The URL can be used to link to this page

PROOF OF INSURANCE (2026)C CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 11 /1712025 11 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 endorsements,). PRODUCER Palmer & Cay, LLC 22 Barnard Street Suite 200 Savannah GA 31401 INSURED 153 INSURER B Girl Scouts of Greater Los Angeles 423 N. La Brea Ave. "wsuR---�-.....: Inglewood CA 90302 INs RERD: INSURER E t. INSURER F COVERAGES CERTIFICATE NUMBER:902245110 l sotutlonsr p Irner0n9Cay_com INSURER(S) AFFORDING COVERAGE _ „NAIC # Lexln. g Company 19437 trance Granite State Insurance Company" """ "" 23809 National Union Fire Insurance Co. 19445 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. INSRICY E LIMITS TYPE OF INSURANCE POLICY �� ."I NSn t7 I2 POLICY EFR POLIO NUMBER MM4C3DfYYY'Y� MMIDD , A I X COMMERCIAL GENERAL LIABILITY Y AIP3450500202 10/1/2025 10/1/2026 EACH OCCURRENCE $1, 000 X 1 1 CLAIMS -MADE OCCUR PIN OF. r m ascy trP ir) $ �.000 000 1,000,000 r I MED EXP (Any one person) $ 1 000 ••• .�....--- `-----� ..........-.,....._ .......... .. ERSONAL&ADV INJURY 000 000 $ 10 s3,000,000 • EGATE LIMIT APPLIES PER: GE,N 6. AGGREGATE t X LOC PRO- '7 P. GGREGATE GENERAL A.... RODUCTS COMPIOP AGG $ 3,000 000 POLICY JE4%'T ..�... ........ �. ...... .......... ._....... $ OTHER; B AUTOMOBILE LIABILITY CA0442514702 10/1/2025 10/1/2026 COMBINED SINGLE UMIT $1,000 000 (9, 00qntl ANY AUTO BODILY INJURY (Per person) $ OWNED �X SCHEDULED BODILY INJURY (Per accident) $ „ AUTOS ONLY AUTOS X.,, HIRED NON -OWNED F 9CtPERT y DAMAGE $ 75 000 AUTOS ONLY AUTOS ONLY tltgr,�adk..._' -- . ... ......... ..... ._.I i I $ I C UMBRELLA X OCCUR AIX3450500602 10/1/2025 10/1/2026 I. " EACH OCCURRENCE $ 5 000 000 X EXCESS pBIAB CLA MS -MADE AGGREGATE P $ 5 000 000 r DEDTION $ i I $ WORKERSCOMPENSATION J STATUTE _ I- "" AND EMPLOYERS' LIABILITY y / N ANYPROPRIETOR/PARTNERIEXECUTIVE ------- "".„ERH E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA "" E.L" DISEASE EA EMPLOYEE $ .... ................ ..,,,,., ........_._ If yes, describe under E.L. DIS.._.,..... �....- EASE LIMIT $ DESCRIPTION OF OPERATIONS below I -POLICY A Sex Abuse & Molestation AIP3450500202 10/1/2025 10/1/2026 Per Occurrence Aggregate 1,000,000 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo„ its officers, officials, employees, agents and volunteers are named additional insured on the general liability policy with respect to the use of its premises for Girl ,Scout activities of the insured Girl Scout Council. Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will snail 30 days written notice to the certificate holder named below. Coverage is Primary and Non -Contributory such that any other insurance that may be carrier by the City will be in excess thereto. CERTI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo, its officers, employees, agents ACCORDANCE WITH THE POLICY PROVISIONS. and volunteers 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: AIP3450500202 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s); City of El Segundo, its officers, employees, agents and volunteers ElSegundo CA 90245 A. Section II — Who Is An Insured is amended to not be broader than that which you are required include as an additional insured the person(s) or by the contract or agreement to provide for such organization(s) shown in the Schedule, but only additional insured. with respect to liability for "bodily injury", "property B. With respect to the insurance afforded to these damage" or personal and advertising injury" caused, additional insureds, the following is added to Section in whole or in part, by your acts or omissions or the III — Limits Of Insurance: acts or omissions of those acting on your behalf: If coverage provided to the additional insured is 1. In the performance of your ongoing operations; or required by a contract or agreement, the most we will 2. In connection with your premises owned by or pay on behalf of the additional insured is the amount rented to you. of insurance: However: 1. Required by the contract or agreement; or 1. The insurance afforded to such additional insured 2. Available under the applicable limits of insurance; only applies to the extent permitted by law; and whichever is less. 2. If coverage provided to the additional insured This endorsement shall not increase the applicable is required by a contract or agreement, the limits of insurance. insurance afforded to such additional insured will CG 20 26 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 AIP3450500202 "AERVAL GENERAL LIABILITY CG 20 010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ..FAI, �h� j -. � �► . INN+ � �! ' � M�' This endorsement modifies insurance provided under the following:. COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the contrary: agreement that this insurance +mulct be Primary And Noncontributory Insurance primary and would not seek contribution from any other insurance available to the additional This insurance is primary to and will not seek insured. 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 CG 20 010413 ©Insurance Services Office, Inc., 2012 Page 1 d 1 0 DATE (MMIDD/YYYY) AC"RL> CERTIFICATE OF LIABILITY INSURANCE 10/9/2025 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 Gina Bonafede T rAAX .Exq Arthur J. Gallagher Risk Management Services, LLC PHONE818 539 8617 500 N. Glendale 91203tNI49w Boulevard Suite 100 E-MAIE MAIL � INSURERS) AFFORDING COVERAGE NAIC # _. ....__ ----. . ------- LIGOS.�1/.QD6a293 INSURERA QualdyComp...��0...,, INSURED GIRLSCO-12 INSURER B : GIRL SCOUTS OF GREATER LOS ANGELES - WC " "' """' -------------- -------------- 423 N LA BREA AVE RERc Inglewood, CA 90302 INsuRERD: INSURER E .,.,.,,.. - INSURER F r r'nrrERAGES CERTIFICATE NUMBER: 1591`15R3309 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. ....... .. .-......... .......... ..,. .............................,..... ... .._ ......INSOi POLICY gig ....... TYPE OF INSURANCE �ADtJ4i lj t... .......... V NUMBER 1 ..POLdC'Y 'S fr POLICY EXP ' LIMITS F MMIDDfYY'YY MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE . � �. $.....�,. CLAIMS -MADE OCCUR � .. � � -� �;y1F�1Y��.� tie z�g,curnwrl�ugt,) .. ... .... ........ ED EXP (Any one person) n) f 111 PERSONAL & ADV INJURY ....... ---- GENLAGGREGATE LIMIT APPLIES PER: GENEAAGGREGATE ----- JE T LOC PRODUCTS -COMP/OP AGG $POLICY ,,,,,, OTHER: AUTOMOBILELIABILITY CCSMBINED SINGLE I IMI ',a $ .... (. sI l:dnruq) „„... [BODILY INJURY (Per a son) $ Y p ..,__., OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per acadent) $ .._...,. .. „, ----. HIRED NON -OWNED 1 PROPFR1fY DAMAGE; $ AUTOS ONLY AUTOS ONLY far acg0v )... --- - - UMBRELLA LIAB OCCUR � EACH OCCURRENCE $ I 4 EXCESS LIAR f CLAIMS MADE , AGGREGATE $,.,,, DED ( RETENTION 11 $ A WORKERS COMPENSATION i Y MEMBER NUMBER 0151541025 10/112025 10/112026 PER OTH- STATUT �., ER AND EMPLOYERS'LIABILITY YIN _..N OFFICE /MEMB RIPARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? � I N I A "-- — .E,L EACH ACCIDENT �'X $ 1 000 000 ....-., (Mandatory in NH) E,L DISEASE EA EMPLOYEE ................ .. $ 1 000 000 ..... _ ,.,.,. ......... , If yes, describe under ........ EL. DISEASE POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS below ,. I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Waiver of Subrogation on Worker Compensation applies in favor of certificate holder. Endorsement to follow FIGAIL r1ULULK City of El Segundo, its officers, employees, agents and volunteers 350 Main Street 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 RE V IWSO-ZU10 AGUKU L UKYUKAI IUIY. Nu nyntb rebGrvVU. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD