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PROOF OF INSURANCE (2018) CLOSEDJuly 26, 2016 City of El Segundo m Public Works Dept. Attn: Julie Hegvold 350 Main Street EI Segundo, CA 90245 Fang Z. Ni Risk Management & Insurance Franchise Agreement between city of El Segundo andChevron U.S.A,, Inc. Ordinance No. .1396 Dear SirlMadam: Chevron U.S.A. Inc. 6001 Bollinger Canyon Rd. San Ramon, CA 94583 Tel 925 842 9352 Fax 925 842 6007 Chevron U.S.A. Inc. ("Chevron") its covered for property and liability exposures through major worldwide insurance programs with large deductibles. bosses that fall within these deductible levels, including those for which Chevron is contractually liable, are self-administered and paid through the financial resources of Chevron. This is to confirm that the insurance requirements of the subject agreement fall within Chevron's deductible levels. Therefore, losses for which Chevron is required to insure under the agreement will be covered to the extent of the agreement's minimum insurance requirements and administered as described above. This further confirms that Workers' Compensation insurance requirements for Chevron companies are satisfied through insured/self-insured programs depending upon the location of the employee's workplace. This letter is in lieu of a certificate of insurance and will remain valid until the expiration or earlier termination of the subject agreement (or any renewal thereof). Sincerely, jtt-�- JV -14 Feng Z. Ni cc: Ray Riddle a certain Bond No. dated effective on behalf of CONTINUATION CERTIFICATE TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA , Surety upon 1 0331 281 9-0384 July 18, 2006 (MONTH -DAY -YEAR) CHEVRON U.S.A. INC. (PRINCIPAL) and in favor of CITY OF EL SEGUNDO (OBLIGEE) does hereby continue said bond in force for the further period beginning on 7/18/2017 (MONTH -DAY -YEAR) and ending on 7/18/2018 (MONTH -DAY -YEAR) Amount of bond $ 100,000.00 Description of bond Pipeline Franchise - Franchise Ordinance #1396 Premium: $ 125.00 PROVIDED: That this continuation certificate does not create a new obligation and is executed upon the express condition and pi that the Surety's liability under said bond and this and all Continuation Certificates issued in connection therewith shall not be cnn and that the said Surety's aggregate liability under said bond and this and all such Continuation Certificates on account of all i committed during the period (regardless of the number of years) said bond had been and shall be in force, shall not in any event the amount of said bond as hereinbefore set forth. Signed and dated on March 1, 2018 (MONTH -DAY -YEAR) TRAVELERS CASUALTY AND 'SURETY COMPANY By ATTORNEY-IN-FACT Marina Tapia A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On MAR 0 12018 before me, Vanessa Fong. Notary Public ....... _, personally appeared Marina Ta is who proved to me on the basis of satisfactory evidence to be the person(g) whose name(s) is/are subscribed to the within instrument and acknowledged to me that lw/she/ executed the same in 44s/her/*,ei# authorized capacity(ios), and that by 44S/her/tom signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. VAI Nff SS F 0ON G a S OM # 2213982 MY COMMISSION EXINREEP' 0 SEPTEMB F'I 14, 2021 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public ", �� e o.o. �................. �.................................... _ti .............. ......... _ ... ....... — — ----- ............ �..................... WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER e F POWER OF ATTORNEY T' `R^V` L" `F{� "'J Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 231967 Certificate No. 007394219 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Tracy Aston, KD Conrad, Simone Gerhard, Edward C. Spector, Lisa K. Crail, B. Aleman, Renato F. Reyes, April Martinez, and Marina Tapia Los Angeles California of the City of g ,State of ____,, ,their true and lawful Attorneys) -in -Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS NESS Wllla'RE*O , rias Coeatpanies have caused this instrument to be signed and their corporate seals to be hereto affixed, this , 29th day of September 2017 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company r er ry . yiYtkENt tt m r * om, ranr�sr-M State of Connecticut City of Hartford ss. A�1 By: ...................... ..___ .1,. .... -- .... Robert L. Raney, Senior Vice President 29th September 2017 On this the day of , before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal UP My Commission expires the 30th day of June, 2021. % * "r+7r 58440-5-16 Printed in U.S.A. ...... m . .., ... ........ Marie C. Tetreault, Notary Public WARNING: THIS POWER OF ATTORNEYIS INVALID WITHOUT THE RED BORDER This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, �?idelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of ....._r 120 18 __..... 20 Kevin E. Hugh es Assista�taryy �� ' r'br �Yr•c'� .. YA92w;uSyp r *��"rc�"a, ^ . ' ' C�y1'y^ '�� T�tJrwT,+, 19'O5RA1TED � C +�e.r,w,�„��,� ��,. � "��y�PR!�.��'wa.Sh ' �Rtwu w7.#��t�dl5�' Y,��,��r"t'A`�N,te"N�". S"" aw��.k�a�"�x��,�Sg�,MyFn.rMn.pd.a..1."Mp`l,k.glIayM^�n�', "��tµ p"� n �1a�� "��,M,�9ph,�cFapg'FY aTaa9�aW 07! 1 ot To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney -In -Fact number, the above-named individuals and the details of the bond to which the power is attached. WARNING: THIS POWER OF ATTORNEY IS INVALID