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PROOF OF INSURANCE (2020 - 2021) CLOSEDADMIINC-C1 ............. WEJu CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)12/30/2019 .. ............. _._.-.... 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 Bolton &Company/ PHONE 62060) 99-7 boltonco F 44 3475 E. Foothill Blvd., Suite 100 com ( N�)J6261). 1-3233 Pasadena, CA 91107 AOpRFs x (NO F MAIL ro INSURER(S) AFFORDING COVERAGENAIC # ................... INSURER A Sentinel Insurance Co. 11000, INSURED INSURER B: Twin City Fire Insurance Co 29459 AdminSure, Inc. INSURER C:Evanston Insurance Company 35378 3380 Shelby Street INSURER 0: United States Fire Insurance Co.,21113 Ontario, CA 91764 INSURERE......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 'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTSRR TYPE F GENERAL LIABILITY INSURANCE AN POLICY NUMBER I A X COMMERCIAL G ISUBIR POLICY EFF POLICY EXP LIMITS . ,.......... Sd). eL� "P..Y=..,.LI)!MLDD/YYYYI ......m.. EACH OCCURRENCE $ 2,000,0001 J X CLAIMS -MADE „I � � OCCUR GE..N L AGGREGATE LIMIT APPLIES PER: XUMBRELLA LIAB X —OCCUR PRr,J• POLICY JEC„"@ I�. LOC M ECLAIMS-MADE XCESS LIAB OTrf'E`R, MPt? EXP,(Anyore, psrsonZ_- A AUTOMOBILE LIABILITY ... ANY AUTO WORKERS COMPENSATION OWNED PERSONAL &ADV INJURY SCHEDULED (AUTOS AUTOS ONLY ANY PROPRIETOR/PARTNER/EXECUTIVE I N/A X... A Ii S ONLY X„ AIOV6i V N.D IBAUV7737 72SBAUV7737 A XUMBRELLA LIAB X —OCCUR ........ M ECLAIMS-MADE XCESS LIAB 72SBAUV7737 MPt? EXP,(Anyore, psrsonZ_- DED XII RETENTION $ 1s 0,000 ... B WORKERS COMPENSATION 2,000,000 PERSONAL &ADV INJURY AND EMPLOYERS' LIABILITY N ' 72WECNG74OO ANY PROPRIETOR/PARTNER/EXECUTIVE I N/A 4,000,000 AGGREGATE OFFICERIMEMBEREXCLUDED? IMendatory In NH) _GENERAL If yes, describe under 4,000,60a PRODUCT PRODUCTS DESCRIPTION, OF OPERATIONS below C Errors & Omissions MKLV5PE0000052 D Crime 6260373351 10/05/2019 10/05/2020 DAMAGE TO RENTED �"�rEMI5G ro ILa r/ S,,(rr,7dt;'su. $ 1,000 ^ 00 10, Oa MPt? EXP,(Anyore, psrsonZ_- $ ... 2,000,000 PERSONAL &ADV INJURY $ 4,000,000 AGGREGATE $ _GENERAL 4,000,60a PRODUCT PRODUCTS $ .Cvl T OMBINE'Dr t tNGr.E iI 1,000,0001 10/05/2019 10/05/2020 BOPILY!NJURY(Per perso,n,), ,BODILY INA RV(Per accident), „$ ( OPFR Qrn AMACE 0., nuoir9 $ -- 4,000,000 EACH OCCURRENCE ----__-- $ 10/05/2019 10/05/2020 4,000,000 AGGREGATE $ X l„ OTH- STATUTE.� ..IL.............q...FR. 01/01/2020 01/01/2021 EEL EACH ,L DSEASEC,00 EA $ 1,000,000 E L DISEASE - POLICY LIMIT $ 1,000'000 10/05/2019 10/05/2020 Ded. $25K _ 5,000,000 10/13/2019 10/13/2020 Ded. $10,000 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Cyber Liability - Policy #ES1031172638 - 7/1/2019-711/2020-LirniW $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 contract/agreement. Additional Insured: City of EI Segundo CERTIFICATE MOLDER City of EI Segundo 350 Main Street EI Segundo„ CA 90245 ACORD 25 (2016/03) =Dgmadroull 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. 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 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, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. However, no such person or organization is an additional insured under this provision if such person or organization is included as an additional insured by an endorsement issued by us and made a part of this Coverage Part, including all persons or organizations added as additional insureds under the specific additional insured coverage grants in Section F. — Optional Additional Insured Coverages. 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 to 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; (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 Subparagraphs (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. b. 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. Page 12 of 24 Form SS 00 08 04 05