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PROOF OF INSURANCE (2026)9 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/14/2025 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 CONTACT Aaron Hubbard *WF _. _ .. Clifford & Bradford Insurance Agency RHO E Fxtt 661 283-8100 FAX Net- 661-283-8111 1800 19th Street EMAIL adford com Bakersfield CA 93301-4315 ADDRESS: hubbardQcliffordandbr ®,,, ®..... INSURER(SI AFFORDING COVERAGE ,NAIC# INSURER A: State Compensation Ins. Fund 35076 INSURED ...... ,- .. KERNIND-01 INSURER B StarStOne Specialty Insurance CO 44776 KERNTEC Industries, Inc. INSURERC PO Box 60130 �.n. n. _., Bakersfield CA 93386 ulsuRER o INSURER E : COVERAGES CERTIFICATE NUMBER: 1716022535 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. 13'�BR....... ,. ®,.. ,,,,,,,,.................... ,,,,,,,,.... ...... POLICY EFF I ObLICY EXP ....® ,.A. LTR TYPE OF INSURANCE I I POLICY NUMBER I MMIDO/1'YYY(MMIDDIYYYV - LIMITS IX COMMERCIAL GENERAL LIABILITY = ) EACH OCCURRENCE $ 1,000,000 B SSEP0198251AEM BI15I2025 1 8I15I2028 w� "it�a(�A�SF rdPfiFN��.0 _ .. � X � $ 10,0000 CLAIMS -MADE OCC R PP3Ei+A ESµ, cpre , X "' d MED EXP A 000 (Any pert on) ny one � 5 000 ( arson) $ 1 — � INJURY $ 1�0 PERSONAL & ADV I ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE _ $ 2,000,000 ... .. .... . PPO-AGG PRODUCTS -COMP/OP POLICY ACT LOG 2,000,000 1 m...,r,,.a. OTHER: $ e ASSEP0198251AEM 8I15I2025 SI15/2026 UTOMOBILE LIABILITY '- I C^i^'^- BINEo SINGL E L I MO'6 $ 1,000,000 f � � � ..Q�1 archtle+a¢IJ„ ANY AUTO i BODILY INJURY (Per person) $ t OWNED " SCHEDULED I BODILY INJURY (Per accident) $ �X,y AUTOS ONLY C AUTOS I - HIRED �� NON -OWNED I$ I Per vodop'AMAGL. .ROPERTYU.ii.. e AUTOS ONLY AUTOS ONLY t t) C ` UMBRELLA LIAB I OCCUR f EACH OCCURRENCE _ Is EXCESS LIA CLAIMS MAD f E , �$ ,AGGREGATE .. .. � � Is NTION $ DEDRETE. I A WORKERS COMPENSATION PER 0 rH Y 90697652025 8/15/2025 8/15/2026 �X f STATUTE ... , ....�,.ER ,,,,,,,,,,,, , ------- AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE - E L EACH ACCIDENT I $ 1,000 000 OFFICERIMEMBER EXCLUDED? ❑ NIA' --- (Mandatory in NH) E L DISEASE EA EMPLOYEE $ 1,000 000 -.- If . Yes, describe under DESCRIPTIONI E.L DISEASE -POLICY L.IMIT I $ 1,000,000 OF OPERATIONS below DISEASE I I I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) ENDORSEMENTS ATTACHED AND/OR DESCRIBED HEREIN APPLY WITH RESPECTS TO THE OPERATIONS OF THE NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS; SUBJECT TO STATUTE AND POLICY PROVISIONS. ANY ENDORSEMENTS ATTACHED AND/OR DESCRIBED HEREIN APPLY WITH RESPECTS TO THE OPERATIONS OF THE NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS; SUBJECT TO STATUTE AND POLICY PROVISIONS. WAIVER OF SUBROGATION APPLIES TO WORKER'S COMPENSATION PER ATTACHED FORM. 111111Ia'.aI10LWr.17I7rLsy11lFIR i City of El Segundo 350 Main Street El Segundo 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES AT 12:01 AM PACIFIC STANDARD TIME THE TIME INDICATED ATT � EFFECTIVE August 15 2025 AT 12:01 AM. PACIFIC STANDARD TIME AND EXPIRING August 15, 2026 AT 12:01 AM •! BOX 60130 Page 1 9069765-25 RENEWAL Central Valley Fresno 7635508 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 APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER BLANKET WAIVER OF SUBROGATION NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: August 14, 2025 AUTHORIZED REPRESENTATIVE PRESIDENT AND CEO 2572 SCIF FORM 10217 (REV,.4 - 2018) OLD OF 217