PROOF OF INSURANCE (2026 - 2026).. wCC RL> CERTIFICATE OF LIABILITY INSURANCE DATE 08/28/28//2025 Y)
025
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 Todd Hummer
NAME:
H2 Insurance Services Inc PHONE (800) 628-2882 (909) 266-0359
A/C No Exk ; I(AX No)..... _._..�
CA License #OC66703 ADfyfIL thummer@h2ins.com
2058 N Mills Ave #522 INSURER(S) AFFORDING COVERAGE NAIC #
Claremont CA 91711 INSURERA: Mesa UW 36838
INSURED INSURER B
Evanston 35378
Certifix, Inc I INSURER C : Scottsdale Indemnity 15580
1950 West Corporate Way INSURER D :
INSURER E:
Anaheim CA 92801-3824 INSURERF:
rnVFRAQFR rFRTIFICATF NIIMRFR- 25-26 GL, EX, E&U, WC REVISION NUMBER:
A
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.
= TYPE OF INSURANCE INSD MD POLICY NUMBER MMIDD/YYYY) MMIDD EXP
LIMITS
COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE $ 1,000,000
JA44AIA 100,000
PRE
CLAIMS -MADE OCCUR MISES Ea occurrence $
GLEN'LAGGREG•ATE LIMITAPPLIES PER:
POLICY 0 ,bPRO.ECT. LOC
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY FIAUTOS ONLY
Y 1I Y 1I MP0004002005035
UMBRELLA LIAR ;K1 OCCUR
B X' EXCESS LIAB CLAIMS -MADE Y Y EZXS3213794
DIED l l RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE NIA Y
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
C
Cyber Liabil�� Errors and Oty missions
EK13587500/EKS3587622
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
08/29/2025
08/29/2026
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/Op AGG _
$ Included
COM-8 NED SiNGL.E, 9.IMIT.._..
$
BODILY INJURY (Per person)
$
BODILY INJURY(Per accident)
$
:
PROP ERTY DAMAGE(Per 21
$
EACH OCCURRENCE
$ 2,000,000
08/29/2025
08/29/2026
AGGREGATE
$ 2,000,000
PER............ OTH-
.�
STATUTE ER
E..L.. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L.. DISEASE- POLICY LIMIT
$
Errors & Omissions
$2,000,000
08/23/2025
08/23/2026
Cyber Liability
$2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of El Segundo is listed as additional insured per written contract
CERTIFICATE HOLDER
City of El Segundo
350 Main Street
ElSegundo
ACORD 25 (2016103)
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
CA 90245 IJWAO*' '
@ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
MESA UNDERWRITERS SPECIALTY
INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LIMITED Al - PRIMARY NON-CONTRIBUTORY -
WAIVER OF SUBROGATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Blanket Additional Insureds - As Required By Contract
A. Subject to the Primary and Non -Contributory provision set forth in this endorsement, SECTION II - WHO IS
AN INSURED is amended to include as an additional insured any person or organization whom you have
agreed in a written contract, written agreement or written permit that such person or organization be added
as an additional insured on your policy. Such person or organization is an additional insured only with respect
to liability for "bodily injury" or "property damage" or, to the extent applicable under the Coverage Part to
which this endorsement applies, "personal and advertising injury" caused, in whole or in part, by:
1. Your ongoing operations, "your product", or premises owned or used by you;
With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or, to the extent applicable under
the Coverage Part to which this endorsement applies, "personal and advertising injury" arising out of
the rendering of, or the failure to render, any professional architectural, engineering or surveying
services by or for you, including:
a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; and
b. Supervisory, inspection, architectural or engineering activities..
This exclusion applies even if the claims against any insured allege negligence or other wrong -doing in
the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence"
which caused the "bodily injury" or "property damage", or, to the extent applicable under the Coverage
Part to which this endorsement applies, the offense which caused the "personal and advertising injury",
involved the rendering of, or failure to render, any professional architectural, engineering or surveying
services.
2. Your maintenance, operation or use of equipment, other than aircraft, "auto" or watercraft, rented or
leased to you by such person or organization. A person or organization's status as an additional insured
under this endorsement ends when their contract, or agreement with you for such rented or leased
equipment ends. With respect to the insurance afforded to these additional insureds, this insurance does
not apply to any "occurrence" which takes place after the rental agreement or equipment lease expires.
The provisions of this coverage extension do not apply unless the written contract or written agreement has
been executed (executed means signed by the named insured) or written permit issued prior to the "bodily
injury" or "property damage" or, to the extent applicable under the Coverage Part to which this endorsement
applies, "personal and advertising injury".
MUS 01 01 20127 0316 Insured Copy Page 1 of 2
Primary and Non -Contributory Provision
The following is added to Paragraph 4.Other Insurance, b. Excess Insurance under SECTION IV -
COMMERCIAL GENERAL LIABILITY CONDITIONS:
This insurance shall be excess with respect to any person or organization included as an additional insured
under this policy, any other insurance that person or organization has shall be primary with respect to this
insurance, unless:
1) The additional insured is a Named Insured under such other insurance;
2) You have agreed in a written contract, written agreement or written permit to include that
additional insured on your General Liability policy on a primary and/or non-contributory basis;
3) The written contract or written agreement has been executed (executed means signed by the
named insured) or written permit issued prior to the "bodily injury" or "property damage" or, to the
extent applicable under the Coverage Part to which this endorsement applies, "personal and
advertising injury"; and
4) With respect to indemnity, you have been adjudicated liable in full for the "bodily injury" or
"property damage" or, to the extent applicable under the Coverage Part to which this
endorsement applies, "personal and advertising injury".
Waiver Of Transfer Of Rights Of Recovery
The following is added to Paragraph 8. Transfer of Rights Of Recovery Against Others To Us under SECTION
IV - COMMERCIAL GENERAL LIABILITY CONDITIONS:
We will waive any right of recovery we may have against a person or organization because of payments we
make for "bodily injury" or "property damage" arising out of your ongoing operations or "your work" done
under a written contract or written agreement and included in the "products -completed operations hazard", if:
You have agreed to waive any right of recovery against that person or organization in a written contract
or written agreement;
2. Such person or organization is an additional insured on your policy; or
3. You have assumed the liability of that person or organization in that same contract, and it is an "insured
contract'.
The section above only applies to that person or organization identified above, and only if the "bodily injury"
or "property damage" occurs subsequent to the execution of the written contract or written agreement.
All other terms and conditions of this policy remain unchanged.
MUS 0101 20127 0316 Page 2 of 2