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PROOF OF INSURANCE (2020) CLOSED�� pa DATE (MMfDDNYYY) J CERTIFICATE OF LIABILITY INSURANCE 0112912020 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 be endorsed, if SUBROGATIONIS 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 AUTO CLUB INSURANCE AGENCY LLC/PHS AM 72253662 PHONE (866) 467-8730 FAX (888) 443«6112 The Hartford Business Service Center (AIC, N°' Ext)° RAac« No): 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS_ INSURERIS) AFFORDING COVERAGE NAIL# INSURED N INSURER A. Sentinel insurance Company Ltd, 11000 HIGH POINT STRATEGIES LLC fl Hartford Insurance Company of the 37478 23720 POSEY LN INSURER B. Midwest CANOGA PARK CA 91304-5236 INSURER C: INSURER D ; INSURER E: I 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. INSA _,TR TYPE OFINSURANCE ADDL SUBR i POLICY NUMBER INSR WV.P POLICY EFF POLICY EXP LIMITS dM Y COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIM&MADEOCCUR DAMAGE TO RENTED � I .. $1,000,000 X GrmnBTBI Liability MED EXP (Any one person) I $10,000!', A i - X 72 SBA AR6200 11/19/2019 11/19/2020 PERSONAL a ADV INJURY $2,000,0001 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,0001 POLICYPRO- LOC E] X PRODUCTS - COMPIOP AGG $4,000,000 JECT OTHER: I .� AU70MOBILELIABILITY COMBINED SINGLE LIMIT $2,000,0001 Ma Amidwnll ANY AUTO BODILY INJURY (Per person) A ALL OWNED SCHEDULED 72 SBA AR6200 11/1912019 11/19/2020 BODILY INJURY (Per accidenl) AUTOS AUTOS HIRED NON -OWNED X PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA WAS OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS - AGGREGATE d MADE G 9999 ED RETENTION $ WORKERS COMPENSATIONPER -- OTH- AND EMPLOYERS' LIABILITY STATUTE 4,,,,-,,,I ANY YIN E.L. EACH ACCIDENT I $1,000,00011 B PROPRIETOR/PARTNER/EXECUTIVE NIA 72 WEC PK7673 11/1912019 11/19/2020 E.L.,OISEASE-EA EMPLOYEEI $1,000,1 OFFICERIMEMBER EXCLUDED? C (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 Occurrence $2,000,000 PROFESSIONAL LIABILITY A I 72 SBA AR6200 11119/2019 11/19/2020 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONSI VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space la required) Those usual to the Insured's Operations, CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS are additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 Main Street BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245-3813 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) V Lld^ Of ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 72 SBA AR6200 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - VENDOR CITY OF EL SEGUNDO, IT'S OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS 350 MAIN ST EL SEGUNDO CA 90245 CITY OF SOUTH PASADENA 1414 MISSION ST SOUTH PASADENA CA 91030 LOS ANGELES COMMUNITY COLLEGE DISTRICT 770 WILSHIRE BLVD LOS ANGELES CA 90017 VALLE PRESBYTERIAN HOSPITAL 15107 VANOWEN ST VAN NUYS CA 91405 Farm IH 12 00 1185 T SEQ. NO. 001 Printed in U.S.A. Page 001 Process Date: 09/09/19 Expiration Date: 11/19/20 POLICY NUMBER: 72 SBA AR6200 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON -ORGANIZATION PARSONS CORPORATION 100 WEST WALNUT STREET PASADENA, CA 91124 FIREEYE CORPORATION 1440 MCCARTHY BLVD MILPITAS, CA 95035 211 LA COUNTY 526 WEST LAS TUNAS DRIVE SAN GABRIEL, CA 91776 WASTE CONNECTIONS, INC 3 WATERWAY SQUARE PLACE, SUITE 110 THE WOODLANDS, TX 77380 VECTIS STRATEGIES, LLP 2121 ROSECRANS AVENUE, SUITE 2380 EL SEGUNDO, CA 90245 Form IH 12 00 11 85 T $EQ. NO. 002 Printed In U.S.A. Page 001 Process Date: 09/09/19 Expiration Date: 11/19/20