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PROOF OF INSURANCE (2026 - 2026)
DATE (MM/DDNYYY) ►C"R " CERTIFICATE OF LIABILITY INSURANCE .. 10/29/2025 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 end'orsement(s). PRODUCER CONTACT NAME Laura GrOSS _..... Acrisure Partners West Coast Insurance Services, LLC PHONE FAX 1950 W Corporate Wa #1�ar1; 5308994815 _ qA c,,Nc�y 7fD462915 Anaheim CA 92801 y AggR S West erts acrlsure.com INSURED Western Indoor Environmental Services 2609 W. Beverly Blvd. Suite 6 Montebello CA 90640 F: f100TI01f1AT0 \11111A000- A4r1C7r1CGr1 INSURERS) AFFORDING COVERAGE NAIC 0 GUIdeOne National Insurance Company mm„ 14167 Nationwide General Insurance Company„ m.,, 11 i 23760 State COmDen sation Insurance Fund of California 35076 RF'VICIf1N NIIMRFR- 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. ... .._.... ,.....,_.._. iADDL'S'9�-POLICY INSR TYPE OF INSURANCE � LTR * 'APMOfidL'diI DJW"WFiF POLpCi" EXP I YY I AAMIODdYYYY LIMITS A j X j COMMERCIAL GENERAL LIABILITY Y j Y ENV562008594-03 j 2/6/2025 2/6/2026 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE f XOCCUR 100.000 _ 'PREMISES.(Ea occo C � � _ �. � �� tzccunm❑ MED EXP (An ,ml $ one perso ��) � _ 5,000 ,,,a.. ,�. 1 j PERSONAL & ADV INJURY $ 1,000,000 2 000 000 GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ I POLICY I X PRO. LCkC i JE PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER, � A re ate Over f $ 3,000,000 B AUTOMOBILE LIABILITY 3/2/2025 3/2/2026d uNt u F a OIp $ 1,000 000 en X ANY AUTO BODILY INJURY (Per person) r $ ' OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ,.„, .,,; f i X HIRED NON -OWNED I 6 m... •...�. ....,.•.. PROPERTY D $ AUTOS ONLY IX J AUTOS ONLY I i I (eracridenAMAGE P w..,r.. 1 �$ A UMBRELLA LIAB X ENV562008611-03 1 OCCUR 2/6/2025 2/6/2026 1 I EACH OCCURRENCE $ 2,000 000 ,... .... ,.. 3 X EXCESS LIA CLAIMS MADE I i f .-. AGGREGATE $ 2,,000 000 DRETENTION $ $ C If WORKERS COMPENSATION i 1 9126780-2025 3/7/2025 3/7/2026 i X 1 ��TU TH OR STATUTE AND EMPLOYERS' LIABILITY Y/ N 1 ANYPROPRIETOR/PARTNER/EXECUTIVE Y , E.L EACH ACCIDENT $ 1. 000 OFFICER/MEMBER EXCLUDED? N / A` I 1000 000 000 (Mandatory in NH) 1 EL DISEASE EA EMPL OYES $ I If yes, describe under '- DESCRIPTION OF OPERATIONS below f ( LIMIT $ 1,000 000 EL DISEASE- POLICY. A I Pollution ENV562008594-03 2/6/2025 2/6/2026 Occ/Aggr 2,000,000 Claim/Aggr 1 M/2M A Professional Liability ENV562008594-03 A Transportation Pollution ENV562008611-03 I � � 2/6/2025 2/6/2026 2/6/2025 2I6I2026 Per Occurrence 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The General Liability policy includes automatic additional insured status, primary and noncontributory and waiver of subrogation if required by written contract/agreement/permit. The City of El Segundo, its elected and appointed officials, employees, and volunteers. CERTIFtCA City of El Segundo 350 Main Street El Segundo CA 90245 USA 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 - 94"�hA� . © 1988-2015 ACORD CORPORATION. All rlgnts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD l'01 I(",'lI`ellalvllSl G 2037070 'rms D III-RSEMENICHANGES TFIE POUC Y. PUI ASE II READ I11'W CAREHFUI.I ', Ws r mlr a s,.lrlpo rinckno s frrrasr rh''d irunder lIhfi lollrrvvilnld COMMERMAKMENERAL JAI:§II ITT LsOV H GE PX I SCHEDULE Or for vVIv.,lrll ymr .nir, pei.dr,rrirl ng aperafions when you and kuW) pmsun ur orr�al0,f ', iclrl IYavc, in vo IP rlcll Iin %l (,Jf fAWer,rl amL (,1fected h,n nr & We rdak) ycsr.n opr,m4irlri,; OrMal ls!imorlor(;oriiinlencc"ri slir,'h inn on yrrlar MCAKy. t(-) Or',Wol) vvinr,lc, dh , rl< itlod iil ,iarcd is I,r.,rlr�lriinii g ",army vvod,�� illon—rnrnlion ler;lAe'd `:Fr;lrad lea, d,ilrnl sl'nrrvvlr),-fllr)ovr. will l)cshn_mn iin Chc M1r,l'learr�rilrlCHS ec°adon it -- Vu"d0o II a An ,•� ailll;rlr.4ed to rlr,lur1;,as ".m «raOliorlsl he P,',l ,lnrl(,$) (.,r �ird<rrllfra1ir:nrl( �) �:Ih mvl) in bul orrl°y volh re'spu'c"d frs lisll>Wy fc)r "h,:coiily irnlmy" r.l �rrr::�frrril:y IrI Vl-lrrlr,, rli iri fomd kry"your rnrnrly" of thnlc� nrr,aholl and in fll, u,ln�ar.l�il�s of l[ni. l,ilrfl,i (,,H"ncnr� 'or lh,,a'C WAWA irl',l ed and WOW in Rm r a di.ad s- I r,rrr'l`rslr llrr`I r,'rI �PO�� �CY NLJMBEFR� ENV562008594-03 ""FFflS EilWDORSEIII E19"T CHXNGF-,'11-+E IF-I(AXT P! �'.,ASE READ �l ir CAREM I Y. RRIMARYNON-CON rRlEm j ruiR,Y' COVEIRAGE I Ws enda seam n I nwd ton HNwimwp I I dcti Y I I I I cdkwv I nIj COMMERMAL GENERN UAMI HN COVERAGE PAR N PITMARONOMCONI RIB1,Y1 ORY - N lvqAmd by WhIn coamd awgT&vwj eMsted pbr A to IdNe or WaTkns for thal person or mgainizalJon coi-nin'ienced and nwed bebw, sudi Insumirice -is jS affoj,C�ed by pokcy1:oanv addlaw! Asiveds undw dos pAky QaH be pAnal kwumnce and any iinsurancc, or self insurance rralintaIned by such-i addhowl rIswed,$) shad not caidbue to Me nskjr�,.wce afforded lo the ri�..un-Ied nsured. All (,fl I si, lei nl�; si id condrIIIIIIS I OMEHII U1 Cr 131 ij�x I SCHEDULE www" Wan M Yw xauh: III II; q :11:11 l'Cuicsj I,;. I I 1 1-11 or 11 I hr 1, i I i o I n"I ir � I nho T. co I II i1 I I dI f a r17,.0 sip OrM I III . I ' 111 " i' ( 'I Hc 11 I 1:I U ,!l 1 "C! I, r, I I �': I I q 'I I'v I I I I osi I I; i:i 1)'. c I I , I K I' " : I .I I 2 P, 1r I oi S' rIT l;;I oI p I ,[ Io I, I' I ' I I 1I ', I i, Ii 11 11 1 r ,tW I i 1111 1 1 1 ,II I )I 1:11 Q ! I I I 11 :1 %p1 III I d :I, '' II ;L I N1i , qp I is ui vi ihlI(o 1 NIII eJr 1 3 11 Ir1 I CI I I o I I I TI I I r I GI F. Idorc , t v N, I' r,, yoit iWi u _' i si ii ln,,�riIll hi GO 0216 -- 4YP 1147 h" h mes � >p"Q IN N�a�� �!� �al of I I �;I'11' ani-'c! scii'viccs Clffim� 111c ,vlrh �,S �"w MIISSIIDC 10iI (N N UMR[ R'- 0 " CON I V I RC, I A1 I I [ '\ ) I I I Y ( G 20 10 0 / 0111 THIS IIENDGIRSEMEN7 CFIANGESTHE, PGUICY, PL.EASE READ ffCIII III FULLY, ADENTIONAL. HNSURED - OWNERS, LESSEES OR, CONTIRAGIFORS SCHEDULED PERSUN OR 0IRGIII IZATION Tlhi". <.11(101`,,,Clilo`)lrfl rnodih, ,3 lli�U P1,0vided urldr,"l, Urc Ulo-rip COMMMUN GFINJERIN [ IPH11 I 'Y(M\/I iyWh. PNQ 1�11111MMM Name Of AUSAWN Mrsured Personi(Q Or OygankadcnN)� Aw, wioil ol, orij,,ii)ivalioin i�ri vlhoil'l C.m <,,iu, pellolnniilq,, \,vl "'m you and Saud nommop or slonvHAm ),ivc agreed 11 vv"Ininq In '7 cninhirac[ or, iqrnr, inni it, offo(Jod pi,ior [o Inn d[u 1/0111 oi),Mmrms Iol Jort or 01' N`�),',lini,F,�01olri bc' ,,Od(?d 'Is ilro;rimd or) Your polhc/ LmWoNs) Of Covemd OpimmHoins In re.�Jpu(�i ho lnc,-llk)ll Inc ll�:lrrvoj I,I:SrJlV`d it )0,l`l0IVI)IJiq youl i'lfnliII-�aIkc)Ii reqtilrc-) 11'r oolriipic,,�o fl-Irs ii nol �;ho','vin v/111 ho �;i, ovvin-w flho A. Section 11 Who Is An Insumd s way5d R) B. rcsjpoc I,) Illr IH";,Jl,r-"HWo Include '3d4lihorw"?1 ri,.uirf,Id 17-W �DCCSOJCIIS) 01- nddlont Knueds hu fGflluw000� �idr:fil,oimll Cx(JU- "",110"Ayll u1 d-o"" hi'd iml,� NpIpl", �,o hoflhflj�y for 'bodih,/ f) T�� '140 ir"Mmmin dnos nol oj:�)Iply io "Im(fily linjury" ()I damngK;y—pmwAK"M0 JnVcy amppr aMrwmng l vhck:" 01" Ill D@1 I hy I. Youl, nc[�`, m uiiisaIc)lrn, or 2, ! hu Hms or uinwms ormosu niam on (qmr bdmll III Hho pullon-mmce of Y()Ijl- (,)iIq:,pnq opclratiol').-, 'olr h(" rnldih(rro,fl in"'olradi,,;) M Ilia wcobirw") do,-.Iqi),nd err; AM, 1p'll wo " lll(,,I(,(j ng Ir7okoi iwlis xcicor conIp nlurll Imm'shod in Ciji'll'I(Wilorl Ioh �'vnik, ()Il � I �o � I n I (� (,I (() t I )(, I' U I i I ) nO(VJ,U I 1,11T01 ("J'WHS) (,) ho, poriolilind by (;r all lwl). It ci he addoiol'IM irl":oIlre'd(s) a� ;rlc' (,)I oio, covorc.,d Pry hu,,cir cor'llpluied or 2, h'n podic)�- ('d vm,ir \�ark'' oul of ivhIch flh(� ijr�]uiy or J,imnqe� ulnsw� to 11E9 In toluden wr(! 1)\' pclrsoi� (V 01'W),Ini,r,-Itioi)) olllc,:I, fl,�m airlo[lhol, conornciol, or .,rn")colnlia(Jol, in ojpi,�nldkms '[or plriiicijpn)s , Imil (fl i:)c' raioo C, ( � ) () 10 ( / H11 r: (A) ll,)(: � ')00,1 Pj�, I W 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF POLICY CANCELLATION OR MATERIAL CHANGE This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART TRANSPORTATION POLLUTION LIABILITY COVERAGE PART WASTE FACILITIES POLLUTION LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART EXCESS LIABILITY COVERAGE PART Number of Days Advance Notice: 30 days (except 10 days for non-payment of premium) In the event of a material change to this Policy or cancellation prior to the expiration date on the Declarations page, the Company will mail prior written notice to the following: City of El Segundo 350 Main Street El Segundo, CA 90245 All Other Terms and Conditions Remain Unchanged, GO 0223- 2YE 10-17 Includes Copyrighted Material of Insurance Services Office, Inc. with its permission Page 1 of 1