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PROOF OF INSURANCE (2020 - 2020) CLOSEDADMIINC-C1 MPRE' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/07/2019.. THIS CERTIFICATE IS ISSUED AS 11 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. -........_._........m........... ........ ......................... .................�_ 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 rights to the certificate holder in lieu of such end _ ...... ..... CONTACT PRODUCER pp PHONE No, (626) 799-7000.,.r .............. _--- .F w .,�,. s.... �_...— 75 E. FootMmtilN Blvd., Suite 100 ro casual tl�altonco.com .mac N� : 26 441 3233 Pasadena CA 91107E-MA,EpOlI.Lss;wp........:..............._-ty I,NSURE,R(S) AFFORDING COVERAG„E ............................... N,,,AIG #,. NSURER A: Sentinel I surance Co. 11000 _ INSURED .,INSURER „B:Twin City Fire Insurance Co ...............29459,........... AdminSure, Inc. INSURER c: Evanston Insurance Company 35378,,,,,,__ 3380 ShelbyCo.. 21113 sNSURt R_5....Urnte. Ontario, CA 91764t IN d States Fire Insurance .. INSURER F: COVERAGES _ CERTIFICATE NUMBER: ............... _......... REVISION NU,,MBER: 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 'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,. POLICY NUMBER EACH OCCUR ... .. P.... I A �)( COMMERCIAL GENERAL LIABILITYADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LIMITS DAMAGE TOR ' �f $ 2,000'000 .... ............ INXD wVD li�E.4d!(62.�.l.YYYY) (�Q.lYYYY EAE,r!�LIO OCCURRENCE P:4.. ..... YYW 00 0 CLAIMS -MADE �� OCCUR 72SBAUV7737 10/05/2019 10/05/2020 M 10,000 ... 1,00 0'. . ,,, EP EXP (Any one_pars!?n,,,,) $ m,PERSQN61_8 ADV INJURY $, 2,000,000 ^ ,... . ,. 4,000,00 G N"LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $.. 0 POLICY �X FR T❑LOC PRODUCTS - COMP/OP AGG $ 4,000,00 ................ , OTHER $ The ACORD name and logo are registered marks of ACORD 000,,00,0 1R......,.. AU–OMOBILE LIABILITY _tFaswidgDtS.I.N..L.E..LIMIT $ ANY AUTO 72SBAUV7737 10/05/2019 10/05/2020 BOD ILY.INJUR„Y(Perperson) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY accident) $ X � A4.}1'�AS Xn AYO P OPER"IY t)iAMA{.)E RPer atcicleerk $ ONLY C7N . $ A ............... OCCUR E,GGREGATE $ 00 4,0............... EXCESS 0110,000 72SBAUV7737 10/05/2019 10/05/2020 AGGREGATE $ 4,000,000 4 0 DED X1I RETENTION$ $ B WORKERS COMPENSATION p oRH. EMPLO YIN 72WECNG7400 01/01/2019 01/01/2020 1'000 000 ' FFtlf"ERMdw9FYERS'LABlury ANY PROPRI anr�atr.�ry 1n NH) PARTNER/EXECUTIVE SOS_ �MBER EXCLUDED N/A .X..l A�?td.T�,_.., ASE - EA EMPLOYEE E L, DISEASE $ $ 1,000,,000 If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT 1,000,000 C Errors & Omissions MKLV5PEO000052 10/05/2019 10/05/2020 Ded. $25K 5„000,000 D Crime 6260373351 1 10/13/2019 10/13/2020 Ded. $10,000 2,000,000 -............ _... DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedulu, may Ito sttached if more space is required) _....._.� Cyber Liability - Policy #ES1031172638 - 7/1/2019 -7/1/2020 -Limit's: $2,000,000-Ded: $10,000 Re: Operations of the Named Insured. General Liability Blanket Additional Insured per SS00080405 attached, only if required by written contractlagreement. Additional Insured: City of EI Segundo CERT'IF'ICATE HOLDER .......... CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATE WILL BE DELIVERED IN City of EI Segundo ACCORDANCE WITH DHE POLICY ROVISIONSCE 350 Main Street EI Segundo„ CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your "employees", "volunteer workers", any partner .or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Real Estate Manager Any person (other than your "employee" or "volunteer worker"), or any organization while acting as your real estate manager. c. Temporary Custodians Of Your Property Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Legal Representative If You Die Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this insurance. e. Unnamed Subsidiary Any subsidiary and subsidiary thereof, of yours which is a legally incorporated entity of which you own a financial interest of more than 50% of the voting stock on the effective date of this Coverage Part. The insurance afforded herein for any subsidiary not shown in the Declarations as a named insured does not apply to injury or damage with respect to which an insured under this insurance is also an insured under another policy or would be an insured under such policy but for its termination or upon the exhaustion of its limits of insurance. 3. Newly Acquired Or Formed Organization Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain financial interest of more than 50% of the voting stock, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier; and BUSINESS LIABILITY COVERAGE FORM b. Coverage under this provision does not apply to: (1) "Bodily injury" or "property damage" that occurred; or (2) "Personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. 4. Operator Of Mobile Equipment With respect to "mobile equipment" registered in your name under any motor vehicle registration law, any person is an insured while driving such equipment along a public highway with your permission. Any other person or organization responsible for the conduct of such person is also an insured, but only with respect to liability arising out of the operation of the equipment, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect to: a. "Bodily injury" to a co -"employee" of the person driving the equipment; or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this provision. 5. Operator of Nonowned Watercraft With respect to watercraft you do not own that is less than 51 feet long and is not being used to carry persons for a charge, any person is an insured while operating such watercraft with your permission. Any other person or organization responsible for the conduct of such person is also an insured, but only with respect to liability arising out of the operation of the watercraft, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect to: a. "Bodily injury" to a co -"employee" of the person operating the watercraft; or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this provision. 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written Form SS 00 08 04 05 Page 11 of 24 BUSINESS LIABILITY COVERAGE FORM contract, written agreement or because of a (e) Any failure to make such permit issued by a state or political inspections, adjustments, tests or subdivision, that such person or organization servicing as the vendor has be added as an additional insured on your agreed to make or normally policy, provided the injury or damage occurs undertakes to make In the usual subsequent to the execution of the contract or course of business, in connection agreement, or the issuance of the permit. with the distribution or sale of the A person or organization is an additional products; insured under this provision only for that (f) Demonstration, installation, period of time required by the contract, servicing or repair operations, agreement or permit. except such operations performed However, no such person or organization is an at the vendors premises in additional insured under this provision if such connection with the sale of the person or organization is included as an product; additional insured by an endorsement issued (g) Products which, after distribution by us and made a part of this Coverage Part, or sale by you, have been labeled including all persons or organizations added or relabeled or used as a as additional insureds under the speci0c container, part or ingredient of any additional insured coverage grants in Section other thing or substance by or for F. — Optional Additional Insured Coverages. the vendor; or a. Vendors (h) "Bodily injury" or "property Any person(s) or organization(s) (referred to damage" arising out of the sole below as vendor), but only with respect to negligence of the vendor for its "bodily injury" or "property damage" arising own acts or omissions or those of out of "your " y products which are distributed its employees or anyone else or sold in the regular course of the vendor acting an its behalf. However, this business business and only if this Coverage Part exclusion does not apply to: provides coverage for "bodily injury" or (I) The exceptions contained in "property damage" included within the Subparagraphs (d) or (f); or "products -completed operations hazard". (it) Such inspections, adjustments, (1) The insurance afforded to the vendor tests or servicing as the vendor is subject to the following additional has agreed to make or normally exclusions: undertakes to make in the usual This insurance does not apply to: course of business, in (a) "Bodily injury" or "property connection with the distribution or sate oftheproducts, damage" for which the vendor is obligated to pay damages by (2) This insurance does not apply to any reason of the assumption of insured Person or organization from liability in a contract or agreement. whom you have acquired such products, This exclusion does not apply to or any ingredient, part or container, liability for damages that the entering into, accompanying or vendor would have in the absence containing such products. of the contract or agreement; b. Lessors Of Equipment (b) Any express warranty (1) Any person or organization from unauthorized by you; whom you lease equipment; but only (cj Any physical or chemical change with respect to their liability for "bodily in the product made intentionally injury", "property damage" or "personal by the vendor, and advertising injury" caused, in whole or in part, by your (d) Repackaging, except when maintenance, operation or use of unpacked solely for the purpose of equipment leased to you by such inspection, demonstration, testing, person or organization. or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; Page 12 of 24 Form SS 00 08 04 05