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PROOF OF INSURANCE (2024 - 2027) CLOSED.AAq "9—oF'�""� �, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/19/2026 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 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: If the certificate holder is an ADDITIONAL INSURED, the pol icy(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: GARETH NICKERSON Gareth Nickerson(993039V) PHONE FAX 27194 Baseline St Ste C (A/C, NO, EXT): 909-385-3200 (A/C, NO): 909-839-4372 E-MAIL ADDRESS: gnickerson@farmersagent.com Highland CA 92346-3197 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: NORTHFIELD INSURANCE 27987 INSURERB: KINSALE 38920 IWATER INC 12 GOODYEAR SUITE 130 INsuRERc: MID CENTURY COMPANY 21687 INSURERD: TRUCK INSURANCE EXCHANGE 21709 INSURERE: IRVINE CA 92618 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS ISTOCERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAME ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDTL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea Occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 A Y WH008318 10/27/2025 10/27/2026 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PROJECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODI LY I NJU RY (Per person) $ ANYAUTO BODI LY I NJU RY (Per accident) $ C OWNEDAUTOS SCHEDULED X ONLY AUTOS Y Y 605861543 09/04/2025 09/04/2026 PROPERTY DAMAGE (Per accident) $ XHI RED AUTOS X NON -OWNED ONLY AUTOS ONLY X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE 0100212520-1 10/27/2025 10/27/2026 AGGREGATE $ 5,000,000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY [STATUTE OTHER $ ANY PROPRIETOR/PARTNER/ Y/N E.L.EACHACCIDENT $ 1,000,000 C EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Y N/A A09505451 02/15/2026 02/15/2027 E.L. DISEASE - EAEMPLOYEE 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 Ifyes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO 350 MAIN STREET EL SEGUNDO CA90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELI Er A ANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 31-1769 11-15 V ©1988-2015 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD POLICY NUMBER: WH008318 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - SCHEDULED 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) Location(s) Of Covered Operations City of El Segundo, 350 Main Street, El Segundo, CA 90245 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 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, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) 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 a principal as a part of the same project. CG 20 10 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 1 of 2 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 10 04 13 Copyright, Insurance Services Office, Inc., 2012 Page 2 of 2 DD AC CERTIFICATE OF LIABILITY INSURANCE DATE /09/20 YYYY) 10/09/2023 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 Fred Dean NAME; Premier One Insurance Services PHONPc. (949) 727-2025 , Na (949) 727-9219 �1 V 100 Pacifica Ste 480 �n�A-11, Ffed.Dean(,,ot' Premier0ile.conl INSURER( NAIC # Irvine CA 92618 INSURERA: Beazley Insurance Company 37540 INSURED WSURfR B iWater, Inc. INSURER C q 12 Goodyear #130 INSURER D INSURER E,. Irvine CA 92618 INSURER F CI 93Q9R19100 RFVIRIAN NIIMRFR, 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. 4NSR' LTR'� TYPE OF INSURANCE WVD POLICY NUMBER MM/DDY F MMIDDPOL Y EXP .. LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ $ CLAIMS -MADE E OCCUR PREMISES Esoccung" _ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ PRODUCTS-COMPIOPAGG $ ❑ JIRO- ECT LOG POLICY JEGT OTHER: tlNW E LghtgT $ AUTOMOBILE LIABILITY 1" ou^cl@deq,) ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMA�GL. Pei , dent' $ AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB=0CCUREACH OCCURRENCE AGGREGATE $ EXCESS LIAB $ DED RETENTION $ OTH WORKERS COMPENSATION ER AND EMPLOYERS'LIABILITYPARTNER YIN PROPRIETOR/PARTNER/EXECUTIVE ID 7EACH OFFICER/MEMBER EXCLUDED?(Mandatory NIAIDENT in NH) EMPLOYEE $ANY Ifyes, describe underDESCRIPTION OF OPERATIONS below POLICY LIMIT $OCC $2,000,000 A Professional Liability IV1307D231201 10/04/2023 10/04/2024 DEDUCTIBLE $15,000 RETRO DATE 08-04-2011 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 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 V 1!J0tf-ZU10A1,VKu t-VKt-VKAIIUnI. All rlyms I6 VINFuu. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD