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PROOF OF INSURANCE (2027)
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/27/2026 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: It the certificate holder is an ADDITIONAL INSURED, the pollcy(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 endorsements , PRODUCER Ross & Yerger Insurance, Inc. 100 Vision Drive, Suite 100 Jackson MS 39211 INSURED Pileum Corporation 190 East Capitol Street Suite 175 Jackson MS 39201 A: Travelers Pf2p Cas Co OfAmer B : Charter Oak Fire Ins Co Travelers "_...�.�.................�,� c :Cas Ins Co Of Amer D: 601 COVERAGES CERTIFICATE NUMBER: 1735781126 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. LS ...... —............ _ _._ ...... TR ADD4 �$'tJ R: _ POLICYEFF POLICY �EXP LIMITS TYPE OF INSURANCE POL CY NUMB'ER. MINI 00 Y1 fmmlooffyyyl' A X COMMERCIAL GENERAL LIABILITY Y Y ZLPlON176702615 5/6/2026 5/6/2027 EACH OCCURRENCE $1,000000IT�, A AM 7 k NTTA ..._. .. CLAIMS -MADE [R] OCCUR PREF.AN;wEE S 300000 ..MED EXP (Ajj.o a p.7eersnn) $ 10m000 ".. PERSONAL&ADV INJURY $ 1 00OX'00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL .'1•GGRE. ArF I $m2 400,000 """""•••- POLICY .....�.IPE LOC PRODUCTS $ 2,000,000 M OTHER: B AUTOMOBILE LIABILITY Y Y BA9M6077612615G 5/6/2026 5/6/2027 COMBINED SItIGLE LimlT $1,000,000 .........-......_ m. X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ rx AUTOS ONLY AUTOS """"""HIRED NON -OWNED P'ROPIm•R'T'Y DAM -AGE$ AUTOS ONLY X.„; AUTOS ONLY Pyr�1=1�••••---• A X UMBRELLA LIAR OCCUR CUPIN4625812615 5/6/2026 5/6/2027 EACH OCCURRENCE S 3,0fTC ,000, -_....... EXCESS LURB AGGREGATE '$ 3 000,0.00 CLAIMS -MADE .""...." ..•.•••" ••• 1DED X RETENTION.$ S C WORKERS COMPENSATION UB5K9742162615G 5/6/2026 5/6/2027 PLR OTH STAT!U� R ........ _""""".._ AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORIPARTNERX-XECU"fWE ❑ NIA H ACCIDENT $ 1 000 00%IITITIT F L EAC OFFICERIMEMBEREXCLUOE07 IE L D95E.A,... (M,d.andatoryinNH) SE-EA...'YEE. $1,000„4}OITC�ITIT... I .- It ea„ dose to under DQRIPTiON OF OPERATIONS belowIE L. DISEASE -POLICY LIMi r $ '1 „0004000 A Professional Liability ZPL14R391022615 5/6/2026 5/6/2027 2,000,000 2,000,000 A Cyber Liability ZPL14R391022615 5/6/2026 5/6/2027 2,000,000 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACOrRO "101, Additional Remarks Schedule, may be attached it more %Para Is required) The General Liability policy includes Blanket Additional Insured per Written contract and Blanket Waiver of Subrogation, Primary and Non-Contribu'lory. The City of El Segundo„ its elected and appointed officials, employees„ and volunteers are included as additional insureds. CERTIFICATE HOLDER CANCELLATION 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 El Segundo CA 90245 p� V1/ I L. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD