) 1$ PROPERTY DAMAGE (Peraccident) $ EACH OCCURRENCE $ AGGREGATE $ . . .. . . .............. . OTHER TA _E $ TkP1 Q E.LEACHACCIDENT $ . .. ............ E.L DISEASE- EA EMPLOYEE P L DISEAS SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BECANCEI I En BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILLIBE DELIVERED IN ACCORI)A[4CE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) Oc 1988-2015 ACORD CORPORATION. All Rights Reserved 31-1769 11-15 The ACORD name and logo are registered marks of ACORD A' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 09/13/2024 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(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 FASTCOMP, LLC 1931 Georgetown Road Suite 100 Hudson, OH 44236 INSURED Diligent Group 3050 Field Ave Los Angeles, CA 90016-4035 INSURER B: INSURER(S)AFFORDING COVERAGE NorGUARD Insurance Company INSURER F : r011PPAGES CEDTIFICOTF NUMRFR* REVISION NUMBER: NAIC # 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. .......TYPE OFINSURAN m.. ee POLICYNUMBER INTR CE ,., e .ADDL SU'BR _.. Y — .,., Pi"TILtlCW" E,n (I PA(Do DXP' i LIMITS MYDr6P'YYYY MMi/DDIYYYY r COMMERCIAL GENERAL LIABILITY [ EACH OCCURRENCE .4 0 j CLAIMS -MADE 17 OCCUR DAMAd"EY6 RENTED eRW ®a MED EXPAy one person) 0 PERSONAL ADV INJURY l 3 0 I GEN L AGGREGATE LIMIT AP PLIES PER: GGREGATE I $... „ O- GENERAL AG PIS' POLICY L,IE�, ;T^ � LOC - .PRODUCTS COMPIOP AGG 5 0 OTHER: INL.D SIN�"9.F'L6Mli AUTOMOBILE LIABILITY tEAW ,._.......,, .,, ... ®,.A..., ANY AUTO ''., �,. INJURY (Per person) $ BODILY OWNED ®� SCHEDULED BODILY INJURY (Per accident) - `G .- AUTOS ONLY AUTOS J NON-OAUTOS .a- RD d t"RCY' IDACW%I'tiGE 1 `U AHIREDUTO ONLY 'f ONEDY .Q UMBRELLA LIAB OCCUR EACH OCCURRENCE 3 $ <_,., EXCESS LIAB CLAIMS MADE! j AGGREGATE $ . ...... �,... .... DED �........ RETENTION$ � _- �. ,m... j I WORKERS COMPENSATION Peru„T,E wl X LIABILITY YIN A D� N / A DIWC538696 EL EACHACCIDENT $1 ODO OOO 09/11 /2024 09/11/2025 ONF�CER�MEMBEREXCLUD (Mandatory m NH} ." " E EA EMPLOYEE $ 1,000,000 JE If yes, describe under DESCRIPTION under OPERATIONS below j _ E L DISEASE PaucvuMlT $1 000 000 I 1 i DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Employees: Full Time: 0; Part Time: 1 Governing Class Description: ELEC WIRING- EQUAL OR EXCEED $36.00 Exclusions: Daniel Molina, President; L;LK I IFIUA I t MULUtK 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 St El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE: (0 1988-YU10 AL;UKU L;UKF'UKA I IUN. Au rl(jnis reserveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD