The URL can be used to link to this page

PROOF OF INSURANCE (2026 - 2027)' DATE (MMIDDIYYYY) al 0RL? CERTIFICATE OF LIABILITY INSURANCE 5/19/2026 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 NAME ,,,,,. 605 Arthur J. Gallagher Risk Management Services, LLC PHONE ` 877_730 1222 FA-5 t322 FAx I 745 Francis Street ic.'1.°F4} I: MAIL San Luis Obispo CA 93401 INSURERS AFFORDING COVERAGE t .1 I �.. „ �.A.e,,, NAIC # m ®,,,_®,,,,� icense#: 06s2gq, _iNSUREgA Underwriters at Lloyd's London 15792 „ m (Patriot INSURER B ance CoCm an Ke Risk InsuraED nce Services, Inc. INSURERC p p Insurance Porn an 6988 1" 3041 Vail Avenue .. ®,,,,, Commerce CA 90040 INSURER.D Landmark American Insan a Company� ®,..... _ ,.- ............... 30885 313 CM A 1-00 rCoTICI!`ATC NIIIUQr-0-"5"17n'17C".:1n 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. ..... POLICY EFF INSR -.., .-,DCYLISURI LIMITS TYPE OF INSURANCE POLICY NUMBER MM/OD/YYYYMOtL7O0 YYYY A X COMMERCIAL GENERAL LIABILITY Y Y CSIEL01148-02 2/10/2026 2/10/2027 OCCURRENCE $ 1,,,000 000 ... m I EACH (T X " CLAIMS -MADE .00CUR � I�,�MA�,�. (_y ce) MED EIXP (Any pers,r 10 000 ''. I PERSONAL ADV INJURY $ 1.000.000 . .., � GEN'LAGG....,..,.. RELATE LIMITIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 ......E PRO', X POLICY IFCT LOG PRODUCTS - COMP/OP AGG S 2.000 000 ..... (T9�d•1E'R, i o00 bilit $ 2,000,000 Pollution Liability B AUTOMOBILE LIABILITY Y BAP2017172-20 2/10/2026 2/10/2027 �50 1111"F 1 SINrrLE LIMIT $ 1,000,000 a m1'.rid'ew�R� .. X ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident), $ . ; AUTOS ONLY „ AUTOS HIRED " NON -OWNED -PROPFtTY ',.m.. .. iJARw9A4.aE $ ,_ X...._:AUTOS ONLY X...r, AUTOS ONLY A UMBRELLA LIAB X OCCUR CSIXEL00443-02 2/10/2026 2/10/2027 EACH OCCURRENCE $ 2 000 000 C USXTL1231526 2/10I2026 2/10I2027 X [ EXCESS LIAB CLAIMS -MADE. AGGREGATE $ ,2,000 000 ®, I,.... DED RETENTION $ I Second La erExcess $ 2,000.000 1 WORKERS COMPENSATION PER OTI-Y I STATtJTF ER ,AND EMPLOYERS' LIABILITY Y/N .ee , EACH ACCIDENT $ E,,L i ANYPROPRIETOR/PARTNERIEXECUTIVE L em, "� - N / A OFFICER/MEMBER EXCLUDED? '=� � (Mandatory in NH) '...... ',.. DISEASE EA EMPLOYEE! $ If yes, describe under LIMIT S DESCRIPTION OF OPERATIONS below E.L.. DISEASE -POLICY D " 3rd Layer Excess LHA611266 2/10/2026 2/10/2027 3rd Layer Excess 5,000,000 1 I Aggregate 5,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS N VEHICLES tACORD 101„ Addl'''tional Remarks Schotital+m may be attached if onore"spa,.ce is rerfuiredp The certificate holder is narned as additional insured on the general (lability/Pollution liability per attached CG20100704 and auto liability per BENV CA 06 09 17 Waiver of subroggatiot~n applies per attached CSIEL0000617 Coverage is primacy and noncontributory per CSIEI_f1000'013 Additional Insured. Caly� of El Segundo„ is elected officials, and appointed officials„ employees and volunteers 2NIIM Excess Follows, Form (GUAUPOIlution) QS 2nd Layer Excess Follows Form (GL/AL) LtK I It -ILA I t HULUtK City of El Segundo Public Works Department 350 Main Street El Segundo CA 90245 USA 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 U T`dtftf-LUIS At..UKU I.UKYUKAI IUIY. All rtgn1b fC,rrvtlU,. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD BENV CA 06 09 17 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. BUSINESS AUTO — ADDITIONAL INSURED WHEN REQUIRED BY CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section II - Liability Coverage A. - Coverage, 1. Who is an Insured, is amended to add: d. Any person or organization to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into, excluding contracts or agreements for professional services, which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of: 1. The coverage and/or limits of this policy; or 2. The coverage and/or limits required by said contract or agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. Includes copyrighted material of Insurance Services Office, Inc., with its permission. BENV CA 06 09 17 Page 1 of 1 Policy Number: CSIEL01148-01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY & NON-CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY CONTRACTORS POLLUTION LIABILITY TRANSPORTATION POLLUTION LIABILITY PROFESSIONAL LIABILITY SCHEDULE Name of Person or Organization:. If no person or organization is entered in the schedule above, then this endorsement applies to: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to provide Primary and/or Non-contributory status of this insurance. However, this status exists only for the project specified in that contract. In consideration of the premium charged, it is hereby agreed that this policy shall be considered primary to any similar insurance held by third parties in respect to work performed by you under any written contractual agreement with such third party. It is further agreed that any other insurance which the person(s) or organization(s) named in the schedule may have is excess and non-contributory to this insurance. All other terms and conditions of this policy remain unchanged. CSI EL 000 0013 Page 1 of 1 Policy Number: CSIEL01148-01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY CONTRACTORS POLLUTION LIABILITY TRANSPORTATION POLLUTION LIABILITY We waive any right of recovery against the person(s) or organization(s) shown in the Schedule below because of payments we make under this policy. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule below. SCHEDULE Name of Person or Organization: If no person or organization is entered in the Schedule above, then the waiver applies to, any person or organization that is: (1) An owner of real or personal property on which you are performing operations, but only at the specific written request by that person or organization to you, and only if: (a) That request is made prior to the date your operations for that person or organization commenced; and (b) A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker; or (2) A contractor on whose behalf you are performing operations, but only at the specific written request by that person or organization to you, and only if: (a) That request is made prior to the date your operations for that person or organization commenced; and (b) A Certificate of Insurance evidencing that request has been issued by your authorized insurance agent or broker. All other terms and conditions of this policy remain unchanged. CSI EL 000 0017 Page 1 of 1 Policy Number: CSIEL01148-01 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location(s) Of Covered Operations Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an Additional insured. However, this status exists only for the project specified in that contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 A� CERTIFICATE OF LIABILITY INSURANCE DA060s2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 hoid'er is an ADDITIONAL INSURED, the pollcy(JOS) 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($). PRODUCER NAMES Francine Esca'Iorla Cornerstone Associates Insurance Services Pt1oNE (916) 645 3333 AIC Na (S't 6) 645 ' 1I 5 N 521 Lincoln Blvd AttdR 58: fran@corrlersoneinsurance.net INS'uRCRI!SI AFFORDING COVERAFrE Lincoln CA 95648 INSURERA: National CasualtyCOMPatby 91991 INSURED INSURER a Patriot Services, Inc, pNSURE'R o r P.O. Box 145 INSURER O: Montebello CA 90640 1 INSURED F: DVERAG S CERTIFICATE NUMBER: master f;ertlficates THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS E EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE EJ OCCUR NOT WITH OUR AGENCY L,AGGR,EGATE LIMITAPPLIES PER: POLICY 0 jEC LOC AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED NOT WITH OUR AGENCY AUTOS ONLY AUTOS ----. HIRED NON -OWNED 11 AUTOS ONLY AUTOS ONLY F LA LIAR OCCURLIAe CLAIM,.MADENOT WITH OUR AGENCY R'ET'ENT90N $ �WORKERS COMPENSArON AND EMPLOYERS'LIABILITY YIN A ANY PROPRIETORIPARTNERIEXECUTIVE �"—yr"'�' NIA � WCC345088 06/01/2025 06/01/2026 OFFICE"EMeE''R EXCLUDED? IMandstoiy In NH) VI vet. descdtte iiWon' ............... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may he attached If more space Is required; Certificate is provided as proof of insurance referenced herein. kn "eamco» 30VE FOR THE POLICY PERIOD NITH RESPECT TO WHICH THIS UBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE P'nemi MEO E.XP ifAruM vnne a7'.:45ap1 ' $. PEASONAL 3±DV INJURY $ __ GENERALAGGRECArE $ PROD UCTS,COMPrOPAGG $ COMIMNED, SINGLE LtMi+LE IM9.. Ea accwb '.$ BODILY INJURY (Per parson) $ BODILY INJURY (Per accident) $ P P.RTY DAAA .E 'Pou dCcidonAl $ MHOCCURRENCE.. $ AGGREGATE- $ S E EI�Ip. E,L,EACH ACCIDENT S 1,000=0 E L. DISiE,ASE - EA EM.PLOY'FE ',S 1.000-001 U f- L, DISEASE POLICY UMIT $ 1 000t1'00 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo 350 Main Street AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 /J ... o.. nn.e A— rrlool%o ATrr1N All rinhtc reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD