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PROOF OF INSURANCE (2026 - 2026)�. DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/15/2025 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 endorsements . PRODUCER CONTACT Sonia Castellon NAME .... E360 INSURANCE SERVICES PHONE 888 862 6750c Nral ( ) _ 5153 16000 Ventura Blvd #400 ADD, �te,ss sonia@e360insuranoe.com Encino CA 91436 INSURERA: U.S. SPECIALTY INSURANCE COMPANY 29599 ,.INSURED ... .............. _._...... ...,..... .......................... ..�.�.. INSURER.,.,....__._.____ ........ �..,, ., mB: California Automobile Ins Co 38342 L.A. High Tech Enterprises, Inc. INSURER C ICW 27847 8726 S Sepulveda Blvd. #A INSURER D Technology Insurance Company 42376 INSURER E : CLEAR BLUE SPECIALTY INSURANCE 37745 Los CA 90045-4003 w ^xocnA,, co rroTlrlrATr W1111IIQrG. r-Vln.lnN'..... NI.IMRFR- 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. ......AVOL'S0 3R ........ ........ POLICY YYY I- MMI ......,. ...... ......... fCY EXP IN .....- ^„TYPE LIMITS OF INSURANCE POLICY NUMBER f f1X 'fDDI yY X COMMERCIAL GENERAL LIABILITY '.. EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR -tSAMAG`' TO . PRFIu(ISES,tFB or�pyrxencp) I $ 1-- OOO X BI/PD Ded $2,000 MED EXP (Any one person) .. � $ 5,000 A Y Y U24AC126285-05 06/26/2025 06/26/2026 PERSONAL 0 _ GEN'L -- ....... AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATERY I.. $ 2 000 00 0 _.. X PRE'" POLICY JECr LOG PRODUCTS COMP/OP AGG I $ 2,000,000 AUTOMO ILE LIABILITY ..i'0 tncircdepi1NGLE LIMVV —.--- $ 1,000,000 . X ANY AUTO BODILY INJURY Per person) ( $ B OWNED SCHEDULED X Y Y BA040000094074 06/16/2025 06/16/2026 ( cadent) $ AUTOS ONLY autos NON-OWNED X X ROPERTY DAMNAGE $ AUTOS ONLY AUTOS ONLY Per rci auq -(" UMBR AB X OCCUR $ 2,000,000 A EXCESS AB 1[ p X CLAIMS MA E Y U24AC126285-05 06/26/2025 06/26/2026 AGGREGATE E ............... 0 $ 2 OOO OO....... r..,._. 7DED I; RETENTION $ , $ WORKERS COMPENSATION X STAT�ITE PER ERH .. C YIN' .ANY PR PRIETOR/P RAND BTILITY NER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? '... N / A Y WSA 5083651 00 04/05/2025 � 04/05/2026 �•• L.. E4CH ACCIDENT $ 1,000,000 u '.... (Mandatory in NH) E L DISEASE -EA EMPLOYEE -_-- .. $ 1,000,000 If yes, describe under [ $ 1,000,000 DESCRIPTION P OPERATIONS below E.L.. DISEASE -POLICY LIMIT LIMIT 1,000,000 D Cyber Liability TCL1724413 03 02/04/2025 02/04/2026 AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) A) Contractors Personal Property // U24AC126285-05 H 06/26/2025 - 06/26/2026 E) Employment Practices Liability EKS3560394 02/04/2025 to 02/04/2026 Limit: $1,000,000 F) Professional Liability 1'100'649'031.8 // 10/11/2024 - 10/11/2025 / Limit: $2,000,000 10 Days Notice of Cancellation for Non -Payment of Premium. 2L*f-*Il::M;0111111a1/ City of El Segundo 350 Main Street, El Segundo, CA 90245 L1ArVI.rLL.A I Kim 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 U 1988-2015 AGUKD GUKI'LIKA I IUN. AN rlgnLS reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE of �',�r "'L�" Page .� NAMEDINSURED E360 INSURANCE SERVICES L.A. High Tech Enterprises, Inc. POLICY.NUMBER ..._. ........... CARRIER 11 NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of LiabilityInsurance The City of El Segundo, its officers, elected and appointed officials, employees, and volunteers as additional insureds ACORD 101 (2008/01) V ZUU0 AGUKU GUKYUKAI IUN. AN rlg RI5 re5erVUU. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: U25AC126285-05 COMMERCIAL GENERAL LIABILITY HCS 040 06 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. PRIMARY AND NON-CONTRIBUTORY TO OTHERINSURANCE With respect to any person or organization that is an additional insured under this Coverage Part, the following is added to paragraph 4. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If you have agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary and we will not seek contribution from that other insurance. For the purpose of this endorsement, the additional insured's own insurance means insurance on which the additional insured is a Named Insured. When this endorsement is attached to the policy it supersedes all other insurance conditions within. HCS 040 06 10 13 B. WAIVER OF SUBROGATION — BLANKET Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" included in the "products - completed operations hazard". However, this waiver applies only when you have agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or agreement: a. Is in effect or becomes effective during the term of this policy; and b. Was executed prior to loss. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER: U25AC126285-05 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR. ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered O erations Any person or organization for whom you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. 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. All work, including materials, parts or 1. Your acts or omissions; 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 location of the covered operations has been the additional insured(s) at the location(s) completed; or designated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: U25AC126285-05 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s): O oerations Any person or organization, when you and such parties have agreed in writing in a contract or agreement pertaining to "your work" performed during the policy period. This additional insured coverage does not apply to "excluded residential construction". "Excluded residential construction" means: a) the ground -up construction of any building whose units will be individually owned and titled; and, b) "your work" performed on the conversion of any building into a condominium or townhome. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION IV — BUSINESSS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights Of Recovery Against Others To Us, the following is added: We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. MCA04440913 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. The following is added to the Section II - Liability Coverage, Paragraph A.1. Who Is An Insured Provision: Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. MCA20480711 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET 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 otherwise due. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER 2 % of the total California Workers' Compensation premium Schedule Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 04/05/2025 Policy No. WSA 5083651 00 Endorsement No. 002 Insured L.A. HIGH TECH ENTERPRISES, Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED