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PROOF OF INSURANCE (2020 - 2021) CLOSEDDATE(MMIDDIYYYY) LIABILITY INSURANCE 01/1612020 THS CER771ATE O 1 TE 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, I'f t'ho cortif'icate holdor Is an ADDp"6?"ioNAL INSURED, the pollcy(los) must have {1DDITIONAL 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 COME[HONNTACT 'merge ainenian ISU Meridian Brokerage NA1, (818) 225-7025 �I IAIC (818) 225-7026 18980 Ventura Blvd., Suite 330 P 00rmPSB: serge@mbisi.com INSURER(S)AFFORDING COVERAGE NAIC 0 Tarzana CA 91356 NSURERA: Sentinel Insurance Company. Ltd INSURED INSURER 8: AllstateIS00XnSUrerlCe Company, Inc Insurance Company Govinvest Inc. I INSURER C i 3625 Del Amo Blvd., Suite 200 INSURER D: I INSURER E: COVERAGES Torrance........ CA 90503 1 INSURER REVISION NUMB RER F CERTIFICATE NUMBER: 2020-2021 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH TOWHIC POLICIESEFOR THE POLICY PERIOD H 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. INSrt' AUUL'SUUH' POLICY UFF POLICY EXP LTR TYPE OF INSURANCE INSO WVR POLICY NUMBER IM'MIODIYYYY) IMM DWYYYY)_� LIMBS Application Service Provider. City of EI Segundo, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out work performed by or on behalf of the CONSULTANT, including materials, parts,or equipment furnished in conncetion with such work or operations. Coverage Under This Policy is Primary and Non -Contributory, Policy Includes Waiver of Subrogation. Refer to Attached Policy Form SS 00 08 04 05 for Scope of Additional Insured Status. 30 Days Notice of Cancellation or Reduction in Coverage. 10 Days Notice of Cancellation For Non -Payment of Premium. CERTIFICATE HOLDER CANCELLATION' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE HEREOF, NOTICE WILL BE DELIVERED IN City of EI Segundo ACCORDANCE WITH HE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE EI Segundo CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS -MADE OCCUR ® UAMA4iEWKbNIW -MMISFS i" r 1,000,000 S' MED EXP (Amr one Person) 'S 10,000 A Y Y 72 SBMBB5518 06/25/2019 06/2512020 PERSONAL& AM INJURY S 2,000,000 GENVAGGREGATELIMIT APPUESPER: GENERALAGGREGATE S 4,000,000 POLICY O JC�1 LOC PRODUCTS-COMP/OPAGG S 4.000,000 S OTHER: ^^^— AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a d II S 1,000,000 ANYAUTO BODILY INJURY (Per person) S B OWNED DACOEDULED Y N 648847300 04/17/2019 04/17/2020 BODILY INJURY (Per accident) 3 AUTOS ONLY HIRED NON-0NINEO PROPERTYDAMAGE I S AUTOS ONLY AUTOS ONLY rPor m7rJdomli War 1I 5 UMBRELLA UAB I >d OCCUR OCCUR EACH OCCURRENCE S 1,000.000 A EXCESS LIABri Y .MADE Y 72 SBM BB5518 06/25/2019 06/25/2020 AGGREGATE S 1,000,000 DED I ?q RETEWI'ON S 10.000 ! $ -� WORKER? COMPENSATION PER N ER AND EMPLOYERS'LIABILITY YIN I ANY PROPRIETORIPARTNERIEXECUTIVE N / A E,L.EACHAGGDENi S OFFICERMEMBER EXCLUDED? E.L. DISEASE $ (Mandatory In NH) -EAEMPLOYEE If yes, dendbe DESCRIPTION OAF OrPERATIONS below E.L. DISEASE - POLICY LIMIT $ Aggregate 2,000.000 Cyber Liability & Professional Liability N N MPL207524119 09/28/2019 09/28/2020 Each Claim 2,000,000 C Claims Made Retention 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Addltlonal Remarks Schedule, may be attached If more space Is required) Application Service Provider. City of EI Segundo, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out work performed by or on behalf of the CONSULTANT, including materials, parts,or equipment furnished in conncetion with such work or operations. Coverage Under This Policy is Primary and Non -Contributory, Policy Includes Waiver of Subrogation. Refer to Attached Policy Form SS 00 08 04 05 for Scope of Additional Insured Status. 30 Days Notice of Cancellation or Reduction in Coverage. 10 Days Notice of Cancellation For Non -Payment of Premium. CERTIFICATE HOLDER CANCELLATION' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE HEREOF, NOTICE WILL BE DELIVERED IN City of EI Segundo ACCORDANCE WITH HE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE EI Segundo CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 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. S. 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 vendor's premises in connection with the sale of the additional insured under this provision if such product; person or organization is included as an 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 specific 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(referred to damage" arising out of the soles) negligence of the vendor for its below as vendor), but only with respect to own acts or omissions or those of "bodily injury" or "property damage" arising ees or an its employees one else p y y out of "your products" which are distributed acting on its behalf. However, this or sold in the regular course of the vendors exclusion does not apply to: business and only if this Coverage Part 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". (ii) 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 connection with the distribution (a) "Bodily injury" or "property or sale of the products. damage" for which the vendor is (2) This insurance does not apply to any obligated to pay damages by insured person or organization from reason of the assumption of whom you have acquired such products, liability in a contract or agreement. or any ingredient, part or container, This exclusion does not apply to entering into, accompanying or liability for damages that the containing such products. vendor would have in the absence 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 with respect to their liability for "bodily (c) Any physical or chemical change injury", "property damage" or in the product made intentionally "personal and advertising injury" by the vendor, 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 (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after you cease to lease that equipment. c. Lessors Of Land Or Premises (1) Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: (a) Any "occurrence" which takes place after you cease to lease that land or be a tenant in that premises; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. d. Architects, Engineers Or Surveyors (1) Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf. (a) In connection with your premises; or (b) In the performance of your ongoing operations performed by you or on your behalf. (2) With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. BUSINESS LIABILITY COVERAGE FORM e. Permits Issued By State Or Political Subdivisions (1) Any state or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: (a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality; or (b) "Bodily injury" or "property damage" included within the "products - completed operations hazard". f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "properly damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf. (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products - completed operations hazard", but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products - completed operations hazard". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: Form SS 00 08 04 06 Page 13 of 24 BUSINESS LIABILITY COVERAGE FORM (a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. The limits of insurance that apply to additional insureds are described in Section D. — Limits Of Insurance. How this insurance applies when other insurance is available to an additional insured is described in the Other Insurance Condition in Section E. — Liability And Medical Expenses General Conditions. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE 1. The Most We Will Pay The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. Aggregate Limits The most we will pay for: a. Damages because of "bodily injury" and "property damage" included in the "products -completed operations hazard" is the Products -Completed Operations Aggregate Limit shown in the Declarations. b. Damages because of all other "bodily injury", "property damage" or "personal and advertising injury", including medical expenses, is the General Aggregate Limit shown in the Declarations. This General Aggregate Limit applies separately to each of your "locations" owned by or rented to you. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway or right-of-way of a railroad. This General Aggregate limit does not apply to "property damage" to premises while rented to you or temporarily occupied by you with permission of the owner, arising out of fire, lightning or explosion. 3. Each Occurrence Limit Subject to 2.a. or 21 above, whichever applies, the most we will pay for the sum of all damages because of all "bodily injury", "property damage" and medical expenses arising out of any one "occurrence" is the Liability and Medical Expenses Limit shown in the Declarations. The most we will pay for all medical expenses because of "bodily injury" sustained by any one person is the Medical Expenses Limit shown in the Declarations. 4. Personal And Advertising Injury Limit Subject to 2.1b. above, the most we will pay for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization is the Personal and Advertising Injury Limit shown in the Declarations. 5. Damage To Premises Rented To You Limit The Damage To Premises Rented To You Limit is the most we will pay under Business Liability Coverage for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning or explosion, while rented to you or temporarily occupied by you with permission of the owner. In the case of damage by fire, lightning or explosion, the Damage to Premises Rented To You Limit applies to all damage proximately caused by the same event, whether such damage results from fire, lightning or explosion or any combination of these. 6. How Limits Apply To Additional Insureds The most we will pay on behalf of a person or organization who is an additional insured under this Coverage Part is the lesser of: a. The limits of insurance specified in a written contract, written agreement or permit issued by a state or political subdivision; or b. The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to the Limits of Insurance shown in the Declarations and described in this Section. Page 14 of 24 Form SS 00 08 04 05 If more than one limit of insurance under this policy and any endorsements attached thereto applies to any claim or "suit', the most we will pay under this policy and the endorsements is the single highest limit of liability of all coverages applicable to such claim or "suit'. However, this paragraph does not apply to the Medical Expenses limit set forth in Paragraph 3. above. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuanoe for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obligations under this Coverage Part 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit a. Notice Of Occurrence Or Offense You or any additional insured must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, 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. b. Notice Of Claim If a claim is made or "suit' is brought against any insured, you or any 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. You or any additional insured must see to it that we receive a written notice of the claim or "suit' as soon as practicable. c. Assistance And Cooperation Of The Insured You and any other involved insured must: BUSINESS LIABILITY COVERAGE FORM (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or "suit!'; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation, settlement of the claim or defense against the "suit'; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization that may be liable to the insured because of injury or damage to which this insurance may also apply. d. Obligations At The Insured's Own Cost No insured will, except at that insured's own cost voluntarily make a payment assume any obligation, or incur any expense, other than I& first aid, without our consent e. Additional insured's Other Insurance If we cover a claim or "suit' under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit' to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract written agreement or permit that this insurance is primary and non-contributory with the additional insured's own insurance. f. Knowledge Of An Occurrence, Offense, Claim Or Suit Paragraphs a. and b. apply to you or to any additional insured only when such "occurrence", offense, claim or "suit' is known to: (1) You or any additional insured that is an individual; (2) Any partner, if you or an additional insured is a partnership; (3) Any manager, if you or an additional insured is a limited liability company; (4) Any "executive officer" or insurance manager, if you or an additional insured is a corporation; (5) Any trustee, if you or an additional insured is a trust or (6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity. Form SS 00 08 04 05 Page 15 of 24 BUSINESS LIABILITY COVERAGE FORM This Paragraph f. applies separately to you and any additional insured. 3. Financial Responsibility Laws a. When this policy is certified as proof of financial responsibility for the future under the provisions of any motor vehicle financial responsibility law, the insurance provided by the policy for "bodily injury" liability and "property damage" liability will comply with the provisions of the law to the extent of the coverage and limits of insurance required by that law. b. With respect to "mobile equipment' to which this insurance applies, we will provide any liability, uninsured motorists, underinsured motorists, no-fault or other coverage required by any motor vehicle law. We will provide the required limits for those coverages. 4. Legal Action Against Us No person or organization has a right under this Coverage Form: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Form unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this insurance or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. S. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom a claim is made or "suit" is brought. 6. Representations a. When You Accept This Policy By accepting this policy, you agree: (1) The statements in the Declarations are accurate and complete; (2) Those statements are based upon representations you made to us; and (3) We have issued this policy in reliance upon your representations. b. Unintentional Failure To Disclose Hazards If unintentionally you should fail to disclose all hazards relating to the conduct of your business at the inception date of this Coverage Part, we shall not deny any coverage under this Coverage Part because of such failure. 7. Other Insurance If other valid and collectible insurance is available for a loss we cover under this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when b. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Insurance This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) Your Work That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work'; (2) Premises Rented To You That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner, (3) Tenant Liability That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section A. — Coverages. (5) Property Damage To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion k. of Section A. — Coverages. Page 16 of 24 Form SS 00 08 04 05 (6) When You Are Added As An Additional Insured To Other Insurance That is other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional Insured by that insurance-, or (7) When You Add Others As An Additional Insured To This Insurance That is other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this Coverage Part (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed In a written contract, written agreement or permit that this Insurance be primary, If other insurance is also primary, we will share with all that other insurance by the method described in c. below. (b) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not apply to other Insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty under this Coverage Part to defend the Insured against any "suit' if any other insurer has a duty to defend the insured against that "suit'. If no other insurer defends, we will undertake to do so, but we will be entitled to the insureds rights against all those other insurers. Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this Insurance; and (2) The total of all deductible and self - Insured amounts under all that other insurance. We will share the remaining loss, If any, with any other Insurance that Is not described In this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part c. Method Of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also., Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 8. Transfer Of Rights Of Recovery Against Others To Us a. Transfer Of Rights Of Recovery If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The Insured must do nothing after loss to Impair them. At our request, the insured will bring "suit!' or transfer those rights to us and help us enforce them. This condition does not apply to Medical Expenses Coverage. b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including, Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Page 17 of 24 POLICY NUMBER: 6488473 0 0 COMMERCIAL AUTO CA 20 01 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies Insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM Nth resp(t to poyqEqgq;p this, endorsement. the provisions of_ the Co pq -Form apply ----------------------- ------- Kkrgg qua less ...... madwfi tibthee6dorsement. This endorsement changes the policy effective on the Inception date of the policy unless another date is indicated below. Named Insured: GOVINVEST INC. Endorsement Effective Date. 04-17-19 RX., Insurance Company: Allstate Insurance Company Policy Number 648847300 Effective Date: 04-17-2019 Expiration Date: 04-17-2020 Named insured: GOVINVEST INC. Addreow. 3625 DEL AMO BLVD STE 110 TORRANCE CA 90503-1668 Additional Insured (Lessor): CITY OF EL SEGUNDO Address: 350 MAIN ST EL SEGUNDO, CA USA 902453813 Desigrotion Or Description 2009, NISSAN VERSA, 3N1CC11E29L463054 Of 'Leased Autosu; CA 20011013 0 Insurance Services Office, Inc., 2011 (Aft.rad FW rM. Pop 1 of 2 Coverages $1, 0 0 0, 0 0 0 Each f Insurance Limit 0 Covered Autos Liability "Accident" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Comprehensive Deductible For Each Covered 'Leased Auto" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Collision Deductible For Each Covered 'Leased Auto" Specified Erol Cash Value Or Cost Of Repair, Whichever Is Less, Minus Causes Of Loss Deductible For Each Covered 'Leased Auto" Information required to complete this Schedule, n ormati on req, „ rf not shown above, will be shown in the Declarations. A Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered 'auto' you own and not a covered "auto" you hire or borrow. 2. For a "leased auto' designated or described in the Schedule, the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an 'Insured" the lessor named in the Schedule. However, the lessor is an 'Insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees' or agents; or c. Any person, except the lessor or any 'employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above. 3. The coverages provided under this endorsement apply to any "leased auto' described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the 'leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for loss' to a leased auto". Page 2 of 2 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an 'auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. 0 Insurance Services Office, Inc., 2011 CA 20 0110 13 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 01/16/2020 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 have ADDITIONAL IWSURED 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 endorsoment(s), PRODUCER CONTACT PHONE Hiscax Inc. dJblal Hiscax Insurance Agency in CA PHONE (888) ?02-3007 FAx 520 Madison Avenue r„MContact .COm ,Etdi ,,.. hlsCDx_........... (( _.. m�..w..................... 32nd Floor .__.. ..... —. New York, NY 10022 - INSURER(S)-AFFORDING COVERAGE NAJC a .,- . ...... INSURER A; Hiscox Insurance Company Inc 10200 INSURED INSURER @: ..._ Govinvest Inc. 3625 Dei Amo Blvd Ste 200 Ir�surR' c Torrance, CA 90503 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. ........ LTR ...e�...... ..._.e .... ,...._. n.__„, ...-.,_,.�... ........-..�._... INSR TYPE OF INSURANCE ADQL,SUSR' POLICY EFF POLICY EXP INSt),-,Iy+�VO POLICY NUMBER dMWDDffYYYI fIMWDDNY'Y'YLI LIMITS COMMERCIAL GENERAL LIABILITY II..,....., - CLAIMS -MADE L_ � OCCUR GGEEN'L AGGREGATE LIMIT APPLIES PER: �I POLICY ❑PRO JECT ❑ LOG OTHER AUTOMOBILE LIABILITY ANY AUTO OWNED lj- SCHEDULED — AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY �7 UMBRELLA LIAB OCCUR -.......... EXCESS LIAR j CLAIMS -MADE DED i RETENTIONS - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIE rOR,IPARTNER''IIEYErUl'IVE OFFIC"ERA,IEMOCREXCLUDED? NIA (Mandatory In NH) If des, dascnbe ander DCSC'RIPTIION OF OP'E'RATIONS below A Professional Liability Y UDC -1542150 -EO -20 EACH OCCURRENC PREMISES fEa oceunemcel MED EXP (Any one ptr,.nn) $ PERSONAL & ADV INJURY $ _ (GENERAL AGGREGATE �$ f PROD UCT'S-COMP/OPAGG $- m- - $ ii COMBINED SINGLE Ll8enr . $ ..IEa �acclrlerud __ -IpI BODILY INJURY (Per person-^ ) '! $,. O INJURY Per accident) � $ .......O.P EI ....._. .... DAM1tAGI rill $ $ EACH OCCURRENCE S AGGREGATE p PER U OTH:• _,,_STATJItE I ER _LL, EACH ACCIDENT $ E.L.DISEASE ,-EAE'M'PI.OYEC $ E.L,DISEASE -POLICY LIMIT S, 02/10/2020 02/10/2021 Each Claim: Aggregate: DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER City of EI Segundo 350 Main Street EI Segundo CA 90245 $ 1,000,000 $ 2,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved,. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD GOVINVE-01 ELOZADA CERTIFICATE OF LIABILITY INSURANCE DAT(MMIDD20 ) 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 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 CpNTAAE!CT Marsha Richardson Geico Insurance Agency 800, 969-5454 .•.•.•.•.•.•.•.•.•1_( ,,No 570 825-2990 Fredericksburg, VA 22412 Ext): ( I:( ) ..1 Geico Blvd I Vis. gedcosupporlgttard.com INSU"RER(S,) AFFORDING"COVER4G.E............................................ NAIL # INSURER A:AMGUARD Insurance Companv '42390 INSURED Govinvest, Inc. INSURER C: 3625 Del Amo Blvd., Suite 200, INSURER D; Torrance, CA 90503 ........ -.... -.•. INSURER E: INSURER F: COVERAGES C'ERTIFICA'TE 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 DOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1..4?R TYPE OF INSURANCE...._ ......................................... ADD `BD POLICY NUMBER POLICY EF fi.-m9 POLICY EYM...................................................................................LIMITS......................... COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ........... CLAIMS -MADE .. OCCUR DAMAGE TO RENTED• aEhI �,,,,,LAGGREGATE �•__, LIMIT APPLIES PER: .� ' AE' 'OLIC', J'ECT F LOC OTHER' AUTOMOBILE LIABILITY ANY AUTO .................... PERSONAL & ADV INJURY OWNED GENERAL. AGGREGATE SCHEDULED AUTOS ONLY ,$ _ AUTOS HIRED ............................... NON -OWNED _ AUTOS ONLY $ AUTOS ONLY UMBRELLA LIAB OCCUR EXCESS LIAB H CLAIMS -MADE DED I I RETENTION $ l A WORKERS COMPENSATION .P AND EMPLOYERS' LIABILITY Y PROPRIETOR/PARTNER/EXECUTIVE ry"YI ANPX GOWC079053 (MVFICER/MEMBER EXCLUDED? I Y� N I A an datory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below . M.E.pnegersan).........._�.�$ .................... PERSONAL & ADV INJURY $ ...........................• GENERAL. AGGREGATE $ PRfD,UGTSm,- COMP/0 „„•„ P„ AGG ,$ _ PROPERTYDAMAGE $ CONI'ONED SINGLE LIMIT dFa n'codnnfY . $......................... BODILY INJURY (Per, er,�sonl BODILY $ ,_ww,,,,,,,,,,,,,•„• "BODILY INJURYP9r"accident) $ PROPERTYDAMAGE ............................... $ .......-...... .- $ EACH OCCURRENCE $ AGGREGATE $ XI PER N OTH- 1_51AI TFr.............LER, E.L DISEASE $. 1,000,0001 4/22/2019 4/2212020 ...mn .....n ls�..m......-Ea ^ .......4YE1 ............ 1,000,0001 .� E.�.. �.w$.... _........... E L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Excluded: Jasmine Nachtigall-Fournier Excluded: Ted Price 11--- A waiver of subrogation in favor of the certificate holder has been included in the workers compensation policy. (see attached endorsement). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City EI 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE �w...., _.'m...*«...R•",..".'.�r�s_ R �W .�A:""',"w,...hA;."„i..^�,.ik.,.aA-:..1✓•,'"+'. _"' ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) 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 contract that requires you to obtain this agreement from 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 1.02 _% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Blanket Waiver - Any person or organization for whom the All CA Operations Named Insured has agreed by written contract to furnish this waiver. 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 Policy No. GOWC079053 Endorsement No. Insured Insurance Company Countersigned By ©1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved.