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PROOF OF INSURANCE (2026)O �® ACC� CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) �V/ 05/16/20256/2025 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: Marsh I U.S. Operations MARSH USA, LLC. HONE FAX 800 Market Street, Suite 1800 A/CC No Ext : 866-966-4664 C, No E-MAIL Att.CertRe uest marsh.com ADDRESS: q C St. Louis, MO 63101 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Old Republic Insurance Company 24147 CN 1 03150778-GAW-CRT-25-26 Y Y js1268 Y INSURED New Cingular Wireless PCS, LLC INSURER B One AT&T Plaza INSURER C 308 South Akard Street, Floor 19 INSURER D Dallas, TX 75202 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-010475467-04 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY31363625 06/01/2025 06/01/2026 EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE OCCUR MWZX 319242 25 06/01/2025 06/01/2026 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ N/A PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 10,000,000 POLICY ❑PRO JECT ❑ LOC X PRODUCTS - COMP/OP AGG $ 1,000,000 $ OTHER: A AUTOMOBILE LIABILITY MWTB31363525 06/01/2025 06/01/2026 COMEaBacciINED dentdenIS LE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTN ER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N /A MWC 313638 25 (AOS) 06/01/2025 06/01/2026 X PER oTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000DESCRIPTION $ A Excess Workers' Compensation / MWXS 313639 25 (OH,WA) 06/01/2025 06/01/2026 EL Each Accident / EL Disease 1,000,000 Employers' Liability SIR Value: $500,000,000 EL Disease -Policy Limit 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: FAI0086765 USID16456 348 Main Street, El Segundo, CA. 90245 City of El Segundo, its officials and employees is/are included as Additional Insured under the General Liability and Automobile Liability policies but only with respect to the requirements of the contract between the Certificate Holder and the Insured. This insurance is primary with respect to the interest of the Additional Insured and any other insurance maintained by Additional Insured is excess and non-contributory with this insurance. Waiver of Subrogation is provided for General Liability and Workers' Compensation as required by written contract and allowable by law. CERTIFICATE HOLDER CANCELLATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 11 IN 11IM1113well! 11:14:111 A 1141 kit -III ZT—Al 1k IN 4101011T, 1:7—Al Z VA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1� Q *4M Z F-111 9 A 53:4 Z k 0 k rmil' [911l 0 [91 491A07-3il, 101:4 It W-A 0 101111:1 N9174 I BIA 611'.-YARK SCHEDULE Number of Days Notice of Cancellation., 30 Person or Organization: All persons or organizations as required by written contract or agreement. Address. - The addresses as specified in the written contracts or agreements. If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, and a number of days is shown for cancellation in the schedule above, we will mail notice of cancellation to the person or organization shown in the schedule above. We will mail such notice to the address shown in the schedule above at least the number of days shown for cancellation in the schedule above before the effective date of cancellation. N111153909FINswe MWTB 313635 25 AT&T Inc, 06/01; /25 - 016�/011 126 11 IN 11IM11113welil 13:14:111 A 4 141 kit -III ZT—Al lk IN Arelel IT, 1:7—Al Z VA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the foillowing: COMMERCIAL GENERAL LIABILffY COVERAGE FORM Paragraph 2. of SECTION 11 - WHO IS AN INSURED is amended to include any person or organization for whom you have agreed under contract or agreement to provide insurance. However, the insurance provided shall not exceed the scope of coverage or llimits of this policy. Notwithstanding the foregoing sentence, in no event shallI the insurance provided exceed the scope of coverage or firnits required by said contract or agreement. Where required by contract, we will consider our policy to be primary under any other insurance maintained by the additionalI insured for injury or damage covered by this endorsement and that their pollicy wiiI be noncontributing with tMs insurance. GL 739 006a 0609 MWZY 313636 25 AT&T Inc, 016/01; /25 - 016�/011 126 11 IN 11IM1113well! 11:14:111 A 1141 kit -III ZT—Al 1k IN 4101011T, 1:7—Al Z VA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1� Q *4M Z F-111 9 A 53:4 Z k 0 k rmil' [911l 0 [91 491A07-3il, 101:4 It W-A 0 101111:1 N9174 I BIA 611'.-YARK SCHEDULE Number of Days Notice of Cancellation., 30 Person or Organization: All persons or organizations as required by written contract or agreement. Address. - The addresses as specified in the written contracts or agreements. If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, and a number of days is shown for cancellation in the schedule above, we will mail notice of cancellation to the person or organization shown in the schedule above. We will mail such notice to the address shown in the schedule above at least the number of days shown for cancellation in the schedule above before the effective date of cancellation. N111153909FINswe MWZY 313636 25 AT&T Inc, 06/01; /25 - 016�/011 126 11 IN 11116P4111113W6111 11:14:111 A 1141 kit -III ZT—Al 1k 11111111141010111 1:7—Al Z VA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. I i zyjff_'I� z 1� a j T h is endorsement m od if ies i in su ra nce provided u nd er th e foi llow i ng: COMMERCIAL GENERAL LIABILITY COVERAGE PART/FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): A II Persons or 0 rg a in iza tio ins as Req u i red by Written Contract or Agreement. In no event sha1I the insurance provided exceed the scope of coverage or llimits required by said contract or agreement. For the Person(s) or Organization(s) that are listed in the Schedule above, that are also an Additional Insured under an endorsement attached to this policy, the following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance and supersedes any provision to the contrary: This iinsurance is primary to and wiII not seek contribution from any other insurance available to an AdditionaI Insured under your policy, provided tlhat: 1. The AdditionaI Insured is a Named Insured under such other insurance; and; 2'. You have agreed with the AdditionaI Insured that this insurance is primary and wiIII not seek contribution from any other insurance available to the AdditionalI (Insured. GIL 739 058 0617 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission, MWZY 313636 25 AT&T linc, 06/01 /25 - 016�/011 126 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 2�4 04 12 19 THIS ENDORSEMENT CH�AN�GES THE POLICY. PLEASE �READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATIONJ This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTROMIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DE&IG NATED TANKS SCHEDULE Name Of Person(s) Or Organ ization(s): Any Person or Organization for whom you perform work under a Written Contract that Requires You to obtain this Agreement. In no event shall the insurance provided exceed the scope of coverage or limits required by said contract or agreement. I I nfo rm a tnon required to com pllete this Sc In ed u lle, if not shown above, willll be shown in the Declla ra tio ns. The follllowing is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organ izatiion (s) prior to (loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 Oc Insurance Services Office, IInc., 2018 Page 1 of 1 MWZY 313636 25 AT&T Inc, 06/01; /25 - 016�/011 126 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) POLICY NUMBER: MWC 313638 25 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIF®RNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 0 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION WHERE REQUIRED BY WRITTEN CONTRACT IF ANY DATE OF ISSUE: 06-01-25 Cs) IM byft VV&MW Co npsrmOon Insurance Retlng Bumau arCall*Ma. All rlglb n rved. From the WCIRB's California Vi rlaers' Compensatlon Insurance Form Manual @ 1999. OLD REPUBLIC INSURANCE COMPANY OLD REPUBLIC INSURANCE COMPANY WORKERS' COMPENSATION AND EMPLOYERS' LIABILrrY POLICY DESIGNATED ENTITY- NOTICE OF CANCELATION PROVIDED BY US ENDORSEMENT SCHEDULE Number of Days Nab= of Cancelation: 30 Pierson or Organlsadon: ALL PERSONS OR ORGANIZATIONS AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT. Address: THE ADDRESSES AS SPECIFIED IN THE WRITTEN CONTRACTS OR AGREEMENTS. Provisions If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, and a number of days is shown for cancelation in the schedule above, we will mail notice of cancelation to the person or organisation shown in the schedule above. VVe will mail such notice to the address shown in the schedule above at least the number of days shown for cancelation in the schedule above before the effective date of cancelation. VVC 99 03 65 (03111) Page 1 of 1 OLD REPUBLIC INSURANCE COMPANY