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PROOF OF INSURANCE (2020 - 2021) CLOSED (2)OP ID: EF Iw, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 07/28/2020 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 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 CF&P Insurance Brokers PNAH ONE Elizabeth Ferguson............. ............ ....................... .....................t...... 101 Ygnacio Valley Rd, Ste 200 C, No, E,,p 925-956-7723 W 1. X, NO; 925-956-7777 Walnut Creek CA 94596 EMAIL ADDRESS:: elizabeth@cfpinsurance.com Michael H. Crist PRODUCER IGNIT-1 CUSTOMER 10#:, INSURER(S) AFFORDING COVERAGE NAIC # INSURED Ignited, LLC INSURER A: Travelers Prop Cas Co. of Ame 25674 Whitney Stephenson INSURER B: Hiscox Insurance Company Inc. 10200 INSURER C: Republic I 2150 Park Place, Ste. 100 p Indemnity Co. of CA 122179 EI Segundo, CA 90245 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, INSR ADOL'SUBRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE If; ,�„MD POLICY NUMBER IIVIMIDD mmIMMPDD"YYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERALLIABILITY X 6809N728984 10/28/2019 10/28/2020 E.r;VJAGE VORv'NTi0 _ PRE01SES !Ea oCLUd,�r,.P;I $ 300,000 CLAIMS -MADE lXI OCCUR MED EXP pAyq one p.f.rson'p .r, 5,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY i�Fr''7 p;R,0_ LOC AUTOMOBILE LIABILITY A ANYAU �I_IZAI ACGRF. 'iA) h S 2,000,000 PRODUCTS - COMP/OP AGG SCI-7141NDAl, IP(.S X I IIID p l') A! ! l i'',,•; X Nr"xly-(:NVNI DALI FOS X UMBRELLA LIAR EXCESS LIAR A X OCCUR CLAIMS -MADE DEDUCTIBLE X RETENTION S 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N C ANY PROPRIETOR/PARTNER/EXECUTIVE - X OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below B Tech E&O PERSONAL & ADV INJURY S 100,000 �I_IZAI ACGRF. 'iA) h S 2,000,000 PRODUCTS - COMP/OP AGG S 2,000,000 Emp Ben. S 1,000,000 COMBINED SINGLE LIMIT S 1,000,000 6869N728984 10/28/2019 10/28/2020 (Ea accident} BODILY INJURY /Per person) S BODILY INJURY (Per accident} S . _PROI 1- H FY IDAMAO E (r,FR A('1:1I IN N I ) S EACH OCCURRENCE S 5,000,000 ';UP9062X2271942 10/28/2019 10/28/2020 AGGREGATE S 5,000,000 S X C STATU- 01 H- ?L?RY I IMIT$.. FIR 253542-02 06/12/2020 06/12/2021 EL EACH ACCIDENT S 1,000,000 EL DISEASE - EAEMPLOYEEI S 1,000,000 E L DISEASE - POLICY LIMIT $ 1,000,000 USUUA2731982 07/22/2020 07/22/2021 Limit 5,000,000 Retention 25,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS P VEHICLES (A'It,wcia ACORO 101, Adclitonal Remar'f;s Schedule, if more space is required) El Segundo Police Department, the City, its officials and employees are additional insured, coverage' is primary When required by written contract. Cancellation notification is in accordance with olicy provision's. Workers" compensation Waiver of subrogation applies Wtaen required by Written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EI Segundo Police Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 p ACCORDANCE WITH THE POLICY PROVISIONS. 348 Main St EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY e. Damages because of "bodily injury" include damages claimed by any person or organization for care, loss of services or death resulting at any time from the "bodily injury". 2. Exclusions This insurance does not apply to: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. b. Contractual Liability "Bodily injury" or "property damage" for which the insured 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: (1) That the insured would have in the absence of the contract or agreement; or (2) Assumed in a contract or agreement that is an "insured contract", provided that the "bodily injury" or "property damage" occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an "insured contract", reasonable attorneys' fees and necessary litigation expenses incurred by or for a party other than an insured will be deemed to be damages because of "bodily injury" or "property damage", provided that: (a) Liability to such party for, or for the cost of, that party's defense has also been assumed in the same "insured contract"; and (b) Such attorneys' fees and litigation expenses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged. c. Liquor Liability "Bodily injury" or "property damage" for which any insured may be held liable by reason of: (1) Causing or contributing to the intoxication of any person; (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages. This exclusion applies only if you are in the business of manufacturing, distributing, selling, serving or furnishing alcoholic beverages. For the purposes of this exclusion, permitting a person to bring alcoholic beverages on your premises, for consumption on your premises, whether or not a fee is charged or a license is required for such activity, is not by itself considered the business of selling, serving or furnishing alcoholic beverages. d. Workers' Compensation And Similar Laws Any obligation of the insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law. e. Employer's Liability "Bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph (1) above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability assumed by the insured under an "insured contract". f. Pollution (1) "Bodily injury" or "property damage" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants": (a) At or from any premises, site or location which is or was at any time owned or occupied by, or rented or loaned to, any insured. However, this subparagraph does not apply to: (2) The furnishing of alcoholic beverages to a (i) "Bodily injury" if sustained within a person under the legal drinking age or building and caused by smoke, under the influence of alcohol; or fumes, vapor or soot produced by or originating from equipment that Page 2 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. CG T1 OO 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY XTEND ENDORSEMENT FOR SMALL BUSINESSES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OFCOVERAGE—Thisendooemenibmadenscove However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement tothis Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully todetermine rights, duties, and what isand isnot covered. A. Who|sAn|nsuned—UnnamedSubsidiahes B. Who |sAnInsured — Employees And Volunteer Workers — Bodily Injury ToCo-Employees And Co -Volunteer Workers C. VVho|sAn|nsured—NewlyAcquiredCr Formed Limited Liability Companies D. Incidental Medical Malpractice E. Blanket Waiver CfSubrogation PROVISIONS b. Anorganization other than apartnership, joint A. WHO IS AN INSURED — UNNAMED venture orlimited liability company; or SUBSIDIARIES c /\trust; The following is added to SECTION U —VVHO IS as indicated in its name or the documents that ANINSURED: govern its structure. Any of your subsidiaries, other than a partnership B. WHO IS AN INSURED — EMPLOYEES AND or joint venture, that is not shown as a Named VOLUNTEER WORKERS — BODILY INJURY Insured inthe Declarations isa Named Insured TO CO -EMPLOYEES AND CO -VOLUNTEER if: WORKERS a, You are the sole owner of, or maintain an ownership interest of more than 5096 in, such subsidiary on the first day of the policy period; and b. Such subsidiary is not an insured under similar other insurance. No such subsidiary is an insured for "bodily injury" or "property damage" that occurred. or "personal and advertising injury" caused by an offense committed: a. Before you maintained an ownership interest ofmore than 5096 in such subsidiary; or b, After the date, if any, during the policy period that you no longer maintain an ownership interest of more than 5096 in such subsidiary. For purposes ofParagraph 1,ofSection ||—Who Is An |nsured, each such subsidiary will be deemed tobedesignated inthe Declarations as: a. A limited liability company; The following isadded toParagraph �a.(1)of SECTONU—VVHO|S AN INSURED: Paragraphs (1)(a). (b) and (c) above do not apply to "bodily injury" to a co -"employee" while in the course of the co -"employee's" employment by you or performing duties related to the conduct of your business, or to "bodily injury" to your other "volunteer workers" while performing duties related tothe conduct ofyour business. C. WHO IS AN|NSURED—NEVVLY ACQUIRED OR FORMED LIMITED LIABILITY COMPANIES 1, The following replaces the first sentence of Paragraph 3' of SECTION || —VVHO IS AN INSURED: Any organization you nevvk/ acquire or form, other than a partnership or joint venture, and of which you are the sole owner or in which you maintain an ownership interest of more than 5096.will qualify asa Named Insured if CG D8420219 @uN8The Travelers Indemnity Company. All rights reserved. Page of COMMERCIAL GENERAL LIABILITY there is noother similar insurance available tothat organization. 2. The following replaces the last sentence of Paragraph 3' of SECTION U —VVHO IS AN INSURED: For the purposes of Paragraph 1, of Section U — Who Is An |nsured, each such organization will be deemed to be designated inthe Declarations as: a. A limited liability company; b. Anorganization other than apartnership, joint venture or limited liability company; or c. Atmst; as indicated in its name or the document that govern its structure. D. INCIDENTAL MEDICAL MALPRACTICE 1, The following replaces Paragraph b, of the definition of "occurrence" in the DEFINITIONS Section: b. An act or omission committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" toa peoon, unless you are in the business or occupation of providing professional health care services. 2. The following replaces the last paragraph of Paragraph 2'a'(1) of SECTION || —VVHO IS AN|NSURED: Unless you are inthe business oroccupation of providing professional health care services. Paragraphs (1)(a). (b). (c) and (d) above do not apply to"bodily injury" arising out of providing or failing to provide: (a) "Incidental medical services" by any of your "emp|oyees"who is nuoe, nurse assistant, emergency medical technidan, paramedic, athletic trainer, audio|ogist, dieddan, nutridonist, occupational therapist or occupational therapy assistant, physical therapist or speech-language pathologist; or (b) First aid or "Good Samaritan services" byany ofyour "emp|oyees"or"volunteer vvorkeo", other than an employed or volunteer doctor. Any such "employees" or"volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing dudes related to the conduct of your business. 3. The following replaces the last sentence of Paragraph 5' of SECTION ||| — L|YW|TG OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". 4` The following exclusion is added to Paragraph 2` Exclusions, of SECTION | — COVERAGES—COVERAGE A—BOD|LY INJURY AND PROPERTY DAMAGE Sale Of Pharmaceuticals "Bodily injury" or "property damage" arising out of the violation of a penal statute or ordinance relating to the sale of pharmaceuticals committed by, or with the knowledge orconsent of, the insured. 5. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a, Medical, surgical, dental, |a x- ray or nursing service or treatment, advice or instruction, or the related furnishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. 6. The following is added to Paragraph 4`b,. Excess Insurance, of SECTION |V — COMMERCIAL GENERAL LIABILITY This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2,a,(1) of Section || — Who |sAnInsured. E. BLANKET WAIVER OF SUBROGATION The following isadded toParagraph Q,.Transfer Of Rights Of Recovery Against Others To Us, Page 2of3 @u018The Travelers Indemnity Company. All rights reserved. CG D8420219 of SECTION [V — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a contract or agreement to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: COMMERCIAL GENERAL LIABILITY a. "Bodily injury" or "property damage" that occurs; or b. "Personal and advertising injury" caused by anoffense that iscommitted; subsequent to the execution of the contract or agreement. CG D8420219 @uN8The Travelers Indemnity Company. All rights reserved. Page 3of3 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule State Person or Organization Job Description California EI Segundo Police Department Job: Assisting ESPD With The 348 Main St Media Placement & Oversight EI Segundo, CA 90245 For Their Recruiting Campaigns, and Have Produced A Few Marketing / Recruitment Videos For Them As Well. The premium charge for this endorsement shall be 5% of the premium developed in conjunction with the work for which this waiver is provided, subject to a minimum premium of $100. This charge will be billed at the final audit. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. Republic Indemnity Company of America Company Number 19739 Insured IGNITED, LLC Policy Number 253542-02 Endorsement Number 3 Endorsement Effective June 12, 2020 Printed On June 15, 2020 Countersigned by : WC 00 03 13 Insured Copy (Ed. 04-84) ,r, 1983 National council on Compensation Insurance.