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PROOF OF INSURANCE (2026)
GLADGOV-01 . f3.. .1Qy1 Aare �R DATE (MMIDDIYYYY) ..._ CERTIFICATE OF LIABILITY INSURANCE 10/16/2025 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 provision s 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 License # 0757776 II CONTACT Cynthia Mullins NAME .. HUB International Insurance Services Inc. PHOIArcNNo rxal s hlubinterna FAX Na) 9855 Scranton Rd c nth" ° E MAIL tional com San Diego, CA 92121 40.tPrmms� y Ia mtallin .... .. _................ ............ INsuRERA Hartforti Underwriters Insurance Company 30104 INSURED IN$URERB: Hartford Accident (inlsuREa,a:Hartford Casualty Insurancmnity Company, 22357 ,,. Gladwell Governmental Services, Inc. _ e Company, 129424 _._. ........... ..... 5 Lake Arrowhead, CA 92352 INSUREUnited States Liabilit Insurance 25 P.O.OX R DINSURER COVERAGES_._ITITITIT.ITITITITIT.. CERTIFICATE NUMBER: _ ....,,,,.. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A I X f COMMERCIAL GENERAL LIABILITY INSIR ADDLISUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS ... ,,,,,,,,,,,,,,,,,,,,, ,, ,,,_. ........ ........... ......... !a 0tl1XYXl. _ EACH OCCURRENCE 2 OOO 000 ,..... ...... mMFD EIXPAny oneperson)..I...... .10 000 CLAIMS MADE �X I OCCUR X 72SBABF4UK2 10/31/2025 10/31/2026 FAMAGC rD RENTED 1,000 000, . GENERAL AGGREGAT RY r$ 2,000 000 ..,ENi`ACOREirAF'PLL..., m....... ,,, ...._ .,, ......., IT APPLIES PER: E $ 4,000,000 POLICY X S, LOC , COMP/OP AGG 4,000,00 OTHER _ �.. � ._.._.. _—...._.....� p�DDucTs ,,. ,...... $ � 000000 B AUTOMOBILE LIABILITY OMBB.INEDb'...I INGLL LIMIT � $ 1 X 49OILY I Nv gRrY (Per c�on) $ ....... . ANY AUTO 72UECPT0490 10/31/2025 10/31/2026 BODILY INJURY Pe I OWNED SCHEDULED J AUTOS ONLY 1 AUTOS r accident) $ AUTOS ONLY .NON-OWNED ONL� o (Pr^r ar„wdaKs4},. $ .....,... 1. 1 _..1._. 7 __ . ......... ,�I ............ UMBRELLAIAB OCCUR d. .$ ........ ....... .. ,EXCESS LIAB CLAIMS -MADE AGGREG.... ................... DEDI RETENTION$ I ............... ......_..... I $ PER I ANY KERB COMPENSATION LIABILITY Y I N I ..X 1 PTATIJT(;„ I H r � O AND EMPLOYERS' ECUTIVE NIA .......,�K4F2G ........ .. E;,L„„EACH ACCIDENT $ 1,000OO„m C WORKERS ❑ 72WECBK4F2G 10/31/2025 10/31/2026 Ma vdak�rr in NH) E L DISEASE EA EMPLOYEE-_1 _ 1,000,000 DESCRIPTION OF OPERATIONS below ....E If yes, describe under 1,000,000 . ,,,,,,,� _ITS, w_... .L DISEASE POLICY LIMIT $ p Professional Liab. SP 10209550 10/31/2025 10/31/2026 Per Claim/Occurrence 1,000,000 D Deductible: $2,500 I SP 10209550 10/31/2025 10/31/2026 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES IACORD 101, AddiVanal Remarks Schedule, maybe attached if more space is required) City of El Segundo is Additional Insured with regard to General Liability when required by written contract per the attached endorsement form SL3042 10/18. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPTION DATE City of El Segundo ACCORDANOTI NCE WITH THE POLICY P OVISIONSCE WILL BE DELIVERED IN City Clerk 350 Main Street _ ...... —-.._............... El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD