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PROOF OF INSURANCE (2020) CLOSEDACOR"' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) llkk_� 9/l/2020 4/23/2020 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 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 LOCKTON COMPANIES I CONTACT NAME: 3657 BRIARPARK DRIVE, SUITE 700 PHONE FAx HOUSTON TX 77042 I (A/C= No. Ext): I (A/C. No): 866-260-3538 I E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Atlantic Specialty Insurance Company 27154 INSURED CSA Service Solutions, LLC. INSURER B: Travelers Property Casualty Co of America 25674 1463631 dba EMSAR I INSURER C: Crum & Forster Specialty Insurance Co 44520 9208 Waterford Centre Blvd, #150 Austin TX 78758 I INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 16720020 REVISION NUMBER: XXXXXXX 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. INSR ADDL SUBR LTR TYPE OF INSURANCE INSD IWD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY1 (MM/DD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 711-01-20-81-0009 9/1/2019 9/1/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR (PREMISES ((ERENTED occu ence) $ 1,000,000 ,MED EXP (Any one person) $ 10,000 ,PERSONAL & ADV INJURY $ 1,000,000 GGEEN'L AGGREGATE LIMIT APPLIES PER: IGENERAL AGGREGATE $ 2,000,000 F__1 LOC POLICY (PRODUCTS 2,000,000 JECOT- - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $XXXXXXX NOT APPLICABLE ANY AUTO IBODILY INJURY (Per person) $ XXXXXXX _ OWNED SCHEDULED I BODILY INJURY Per $ XXXXXXX AUTOS ONLY AUTOS ( accident _ HIRED NON -OWNED (PROPERTY DAMAGE $XXXXXXX AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIABNCLAIMS-MADE OCCUR Y Y 711-01-20-81-0009 9/1/2019 9/1/2020 IEACHOCCURRENCE $ 10,000,000 EXCESS LIAB (AGGREGATE $ 10,000,000 DED I_ I RETENTION $I $ XXXXXXX B WO 2KERS COMPENSATION Y UB6N98422A 9/1/2019 9/1/2020 PER OTH- X I STATUTE , , ER AND EMPLOYERS' LIABILITY Y/ N ANY ECUTIVE N❑ N / A IE L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) IE L DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT R 1,000,000 C Technology E&O and Y Y TCM -100073 9/1/2019 9/1/2020 See Attached Professional Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Digitally signed by Joseph Ldl�o Joseph Lillio DNcn=Joseph Lillio, o=City of El Segundo, ou =Finance Department, mailgl,Iho@elsegundo org, c us Date 2020 05.0413 10.43 CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16720020 AUTHORIZED REPRESENTATIVE EI Segundo Fire 350 Main St EI Segundo CA 90245 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATI . All rights reserved The ACORD name and logo are registered marks of ACORD c. The following is added to Section III — Limits Of Insurance: The most we will pay on behalf of a vendor that qualifies as an additional insured is the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This provision does not increase the applicable Limits of Insurance shown in the Declarations. 3. Additional Insured —Written Contract, Agreement, Permit or Authorization a. Section II — Who Is An Insured is amended to include as an additional insured any person or organization with whom you have agreed in a written contract, agreement, permit or authorization to provide insurance but only with respect to liability for injury or damage caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf for: (1) "Bodily injury", "property damage" or "personal and advertising injury" in the performance of your ongoing operations, and only until your operations are completed, for such person or organization at the location designated in the contract, agreement, permit or authorization; (2) "Bodily injury", "property damage" or "personal and advertising injury" in the maintenance, operation or use of equipment leased to you by such person or organization; or (3) "Bodily injury", "property damage" or "personal and advertising injury' in connection with premises you own, rent, lease or occupy. b. The insurance afforded to an additional insured under Paragraph a. above does not apply: (1) Unless: (a) The contract or agreement is executed, or the permit or authorization is issued, before the "bodily injury", "property damage" or "personal and advertising injury" occurs; and (b) The contract, agreement, permit or authorization is in effect or becomes effective during the policy period. (2) To any: (a) Person or organization included as an insured under any other provision of this policy, including this or any other endorsement; (b) Lessor of equipment after the equipment lease terminates or expires; (c) Owner or other interests from whom land has been leased; (d) Manager or lessor of premises if: (i) The "occurrence" takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury", "property damage" or "personal and advertising injury" arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. (e) Person or organization if the "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: (i) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (ii) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services; or VCG 207 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 9 Copyright 2017, OneBeacon Insurance Group LLC J kWORKERS COMPENSATION TRAVELER* AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 03 13 (00) - 001 POLICY NUMBER: UB-6N98422A-19-I2-G We have the right to recover our payments from anyone liable for an injury covered by this policy. Wewill 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.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. SCHEDULE DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. 017528 DATE OF ISSUE: 09-10-3.9 ST ASSIGN- P&r-l= 1 nF-11 CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required) All policies (except Workers' Compensation/EL) include a blanket automatic additional insured [provision] that confers additional insured status to the certificate holder only if there is a written contract between the named insured and the certificate holder that requires the named insured to name the certificate holder as an additional insured. In the absence of such a contractual obligation on the part of the named insured, the certificate holder is not an additional insured under the policy. All policies include a blanket automatic waiver of subrogation endorsement [provision] that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. In the absence of such a contractual obligation on the part of the named insured, the waiver of subrogation feature does not apply. ACORD 25 (2016/03) Certificate Holder ID: 16720020 Attachment Code : D564693 Master ID: 1463631, Certificate ID: 16720020 Technolociv E&O and Professional Liabilitv Policy Number: TCM -100073 Carrier: Crum & Forster Specialty Insurance Co Policy Term: 9/1/2019 - 9/1/2020 Limits: $5,000,000 Aggregate $5,000,000 Each Claim $50,000 Retention Technology E&O and Professional Liability Retro Date: 09/1/2003 - $2,000,000 limit & 9/1/2017 - $3,000,000 xs $2,000,000