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PROOF OF INSURANCE (2015) CLOSED (4)CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) 10/25/2014 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 pollcy(les) must be orWorsad. If SUBROGATION IS WAIVED, subject to On terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certiflcsto holder In lieu of such endorsement a PRODUCER 310 - 659 -4950 Nla Na a1 310°•9 4 NIA INSURANCE AGENCY, INC. LIC#0888707 PNONE Michelle r'd' MONICA VD #719 l uR x ncOm LOS ANGELES, CA 90025 S COVERAGE a ._....�..�.._..� INSURED SPEC CONSTRUCTION CO, INC. 1870 S. CARLOS AVE ONTARIO, CA 91761 COVERAGES CERTIFICATE NUMBER. l III *T -1Td THIS IS TO CERTIFY YHpAT 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. D .- -._ TYPE OF INSURANCE .. N . � F. LIYRS COMMERCIAL GENERAL LIABILITY ✓ ✓ EACH OCCURRENCE {Q( ",•,•, A © CLAMS.AADE OCCUR O 0/419•.�.�..ww... .� ................ MED EXP Aff .__ CGD00001202 04/26/2014 04/26/201$ PERBONALSAOVINJURY 3 000OOQ GERM. AGOREGAT'k LIMIT APPLIES PER: �AENErtAN A0.30REOdk"F'B S () PRO - PRO POLICY LOC PRODUCTS - COMPIOPAGG = „ 000.000 JECT NTH rr, " ". S '...� AUTOMOBILE LIABILITY MDINED ' ..,_........... B ANY AUTO BODILY INJURY (Per person) i ALL OPMED SCHEDULED AUTOS yr AUTOS 057559366 05/07/2014 0&07/201$ BODILY INJURY (Per e.kWA) i .._..... .. _ HIRED AUTOS AUTOSVNIED _ UMBRELLA LJAB OCCUR EACHOCCUIRRENOE ... S CLAIMS*IAOE ...''....AGGREGATE 5 NTI N S VADRIIER.a C'SMgP'ENSATSiIN E OTH. AHDBIMPL04"S'ae "LIABIIJTY YVN . ANY PRCSPRIBTORIPAF ¢'9'N!ERIL-741E�G11T6VI'm DFF6CERiMFUSER EXCLUDED? NIA E L EACH ACCIDENT (Menderdly In NN) N u4aRAL*NS. C1, OISEASE • EA ELPOYk_ 1 low E.. L. DISEASE - POLICY LVAT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddRNuul Remerlle Schedule, may M aNechcd N mm epeu Is rcgWnW) Additional Insured Endomement USIC- CMGIAµ0310- 0412, USIC- CMGIA -7900 0414, Waiver of Subrogation USIC- CMGIA 7830, Primary and Non - Contributory Wording. USIC -CMGIA including Products /Compteted Operations are Included. Waivers of Subrogation are executed for Commercial ' General Liability and Commercial Auto. The City, its officers, officials, employees and agents wilt be covered as Insured as resepects: Liability arising out of activities performed by or on babe If of the Contrators, Premises owned., occupied or used by Contractors. 30 Days Notice of Cancellation for Non - Payment of Premium will be Issued. Re: RSI Program 60 (14 -16). City of El Segundo. RSI Program 333 Main Street Unit A 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. Nia 119OW -2014 AqWRD CORPORATION. All rights reserved„ ACORD 26 (2014101) The ACORD name and logo are registered marks of ACCIM CERTIFICATE OF LIABILITY INSURANCE °028/22014 °'Y""'I' 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 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 Paychex Insurance Agency Inc _NAMEPAYCHEX INSURANCE AGENCY, INC. PHON E AX 585- 389 -74_2_ 150 SAWGRASS DRIVE Q 877 -266 -6850 6 X— . ROCHESTER, NY 14620 E -MAIL Certs@paychex.com .ADDRESS %_., ..... - - -- —..... -- ------------ INSURER(S) AFFORDING COVERAGE NAIC # — _ -- -- -- -....— —.. ..... ...,•n — INSURER A:... NorGUARD Insurance Company INSURED any 31470 ,.... _._. .____... _ SPEC CONSTRUCTION CO INC INS..,,,, B: INSURER B: 1870 S. CARLOS AVENUE I ............ .. - - - -- .... - .., -- - .... - -- ONTARIO, CA 91761 INSURER C: - - -- — _ _ _ ...- - - - - -- - INSURER D: INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER: 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. R TYPE OF INSURAN CE DDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS L7 R INSR D (MMID`_ YY MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO REN1 PREM ES.... Ea.QcdcEO $ .. ... ....... ... ...— ,. II t.A,tlMS- MA,t;pE - OUR �' ..G^^" MEDEXP(AnyonepersYo1k,) Person) $ . .... ------ - - - - - -- ....._. PERSONAL & ADV INJURY GENERALAGGREGATE EN "L AGGREGATE LIMIT APPLIES PER: PRODUCTS COM P /OP AGG $ POLICY , PROJICf�... .� LOC . $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea aaoldent) ANY AUTO BODILY INJURY ALLOWNED SCHEDULED (Per person) $ AUTOS _ - -. AUTOS JNON -OWNED ... ............ ___ _- BODILY INJURY $ I HIRED AUTOS .� AUTOS (Per accident) WW I,. ERTY DAMAGE PROP"E"R' $ accident) UMaRELLA LIAO V OCCUR EACH OCCURRENCE. $ ........ . ..... ... .. ,V .! ., EXCESS LIAR CLAIMS MADE '.. AGGREGATE $ �F DED RETENTION $ $ WORKERS COMPENSATION AND ....... SPWC583326 03/12/2014 03/12/2015 WC SYATU OTH- X..,,�uTa,HxLUUtIT� -•. ... �...�.. -- ... - -- EMPLOYERS, UAVIJIV E L EACH ACCIDENT $ 1,000,000 Olt) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? f,N E L DISEASE EA, $ 1.000 (,a00 t�t� ,EMPLOYEE (Mandatory In NH) Y N/A X E.L. DISEASE - POLICY LIMIT $ 1,000,000.00 If yes, describe under DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Waiver of Subrogation granted in favor of the certificate holder µ CERTIFICATE HOLDER ) P CANCELLATION d City of El Segundo Q,� ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION RSIP 14 -16 Group 60 vl DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 333 Main St Unit A LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) @1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY COMMERCIAL GENERAL LIABILITY POLICY NUMBER: CGD00001202 USIC -CMGIA J, INSURED : Spec Construction Co Inc. ADDITIONAL INSURED - PRIMARY AND NON - CONTRIBUTORY - OWNERS, LESSORS OR � ��k CONTRACTORS R )° COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of El Segundo, The City, its officials, Officers, employees & agents 333 Main Street Unit A El Segundo, CA 90245 Re: RSI Program 60(14 -16) Section II -In accordance with the terms, conditions, limitations and provisions of the policy to which this endorsement is attached, Section II -Who is an Insured is amended to include an Additional Insured The Person, organization or entity designated In this endorsement but only wl respect to liability for bodily Injury or property damage caused, in whole or In part, by your wor at the designated construction project performed for the designated person, organization or entity and Included In the ongoing operations hazard. This endorsement does not create or our part a duty to defend the designated person, organization or entity or contribute to or reimburse the designated person, organization or entity. This endorsement Is only applicable it the designated person, organization or entity and the designated iproject sections are completed,. With respect to the Insurance afforded to these Additional Insured , the following additional inclusions apply: This insurance applies to "Bodily Injury" or "Property Damage" occurring after: All work, including materials, parts or equipment furnished In connection with such work, on the project other than service, maintenance or repairs to by performed by or on behalf of the Additional Insured. At the location of the covered operations has been completed ; or That portion of "Your Work" out of which the injury or damage has been put to its intended use by any person or organization other than another contractor or subcontractor engaged In performing operations for the principal as part of the same project. PRIMARY /NON - CONTRIBUTORY WORDING: It is agreed that this insurance is primary and non - contributory and that no Insurance held or owned by the designated Additional Insured shall be called upon to cover a loss under said policy up to the limits of this policy if loss under this policy arises directly from work performed by Named Insured. All other terms, conditions and exclusions remain unchanged (OMINI 7 EFQA12 -11 -5- 1/12/1203051353) Forth Editlon 05/10/12 INSURED: SPEC CONSTRUCTION CO, INC. CARRIER: PROGRESSIVE CASUALTY INSURANCE COMPANY ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE (1R A.M. STANDARD TIME) ADDrt10NAL INSURED ENDORSEMENT NO. POLICY NUMBER City of E1 Segundo, The City, its officials, officers, employees and agents. 333 Main Street Unit A 057559366 05/07/2014 El Segundo, CA 90245. Re: RSI Program 60(14 -16) US1C- CMGIA- 0310 -0412 (The above information is required only when this endorsement Is issued subsequent to preparation of the policy.) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED—OWNERS, LESSEES OR CONTRACTORS — AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL AUTO LIABILITY COVERAGE PART A. Section ll—Who Is An Insured is amended to j ae, clude as an additional insured any person or orgb6ni- zation for whom you are performing operations when you and such person or organization have agreed in writing, and executed such a contract or agreement prior to the time of an occurrence giving rise to a claim, 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," "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. B. With respect to the insurance afforded to these addi- tional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury," "property damage" or "personal and advertising injury" arising out of the rendering LISIC -CMGIA -03140412 of, or the failure to render, any professional architectural, engineering or surveying services, 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 engi- neering activities. 2. "Bodily injury" or "property damage" occurring after: NIA INSURANCE AGENCY, INC. a. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, mainte- nance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been complet- ed; or b. That portion of "your work" out of which the in- jury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. AUTHORIZED REPRESENTATIVE Includes copyrighted material of ISO Properties, Inc., with its permisslon. Copyright, ISO Properties, Inc., 2004 10!24/2014 DATE INSURED: SPEC CONSTRUCTION CO, INC. CARRIER: UNITED SEPCIALTY INSURANCE COMPANY ATTACHED TO AND FORMING APART OF ENDORSEMENT EFFECTIVE DATE (12:01 A.M. STANDARD TIME) ADDITIONAL INSURED ENDORSEMENT NO. PO: NUMBER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section Il• Is An Insured is fret City of El Segundo, The City, its officials, officers, employees of, or the failure to render, any professional clude as an additional insured any person or or rani'- architectural, engineering or surveying services, and agents. 333 Main Street Unit A including: CGD00001202 04/26/2014 EI Segundo, CA 90245. Re: RSI Program 60(14-16) ) USIC- CMGIA- claim, that such person or organization be added as re reports, surveys, field orders, change orders an additional insured on your policy. Such person or or drawings and specifications; and (The above Information is required only when this endorsement Is Issued subsequent to preparation of the policy.) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED—OWNERS, LESSEES OR CONTRACTORS — AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section Il• Is An Insured is fret —Who amended to - of, or the failure to render, any professional clude as an additional insured any person or or rani'- architectural, engineering or surveying services, zation for whom you are performing operations here including: you and such person or organization have agreed in writing, and executed such a contract or agreement a. The preparing, approving, or failing to prepare prior to the time of an occurrence p giving rise to a approve, maps, shop drawings, opinions, claim, that such person or organization be added as re reports, surveys, field orders, change orders an additional insured on your policy. Such person or or drawings and specifications; and organization is an additional insured only with respect b. Supervisory, inspection, architectural or engl- to liability for "bodily injury," "property damage" or neering activities. "personal and advertising injury" caused, in whole or in part, by: 2, "Bodily injury" or "property damage" occurring after: 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. B. With respect to the insurance afforded to these addi- tional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury," 'property damage" or "personal and advertising injury" arising out of the rendering USIC -CMGIA -0310 -0412 a. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, mainte- nance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been complet- ed; or b. That portion of "your work" out of which the In- jury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. NIA INSURANCE AGENCY, INC. 1024/2014 AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2004 Policy Number Named Insured Effective Date CGD00001202 Spec Construction Co, Inc. 04/26/2014 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART City of Ell Segundo, The City, its officers, officials and agents. Re: RSI Program: 60(14 -16) 333 Main Street Unit A El Segundo, CA 90245 Section II- Who is An insured is amended to include as an additional insured only the person (s) or organization (s) who have entered into a written contract with "you" prior to "your" commencement of work for the person(s) or organization (s) with whom "you" have entered into a written contract and such written contract specifically requires that "you " provide this coverage, but only with respect to liability for "bodily injury" or "property damage" caused in whole and exclusively by "you" performing "your work" on completed operations hazard" under the policy. This amendment does not apply to "your work" on any residential construction project. Terms in quotation marks are defined in the policy to which the endorsement is attached, USIC -CMGIA -7810 Rev.9/25/2013 INSURED: SPEC CONSTRUCTION CO, INC. CARRIER: UNITED SPECIALTY INSURANCE COMPANY ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FOREM A PMT OF cERnFICATE HOLDER ENDORSEMENT NO. POLICY Human (7107 AM. STMDARD TIME( City of El Segundo, RSI Program. The City, its officials, offic- ers, employees, agents. CGD00001202 04/26/2014 333 Main Street Unit A USIC -CMGIA El Segundo, CA 90245 Re: RSI Program 60(14 -16) 7830 (The above Information is required only when this endorsement Is issued subsequent to preparation of the policy.) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV— COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against an additional insured shown on form USIC- CMGIA- 0310 -0412 but only with respect to liability for 'bodily injury," "property damage' or "personal and advertis- ing injury" caused by: 1. The named insured's acts or omissions; or 2. The acts or omissions of those acting on the named insured's behalf; in the performance of the named insured's ongoing operations for the additional insured shown on form USIC -CMGIA -0310 -0412. All other Terms and Conditions of this Policy remain unchanged. NIA INSURANCE AGENCY, INC. 10/24/2014 AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties, Inc., with as permission. Copyright, ISO Properties, Inc., 1892, 2003 USIC -CMGIA 7830 INSURED: SPEC CONSTRUCTION CO, INC. CARRIER: PROGRESSIVE CASUALTY INSURANCE COMPANY ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE (77:07 A.M. STANDARD TIME) CERTIFICATE HOLDER ENDORSEMENT NO. POLICY NUMBER City of El Segundo, RSI Program. The City, its officials, offic- ers, employees, agents. 057559366 05/07/2014 333 Main Street Unit A USIC -CMGIA El Segundo, CA 90245 Re: RSI Program 60(14 -16) 7830 (The above Information Is required only when this endorsement Is Issued subsequent to preparation of the policy.) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL AUTO LIABILITY COVERAGE PART The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV— COMMERCIAL AUTO LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against an additional insured shown on form USIC- CMGIA- 0310 -0412 but only with respect to liability for "bodily injury," "property damage" or "personal and advertis- ing injury" caused by: 1. The named insured's acts or omissions; or 2. The acts or omissions of those acting on the named insured's behalf; in the performance of the named insured's ongoing operations for the additional insured shown on form USIC -C MGIA- 0310 -0412. All other Terms and Conditions of this Policy remain unchanged. NIA INSURANCE AGENCY, INC. 10/24/2014 AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 1992, 2003 USIC -CMGIA 7830 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 61,1111,064wilwo, 14,101,19 ral"W1,111,111 i1m, 10111111M`iir�,Q III 1W utgo'K01,41g] Ittill mr�y le-gill L;j val f,011 owl I You must maintain payroll records accurately segregating the remuneration of your employees while engaged in tZ work described in the Schedule. 1111111 The additional premium for this endorsement shall be �-02--% of the California workers' compensation premiuz *therwise due on such remuneration. This endorsement changes the policy to which it is attached and is effective on the date issued unless othervfise stated. (The information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective insured Policy pia. SPWC583326 insurance Cornpany NEMEMMEM, Endorsement No. 01998 by the era® Compensation Insurance Rating Bureau of California. All rights reserved. City of El Segundo RSIP 14 -16 - Group 60 333 Main St Unit A El Segundo, CA 90245 ACORD 4190709 0079/A7903017