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PROOF OF INSURANCE (2026 - 2026)REDFIRR-01 ._,......,_Q TEg v DATE (MM/DD/YYYY) ,a►�oRo CERTIFICATE OF LIABILITY INSURANCE 10/3/2025 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 endorsernent(s), PRODUCER World Insurance Associates, LLC 1835 N. Fine Ave Fresno, CA 93727 Debra Cerkueira 800 628 8735 2773 c FAX DebraCerkuei'r;al Wvrldnsurance.com RA CovJngtq "ialt Insurance �`r!0C'S7,j�Bn,]r ---- 27 13070 INSURE ......... __ ............... D m. ,.. INSURER B Unik�d anBclal Casualty oml�anY 11770 Red Fir Ranch Enterprises, Inc. DBA Holt FamilyChristmas INSURER c California [p"ation Insurance Fund 135076 . ll'f a rnia State Com Trees 9250 Reseda Blvd. #170 INSURER D , Northridge, CA 91324 INSURER E ,,, ..... INSURER E _..... --..� COVERAGES _. CERTIFICATE NUMBER. F _m ... _........EVI LQ�N NUMB F, ,,.. 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, CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAAIIDt TYPE OF INSURANCE POLICY NUMBER .�_ Jp POLICY EFF POLICY EXP LIMITS _ 1,000,000 I X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE „ $,W „ r _ r CLAIMS -MADE X OCCUR 'VBB194328 X 17AMAGL T� RLNVCD 9/30/2025 9/30/2026 Pdlsbt1,5F 500,000 j,M,ED„EXP (A,nyone person)_ 5 000 I„ & ADV INJURY I �....000,000 1,000,000 . ,,.. LIMIT APPLIES PER „PERSONAL GENERAL AGGREGATE 2,000 000 ry 1 _. POLIf:N" 3ry;" LOC PRODUCTS COMP/OP„AGG 7 $' I B AUTOMOBILE LIABILITY _ _.. I _ ...._........,.-.-.,. j -(._ ................. ,..W.. _.m Ol .. COMI 1 $' 04011,,0 0S T $ ..... ... 1„i800„000 AUTO ig73894451 9/2812025 3128/2026 �,.: v Per-pe BODILY INJU rson 8 ;ANY OWNED I X SCHEDULED AUTOS ONLY AUTOS ` IN , 9 NJURY (Per accede i) $ .. ... X IAUTOS ONLY Ai.J'VC'faUMl .. RR ��,,uu j 1 PODILY !cy mu[ L.,.,,, $ ., t0'PIrRTY DAM/4.. �..................__..._... �� ,,.,., .......! ...............A.,. - .._........,,,..-,.. I UMBRELLA LIAR I OCCUR ` ..�.. ......_ ................... EACH OCCURRENCE $ _I LIA CLAIMS- MADE I I ._AGGREGATE. ... .. $ . ... DEDESS RETENTION $ ..... I $ .... ... --. C WORKERS COMPENSATION EMPLOYERS' BTNERDE,XECUTIVE Y / N X 934674224 .. f X $�PRTI�T� mTH 9/27/2025 9/2712026 000 000 - ANY Fna OryEM in HR/E CAND NIA F L ols QA,CCID EMPLOYEej � ,.. 1,000,000 ... 1 If yes, describe under ��L DISEASE;,,,- POLICY LIMIT 1,000,000 . DESCRIPTION OF OPERATIONS below .„.,_,,, A �Equipment Floater _ VBB194328 ww_IT.., ,,,,,� 9/3012025 9/30/2026 i i .,„ Schedule, mayattached � �� ........ .��_..� � if more space is required) DESCRIPTIONOf OPERATIONS / LOCATIONS IVEHICLES ( , AdditionalRemarks the named red RE. All landscape operations e by Or On behalf (See attached GBA1050031219 & WC Waiver) The City of El Segundo, its officials, and employees are named as additional insured 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. Recreation, Parks and Library Department 350 Main Street Room 5 ... ...._. . ... _ ... ....... � El Segundo, CA 90245-3815 AUTHORIZED REPRESENTATIVE x... � __ -. __..,,. __......._..—_._._._. ............. ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COVINGTON SPECIALTY INSURANCE COMPANY This Endorsement Changes The Policy. Please Read It Carefully. BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name of Additional Insured Person(s) or Organization(s): Any person or organization whom you are required to add as an additional insured on this policy under a written contract which is currently in effect or becoming effective during the term of the policy and executed prior to the "bodily injury", "property damage", or "personal and advertising injury (Information required to complete this Schedule, if not shown above, will be shown in the ueclarations.) A. 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", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or 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. C. With respect to the insurance afforded to these additional insureds, the following is added to SECTION III — Limits of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. All other terms and conditions of this policy remain unchanged. Policy No.: VBB194328 GBA 105003 1219 Endorsement Agreement m Waiver of Subrogation Blanket Basis 9346742-2025 Home Office Renewal San Francisco NE All Effective Dates are 1-53-82-86 at 12:01 AM Pacific Page 1 of 1 Standard Time or the Time Indicated at Effective September 27, 2025 at 12:01 AM Pacific Standard Time and Expiring September 27, 2026 at 12:01 AM RED FIR RANCH ENTERPRISES, INC. 9250 RESEDA BLVD #170 NORTHRIDGE, CA 91324-3405 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. Schedule Person or OrganizationJob Descriptio Any person or organization for whom the Blanket Waiver of Subrogation named Insured has agreed by written contract to furnish this waiver 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 September 26, 2025 2572 Authorized Representative President and CEO SF —END Rev. 2/2025 OLD DP 217 CITY OF EL SEGUNDO WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECTS AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LABOR CODE § 3706, INTEREST, AND ATTORNEYS FEES. I affirm under penalty of perjury under the laws of California one of the following declarations: (_) I have and will maintain a certificate of consent of self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Labor Code § 3700 for the performance of the work set forth the agreement with the City of El Segundo. Policy No. oh I have and will maintain workers' compensation insurance as regOred by Labor Code § 3700 for the performance e work for which the agreement with the City of El Segundo is executed, sty, workers' compensation 'insurance carrier and policy number are: Carrier Policy Number` Expiration Date Name of Agents _: mm Phone WK-v&y-r1L- �) I certify that, in the performance of the work set forth in the agreement with the City of El Segundo, I will not employ any person in any manner s to become subject to the workers' compensation laws of California, and agree that, if I should become ct to the workers' compensation provisions of Labor Code § 3700 1 must immediatelycomply with thou 04 signs or t he agreement will automatically become void, 2 Z� Signature of Apin,rt Date _... Print Name Agreement for. - Dated: Reviewed by: