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PROOF OF INSURANCE (2026 - 2026)AC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 05/14/2026 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 Progressive Business Insurance Progressive Casualty Insurance Company 300 N Commons Blvd W64 Mayfield Village, OH 44143 INSURED AMPH Asphalt Maintenance LLC dba Everline Coatings 2667 E 28th St, Suite 524 Signal Hill, CA 90755 C0VEQAr:-Ec CERTIFICATE NUMBER, resslve Business Insurance 8888069598 INSURERA: Spinnaker Insurance INSURER B REVISION NUMBER: 24376 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.j ." ., .....,..--TYPEOFINSURANCE .... ...v"A1561,1SO"dR� .... L.......... ..... ..... ---- .... ............ .........MMDD/YYYY Y11 NTR t' ... F'F P POLICY Cx'P LIMITS POLICY NUMBER.. 1 M 7D IYYYY X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE "O�YIMAGr= $ 1 OOO OOO T� 50,000 1 CLAIMS -MADE X OCCUR _PRI�,AAISES_IEa pergrr@,Qq �_ „ $ ......., X CSB-00327928-00 09/04/2025 09/04/2026 person) MED ExP (Anyone p� $ 5 000 A ....PERSONALADV INJURY $ Included ...,,, ....... ; GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 E`kO" POLICY IECT LOC RODUCTS-COMP/OPAGG $ 2000,000 OTHER; $ AUTOMOBILE LIABILITY . SINGLE LIMIT qV . � ac $ - ............. ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED �. � accident) URY Pera B ( cc BODILY INJURY $ AUTOS ONLY AUTOS f HIRED NON -OWNED � RC}PERTW C7AMAGE " f.$... AUTOS ONLY AUTOS ONLY W -,„qr mncidenY _ � UMBRELLA LIAB OCCUR [_EACH OCCURRENCE I $ ---- EXCESS LIAB CLAIMS -MADE I _ $ _AGGREGATE 4 DED RETENTION $ $ WORKERS COMPENSATION PER k STATUTE J ER AND EMPLOYERS' LIABILITY Y/ N _LOT I E E ACC IDENT -„ I$ ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A -L ,ACH " ............"""�""""""""""" OFFICERIMEMBER EXCLUDED? E.L. DISEASE EA EMPL_OYEE1 $ (Mandatory in NH) If yes, describe under ''. I $ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 4 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is named as an additional insured. The policy contains a Blanket Additional Insured endorsement. The policy contains a Blanket Waiver of Subrogation endorsement. Coverage is Primary & Non -Contributory. CIER-IIFICAIE HULUhK 4 APA4 CYLLPII wry City Of El Segundo, it's officials, and employees are named as additional insureds 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 CORPURATIUIV. All rlgnts reservea. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/12/2026 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). PRODUCERCONTACT Pro r ssive Business Insurance Progressive Business Insurance NAME 888069598 I N�) PHONE Progressive Casualty Insurance Company E-MAIL ADOR SS buslrnessinstilt'S_ nce Q pir ressive cor1­1n _ 300 N Commons Blvd W64 Mayfield Village, OH 44143 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : SDinnaker Insurance Company 24376 1 ............ .......... ------ ......... ,. __......--- INS �......... .... ....... RED ....., .. ,.. INSURER B : AMPH Asphalt Maintenance LLC dba Everline Coatings -INSURER C..s. 2667 E 28th St, Suite 524 INSURER--_ Signal Hill, CA 90755 JNSURER E : f1r%%100 A f_CC f`CDTICIr`ATC NIIMRCI7- RFVIRION 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. . AODL� tfFlR� .............. ........ ...... ___ h-POUdY' ...... ... ---------......... .......... .........,, .... ......... .. ..... .,.,.. FF PMIDICY EXP INSR............. .......TYPE OF INSURANCE.......... LTR..j POLICY NUMBER MIDD/YYYY MM/ D LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,00o,000 X ... 50,000 .... ... CLAIMS -MADE OCCUR „�PREMIS,ES,tE;� pccurrrU108 $ X CSB-00327928-00 09/04/2025 09/04/2026 MED EXP An one person) $ ... (.., y p 000 — A PERSONAL 8 ADV INJURY $Included 5 ENL AGGR T APPLIE PER: E❑ GENERAL AGCOMP X POLICY JE ❑ LOG PRODUCTS OP AGG $_.2,000,000 .� $ RY AUTOMOBILE LIABILITY INED G) $ ANY AUTO BO NJLU Y(Par person $ 11.. _ OWNED SCHEDULED „DILY BODILY INJURY (Per accident) $ ----._.. AUTOS ONLY AUTOS HIRED NON -OWNED .. P R4PCR.T'T''..DAS'ub'AQ.ri* .........,, ... g .........: AUTOS ONLY „„„..„„.. AUTOS ONLY Pkv acn,�tl¢ rr„ _ �_ _ t,) .,...... --,_, .... s $ UMBRELLA OCCUR �_ RRENCE $ �� � � ........... BAB EXCESS LIACLAIMS -MADE MA T __--------- .....__ - - E AGGREGATE A .. .,...... „� $ .... ..,.. _ jj DIED RETENTION $ �. $ WORKERS COMPENSATION I AND EMPLOYERS' LIABILITY Y / N .HRH ,. .........._ _ ANYPROPRIETOR/PARTNER/EXECUTIVE ''' E L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED. ElN / A I (Mandatory in NH) E L DISEASE EA EMPLOYEE $ _ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is named as an additional insured. The policy contains a Blanket Additional Insured endorsement. The policy contains a Blanket Waiver of Subrogation endorsement. Coverage is Primary & Non -Contributory. City of El Segundo 350 Main Street El Segundo, CA 90245 A 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 ICA-W M..F.rl� 11 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD f0 DATE (MMIDD/YYYY) ,a+ "R" CERTIFICATE OF LIABILITY INSURANCE d. 05/14/2026 ............ 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 CONTACT Automatic Data ProcessingInsurance Agency Inc NAME, _. ........ AgAtt ......... Automatic Data Processing Insurance Agency, Inc. rA/C No Ext9. 1-800-524-7024 c Nn 1 Adp Boulevard Roseland NJ 07068 INSURED AMPH ASPHALT MAINTENANCE LLC 1821 Alexandria Avenue Los Angeles CA 90027 rnyCOA/`Ce rCOTICIr ATF IJIIMRFR• .50 2! INSURER A : The Pie Insurance Company INSURER B : INSURER C INSURER D : INSURER E : RFVISION NUMBER: NAIC # 21857 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. ..__ EFF EX AIN@ L if i POLICY iLTR - LIMITS TYPE OF INSURANCE POLICY NUMBER MMIDDfYYYY I MMLIC LTRIN COMMERCIAL L GENERAL LIABILITY EACH OCCURRENCE $ I OCCUR CLAIMS -MADE - DAMAGE TO RENTED PREMISES jEa occurrence) .. If -- , M ED EXP (Any one person) ... PERSONAL 8 ADV INJURY AGGREGATE LIMIT APPLIES PER: GENERALAGGREGAT PRO POLICY LOC PRODUCTS,,,,- COMP/OP„ _ ,,, .. ..._, $ I OTHER.:. AUTOMOBILE LIABILITY O tl4�kEO SINGLE LIMIT .O B ! $ ANY AUTO DILYLY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) .NJ � $ AUTOS ONLY � HIRED NON -OWNED ._ .. AUTOS ONLY ---........_ AUTOS ONLY '�..tPe¢ oC.casPrlY ....... ...$,.,.,.,...,r .... UMBRELLA OCCUR I EACH OCC E OCCURRENCE $ . EXCESS LIAB� ., d CLAIMSMADE AGGREGAT .. $ .... ....... ... DED RETENTION $ $ WORKERS COMPENSATION TH STATUTE AND EMPLOYRS' Y/N .ER $ 1,000,000 A ANY PROPRIEEOR/PAARBTINER/EXECUTIVE �� NIA Y WCP12764875B00 07/28/2025 07/28/2026 E, L EACH ACCIDENT -- - --- OFFICER/MEMBER EXCLUDED? Il.........p (Mandatory in NH) EMPLOYEE$ E L DISEASE EA ,-...........-.... 000 000 ............... ......,. If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 f I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This certificate has a blanket Waiver of Subrogation for the following state(s) :CA 6 t FC 111-116A I t ri U L.Lf CI( t. resew M.. cL.arw. r uw..+xM 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 ElSegundo CA 90245 �.��- )r� )�L_.w. I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA 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 0.02 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person Or Organization Job Description Any person or organization as required by written contract within states covered under this policy. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07/28/2025 Policy No. WC PI 2764875-BOO Endorsement No. Insured AMPH Asphalt Maintenance LLI Insurance Company The Pie Insurance Company Countersigned By WC 04 03 06 (Ed.04-84)