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PROOF OF INSURANCE (2026)ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/12/2025 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 NAME: Shelley Romero Emery & Karrigan, Inc. PHONE FAX 9880 SW Beaverton -Hillsdale Hwy A/c No Ext : A/C, No): E-MSuite ADDRESS: certs@emerykarrigan.com 202 INSURER(S) AFFORDING COVERAGE NAIC# Beaverton OR 97005 INSURERA: National Interstate Insurance 32620 INSURED RCSSAFE-01 INSURERB: Indian Harbor Insurance Company 36940 RCS Safety LLC dba: Roadway Construction Service INsuRERc: Navigators Specialty Insurance Company 42307 INSURERD: Arch Specialty Insurance Company 21199 900 S Maple Ave Montebello CA 90640 INSURERS: Admiral Insurance Company 24856 INSURER F : COVERAGES CERTIFICATE NUMBER:629493498 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY Y BMG0000016-01 8/1/2025 8/1/2026 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO - POLICY � ECT1:1 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y BMA0000016-01 8/1/2025 8/1/2026 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY B UMBRELLALIAB X OCCUR Y SXS006576601 8/1/2025 8/1/2026 EACH OCCURRENCE $3,000,000 X AGGREGATE $ 3,000,000 EXCESS LAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N BMC0000016-02 8/1/2025 8/1/2026 X PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? FY] N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C 2nd Layer Excess Liability Y PT25EXCZOLGJMIC 8/1/2025 8/1/2026 EACH OCCURRENCE / AGG 2,000,000 D E 3rd Layer Excess Liability Professional Liability Y UXP1055361-01 E0000022268-13 8/1/2025 8/1/2025 8/1/2026 8/1/2026 EACH OCCURRENCE / AGG EACH CLAIM / AGG 5,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo, its elected and appointed officials, employees, and volunteers are named as additional insured when required by written contract per the attached endorsement. Coverage is primary/non-contributory when required by written contract per the attached endorsement. Excess policy is follow form over the General, Auto, and Employer Liability policies. CERTIFICATE HOLDER CANCELLATION 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. 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 USA @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE Page intentionally left blank oMA000001�o1 Policy Number: COMMERCIAL AUTO THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ Ul[CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM TRUCKERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. Who be An insured under COVERED AUTOS LIABILITY COVERAGE is amended to include as an "insured". any person or organization are required to add as an additional insured On this policy under vv[h1eD contract, agreement Orpermit which must be: a. currently in effect or becoming effective during the term of the policy; and b. executed prior [othe "bodily injury" or"pnopertvdarDmg8." The insurance provided to this additional insured is limited as follows: 1. That person or organization is an additional insured only with respect to liability arising out Of your operations performed for that additional insured as specified in the written CDn[r8Ct. agreement Or permit. 2.The limits Of insurance applicable to the additional insured are those in written nnntna{t, agreement,pgrrnitOrin[hRDec|araUonufUrihispO|iCy.vvhiCh8v8rano|eSS.Theee|irOitsOfinauranoeeroinC|uSiv8 of and not in addition to the Limit of Insurance for Liability Coverage shown in the Declarations. 3. Coverage is not provided for "bodily injury" or "property damage" arising out of the sole negligence Of the additional insured. Any coverage provided hereunder will be excess over any other valid and collectible insurance available to the additional insured whether primmry, excess, Contingent or on any other basis unless G contract specifically requires that this insurance baprimary. When this insurance is in excess, we will have OO duty to defend the additional insured against any "suit" if any other insurer has a duty to defend the additional insured against that "suit." If OO other insurer defends, we will undertake to do gn, but VVewill be entitled to the additional |DSU[8r's rights against all those other insurers. All other terms and conditions ufthis policy remain unchanged. M|1 CA 50 5706 14 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of with its p8[OliSsinO. Copyright, Insurance Services (}fficH' Inc. Page intentionally left blank POLICY NUMBER: BMG0000016-01 COMMERCIAL GENERAL LIABILITY CG;2O1D1219 THIS ENDORSEMENT CHANGES THE POLICY' PLEASE READ IT CAREFULLY' ADDIT��U��U��U INSURED ��y�� LESSEES �� IONAL n��n�a~u�~ nn��n`��~�� ~~ n_*�mn��~n�m�, �~�~��~�~�� *~*n`� CONTR��^��n�� SCHEDULED ��n�� ^�� ACTORS n�~�� n ��n`�� ~~ ��n n�~��~�~�� n-�~n�*�w.�n� n_�n"u ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Where required by written contract or agreement Any location(s) required by contract or agreement provided such contract was executed prior to the where you are NOT enrolled in a "controlled (wrap - date of loss. up) insurance program Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section U -VVhm Is An Insured is amended to include asan additional insured the (n)or organization(s) shown in the Sohedu|e, but only with respect to liability for "bodily injury". "property damage" or "personal and advertising injury" caused, inwhole orinpart, by: 1. Your acts uromissions; or 2. The acts or omissions of those acting on your behalf; inthe performance ufyour ongoing operations for the additional insured(a) at the location(s) designated above. However 1. The insurance afforded to such additional insured only applies tothe extent permitted by |ovv; and 2. |fcoverage provided hothe additional insured is required by o contract or agreement, the insurance afforded to such additional insured will not be brooder 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 ineuredn, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including mat*he|s, parts or equipment furnished in connection with such vvork, on the project (other than service, maintenance orrepairs) to be performed by or on behalf of the additional insured(s) at the location 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 o principal osopart ofthe same project. CG2O 101219 @ Insurance Services Office, Inc., 2018 Page 1 of 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. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 Policy Number: BMG0000016-01 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 Page intentionally left blank