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PROOF OF INSURANCE (2021) CLOSEDGOVEREV-01 CSOKOLOWSKI 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 CONTACT Daniel R. Gunter NAME: Thompson Flanagan Executive Liability Group PHONE Fax 626 W. Jackson A310. 5th Roor (A/C, No, Ext): (312) 239-2890 (A/c, Ne1:(312) 263-1551 ........ .._.mm Chicago, IL 60661 d Lcnter tlaom son'flana an.com W........�..IM URERIS AFFORDING COVERAGE....�AIC # .............. ...___.. _.11.11....... INSURER A; Hartford Casualty Insurance Company 29424 INSURED INSURER 8; Trumbull Insurance Company 27120 Avenu Holdings, LLC ..INSURERc:R__.__._._ SUI Indemnity ..................................................................... .............. ......... 22314 „_._.._._....._.....m.... 7625 Palm Ave., Suite 108 INSURER _o; Axis „Insurance ....C.m..any ...................._._._._._._......._................._37273 Fresno, CA 93711 INSS IT ....... INSURERE: 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 DOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMIDDIYYYYI IMM/DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0000 m occuR 83 UUN AA6800 1/24/2020 1/24/2021 DAMA 'E TO RENTED 300,000 �........... CLAIMS -MADE X X Pfd,IW6....4.E..4(Ir�fIG.IS,............... GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY E] ipp F] LOC OTHER', 1/24/2020 B AUTOMOBILE LIABILITY ...EACH...... .............................................. -AGGREGATE X ANY AUTO 83 UUN AA6800 OrSCHEDULED AUTOS ONLY _ AUTOS $ ONLY Z%D V4 6 SIR9 X I PE�" A X UMBRELLA LIAB OCCUR EXCESS LIAB �d CLAIMS -MADE 83 RHU AA6623 DED I X I RETENTION $ 0 A WORKERS COMPENSATION 1/24/2020 AND EMPLOYERS' LIABILITY YIN 183 WE AE7C2X ANY PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? N / A 1,000,000 XFF'NCER'/EaAEMBE� OFJI(tiGER 9n NH) If yes, describe under ...$.....................J....................'......................................_ I DESCRIPTION OF OPERATIONS below C 'Tech E&O / Cyber LCY780534 D Crime P-001-000245516-01 rRljD EM .(AM,Rnepgrso.Ul.. $ 10,000 PERSONAL & ADV INJURY$ 1,000,000 . GENERAL AGGREGATE $ 2....ITITITITITITITITITIT. ... � ,000,000 ,IT PRODUCTS ...- COM PIOP AGO ,.......�. 2,000,00000 COM I �E�D�SINGLE LIMIT $ 1,000,000 1/24/2020 1/24/2021 BODILY INJURY (Per person) $ BODILYINJURY Peraccident $ PRClPER TY DAMAGE Per acuderaE) .......$..�..,�.. ......................................... DESCRIPTION OF OPE',R'AnONS 1 LOCATIONS I VEHICLES (ACORD 101, Addlptional Remarks Schsdofo maybe attaohed if more $Pace Is required) Per the cancellation wording listed on this form, the policy provisions Include at (vast 30 days' notice of cancellation except for non-payment of premium. The City of EI Segundo, its agents, officers, servants and employees are named as additional insureds under the General Liability policy with respect to the operations and work performed by the named insured as required by contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of EI Segundo AUTHORIZED •� REPRESENTATIVE Attn: City Clerk Lin 350 Main Street IE.I Segundo.CA90245-0989 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RR,ENCS 10,000,000 1/24/2020 1/2412021 ...EACH...... .............................................. -AGGREGATE ..m .m$...............................�...� 10,000,000 $ X I PE�" ,I,,,ATIITE 1/24/2020 1/24/2021 E L EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE ...$.....................J....................'......................................_ 1 000,00 0' E1 DISEASE -POLICY LIMIT $ 1,000,000' 1/24/2020 1/24/2021 Per Claim/Agg 5,000,000' 1/24/2020 1/24/2021 Limit 2,000,000 DESCRIPTION OF OPE',R'AnONS 1 LOCATIONS I VEHICLES (ACORD 101, Addlptional Remarks Schsdofo maybe attaohed if more $Pace Is required) Per the cancellation wording listed on this form, the policy provisions Include at (vast 30 days' notice of cancellation except for non-payment of premium. The City of EI Segundo, its agents, officers, servants and employees are named as additional insureds under the General Liability policy with respect to the operations and work performed by the named insured as required by contract. 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 EI Segundo AUTHORIZED •� REPRESENTATIVE Attn: City Clerk Lin 350 Main Street IE.I Segundo.CA90245-0989 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: GOVEREV-01 LOC #: 1 ADDITIONAL REMARKS SCHEDULE AGENCY Thompson Flanagan Executive Liability Group POLICY NUMBER SEE PAGE 1 CARRIER SEE PAGE 1 ADDITIONAL REMAR'K'S NAMED INSURED Avenu Holdings, LLC 7625 Palm Ave., Suite 108 Imresno, CA 93,711 WNAIC CODE SEE P 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: „++ FORM TITLE: Certificate of Liability Insurance Named Inusreds: 1. Government Revenue Solutions Holdings I, LLC 2. Avenu Holdings, LLC 3. Avenu Insights & Analytics LLC 4. MuniServices, LLC d/b/a Avenu MuniServices, LLC S. eGov Solutions, LLC 6. Ram Ware, LLC 7. Avenu Insights, LLC 8. Avenu Canada 9. Avenu AcquireCo ULC 10. Avenu Pension Administration Solutions ULC 11. Avenu SLS Holdings, LLC 12. Avenu Local Government Solutions, LLC 13. Avenu SLGS Holdings, LLC 14. Avenu Unclaimed Property Systems, LLC 15. Avenu Enterprise Solutuions, LLC 16. Avenu Government Systems, LLC 17. Avenu Government Record Services, LLC 18. Avenu Title Records, LLC 19. The Windward Group LLC CSOKOLOWSKI Page 1 of 1 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD have all your rights and duties under this Coverage Part. 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 the Coverage Part. The insurance afforded herein for any subsidiary not named in this Coverage Part as a named insured does not apply to injury or damage with respect to which an insured under this Coverage Part is also an insured under another policy or would be an insured under such policy but for its termination or the exhaustion of its limits of insurance. 3. Newly Acquired or Formed Organization 5. Nonowned Watercraft 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 6. 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; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. 4. 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. 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. Additional Insureds When Required By Written Contract, Written Agreement Or Permit �— The following person(s) or organization(s) ire an additional insured when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement. A person or organization is an additional insured under this provision only for that period of time required by the contract or agreement. However, no such person or organization is an insured under this provision if such person or organization is included as an insured by an endorsement issued by us and made a part of this Coverage Part. a. Vendors Any person(s) or organization(s) (referred to below as vendor), but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business and only if this Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products - completed operations hazard". (1) The insurance afforded the vendor is subject to the following additional exclusions: This insurance does not apply to: (a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; Page 10 of 18 HG 00 0106 05 (b) Any express warranty unauthorized by you; (c) Any physical or chemical change in the product made intentionally by the vendor; (d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or (h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (i) The exceptions contained in Sub- paragraphs (d) or (f); or (ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. Lessors of Equipment (1) Any person or organization from whom you lease equipment; but only with respect to their liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. (2) With respect to the insurance afforded to these additional insureds this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. c. Lessors of Land or Premises 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. With respect to the insurance afforded these additional insureds the following additional exclusions apply: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to lease that land; or 2. Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. d. Architects, Engineers or Surveyors 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: (1) In connection with your premises; or (2) In the performance of your ongoing operations performed by you or on your behalf. With respect to the insurance afforded 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: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. e. Permits Issued By State Or Political Subdivisions 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. With respect to the insurance afforded these additional insureds, this insurance does not apply to: (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality; or (2) "Bodily injury" or "property damage" included within the "products -completed operations hazard". HG 00 01 06 05 Page 11 of 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT Policy Number: 83 WE AE7C2X Endorsement Number: Effective Date: 01/24/20 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: Avenu Holdings LLC 5860 TRINITY PKWY STE 120 CENTREVILLE VA 20120 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 shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE Any person or organization from whom you are required by contract or agreement to obtain this waiver from us. Endorsement is not applicable in KY, NH, NJ or for any MO construction risk Countersigned by Form WC 00 03 13 Printed in U.S.A. Process Date: 02/07/20 Authorized Representative Policy Expiration Date: 01/24/21