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PROOF OF INSURANCE (2025)0 1 DATE (MM/DD/YYYY) - CRL'" CERTIFICATE OF LIABILITY INSURANCE 12i1i2025 11/10/2 25 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 Lockton Companies, LLC NTACT ....._-- DBA Lockton Insurance Brokers, LLC in CA PHONE FAX CA license #OF 15767 Chi W.ag Monroe. Ste. 3400 IN URE S AFFOROINO COVE I'C # Chicago IL 60661 1_i Com an 2 (312) 669-6900 midwestcertificates(a�lockton.com INSURER A: The Charter Oak Fire Insurance]many ...... 5615 SDI ErBeceLLC St INSURER c TraveYh9emx, lIISuraxw_q l jompan INSURED INSURER B 1427688 Randolph_ „lers Property Casualty Company yof Amenca 25674 Ste 3550 INSURER D : --- SEE ATTACHMENT --- INSURER E Travelers Chicago IL 60601 Commercial Casualty Company 40282 INSURER. IF: ......�.,...�� rCDTirirAIM saiieeDCD. IA Qyl11(1 Rr-VIRION NtIMRFR: yh''<`iw°ii "':"y vTHIS 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. •°LIMIT.______. .....,.. tLTR..' .. TYPE OF INSURANCE ...........,gAblii. I)ai:,� POLIC.Y.NUMBERmm .,....�MMUd' Yf"Y'YH PM% DIYYYY L�TR i S B X COMMERCIAL GENERAL LIABILITY Y Y H-630-OS724669-PHX-24 12/1/2024 12/1/2025 EACH OCCURRENCE . $ l 000 OO ... (CLAIMS -MADE �X OCCUR (JAM YI�- AeNtR5 V ^$ �O�Qp Q ........_ MED EXP (Any one person) $ 10,000,,... &ADVINJURY $ Ig000�Q 0­ GEN'LAGGREGATE LIMIT APPLIES PER: _PERSONAL GENERAL AGGREGATE � _ $ 2x000,0,00 ", POLICY X LOC PRODUCTS - COMP/OP AGG $�2,00Q 0,00 A OTHER: AUTOMOBILE LIABILITY Y y 810-OS724577-24-I3-G 12/1/2024 12/1/2025 COMBINED __ SINGLE LbM ru V $ Q00 0,00 1 " ANY AUTO ...8.�.�.�.�Y..�.N�.U..-R...._Y (Per Pe-rson) ,..... ..Xy_Y_YYICX,..,..._ OWNED ....... SCHEDULED BODILY INJURY (Per accident) $ XX�� ..,_ AUTOS ONLY „.... ,..... AUTOS HIRED NON -OWNED OA AGE ac3:na3 xxxxxx_ AUTOS ONLY AUTOS ONLY m..._. m$ $ ... XXXXXXX C X UMBRELLA LIAB OCCUR N N CUP-OS724762-24-I3 12/l/2024 12/1/2025 EACH OCCURRENCE $ 25 000 000 EXCESS LIAB CLAIMS -MADE AGGREGATE,,, $ 25M0,000 X RETENTION $ I O,O DED 00 $XXX XXX E WORKERS COMPENSATION Y UB-6Y76504A-24-I3-G 12/1/2024 12/1/2025 X STATUTE . ,.ERH ..-- AND EMPLOYERS' YIN OETORI LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E L EACH ACCIDENT $ 1000 000 ... —� OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N/ A EM LOYEE " E L DISEASE - EA E M $ 1000 000 ...,, II yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT '.. $ 1.. 000.000 D Professional N N SEE ATTACHED 12/1/2024 12/1/2025 50M each claim & aggregate limit, Liability/Technology E&O/ $250,000 retention Cyber DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Clay, hi Chy Council, boards, coinmistS ions, officials, crnployccs, agerns, and woluntecas are included as, additional insurW0) on a Primary and Non-contributory basis irre4 RIircd by written 14719YXaCt 'titR. n c . with respeca ram Cic'cte'aal Liability ' and Auto Liability pYer tlY4 tCCCk17; rand conditions ofthe pullCy. A N1lAl b'ua Cif Stulba'aYp ta4luit applies in fiwuebr ofthe additionaladditionalinsured ai tugkinCd "� wvrC o nt!raCtevitia mspc: t ter Q,cneral Liability, Aow Liability, and Workccs C°oanpcas'ation per (he terms and conditions of the policy where permitted by MAW hkww. A .Wday rn)licc orcanealiation is lnchuied ifrequu cd by'wnalen coruract with respect to Gewnwl l.Aability per the terms and conditions of the policy. CERTIFICATE HOLDER UANIL L.L A I iUN zee e,nacnmenis 20184119 City of El Segundo 350 Main St. 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 REPRE ENTATIV.E...„„­+"" © 196'8.2018 A ORI7 CbRPO'F 1'bbN,, All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code: D590430 Master ID: 1427688, Certificate ID: 20184119 Insurer Limits Policy Number Poiic PerNod y Travelers Property Casualty ZPL-91 N34346-24-13 12/1/2024-12/1/2025 Company of America $5M Aggregate EOL-243134 12/1/2024-12/1/2025 Crum & Forster Specialty $51VI xs $51VI Insurance Company MPXE249273 12/1/2024-12/1/2025 Great American Fidelity $5M xs $10M Insurance Co. I 12/1/2024-12/1/2025 Allianz Global Risks US USF05286124 Insurance Company $51VI part of $10M xs $15M BFLCYETIL011400_022616_01 12/1/2024-12/1/2025 Texas Insurance Company $51VI part of $10M xs $15M 12/1/2024-12/1/2025 Endurance American $51VI xs $25M PRX30049745701 Insurance Company EOXS2410002262-01 12/1/2024-12/1/2025 Ascot Insurance Company $51VI xs $30M 12/1/2024-12/1/2025 Indian Harbor Insurance $51VI part of $10M xs MTE9040362 05 Company $35M 12/1/2024-12/1/2025 Lloyd's of London $5M part of $10M xs ACX1124124 $35M EK13551431 12/1/2024-12/1/2025 Scottsdale Indemnity $51VI xs $45M Company