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PROOF OF INSURANCE (2027 - 2027)
DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/12/2026 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 be endorsed. If SUBROGATIONIS 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). SPECIALTY PROGRAM GROUP LLC/PHS NATM PHONE (866)467-8730 ]F�:: 46505301 (A/C, No EXt): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS: ..................... INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Underwriters Insurance Company 30104 PROGRESSIVE SOLUTIONS INSURER B r 525 W WHITTIER BLVD -...... LA HABRA CA 90631-3737 INSURER C : INSURER D INSURER E c INSURER F • .+r r.rI I AOc\ACIl1tJ Pit Itt PIPP. 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS f«T I R Ala n YYY _...........-._.m COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED $1,000,000 CLAIM -MADE X OCCUR Ex OCCUR PREMI ,(,Fa occurrence X General LiabIllty MED EXP (Any one person) $10,000 A X X 46 SBA BA4CXE 04/10/2026 04/10/2027 PERSONAL & ADV INJURY- $2,000,000 GEI'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $4,000,000 POLICY PRO- LOC PRODUCTS - COMP/OPAGG $4,000,000 JECT ]COMBIN .................. _ ....... OTHER: . ........... SINGLE LIMIT $2,000,000 $2,000,000 AUTOMOBILE LIABILITY .cgJidenQ BODILY INJURY (Per person) ANY AUTO A ALL OWNED SCHEDULED 46 SBA BA4CXE 04/10/2026 04/10/2027 BODILY INJURY (Per accident) AUTOS AUTOS.. PROPERTY DAMAGE HIRED NON -OWNED X AUTOS X '.. AUTOS (Per accident) UMBRELLA LIAB OCCUR _...... EACH OCCURRENCE ........... EXCESS LIAB CLAIMS- AGGREGATE MADE __ ED RETENTION $ m WORKERS COMPENSATION - PER OTH- AND EMPLOYERS' LIABILITY STATUTE E ANY YIN E.L. EACH ACCIDENT PROPRIETOR/PARTNER/EXECUTIVE NIA E.L. DISEASE -EA EMPLOYEE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under E.L. DISEASE- POLICY LIMIT ''.. DESCRIPTI. N F P RATIONS bel w edule, hedule, may be attached if more space is required) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES , ACORD 101Additional Remarks Sch Those usual to the Insured's Operations. CERTIFICATE HOLDER L;ANtrtLLAIIUN ........ _ ........ .... City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245-3895 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1AUE t-T UUA I UIVICR IU: LOC#: ., 2 ADDITIONAL REMARKS SCHEDULE Page 2 of .� ....... 'AGENCY NAMEDINSURED SPECIALTY PROGRAM GROUP LLC/PHS PROGRESSIVE SOLUTIONS POLICY NUMBER - 525 W WHITTIER BLVD SEE ACORD 25 LA HABRA CA 90631-3737 CARRIER NAIC CODE SEE ACORD 25 EFFECTIVE DATE: SEE ACORD 25 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SL 00 00, attached to this policy. The Business Liability Coverage Part includes a Blanket Additional Insured By Contract Endorsement, Form SL 30 32. Certificate holder is an additional insured per the Additional Insured - Designated Person Or Organization Form SL3042 attached to this policy. Certificate holder is an additional insured per the Additional Insured - Owners, Lessees, Or Contractors - Completed Operations Form SL3036 attached to this policy. Elected and appointed officials employees and volunteers ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �' DATE (MMYI) ,." CERTIFICATE OF LIABILITY INSURANCE 04/30/2026/2026 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 NwK..T Nancy Munn Automat c Data Processing w ..,....._ rAlc. Nol. NAME, .. 9 HAfr.'MrYtt. 800-524-7024 rAJC 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_r ............................,-,_....._,_.,..._..,... ADDL SUe ... ..........,....,. _ ....... .... ... POLtI Y EFF POLICY EX •" I..... _. ................ . ------------ LTR TYPE OF INSURANCE � POLICY NUMBER MM/DD1YYYY) (MMIDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY ABILITY li EACH OCCURRENCELp�4l�ila�E CLAIMS -MADE .,Jff OCCUR -, --- .%. T"K7 I�.kNif �.l`I PREMISE.tL,aor.uvVereCa) „_... ® MED EXP (Any one person) (-- .... - — PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENE RALAGGREGATE — P PRO- RO- POLICY LOC PRODUCTS COMP/OPAGG OTHER: — AUTOMOBILE LIABILITY COMBINED SINGLE ILgMVT Ea aca de nl ANY AUTO BODILY INJURY (Per person) -- ..... ,,.. OWNED SCHEDULED .. --------------- 1�........_ BODILY INJURY (Per accident) ,- AUTOS ONLY AUTOS HIRED I NON -OWNED �ryDAMAGE �,.t PROPERTY AUTOS ONLY �..... AUTOS ONLY ----- .9.-- UMBRELLALIAB OCCUR _ EACH OCCURRENCE . EXCESS LIAB CLAIMS MADE � � AGGREGATE_ -------------- DED RETENTION — 111 WORKERS COMPENSATION (( � � � � � ERH � ���� AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE� E L. EACH ACCIDENT �������������� $1���0'00-- �� 1 A OFFICER/MEMBEREXCLUDED? fi B N/A Y EIG592748301 04I01/2026 04/01I2027 E.L.DISEASE-EA EMPLOYEEC$1,000,000.00 (Mandatory in NH) If yes, describe under E.L. DISEASE- POLICY LIMIT $1 DESCRIPTION. OF OPERATIONS below ,000,000.00 I DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The following are excluded from coverage: GLENN VODHANEL Software Services [Design, maintenance, hosting] Computer software, programming and maintenance. This certificate has a blanket Waiver of Subrogation for the following state(s) :CA CERTIFICATE HOLDER. GANL;hL.L.AIIUN City of El Segundo ATTN: The City of El Segundo, its elected and appointed officials, employees, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES CANCELLED BEFORE and volunteers THE EXPIRATION DATE THEREOF, NOTICE WILLLL BE DELIVERED IN EMAIL: steers @elsegundo.org ACCORDANCE WITH THE POLICY PROVISIONS. aponc350 Main St. AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD