PROOF OF INSURANCE (2026)BoldSign Document ID: def5lcff-lcaf-46a6-aad2-56bb9b313fa6
0 DATE (MM/DD/YYYY)
A4COP>RO CERTIFICATE OF LIABILITY INSURANCE
-^"'"" 10/24/2025
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
The Baldwin Group Mid -Atlantic LLC 4N-52
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DBA BCP Tech 1511 Baltimore, Ste 200 81'""" "- --
E•MA1L
Kansas City MO 64108 U 'rMLS's unYD'"a�br ashkc com
INSURER(S)AFFORDING COVERAGE
NAIL #
574
INSURER Berkley National Insurance Com .....
3$911
INSURED GRANLLC-01
INS Re 2m an
36684
Granicus, LLC
1152 15th Street, Suite 800
INSURERC: Federal Insurance ance Corn
R_ P?�!
20281
Washington, DC 20005
INSSURERD: ACE American Insurance Company
22667
INSURER E :
INSURER F 7.
^r^ %IMMAs CTCr rMoTicrrAYC KIMA000- Ianr;I12n70
RFVICInIJ 1JIIMR9=R-
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.
AOD 'R: R �'... POLICY I P POLICY r:"Xkr`
......_ _� _..- ..............POLICY
YNSR
.MM I C
INSURANCE LIMITS
TYPE OF I ER YY
L7R NUMB YY WIM G: 84'YYY
A
X COMMERCIAL GENERAL LIABILITY
TCP 7024348 - 12
10/20/2025
10/20/2026
EACH OCCURRENCE
$ 1,000„000
,�.�..._.� CLAIMS -MADE. OCCUR
_._.
`� iSi�6'JCf�'8'1"'ih�"I(:TS
25£EM1'Sk'.LE orcnrrrgf;l,,)
..__
$,1 000,000 ".,_.
•
MED EXP (Anne.on....)..............$15,000
yo. ...
.___...... ..�
PERSONAL & ADV INJURY
$ 1,000,000
.............. .,m., __ ,_ ________._...
GEN'L AGGREGATE LIMIT APPLIES PER:
..GENERAL AGGREGAT....
E
,,,,.,..".,�.•�
s2,000,000
P'RO-
�
COMPIOP AGG
$ 2
.!� POLICY LOC
,ULCT
PRODUCTS-
RODUCTS -
,000,000 ..
OTHER
$
A
AUTOMOBILE LIABILITY
TCP 7024348 - 12
10/20/2025
10/20/2026
COaBINlEeDntSINGLE LIMIT _
$1,000,000
X ANY AUTO
BODILY INJURY (Per person)
$
u
• OWNED SCHEDULED
BODILY INJURY (Per accident)
$•
AUTOS ONLY Xmm, AUTOS
HIRED NON -OWNED
......_, _.�,._,._
PROPEr+W6AMAGE
,...-.....-
$
AUTOS ONLY AUTOS ONLY
.... ....
.'JI!er accldent) ,...,...„„.,
_ „„e _...,.. , ...„..„.
Deductible
$ $1000
A
X
UMBRELLA AB X OCCUR
TCP 7024348 - 12
10120I2025
10I20I2026
OCCURRENCE
E,ACHmOCCU
_
$15,000,000000
EXCESS AB
GGREGATE
$15000 m m
DED RETENTION $
$
B
WORKERS COMPENSATION
TWC 7024349-12
10/20/2025
10/20/2026
X STATUTE OTH13 -
AND EMPLOYERS' LIABILITY YNN
4"
" '..
OFFICEANYPROP EMB REXC EXCLUDED?
OFFICER/MEMBEREXCLUOED? �
N/A
$ 1,000 000
(Mandatory )
LOYEE
E.L. DISEASE -DENT EMPLOYEE
$1,000 000
If yes, describe under
'DESCRIPTION OF OPERATIONS below
E.L. DISEASE POLICY LIMIT
$ 1,000,000
C
Crime -Theft of Client Prop
J06844844
1/29/2025
1/29/2026
Limit / Retention
5,000,0001$50,000
D
Cyber/ Tech E&O
D0246732A
10/20/2025
10/20/2026
Limil/Retention
5,000,0001$250,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of El Segundo, its officers, officials, employees, agents and volunteers is/are an Additional Insured with respect to liability arlsing out of the operations of
the insured and to the extent provided by the policy language or endorsement issued or approved by the insurance carrier. Waiver of Subrogation applies per
attached endorsement(s) or policy language.
CERTIFICATE HOLDER CANCELLATION
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 St
El Segundo CA 90245 AUTHORIZED REPRESENTATIVE
U 1985-2015 AGURD GURPUKA I IUN. All rlgnLS reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD