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PROOF OF INSURANCE (2019) CLOSEDDATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE I 07/06/2018 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(les) 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). Id PRODUCER CONTACT...., ...., ..., ...., .,, ... NAMEa Aon Risk Services Northeast, Inc. I E' (866) 283-7122 gg FAX (800) 363-0105 C/o Aon Client Services (AIC, No"Est)° I I= Neat; 4 overlook Point I E-MAIL p Lincolnshire IL 60069 USA ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: The Travelers Indemnity Co Of CT 25682 Cintas Corporation and its subsidiaries INSURER B: Travelers Property Cas CO of America 25674 6800 Cintas Blvd Po Box 625737 INSURER C: Westchester Fire Insurance Company 10030 Cincinnati OH 45262 USA I INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NIJIli 570072200972 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. Limits shown are as requested INSR LTR ADOL SUBR potity e",pp ° POLICY eXr� ... TYPE OF INSURANCE INSO WVO POLICY NUMBER tf� D„pPY"y}o'Y d M p Dl'rYi�I^p LIMITS �% A X COMMERCIAL GENERAL LIABILITY HCCEGLSA472M47'�1T'C'T'lf3 Il!/'0'f/Lly1 V EACH OCCURRENCE $2,000,000 DAMAGE1 U HEN I EU, CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) $1,000,000 622035277013 07/01/2018 07/01/2019' EACH OCCURRENCE $5,000,000 EACH 5 , 000, 000 X Contractual Liability N MED EXP (Any one person) $5,000 AGGREGATE 000,000 PERSONAL& ADV INJURY $1,000,000 r GENIAGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE $2,000,000 0 POp.'pC1f �JECT LOC PRODUCTS-COMP/OP AGG $1,000,000 r- 0 OTHER: A HQE-CAP-472M4651-TCT-18 07/01/2018 07/01/20181 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $5,000,000 000, 000 m A05 (Ea accident) ANYAUTO BODILY INJURY ( Per person) G OWNED SCHEDULED BODILY INJURY (Per accident)AUTOS ONLY AUTOS JX HIREDAUTOSNON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Per accident)w_Comp/Call $0 Dad. C X UMBRELLA LLA& X OCCUR 622035277013 07/01/2018 07/01/2019' EACH OCCURRENCE $5,000,000 EACH 5 , 000, 000 ti EXCESS LIAB CLAIMS -MADE AGGREGATE 000,000 g B WORKERS 07/01/2018 07/01/2019 X I PERIoRH. EMPLOYERS' LIABILITY AN PLOY RISTOREAsnrER EXECUTIVE y,iN B N NIA WC-A05472M470618 STATUTE I HRJUB472M469918 07/01/2018 07/01/201q E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) WC - MA, WI E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 ....... DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo is included as Additional Insured on the General Liability policy, but only with respect to work performed under contract between the Certificate Holder and the insured, on the workers' Compensation Policy, a waiver of Subrogation exists in favor of the Certificate Holder as required by written contract, but only on the condition that negligent acts of the' Certificate Holder are excluded. CERTIFICATE HOLDER CANCELLATION_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE Attn: Maria Cerritos 350 Main Street El Segundo CA 90245-3813 USA n/% ��sGeti�+ed ,nelrrd r ��sa e3�on c// O ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: HC2E-GLSA-472M4731-TCT-18 ISSUE DATE: 06-08-18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person or organization that you have agreed in a "written contract requiring insurance" to include as an additional insured on your Commercial General Liability policy and that has not been added as an additional insured by attachment of an endorsement under this Coverage Part which includes such person or organization in the endorsement's schedule. However, such person or organization is only an additional insured with respect to liability for "bodily injury" or "property damage" (or for "personal injury" or "advertising injury" if coverage for such injury is required by the "written contract requiring insurance") that is in fact caused by your negligence or the negligence of those acting on your behalf in the performance of "your work" in connection with services provided to the additional insured to which the "written contract requiring insurance" applies. The insurance provided to the additional insured by this endorsement is further limited as follows: a. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits of liability required by a "written contract requiring insurance" for that additional insured, the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement shall not increase the limits of insurance described in SECTION III — LIMITS OF INSURANCE. b. The insurance provided to the additional insured does not apply to "bodily injury" or "property damage" (or "personal injury" or "advertising injury" if coverage for such injury is required by the "written contract requiring insurance") arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, or supervision of such services or activities. C. The insurance provided to the additional insured does not apply to "bodily injury" or "property damage" included in the "products -completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured. d. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization or with respect to "bodily injury" or "property damage" (or "personal injury' or "advertising injury" if coverage for such injury is required by the "written contract requiring insurance") caused by the negligence of such person or organization. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" for that additional insured specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that other insurance. But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under CG T8 04 Page 1 of 3 POLICY NUMBER: HC2E-GLSA-472M4731-TCT-18 ISSUE DATE: 06-08-18 such other insurance. 4. If the "written contract requiring insurance" for that additional insured specifically requires that this insurance include a provision in which the insurer waives any right of recovery against that additional insured because of payments made under the insurance provided to the additional insured, then we will waive such right of recovery. 5. As a condition of coverage provided to the additional insured by this endorsement: The additional insured must give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (1) How, when and where the `occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. If a claim is made or "suit' is brought against the additional insured, the additional insured must: (1) Immediately record the specifics of the claim or "suit' and the date received; and (2) Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit' as soon as practicable. C. The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit', cooperate with us in the investigation or settlement of the claim or defense against the "suit', and otherwise comply with all policy conditions. 6. As a condition of coverage provided to the additional insured by this endorsement, the additional insured must tender the defense and indemnity of any claim or "suit' to any provider of other insurance which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insurance provided to the additional insured by this endorsement is primary to other insurance available to the additional insured which covers that person or organization as a named insured as described in paragraph 3 above. The following definition is added to SECTION V — DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional insured, provided that the "bodily injury' and "property damage' occurs (or the "personal injury" or "advertising injury", if coverage for such injury is required by the "written contract requiring insurance", is caused by an offense committed): CG T8 04 Page 2 of 3 POLICY NUMBER: HC2E-GLSA-472M4731-TCT-18 ISSUE DATE: 06-08-18 a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect, or as long as the written agreement specifically provides, whichever is later; and C. Before the end of the policy period. Copyright 2014 The Travelers Indemnity Company. All rights reserved. CG T8 04 Page 3 of 3 POLICY NUMBER: HC2E-GLSA-472M4731-TCT-18 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 05-30-18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization, except any architect, engineer or surveyor, that you agree in a written contract to include as an additional insured on this Coverage Part, provided that the written contract: a. Specifically requires you to use ISO form CG 20 37 07 04 to include such person or organization as an additional insured; and b. Was signed and executed by you before, and is in effect when, the "bodily injury" or "property damage" occurs or the "personal injury" or "advertising injury" offense is committed. Location And Description Of Completed Operations Any project to which an applicable written contract described in the Name Of Additional Person(s) Or Organization(s) section of this Schedule applies. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or or- ganization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional in- sured and included in the "products -completed opera- tions hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1