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PROOF OF INSURANCE (2026 - 2027)
CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 1 /15/2026 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 Orr & Associates Insurance Services 28780 Single Oak Dr Ste 255 Temecula CA 92590 INSURED RAMEROO-01 Ramey Roofing Inc dba Economy RoofingRamey Roofing Inc dba Economy Roofing 4716 Marine Avenue Lawndale CA 90260 COVERAGES CERTIFICATE NUMBER: 1938392832 Certificates ,sty„• 800-311-�3081 certstc"x orranda: INSURER A: James River Insurance INSURER C a INSURER D : REVISION NUMBER: 800-474-3003 12203 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. 149R A@DLfSL16R( - - -----� POLICYEFF TPOLICYEXP LTR TYPE OF INSURANCE { I POLICY NUMBER MM/DD. MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y P0000008436 6/7/2025 6/7/2026 EACH OCCURRENCE $1,000,000 CLAIMS MADE L_XOCCUR ._D�I�aIt�E'II� sEI!S�"Ei� --- - I' $ 50 000 PREMISES (Ea occurrencxZ .... ....._ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 rv_GENERAL GEN'LAGGREGATE LIMIT APPLIES PER: AGGREGATE $2,000,000 POLICY I %� PRO. CT ❑ LOC - - _ .... PRODUCTS - COMP/OP AGG $ 2 000 000 — - OTHER; $ AUTOMOBILE LIABILITY COM01NED61NGIE.1111 r $ (1 a acc dynC .. I, ANY AUTO '.. BODILY INJURY (Per person) $ I OWNED SCHEDULED AUTOS ONLY � AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED I P6#OPERT'YDAMAGE�$ AUTOS ONLY AUTOS ONLY i9er accident) UMBRELLA LIAB OCCUR t EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED I RETENTION $ Is WORKERS COMPENSATION PER O"rH- AND EMPLOYERS' LIABILITY YIN ECUTIVE ICR ER/EM EXCLUDED OFFICER/MEMBER NIA (Mandatory E.L.DSEASE�EAEEMPLOYEEf�BIf describe under - E.L. LIMIT 1$-� DESCRIPTION OF OPERATIONS below DISEASE POLICY '.. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate is subject to policy limits, conditions and exclusions. City of El Segundo, Its Employees, and Officials are named as Additional Insured as per attached endorsement form(s). t.:tKIIt-IC:AIt H City of El Segundo 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 REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: P0000008436 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS,• ! CONTRACTORS PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations,_ Where required by written contract or written agreement All operations of the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations.. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodilyinjury" or pp y damage" or "personal and advertising injury" '. property damage occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project (other than service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: P0000008436 COMMERCIAL GENERAL LIABILITY CG 20 28 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract or written agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader 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 insureds, this insurance does not apply to any 'occurrence" which takes place after the equipment lease expires. 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 28 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: P0000008436 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURE - OWNERS, LESSEES OIL CONTRACTORS COBS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Where required by written contract or written All operations of the Named Insureds agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: P0000008436 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 A ♦ • "` • im This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ DATE 01(/16/2026MM/DD/YYYY) _ µ � �-�........ - ......... CERTIFICATE OF LIABILITY INSURANCE ....._.._.....,.-...�.... . m... 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 COVERAGEAFFORDED BYTHE 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. Ifthe certificate holder is an ADDITIONAL INSURED, the policy(ies) must have provisions or be endorsed If SUBROGATION IS mWAIVED, subject to mmm terms a.....d conditions ofthe policy, policies may require rmsand y q h eADDITIONALINSURED ro 9 certificate orsement(s). • r is •••• p cy,certain � this rights oldermlieuofsuchend the PRODUCER CONTACT NAME: ,Jodi Bush AX ,Jodi BUSK Insurance Agency PHONE ..----�., .,., _F m .�,• - 43545 17th Street West Ste 503 (A/C, No, EXT): 805 907-9217 (A/c, No): 661-729-2142 Lancaster, CA 93534 E-MAIL ADDRESS: jodibush.insurance@yahoo.com INSURER(S) AFFORDING COVERAGE NAIL # . ,...,..... w. — . ..... ------ INSURED INSURERA: Truck Insurance Exchange 21709 __. INSURER B: Ramey Roofing INsuRERc:.................�,, ...... 221 1 /2 Arena Street ....... ... ... INSURER D: El Segundo, CA 90245S�REn RE INSURE.R.F F ----------- •• •.- UM COVERAGES CERTIFICATE N a BER: REVISION NUMBER THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE TWIT -.... m� ......... �� OVE FOR THE POLICY PERIOD INDICATE0. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- . . . . INSR ADDTL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPEOFINSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) ...... _-.. COMM..� m _.... ERCIALGENERALLIABILITY EACH OCCURRENCE S CLAIMS -MADE OCCUR RE M GE TO RENTED El PREMISES (Ea Occurrence) MED EXP (Any one person) S m..,...— .ee.....—.__................................._... PERSONAL & ADV .eee __. _....... .� INJURY $ .......... ---- �-..� .....—........ GEN'LmAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE PRODUCTS COMP/O POLICYm PROJECT LOC PAGG S OTHER: 111 S .... . ..... ....._. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) .... INJURY —--..._............................. ANYAUTO BODILYerper son) S, A OWNEDAUTOS SCHEDULED BODILY INJURY Peraea dent) S ONLY AUTOS X X 606767923 10/26/2025 10/26/2026 ' HIRED AUTOS XNON-OWNED PROPERTY DAMAGE ONLY AUTOSONLY (Per accident) S UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE [D "[=R EN TION $ WORKERS COMPENSATION .. [PTE)W` OTHER AND S'LIABILITY S, ANY PROPRIETOR/PARTNER/ Y/N E,L. EACH ACCIDENT S EXECUTIVE OFFICER/MEMBER N/A �. E M O EXCLUDED? (Mandatory in NH) E PL YEE E.L. DISEASE - EA .... ... . Ifyes, describe under DESCRIPTION OF E,L.DISEASE- POLICY LIMIT S OPERATIONS below DESCRIPTION OFOPERATIONS/Lc is OCATIONS/VEHICLES(ACORD101,AdditionalRemarks Schedule, maybe attachedifmoresp ace s required) The City Of El Segundo, It's Employees, and Officials are named as additional insured as per the attached endorsement form. CERTIFICATE HOLDER CANCELLATION Ity07egund0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED �- ELLED BEFORETHE EXPIRATION Its Officials &Employees .... .. ILL B HE POLICY PROVISIONS. DATE THEREOF, NOTICE W E DELIVERED IN ACCORDANCE WITHT„ 350 Main Street AUTHORIZED REPRESENTATIVE 01/1 aUa� ACORD 25 (2016/03) @1988-2015 ACORD CORPORATION. All Rights Reserved 11. "I'll, , ,. 11 .._.a I___ ...... _.,..:_�..._.a _..__�._ _c A�nnn RAMEROO-01 NPROI '4 CERTIFICATE OF LIABILITY INSURANCE DATE 1/15/2026 ) 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 High Ground Insurance Services 2377 Crenshaw Blvd., Suite 304 Torrance, CA 90501 Noah Prouse INSURER California Contractors Network c INSURED INSURER B Ramey Roofing, Inc. [ INSURER a.:. 4716 Marine Ave INSURER D Lawndale, CA 90260-1247 ---- ------ ......... ......... LINSURER F : ...,�...................................... .... COVERAGES CERTIFICATE NUMBER: 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ._ ......... ....... .... pp INSR �ADDL SUBR� ........ POLICY NUMBER TR TYPE OF INSURANCE I .. m .. ( POLICY IE.. ._ mm ...__..__ __._ __ ----._. _._..... � ���I�I�If,4��:�.�/`L".YY ...... LIMITS COMMERCIAL GENERAL LIABILITY ..�._ f FAGH OGGURRFNGE I CLAIMS -MADE OCCUR _$ DAMAGE TO RENTED ll[pac {{[ M D EXP Ar?yone,pers9q)-- - ................ .... ...,. 4µµPERSO,NA,AD,VINJURY ....--$ ---........ ... ,... GEN'L AGGREGATE LIMIT APPLIES PER: [_GFNERAL,AGGREGATE $ POLICYJE � LOC AGG ----_..l ,,,PRODUCTS GQMP/pP $ OTI $ J„ AUTOMOBILE LIABILITY COMBINES SINDI k LIMIT ANY AUTO DILY INJURY lP,er persgn, 1 $ SCHEDULED OWNED AUTOS ONLY L- AUTOS ,8 m L,BODILY INJURY {Per aooident).�_$ ..... ........_ AUTOS ONLY NON-OWNED ONL� 1 PPReOaPERd1 IDDAMAGE $ !�..._.........L _. �__.........._..._ mm $ URRENCE $ EACH OCC, EXCESS ABAB CLAIMS MADE AGGREGATE. $ lDED � RETENTION $ $ A COMPENSATION X ITATIJTFTH AWODRKERS EMPLOYERS' LIABILITY YIN X 45030364 1l1 /2026 1 /1 /2027 5,0...... - 00 ANY PROPRIETOR/ E L EACH ACCIDE11111111111NT $ EXCLUDR/EXECUTIVE in NH) E L. DISEASE EA E $ 5,000,000 If yes, describe under , 5,0�0,000 DESCR PTION OF OPERATIONS belcw ..W......__��_._.....:.................................,.�..-....._................................�............._....._..__.. CY LIMIT $ E.L. DISEASE - POLICY ..1.....�.... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waiver of Subrogation applies as respects Wrrers Compensation as required by written contract with the named insured. CERTIFICATE HOLDER CANCELLATION' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245.......................................... �..._... AUTHORIZED REPRESENTATIVE .. ....... ................. �............. .. ... .._....�.. ............ ._._.m,_ .._ ..........._..-..-...�...�u....__.. �'V ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0456 00 0113 (XWC) ENDORSEMENT BLANKET WAIVER OF SUBROGATION Effective 12:01 A.M., Local Time, January 01, 2026 In consideration of the payment of premium and adherence by both parties to the terms of this Agreement, it is hereby understood and agreed that the Recover From Others section of this Agreement is amended to include the following additional language: The CORPORATION has the right to pursue subrogation recoveries from anyone liable for an injury covered by this Agreement. The CORPORATION will not enforce its right against any person or organization for whom the EMPLOYER performs work under a written contract that requires the EMPLOYER to obtain this agreement from the CORPORATION. All other terms, conditions, agreements and stipulations remain unchanged. Attached to and forming a part of Excess Workers' Compensation and Employers' Liability Insurance Agreement No. SP 4067949, issued by SAFETY NATIONAL CASUALTY CORPORATION of St. Louis, Missouri to CALIFORNIA CONTRACTORS NETWORK, INC., ET AL, dated January 01, 2026. Endorsement No. 0456 00 0113 (XWC) SAFETY NATIONAL CASUALTY CORPORATION J k A President Secretary