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PROOF OF INSURANCE (2026)
Page 1 of 2 01 DATE (MMIDDlYYYY) CERTIFICATE OF LIABILITY INSURANCE 09/30/2025 .............................. 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 WTW Certificate Center NAME . ..... ..... .. .. .. _...... Willis Towers Watson Northeast, Inc. ��� ��• '� � • ������ -- - _ FAQ PINS 1-8 77 945 7378 (A N 1 888 467 2378 FAR— - c/o 26 Century Blvd - MAIL -� P.O, Box 305191 _ADDRESS: certi£icates@wt.wc.o com Nashville, TN 372305191 USA INSURERM AFFORDING COVERAGE NAICB .����•• - � � 2 INSURER A : Hartford Fire Insurance Company 1968 Hartfe C parry ... ddddd.w...... w m....�..�_ INSURED INSURERB. Sentinel Insurance Company Ltd 11000 Unilrirst Corporation and its Subsidiaries .. . INSURER_ ., m.,. ..,.. Hart£. 0 Hartford Casualty Insurance Company 29424 68 Jonspin Road _. �........ . .......... .... ,.,....,.,.,...__----------- _---------------- ..-------------- .. ,. Wilmington, MA 018871086 INSURER Twin City Fire Insurance Company 29459 m ERE ................... ........ .. ..... _. , ®... INSURER F : 60'VERAGES CERTIFICATE NUMBER: W40737679 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. A1JDL�SUaR � DWYYYY 1 WYYYY LIMITS 7R TYPE OF INSURANCE POLICY NUMBER M X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I$ 2,000,000, CLAIMS -MADE OCCUR �REMILSF 1,000,000 A X Contractual MED EXP (Any ono Gerson) $ 5, 000 Y Y X ., Per Lac Aggregate $2M OBCSES91303 10/01/2025 10/01/2026 2,000,000 pEpSONAL mITITIT mm gym& ADV INJURY $ _ . _ _ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Is 20,000,000 POLICY Ck0 f C �, LOC PRODUCTS - COMP/OF AGG $ 4,000,000 ._ _. ...w.... $ OTHER: I AUTOMOBILE LIABILITY COM3IVEDSp GI.EL1P111 5,000,000 O, I� v * ANY AUTO BODILY INJURY (Per person) $ � A OWNED SCHEDULED Y Y 08CSES91304 AUTOS ONLY AUTOS 10/01/2025 10/01/2026I BODILY INJURY (Per accldenl)I $ ..... HIRED 0'NbIEY IOPLRjY Alu9AGE $ ,. AUTOS ONLY AUTOS LIABOCCUR OCCURRENCE $ EACH OCC _.. .............. ...n EXCESS EXCESS LI Lit tpMS•MA 1E E I$ AGGREGATE DED I RETENTION$ $ WORKERS C'PLOOMPENSATION 7 PE )( tq STAT�d.. B ANYPROPRIIETOR AIRS EIR EXECUTIVE Y N No NIA Y - ' DBWNS91300 i E.L. EACH TEFFI �.�__, , ACCIDENT $ 2 000 000 10/O1/2025 10/O1/2026 OFFICEWMEMBEREXCLUDED EA EMPLOYE( 2,000,000 (Mandatory ) E.L.DI SEASE IMandatorydesokInNH underie DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OPERATIONS below L. C Workers Compensation and Y DSXKE991302 10/01/2025 10/01/2026,EL Each Accident $1,000,000 Employers Liability 'EL Disease -Pol Li.mit'$1,000,000 ,Per Statute I - DEL Disease -Each Emfi$1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addillonal Remarks Schedule, maybe attached If more space is required) Division/Location: 324 Certificate Holder is an Additional Insured under the General Liability and Auto Liability as required by Written contract. SEE ATTACHED C1r-QTI IrATF H I nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE Attn: City Clerk City Clerk's Office, 350 Main Street Room 5 P a E1 Segundo, CA 90245-3813 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sR ID: 28544674 sATcH: 4144574 11426; 2 ` Of 2 AGENCY CUSTOMER ID- LOC #: ACCOR0 ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willie Towers Watson Northeast, Inc„ UniFirst Corporation and its Subsidiaries 68 Jonspin Road POLICY NUMBER Wilmington, NA 018871086 See Page 1 CARRIER See Page 1 NAIC CODE See Page 1 EFFECTIVE DATE: See Page 1 AWHILI 1U1 (2111JIUMI) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:28544674 HATCH:4144574 CERT:W40737679 11426: 2 of 2