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PROOF OF INSURANCE (2020) CLOSEDDAT 09 9/ 200119 ) CERTIFICATE OF LIABILITY INSURANCE ( 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 Y BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED g REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. In IMPORTANT: If the certificate holder is an AD'DITiONAL 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME. ....... .. a Aon Risk Insurance Services West, Inc. PWRE (866) 283-7122 FAX (800) 363-0105 No. E.xt): IAfC, No, d LOS An el es CA office _LNC, 707 Wi shire Boulevard E.MAIu ADDRESS: _ Suite 2600 LOS Angeles CA 90017-0460 USA INSURER(S) AFFORDING COVERAGE NAIC # ...._. ._ ................. ..... INSUR.........,---__..._..� INSURED ERA: Steadfast Insurance Company 26387 ACCO Engineered systems, Inc, INSURER B: Arch Insurance Company 7.1150 888 East Walnut Street INSURER C: Arch indemn-ity Insurance Company 30830 Pasadena CA 91101 USA —•• INSURER D: Berkley Assurance Company 39462 INSURER E: National Fire & Marine Ins Co _ 20079 INSURER F: t COVERAGES CERTIFICATE NUMBER: 570i7783'32815 REVISION NUMBER: THiS IS TO CERTIFY THAT THF P'OLiCIES 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 pNSR " ADDtg SUB" POLICY EM>N POLICY EXP LIMITS LTR TYPE OF INSURANCE INiSDq wVO POLICY NUMBER (MMIDDIYYYYj (MMIDD B X COMMERCIAL GENERAL LIABILITY y Y 71PKG8949202 1U/U1/L019 �0/01%L EACHOCCURRENCE $2,000,000 xW...." _m...._ AGE $300,000 CLAIMS -MADE i X II OCCUR PREMISES( oc urrenF�1 �............_ __....I L_....f MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $2,000,000 GREGATE 0,000 LIMIT 'I. . PER: Co M PRO- pRODGENEUOTSGCOMP/OPAGG $4,000,000 LOC POLICY X PRO-JECT X �' r �'LAGGREGATE �ww"C o OTHER: o B' Y Y 71PKG8949202 10/01/2019 10/01/2020 COMBINED SINGLE LIMIT $2,000,000, AUTOMOBILE LIABILITY a a cidenll BODILY INJURY ( Per person) C Z X ANYAUTO " BODILY INJURY (Per accident) —'-" r OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE NON V -OWNED HIRED AUTOS (Per accident) ....— ONLY AUTOS ONLY �- •„ E 42XSF30305804 10/01/2019 10/01/2020 OCCURRENCE U B X OCCUR UMBRELLLIAB AGGREGATE $4,000,000 X EXCESS CLAIMS -MADE __ DED �•nRETENTIt7N ... - B WORKERS COMPENSATION AND Y 71WC18949102 10/01/2019 10/Ol/2020� X I SPER TATUTE I STH EMPLOYERS' LIABILITY " ANY PROPRIETOR/PARTNER/EXECUTIVE Yi 74wC28949002 10/01/2019 10/01/2020 E,L,EACHAccIDENT $1,000,000 _ _ _ C OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) CA, OR, TX EL DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under EL DISEASE -POLICY LIMIT $1,000,000,::= DESCRIPTION OF OPERATIONS below o Env Contr Prof PCAD85009825103.,9 10/01/2011 10,/01/2020 Aggregate/Each Loss $1,000,000 Claims Made Prof Agg SIR $600,000 ISIR applies per policy tee'n's & condifions Prof Each Claim SIR $200,000 39 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) is 1Re: .Service, All operations at the city of E1 Segundo] AI: City of El Segundo, its officials, officers, agents, and employees] are included as Additional Insured with respect to the �.-..,r „Gener'a'l Llability' Automobile L'iabil-Ity and Umbrella Liability policies; granted a Waiver of subrogation for General Liability, - Automobile Liab,M ty, Umbrella Liability and Workers' Compensation policies„ and the General Liability policy evidenced herein is Primary and Nan -Contributory to other insurance available, as required by written contract, but limited to the operations of ,. the 'insureds under said contract, EPA 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 AUTHORIZED REPRESENTATIVE its officials, officers, agents IIIIL and employees Public Works Department 350 Main Street, E1 Segundo CA 90245 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 71 PKG8949202 COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ki F.Al a I L11411 0 1 L114t4Mq-=9M, - " 0 a 9, ZET193 01. 10 0 to ** This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Location(s) Of Covered Operations Or Organization(s) All parties where required by a written contract Where required by written contract 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but 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(s) at the locations) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insureds) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. POLICY NUMBER: 71 PKG8949202 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name f Additional Insured Persons Or Location And Description Of Completed () p p Operations ..... ........... _. All parties where required by a written contract Where required by written contract ryuired to complete this Schedule, if not shown above, veil Information re I be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" 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 insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is 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. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. POLICY NUMBER: 71 PKG8949202 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization where waiver of our right to recover is permitted by law and is required by written contract provided such contract was executed prior to the loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER: 71 PKG8949202 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVED OF TRANSFER OF FIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVES OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: ACCO ENGINEERED SYSTEMS, INC. Endorsement Effective Date: October 1, 2019 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization where waiver of our right to recover is permitted by law and is required by written contract provided such contract was executed prior to the loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 4410 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - BLANKET This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM Under Covered Autos Liability Coverage, the Who is An Insured provision is amended to include as an "insured" the person or organization who is required under a written contract to be included as an "insured" under this policy, but only with respect to their legal liability for your acts or omissions or the act or omissions of a person for whom Covered Autos Liability Coverage is afforded under this policy. All other terms and conditions of this policy remain unchanged. Endorsement Number: Policy Number: 711)KG8949202 Named Insured: ACCO ENGINEERED SYSTEMS, INC This endorsement is effective on the inception date of this Policy unless otherwise stated herein: Endorsement Effective Date: 10-01-19 00 CA0115 00 10 13 Page 1 of 1 POLICY NUMBER: 71 PKG8949202 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONT'RIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL 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 This insurance is primary to and will not seek additional insured. 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 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contractthat requires you to obtain this agreementfrom us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be INCL % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION WHERE WAIVER OF OUR RIGHT TO RECOVER IS PERMITTED BY LAW AND IS REQUIRED BY WRITTEN CONTRACT PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO DATE OF LOSS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10-01-19 Policy No. 74WCIB949002 Endorsement No. Insured ACCO ENGINEERED SYSTEMS, INC. Premium $ INCL. Insurance Company ARCH INDEMNITY INSURANCE COMPANY Countersigned By ©1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers Compensation Insurance Forms Manual ©1999. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION WHERE WAIVER OF OUR RIGHT TO RECOVER IS PERMITTED BY LAW AND IS REQUIRED BY WRITTEN CONTRACT PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO DATE OF LOSS. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10-01-19 Policy No. 71WCI8949102 Endorsement No. Insured ACCO ENGINEERED SYSTEMS, INC. Premium $ INCL. Insurance Company ARCH INSURANCE. COMPANY Countersigned By WC 00 03 13 (Ed. 4-84) ©1983 National Council on Compensation Insurance.