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PROOF OF INSURANCE (2026 - 2027)DATE (MMIDDIYY) ACOR CERTIFICATE OF LIABILITY INSURANCE 06/01/2026 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FIRST CENTURY INSURANCE SERVICE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 17835 VENTURA BLVD a200 ENCINO, CA INSURERS AFFORDING COVERAGE 91315 INSURED INSURER A: COLONY 1N`S +' `i `NCE­COMPANY PARDESS AIR INC INSURERB: Mt. Hawley Insurance Company 1769 KELTON AVE INSURERG: UNITED INAN C[AL CASUAL1 Y INSURANCE LOS ANGELES, CA 90024 INSURER COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 9NSR LIR TYPE OF IINSIJRANCE POLICY NUMBER _.. POI! ICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY... EACHOCCURRENC,E: _.. S 1,050,000 X COMMERCIAL GENERAL LIABILITY A 600 GL 0006696-17 FIRE DAMAGE (Ary one fire) S 10/27I2025 �� 10/27/2026 _ -_ — CLAIMS MADE �I OCCUR MED UP (Any, one person) So 0001 !NJIIRY 1,000,000 PERSONAL li ADV �y/y'�y,�y� $ ,., 2, L/0O,k,J0 '... GENERALAGG REGATE.... 1,000,000 '. GEWLAU(u REGA1 E LIMIT APPLIES PER: PRODUCTS =COMPiOP.AGG S O*C)d aCY wlRr- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT �. 1,000,000 �— C - ANY AUTO 04592245 (Ea accident) 03/09/2026 03/09/2027 ---- --- ALL OWNED AUTOS BODILY INJURY S v ^y SCHEDULED AUTOS (Per person) �^ HIRED AUTOS `y BODILY INJURY S . (Per accident) ^ NON -OWNED AUTOS PROPERTY DAMAGE 3 . _ (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT S ANY AUTO EA ACC OTHER THAN - S -. AUTO ONLY: GG EXCESS �. �U BILITY E,tCH OCC URAFNCE 'S 3,000;0100 B X CLAIMS MADE GXS0019743 10/27/2025 10/27/2026 . AGGREIGAI ............. DEDUCTIBLE _. RE1E 1IPON E S ....... W$rAru: oTH WORKERS COMPENSATION AND ,.... WRY 4.. I11f$.. -- ER EMPLOYERS' LIABILITY E L EACH ACCIDENT S E L DISEASE - EA EMPLOYEE S E L D 5 AalT! i"OC G'.CY ;,WIT S OTHER '.. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS The City of El Segundo, its elected and appointed othclals. employees, and volunteers ARE NAMED AS ADDITIONAL INSURED PER ATTACHED CG 20 10 12 19, CG 20 01 12 19, 8 CG 20 37 12 19, CG20 11 12 19 REQUIRES WRITTEN CONTRACT Re: Jon Name: Phase 2 City Hall HVAC Improvement Project Address : 350 Main Street.El Segundo, CA 90245 'EXCEPT 10 DAYS FOR NONPAY CERT'IF'ICATE, HOLDER ADDITIONAL INSURED: INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION '30 City of El Segundo DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 350 Main St • NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL El Segundo, CA 90245 IMPOSE NO OBLIGATION OR LIABILITY OF ANY IS1ND UPON T11E INSURER, ITS AGENTS OR AUTHORIZED REPNIESENtATIVE ACORD 25-S (7/97) CORPORATION 1988 COMMERCIAL GENERAL LIABILITY CG 20 01 1219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ..� 'A i � �► This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: 600 GL 0011331-16 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization required to be included as All locations as required by written contract with the an Additional Insured on this policy pursuant to written Named Insured. contract with the Named Insured, that is fully executed prior to the commencement of the work that is called for in the contract Where no coverage under this policy shall apply for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by: 1. All work. including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2, That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 C Insurance Services Office. Inc... 2018 Page 1 of 2 POLICY NUMBER: 600 GL 0011331-16 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following„ COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization required to be included as All locations as required by written contract with the an Additional Insured on this policy pursuant to written Named Insured. contract with the Named Insured, that is fully executed prior to the commencement of the work that is called for in the contract. Where no coverage under this policy i shall apply for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III — Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products -completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable limits of 1. The insurance afforded to such additional insurance; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured is applicable limits of insurance. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 12 19 C Insurance Services Office, Inc.. 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 24 53 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OFRIGHTS OF RECOVERY OTHERSAGAINST AUTOMATIC This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss. CG 24 53 12 19 ® Insurance Services Office, Inc., 2018 Page 1 of 1 PARDAIR-01 DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE ^5110 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 ria^thts to the certificate holder in lieu of such endorsement(s), PRODUCER License # OC36861 N C ACT Amy McVey Nq M. . Irvine - Alliant Insurance Services, Inc. PHONE 18100 Von Karman Ave 10th FI tag°..wt) Irvine, CA 92612 E-MAIL am i1IVe alltant,cpm A f.saOR� 8. il• �_ .,. "��_ INSURED A. Insurance Companv of the West 1769 Kelton Ave NSURt RR..D_.; Ij SURER D Los Angeles, CA 90024 „C1OCo 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. . _..l L wVD ... ....... ..........POLICY.EFPPOLICY E%P LIMITS m... ...........--. mw -" � EPI TYPE OF INSURANCE f POLICY NUMBER COMMERCIAL GENERAL LIABILITY I EACH OCCUF2F2EIVCE „I DAMAGE RE9aES„fNT eL7 CLAIMS -MADE �... OCCUR spx�aRPCpfL9�,'i I i I MED EXP (Anv one person) SEfid1 AGGREGATE L..IMI"rAPPI...IES PER FO uCy 1 UCV I I...CAC OTt R: AUTOMOBILE LIABILITY ANY AUTO .. ."... OWNED SCHEDULED r AUTOS ONLY AUTOS ED AUUSONLY AUP�,"1'C0 ...,,.,... .. UMBRELLA LIAB OCCUR EXCESS LIAB C`LAIM,S•MADE DED RETENTIONS - ................_ ... --- _---- ...............:... A woRKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ WSD 5074427 02 OFFICER/MEMEER EXCLUDED? N I A (Mandatory in NH) If ves. descnhe under '.. U I M I T'........ �...,... _ PODI Y i N iUr.&a. A?l. R0n.: 1JpY (PeRY fPer acddenil . S X. 12/1 /2025 12/1 /2026 1 E L, EACC1 S, EL DISEASE.. - EA EMPL.OYFF", 5 _ 1 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101„. Additional Romarks Schedule, may be attached If more space is required) tw Project: #PW 25-18 Phase 2 City Hall HVAC Improvements Project City of El Segundo Public Works Department 350 Main Street El Segundo, CA 90245 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 --- J+ ©1988-2015 ACORD CORPORA.. - ACORD 25 (2016/03 .„ RDreserved. .er _._.-.. „ ON. All rights reserved. The ACORD name and logo are registered marks of ACORD