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PROOF OF INSURANCE (2025 - 2026)CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/13/2025 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 be endorsed. If SUBROGATIONIS 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 AHERN INSURANCE BROKERAGE LLC/PHS 72165838 PHONE (8'66) 467-8130 A/C No, Ext : FAX (A/C, No): The Hartford Business Service Center E-MALL. ADDRESS: 3600 Wiseman Blvd San Antonio, TX 78251 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Underwriters Insurance Company 30104 Debra L. Reilly, APLC DBA Reilly Workplace Investigations INSURER B : Hartford Casualty Insurance Company 29424 2240 ENCINITAS BLVD STE D104 INSURERC; ENCINITAS CA 92024-4345 INSURER D INSURER E : INSURER F t .° rT «1 iA«3 .aifxiii III IAl_7=1 Na,1 A7 Lel on OLII6°l1+�.1 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. INS R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 OCCUR CLAIMS -MADE OCCUR DAMAGE TO RENTED $1,000,000 X General Liability MED EXP (Any one person) $10,000 A X X 72 SBW BN9VRC 08/22/2025 08/22/2026 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4,000,000 x POLICY PRO LOC JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS HIRED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS I (Per accident) UMBRELLA LIAB EACH OCCURRENCE .,.. AGGREGATE EXCESS LU1B HOCCUR CLAIMS- MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY YIN X PER STATUTE OTH- ER E.L„ EACH ACCIDENT $1,000,000 B PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/A 72 WEG BBOZAM 12/15/2024 12/15/2025 E,L.DISEASE -EA EMPLOYEE''. $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 (Mandatory In NH) If yes, describe under DES C..IPTI N F OPERATIONS. b I. w DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. City of El Segundo, its elected and appointed officials, employees, and volunteers are additional insureds per the SL30421018 FORM: ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION, attached to this policy. (Continued on next page) r,r•'xarw. NY V ff.. 1A^1 nEfmF r"alklflpi. II ®TI'.nN City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED its elected and appointed officials BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED and its volunteers IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 350 MAIN ST EL SEGUNDO CA 90245 U 198E-Z015 AGUKU GUKYUKA I IUN. All rignis reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: ADDITIONAL REMARKS SCHEDULE AGENCY AHERN INSURANCE BROKERAGE LLC/PHS POLICY NUMBER SEE ACORD 25 CARRIER NAIC CODE SEE ACORD 25 %nnITInNAI RFMARKC Page 2 of 2 NAMED INSURED ""— .......................___.. DEBRA L. REILLY, APLC DBA REILLY WORKPLACE INVESTIGATIONS 2240 ENCINITAS BLVD STE D104 ENCINITAS CA 92024-4345 EFFECTIVE DATE: SEE ACORD 25 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Subrogation applies in favor of the Certificate Holder per Waiver of Subrogation Form SL3003, attached to this policy. Coverage is primary and noncontributory per the Business Liability Coverage Form SL 00 00, attached to this policy. Notice of Cancellation will be provided in accordance with Form SL9013 attached to this policy. ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 DATE (MMIDDIYYYY) A "M " VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE 6/2/2025 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. This form is used to report coverages provided to a single specific vehicle or equipment. Do not use this form to report liability coverage provided to multiple vehicles under a single policy. Use ACORD 25 for that purpose. PRODUCER Rancho Santa Fe Insurance 6105 Paseo Delicias, Ste. I PO Box 550 Rancho Santa Fe CA 92067 NAME;. LISA HILL A/C, No, Ex1 : (858) 756-4444 1 (ARC, No; lisa(c�lrsl�lastts°ance.ccwnt. ADDRESS:IJCEK CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Debra Reilly Encinitas CA 92024 INSURER A: FEDERAL INS CO 20281 INSURER B : INSURER C : INSURER D : INSURERE: YEAR MAKE / MANUFACTURER MODEL BODY TYPE VEHICLE IDENTIFICATION NUMBER 2024 1 Tesla Model Y PP DESCRIPTION VEHICLE / EQUIPMENT VALUE SERIAL NUMBER $ $ RFVIQInFJ NIIMRFR- THIS IS TO CERTIFY THAT THE POLICY(IES) OF INSURANCE LISTED BELOW HAS/HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD(S) 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 POLICY(IES) DESCRIBED HEREIN IS/ARE SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY(IES). INSR ADD-L POLICY EFFECTIVE POLICY EXPIRATION LTR W90 TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YYYY) DATE (MM/DD/YYYY) LIMITS VEHICLE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ A 1435636903 05/24/2025 05/24/2026 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GENERAL LIABILITY EACH OCCURRENCE $ GENERA -AGGREGATE $ OCCURRENCE CLAIMS MADE '$ INSR Loss POLICY EFFECTIVE POLICY EXPIRATION LTR PAYEE TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YYYY) DATE (MM/DD/YYYY) LIMITS / DEDUCTIBLE X VEH COLLISION LOSS [-]ACV ❑ AGREED AMT $ LIMIT A 1435636903 05/24/2025 05/24/2026 ❑ ❑ STATED AMT $ 1,000 DED VEH COMP VEH OTC ❑ ACV ❑ AGREED AMT $ LIMIT A 1435636903 05/24/2025 05/24/2026 ❑ ❑ STATED AMT $ 1,000 DED EQUIPMENT ❑ACV [-]AGREED AMT $ uMlr BASIC El BROAD ❑ RC ❑ STATED AMT $ DED SPECIAL '..., ❑ REMARKS (INCLUDING SPECIAL CONDITIONS / OTHER COVERAGES) (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Select one of the following: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED The additional interest described below has been added to the policy(ies) listed herein by policy number(s). BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE A request has been submlttetl to add the additional interest described below to the policy(ies) listed herein by poll number(s). DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. '.. VEHICLE / EQUIPMENT INTEREST: I '.. LEASED FINANCED DESCRIPTION OF THE ADDITIONAL INTEREST ADDITIONAL INSURED LOSS PAYEE NAME AND ADDRESS OF ADDITIONAL INTEREST '11LENDER'S LOSS PAYABLE LOAN I LEASE NUMBER Debra L. Reilly, A Professional Law Corporation 2240 Encinitas Blvd, Ste D-104 AUTHORIZED REPRESENTATIVE Encinitas CA 92024 1-44' M. 141u w l`JY!-Lulu P1VVRu t.vlcrvrwnvrn. nu nynu rnacrvvu. ACORD 23 (2016/03) The ACORD name and logo are registered marks of ACORD DEBRLRE-01 DATE IMM/D U A 0� D2`� CERTIFICATE OF LIABILITY INSURANCE 5�30�205 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 License t B Partners Ins ,� ........— ._ c Nop _._ AICTAf•�mE. ta(85 PI�DrIE Acflsure Southwest Partners Insurance Services, LLC � 8 571 9030 � 858 571-9010 ke 4000 Westerly Place _.. _ Denson om 1. ..__— .....„ p Benson ecrlsure c Suite 110 New ort Beach, CA 92660 IN ER(S) A# F0RDING COVE INSURED Debra L. Reilly, APLC, dba Reilly Workplace Investigations 2240 Encinitas Blvd, Ste D104 Encinitas, CA 92024 REVISION NUMBER: (,;V Vr_KAi,L1r! THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Y HAVE BEEN REDUCE H POLICIES. LIMITS SHOWN CONDITIONS OF SUCH M�� AND CON _. ... BY m PAID CLAIMS. INsXCLUSIONS �- Y N ADDL su&R pouc TYPE OF INSURANCE UMBER POLICY I PgtNCY EXP LIMBS w �4H OC,CN,VCn�,,._.,- �'.... m .. COMMERCIAL GENERAL LIABILITY �.�'.. _.. CLAIMS -MADE OCCUR DF4Iti4A0E TO REh4TE O m�.l E'EN L AGGREGATE LIMIT APPLIES PER: � fiNER 4L P C CwREG/w7 E POLVC'Y L 13;88-1:1 LOC`ROCAM..IT _CIiMPPC7FA,. $ ....�._„-.. OTI ERE COMBINED SWGLE LIMIT AUTOMOBILE LIABILITY -SF,tI..S4..'......- ... -�..........--.� . ANY AUTO BODVLY IhJRY '— _ U..9ser ..5 ,,. ....-.... .- - OWNED SCHEDULED AUTOS ONLY AUTOS ccdcVenl �yy�pp �. A RWS ONLY AY.i1`O R� PROPERTY L �i Pula Id r 4 AMAOE ...,. UMBRELLA LIAR OCCUR � EACH OCCURRENCE,,,,, •,. $ _. •,•• EXCESS LIAR CLAIMS -MADE DED RETENTION $ PER ORMtl- COMPENSATION TIORAN"k' ...,,,, AWORKERS ND EMPLO EMS" A Y/N ANYPROPRIETOR/PARTNDED. ECUTIVE MBER EXCLUDED? N / A „• E L EACI IyI CIC4ENT ••• �FFICLRfI.tl IRW�endatoryn NH) E L DVSIaahS EMPLOE ._ .,...... Ue5, derube under SORIP VON OF OPERATIONS below E L. DISEASE - POLVCY LIMIT A E&O - Lawyers LP017940 612812025 612812026 See Below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CLAIMS MADE LAWYERS PROFES'BIONAL LIA bLITY LIMITS OF LIABILITY: $1,000,000 PER CLAIM / $2,000,000 AGGREGATE DEDUCTIBLE: $10,000 PER CLAIM RETROACTIVE DATE: 11/15/2017 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 El Segundo, CA 90245 ' AUTHORIZED REPRESENTATIVE I. ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD