PROOF OF INSURANCE (2026).r M
DATE (MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE
12/15/2025
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 ONTA T
NAME, Tellsa Gibson
RBN & Associates, Inc. PHONE "� FAX ...
303 E Wacker Dr ((VC,,Nq „Ext) 312 856 9400 �1 rp, ruu), 312-856-9425
E-MAILSuite ®,,,, .. ............
Chicago0IL 60601 A%MN�1tE45, .tgIbSOnI
NSURER SUAFFORDING COVERAGE NA
p
„ ,.,. -
wsuRERA: The Travelers Indemnit r Co. 25658
INSURED HYDRDES-01 INSURERB Travelers Prop Cas,Co of Amer 25674
11—
HydroCorp, LLC
HydroSoft, LLC INSURERC Twin Clty Fire Insurance Co. 29459
Florida HydroCorp, Inc INSURERD St Paul Guardian Insurance Company 7 24775
5700 Crooks Road, Suite 100 INSURERS Arch Specialty Insurance — 21199
Troy MI 48098
INSURER F :
COVERAGES CERTIFICATE NUMBER:699401861
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,
�AODLINSD rS.{1, ,,, ..„,,,,,,,,, .
.., .....ATYPE
INSR�
POLICY ExP � ®�, ,...m............. ...... -
EFF C
�,..�"p�M LIMITS
OF INSURANCE WVD POLICY NUMBER
DOY . MMBDONYYY
A I X ( COMMERCIAL GENERAL LIABILITY
6602W649777
12/15/2025
12/15/2026
EACH OCCURRENCE
$1000,000
„"
CLAIMS -MADE OCCUR
X-
A��CL 1tiRENrECS
rO_
FMISES i,Y oocurreggej
$300 000
ED EXP (Ana one person}
$10,000 -
RY
PERSONAL & ADV INJURY
51 �,.000 000
_� ..
(' F�rL M1'fwGRE:/'"a,hTE LIMIT APPLIES PER:
..
ENERAL AGGREGATE
G„
s2,000,000
X I I�fikl,kCY { P LOC
ACT
--__.-
PRODUCTS - COMPIOP AGG
$ 2,000 000
OTI-IER;
..
S
D AUTOMOBILE LIABILITY
BA2W651552
12/15/2025
12/15/2026
tS INGL( LIM,�Iacodion�r 1
y COMBINED
S 1,000,000
X ANY AUTO
BODILY INJURY (Per person)
,,,,,,, ,,,,,,
$
OWNED
BODILY INJURY (Peraccident)I
5
X,�. AUTODULED
AUTOS ONLY ,,
I X HIRED NON -OWNED
.�
-
PROPEVagY O AMAi' L
-- .w
$
AUTOS ONLY ,,,......,... AUTOS ONLY
(.I{rer tuccid4rtt),
,„,,,....
i
i
jf$
B X UMBRELLA AB X � OCCUR
CUP2W652616
12I15/2025
12/15/2026
RRENCE
$ 5,000 000
v
EXCESS ABCLAIMS MADE
—
AGGREOGA7 O1 ,
$5, 000 000
.,.r DER 1 X I RETENTIQN.,,,,�
$
A WORKERS COMPENSATION
UBW651969
12/15121121
12/11/2026
X I STATUTE ERH
AND EMPLOYERS' LIABILITY
,,,�,,,
EACH ACCIDENT
,,,,,,,,,
I $ 1,000,000
N
NIA
L
OF FICdER/MEn NH) EXCLUDED?
E L DISEASE EA EMPLOYEE
._.
S 1..000 000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L, DISEASE - POLICY LIMIT
5 1.000 000
C Crime 83 KB 0841697-25
12/15/2025 12/15/2026 Limit 2,000,000
E Cyber C-4LPY-053219-CYBER-2025
E & O/Pollution Liability f
12/15/2025 12/15/2026 Limit/Ayregate 2,000,000
PLEASE SEE BELOW FOR LIMITS
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Professional (E & O) & Pollution Liability
Carrier: Underwriters at Lloyds
Effective 12/15/2024 Expiration 12/15/2025
Policy number: ANE1010955.24
Each Limit: 2,000,000
Aggregate Limit: 2,000,000
el=M1 I=U'ATM unr r,Co r^ehlrGl I ATlnrU
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of El Segundo
350 Main Street
AUTHORIZED REPRESENTATIVE
El Segundo, CA 90245
V 1911:51:5-ZUl S AL UKU GUMI-UKM I IUIY. All n9niE5 reserves.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD