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PROOF OF INSURANCE (2020 - 2021) CLOSED�R" CERTIFICATE 4F LIABILITY INSURANCE DATE � 0711712020 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 13Y 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(iies) 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 Robin Holloway NAME: Insurance Solutions [P6HONF (949) 346-7400 FAx (949) 346-2373 tAlo'License 40746539 REss.xtl;RobinH a@ins-solutions.com (Ajc, Not: MAIL 33302 Valle Rd, Suite 200 INSURER($) AFFORDING COVERAGE NAIC # San Juan Capistrano CA 92675 INSURER A: Travelers Prop. Cas. Com Of Am 25674 INSURED INSURER 8: Underwriters at Lloyds of London 15792 The Maher Corporation INSURER C: DBA: Risk Management Professionals, Inc, INSURER D: 2 Venture Ste 500 I INSURER E: Irvine CA 92616 I INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20AII 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 TYPE OF INSURANCE AUDL SUtiR €NSD WVD POLICY NUMBER POLICY EFF POLICY EXP (MMIDDNYYYI (MMIDONYYYI LIMITS X COMMERCIAL GENERAL LIABILITY 2,000,000 CLAIMS -MADE � OCCUR EACH OCCURRENCE I UAMMIS IU Ht=NItD PREMISES (Ea occurrence) S S 1.0()0,000 X Contractual Liability ( 5,000 MED EXP (Any one person) S A X XCU included 660-4K656959 12/11/2019 12/11/2020 ( PERSONAL & ADV INJURY $ 2'000'000 GEN'LAGGREGATE LIMITAPPLIES PER: ( GENERAL AGGREGATE S 4,000,000 POLICY a JECT 0 LOC ( PRODUCTS-COMPiOPAGG S 4,000,000 ..`_._ _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT g 2,000,000 ANYAUTO (Ea accident) BODILY INJURY (Per person) $ A OWNED AUTOS ONLY SCHEDULED 660-4K656959 AUTOS 12/1112019 12/11/2020 BODILY INJURY (Per accident) S XHIRED 25 �,,+ NON -OWNED PROPERTY DAMAGE S AUTOS ONLY /'� AUTOS ONLY (Per accident) S X UMBRELLA LIAR OCCUR EACH OCCURRENCE S 5,000,000 A EXCESS LIAR CLAIMS -MADE CUP-4K65770A 12/11/2019 12/11/2020 ( AGGREGATE S 5,000,000 DED I 1 RETENTION S33 S WORKERS COMPENSATION I I I AND EMPLOYERS'LIABILITY Y I N OTH ! STATUTE ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT S OFF ICERIMEMBEREXCLUDED? NIA El (Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE S f yes, describe under DESCRIPTION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT S Each Claim $2,000,000 Professional Liability B ANE2105731.19 12/1112019 12/1112020 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Halder is included as additional insured per the attached endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Et Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 I O 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ul 1 -k -Tal i 11-1 a *111111 a 0 to This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE This endorsement broadens coverage. 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 to this 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. Limitations and exclusions may apply to these coverages. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Broadened Named Insured B. Incidental Medical Malpractice C. Reasonable Force — Bodily Injury Or Property Damage D. Non -Owned Watercraft — Increased ToUpTo75 feet E. Aircraft Chartered With Crew F. Damage ToPremises Rented TuYou G. Malicious Prosecution — Exception To Knowing Violation OfRights OfAnother Exclusion H. Medical Payments — Increased Limit ;. Increased Supplementary Payments J. Additional |nsoned—Owner. Manager OrLessor Of Premises PROVISIONS A. BROADENED NAMED INSURED t ThefollowingimaddedkzSECTIOMU—WHO |SANINSURED: Any organization. other than a partnership or joint vertune, over which you maintain ownership or majority interest onthe effective date of the policy qualifies as a Named Insured. Huwever, coverage for any such additional organization will cease as of the date during the policy period that you no longer maintain ownership of, or majority interest in, such organization. B. INCIDENTAL MEDICAL MALPRACTICE 1, The following is added to the definition of �ccurrenoe"inthe DEFINITIONS Section. K. Additional Insured — Lessor [* Leased Equipment L. Additional insured — State Or Political Subdivisiuns—Peoni\sRe|adngTpPnemises M. Additional insured — State [Jr Political Subdivisions — Permits Relating TbOperations N. Who Is An |nsuned—New|yAcquiredOrFonned Organizations 0. Knowledge And Notice OfOccurrence OrOffense P. Unintentional Omission Q. Waiver Of Transfer Of Rights Of Recovery Against Others To Us When Required By Written Contract R. Amended Insured Contract Definition —Railroad Easement Unless you are in the business or occupation of providing professional health care services, "occurrence" also means an act oromission committed in providing or failing to provide first aid or "Gond Samaritan services" to e person. 2. The following \sadded to the DEFINITIONS Section: "Good Samaritan services" means any emergency medical services for which no compensation isdemanded nrreceived. 3. The following is added to Paragraph 2.a.(1) of SECTION || —WHO |SAN INSURED: Unless you are in the business or occupation of providing professional health cane yen/ices. Paragraphs (1)(a). (b). (o) and (d) above CG D3 79 01 16 m2016The Travelers Indemnity Company. All rights reserved, Page 1of6 COMMERCIAL GENERAL LIABILITY does not apply to any "bodily injury" arising out of any providing or failing to provide first aid or "Good Samaritan services" by any of your "employees", other than an employed doctor. Any such "employees" 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 duties related to the conduct of your business. 4. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY in COVERAGES: Sale of Pharmaceuticals "Bodily injury" or "property damage" arising out of the willful violation of a penal statute or ordinance relating to the sale of pharmaceuticals committed by, or with the knowledge or consent of, the insured. S. The following is added to Paragraph 5. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in the providing or failing to provide first aid or "Good Samaritan services" to any one person will be considered one "occurrence". 6. The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV -- COMMERCIAL COMMERCIAL GENERAL LIABILITY CONDITIONS: 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 first aid or "Good Samaritan services" to any person to the extent not subject to Paragraph 2.a.(1) of Section If -- Who Who Is An Insured. C. REASONABLE FORCE — BODILY INJURY OR PROPERTY DAMAGE The following replaces Exclusion a., Expected Or Intended Injury, in Paragraph 2. of SECTION I — COVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: a. Expected Or Intended injury Or Damage insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect any person or property. D. NON -OWNED WATERCRAFT — INCREASED TO UP TO 75 FEET 1. The following replaces Paragraph (2) of Exclusion g.. Aircraft, Auto Or Watercraft, in Paragraph 2. of SECTION I — COVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: (2) A watercraft you do not own that is: (a) Less than 75 feet long, and (b) Not being used to carry any person or property for a charge; 2. The following is added to Paragraph 2. of SECTION 11 — WHO IS AN INSURED: Any person or organization that, with your express or implied consent, either uses or is responsible for the use of a watercraft that you do not own that is: (a) Less than 75 feet long, and (b) Not being used to carry any person or property for a charge: 3. The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured for "bodily injury" that arises out of the use of a watercraft that you do not own that is: (a) Less than 75 feet long; and (b) Not being used to carry any person or property for a charge. E. AIRCRAFT CHARTERED WITH CREW 1. The following is added to Exclusion g., Aircraft, Auto Or Watercraft, in Paragraph 2. of SECTION I — COVERAGES -- COVERAGE COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY in COVERAGES: This exclusion does not apply to an aircraft that is: "Bodily injury" or "property damage" expected or intended from the standpoint of the (a) Chartered with crew to any insured; Page 2 of 6 @ 2016 The Travelers Indemnity Company. All rights reserved, CG D3 79 01 16 (b) Not owned byany insured; and (c) Not being used to carry any person or property for acharge. 2- The following is added to Paragraph 4.1b.' Excess Insurance, of SECTION |V — COMMERCIAL GENERAL LIABILITY This insurance is excess over any valid and collectible other hlsunence, whether primary, excess' contingent oronany other basis, that is available to the insured for use of an aircraft that is: (a) Chartered with crew kzany insured; (b) Not owned bvany insured: and (c) Not being used to carry any person or property for acharge. F. DAMAGE TO PREMISES RENTED TO YOU ?' The following replaces the last paragraph of Paragraph 2'. Exclusions, of SECTION | — COVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY inCOVERAGES: Exclusions c. through m. do not apply to damage to premises while rented to you, or temporarily occupied by you with permission ofthe owner, caused by: a. Fire b. Explosion-, c. Lightning: d. Smoke resulting from such fire, explosion, or lightning: or e. Water. A separate limit of insurance applies to such damage to premises as described in Paragraph 6. of Section UQ — Limits Of Insurance. This insurance does not apply \o damage to premises while rented toyou, or temporarily occupied byyou with permission ofthe owner, caused by: a. Rupture, hursting, or operation of pressure relief devices; Ib. Rupture nrbursting due Uoexpansion or swelling ofthe contents ofany building or shucture, caused by or resulting hom water; or c. Explosion of steam boi|ecs, steam pipes, steam engines, orsteam turbines, COMMERCIAL GENERAL LIABILITY 2. The following replaces Paragraph 6. of SECTION III — LIMITS OFINSURANCE: Subject to S. above' the Damage To Premises Rented ToYou Limit is the most we will pay under Coverage A for damages because of ''property damage" Cu any one premises while rented to you, or temporarily occupied by you with permission of the ownar, caused by fire; explosion; lightning; smoke resulting from such fire, explosion, or lightning: or water. The Damage To Premises Rented ToYou Limit will apply bmall damage proximately caused by the same "occurrence", whether such damage results from: One; explosion: lightning; smoke resulting from such Ure, explosion, o/ lightning-, or water, orany combination of any The Damage To Premises Rented To You Limit will be the higher of: a. $1,000,000; or b. The amount shown onthe Declarations of this Coverage part for Damage To Premises Rented ToYou Limit. 3, The following replaces Paragraph a' of the definition of "insured contract" in the DEFINITIONS Section: a. A contract for a lease of premises. Nowever, that portion of the contract fora lease of premises that indemnifies any person or organization for damage to premises while rented to you, or temporarily occupied by you with permission ofthe owner, caused by: (1) Fine; (2) Explosion: (3) Lightning; (4) Smoke resulting from such fire, explosion, qrlightning; or (5) Water, is not an "insured contract"� 4. The following replaces Paragraph 4.b.(1)(lb) of SECTION IV—COMh&ERC&AL GENERAL LIABILITY CONDITIONS: (b) That is insurance for premises rented to you, ortemporarily occupied by you with the permission ofthe owner; CG D379 0116 mumgThe Travelers Indemnity Company. All rights reserved, Page ]of5 COMMERCIAL GENERAL LIABILITY G. MALICIOUS PROSECUTION — EXCEPTION TO KNOWING VIOLATION OF RIGHTS OF ANOTHER EXCLUSION The following is added to Exclusion a., Knowing Violation Of Rights Of Another, in Paragraph 2. of SECTION I — COVERAGES — COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY: This exclusion does not apply to "personal injury" caused by malicious prosecution. H. MEDICAL PAYMENTS — INCREASED LIMIT The following replaces Paragraph 7. of SECTION III — LIMITS OF INSURANCE: 7. Subject to S. above, the Medical Expense Limit is the most we will pay under Coverage C. for all medical expenses because of "bodily injury" sustained by any one person, and will be the higher of: (a) $10,000; or (b) The amount shown on the Declarations of this Coverage Part for Medical Expense Limit. 1. INCREASED SUPPLEMENTARY PAYMENTS 1. The following replaces Paragraph 1.b. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B of SECTION I -- COVERAGES: COVERAGES: b, Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. The following replaces Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B of SECTION I -- COVERAGES: COVERAGES: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. J. ADDITIONAL INSURED — OWNER, MANAGER OR LESSOR OF PREMISES The following is added to SECTION 11 — WHO IS AN INSURED: Any person or organization that is a premises owner, manager or lessor and that you have agreed in a written contract to name as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage", "personal injury" or .'advertising injury" that: a. Is "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" caused by an offense that is committed, after you have signed that contract-, and b. Arises out of the ownership, maintenance or use of that part of any premises leased to you under that written contract. The insurance provided to such premises owner, manager or lessor is subject to the following provisions: a. The limits of insurance provided to such premises owner, manager or lessor will be the limits which you agreed to provide in the written contract, or the limits shown on the Declarations of this Coverage Part, whichever are less. b. The insurance provided to such premises owner, manager or lessor does not apply to: (1) "Bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" caused by an offense that is committed, after you cease to be a tenant in that premises; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such premises owner. manager or lessor. c. The insurance provided to such premises owner, manager or lessor is excess over any valid and collectible other insurance available to such premises owner, manager or lessor, unless you have agreed in a written contract for this insurance to apply on a primary or contributory basis. K. ADDITIONAL INSURED — LESSOR OF LEASED EQUIPMENT The following is added to SECTION It — WHO IS AN INSURED: Any person or organization that is an equipment lessor and that you have agreed in a written contract to name as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage", "personal injury" or "advertising injury" that: a. Is "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" caused by an offense that is Page 4 of 6 @ 2016 The Travelers Indemnity Company, All rights reserved. CG D3 79 01 16 cornmhAsd^ after you have signed that written contract; and L` Is oaused, in whole or in part, by acts or omissions of you or any person or organization performing operations on your behalf, in the maintenance, operation or use of equipment leased to you by such equipment lessor. The insurance provided Uosuch equipment lessor is subject tothe following provisions: e. The limits of insurance provided to such equipment lessor will be the limits which you agreed to provide in the written contract, o, the limits shown on the Declarations of this Coverage Part, whichever are less; and b. The insurance provided to such equipment lessor does not apply: (1) To any "bodily injury" or "property damage" caused byan"occurrence°that takes place, or "personal injury" caused bvanoffense that iscommitted, after the equipment lease expires -,or (2) If the equipment is (eased with an operator. c' The insurance provided to such equipment lessor isexcess over any valid and collectible other insurance available to such equipment |essor, unless you have agreed in a written contract for this insurance to apply on a primary orcontributory basis. L. ADDITIONAL INSURED — STATE OR POLITICAL SUBDIVISIONS — PERMITS RELATING T¢JPREMISES The fuUm*img is added to Paragraph 2- of SECTION |1—WHO IS AN INSURED: Any state or political subdivision that has issued a permit in connection with premises owned or occupied by, or rented or loaned to, you, is an insuned, but only with respect to "bodily injury", "property damage". "personal injury" or "advertising injury" arising out of the existence, ownership' use, mainUsnance, repair, constmcdon, erection or removal of advertising signs, awnings, canopies, cellar enUances, coal ho|es, dhveways, manhn|es, nnanquees, hoist away openings, sidewalk vau|ts, elevators, street banners or decorations for which that state or political subdivision has issued such permit. COMMERCIAL GENERAL LIABILITY M. ADDITIONAL UNSURE[} — STATE OR POLITICAL SUBDIVISIONS — PERMITS RELATING TO OPERATIONS The following is added to Paragraph 2, of SECTION 1/—WHO |S AN INSURED: Any state orpolitical subdivision that has issued s permit with respect to operations performed by you or on your behalf isan insunad, but only with respect to "bodily injury", "property damage'", "personal injury" or "advertising injury" arising out ofoperations performed byyou nron yourbehalf for which that state or political subdivision has issued such permit. However, no such state or political subdivision isaninsured for: (1) "Bodily injury"' "property damage", "personal injury" or"advertising injury" arising out of operations performed for that state orpolitical subdivision', or (2) "Bodily injury" or "property damage" included within the "Products — completed operations hazard". N. WHO IS AN INSURED — NEWLY ACQUIRED OR FORMED ORGANIZATIONS The following replaces Paragraph 4.a. of SECTION VA—WHO ISANINSURED: a. Coverage under this provision is afforded only: (1) Until the 180th day after you acquire or form the organization or the end of the policy period. whichever is ear|ier, if you do not report such organization in writing Vnuswithin 1B0days after you acquire or form it: or (B) Until the end of the policy pehod, when that date is later than 188 days after you acquire orform such organizations, ifyou report such organization in writing to us within 1OUdays after you acquire orform it. 0. KNOWLEDGE AND w0l|CE OF OCCURRENCE OR OFFENSE The following is added to Paragraph 2., Duties In The Event wfOccurrence, Offense, Claim Or Suit, of SECTION |V — COMMERCIAL GENERAL LIABILITY CONDITIONS: e. The following provisions apply to Paragraph a. above, but only for the purposes of the insurance provided under this Coverage Part toyou nrany insured listed inParagraph 1,or 2. of Section 11 — Who Is An Insured: CG D3 79 0116 Oc 2016 The Travelers Indemnity Company, All rights reserved, Page 5 of COMMERCIAL GENERAL LIABILITY (1) Notice tuusmfsuch "occunence^orofan offense must be given as soon as practicable only after the "occwrmence" or offense is known to you (if you are an individual), any of your partners or members who \sanindividual (if you are a partnership or joint ventune), any of your managers who is an individual (if you are a limited liability company), any of your trustees who is an individual (if you are a trust).any ofyour "executive officers" or directors (if you are an organization other than a partnership, joint venture, limited liability company or trust), or any "employee" (such as an insurance' loss control orrisk manager oradministrator) authorized by you to give notice of an "occurnence"oroffense. Knowledge byany other "ernployee"ofan floccummoe" or offense does not imply that you also have such knowledge. (2) If you are a partnership, joint venture, limited liability company or bust, and none of your partne/s, joint venture members, managers or trustees are individuals, notice to us of such "occurrence" or offense must be given as soon as practicable only after the "occurnence"oroffense ioknown by: (a) Any individual who is: @& A partner or member of any partnership nrjoint venture; (ii) A manager ofany limited liability company; (khi)Atrustee ofany trust; or (iv)An executive officer or director of any other organization; that is your partner, joint venture member, manager ortrustee; or (b) Any "employee" authorized by such partnenship, joint venture, limited liability compeny, trust or other organization no give notice of an "occunence"oroffense. health insurer. This applies only if you subsequently give notice to na of the ^Vccurrence" or offense as soon as practicable after any of the persons described in Paragraphs e (1) or (2) above discovers that the "occurrence" or offense may result in sums to which the insurance provided under the Coverage Part may apply. P. UNINTENTIONAL OMISSION The following is added to Paragraph 6 - Representations, of SECTION K/ - COMMERCIAL GENERAL LIABILITY CONDITIONS: The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium ortoexercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US WHEN REQUIRED 0YWRITTEN CONTRACT The following is added to Paragraph 8., Transfer of Rights of Recovery Against Others to Us' of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right ofrecovery wemay have against any person or organization because of payments we make for injury urdamage arising out of premises owned or occupied by or rented or loaned to you; ongoing operations performed by you or on your behalf, dune under written contract with that person or organization; "your work", or "your products"We waive this right where you have agreed to do so as part of a written contract signed by you prior toloss. R. AMENDED INSURED CONTRACT DEFINITION -RAILRO/\D EASEMENT 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: (3) Notice to us of such "occurrence" or offensewillbedeemed to begivenasc. A�e�eme�or|�en�agr��� soon as practicable if it is given in good 2. Paragraph f.(1) of the definition of "insured faith as soon as practicable to your contract" in the DEFINITIONS Section is workers' compensoUon, accideot, or deleted. Page Oof6 Oczo1uThe Travelers Indemnity Company. All rights reserved. CG D37901 16 'win, li-Elfaw., THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY (UMBRELLA) INSURANCE The following is added to Paragraph 11., OUR RIGHT a. "Bodily injury" or "property damage" caused by an TO RECOVER FROM OTHERS., of SECTION IV — "occurrence" that takes place; or CONDITIONS.: b. "Personal injury" or "advertising injury" caused by If the insured has agreed in a contract or agreement an "offense" that is committed; to waive that insured's right of recovery against any subsequent to the execution of the contract or agree - person or organization, we waive our right of recovery ment. against such person or organization, but only for payments we make because of: UM 04 88 07 08 @ 2008 The Travelers Companies, Inc, Page 1 of 1 Includes the copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ UTCAREFULLY. BLANKET �����0�0x���U ���������� ����n�n��u ADDITIONAL un�����o���� (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART t The following isadded 1oSECTION U—WHq IS AN|NSURE0, Any ,som or organization that you agree in a "written contract requiring insurance" 0o include as anadditional insured onthis Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or"personal iojury';and b. if, and only to the extent that. the injury or damage is caused by acts or omissions of you or your subcontractor in the performance Of "Yourwork~ to which the "written contract requiring insurance" applies, orinconnection with premises owned bynrrented ioyou. The person or organization does not qualify as an additional inaured- c. With respect to the independent acts or omissions ofsuch person mrorganization; or d. For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed liability in a contract oragreement. The insurance provided 8o such additional insured is limited as follows, e. This insurance does not apply onany basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this Coverage Part. f. This insurance does not apply to the rendering of or failure to render any "professional services". �. |nthe event that the Limits of insurance of the Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall belimited bzthe limits cfliability required by that "written contract requiring insurance". This endorsement does not increase the limits ofinsurance described in Section III — Limits Cfinsurance, h. This insurance does not apply to "bodily injury" or"property damage" caused by work" and included in the "products - completed operations hazard" unless the ,written contract requiring insurance" specifically requires you to provide such coverage for that additional insumed, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such cove/age o/ the end of the policy period, whichever is earlier, 2' The following is added to Paragraph 4La. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS - The insurance provided to the additional insured is excess over any valid and od|ed|b|e other insurance, whether primary, excess, contingent o/ on any other basis' that is available to the additional insured fora loss we cover. However, if you specifically agree in the ~written contract requiring insurance" that tfiis insurance provided to the additional insured under this Coverage Part must apply on a primary basis or a primary d non-contributory baais, this insurance is primary to other insurance available to the additional insured which covers that person ororganizations as a named insured for such |oss, and we will not share with the other insurance, provided th�� (1) The "bodily injury' or"property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out ofanoffense committed; after you have signed that "written contract requiring insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any other insurance. CG D3 81@915 @ 2016The Travelers All rights reserved. Page lof2 Includes the copyrighted material m/Insurance Services Office, |mc,with its permission 3. The following is added hoParagraph 8..Transfer Of Rights Of Recovery Against Others ToUs, of SECTION N/ — COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any hgb< of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out mf"your work" performed by you, or onyour behalf, done under "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring imsunance" with such person or organization signed by you before, and in effect when, the "bodily injury" or "property damage" occurs, orthe "personal injury" offense iscommitted. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part ofany written contract under which you are required 10include aperson u/organization asan addihonal insured on this Coverage Part' provided that the "bodily injury" and "property damage" occurs and the "personal irjur/' is caused byanoffense committed: a' After you have signed that written contract; b. While that part of the written contract is in effect; and c. Before the end of the policy period. Page 2of2 0 2015 The Travelers All rights reserved. CG D3 81 09 15 Includes the copyrighted material mInsurance Services Office, mo,Wmits permission POLICY NUMBER: 680-4K656959-19-47 COMMERCIAL GENERAL LIABILITY ISSUE DATE. 08/20/2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Insurance is provided only with respect to those coverages for which a specific premium charge is shown: COVERAGE ADDITIONAL PREMIUM Hired Auto Liability $ INCLUDED Nonowned Auto Liability $ INCLUDED (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) PROVISIONS A. COVERAGE If a premium charge is shown in the SCHEDULE above, the insurance provided under Section I — Coverage A — Bodily Injury And Property Damage Liability applies to "bodily injury" and "property damage" arising out of the maintenance or use of a "hired auto" or "nonowned auto". Maintenance or use of a "nonowned auto" in- cludes test driving in connection with an "auto business". B. EXCLUSIONS With respect to the insurance provided by this endorsement: 1. The exclusions, under Section I — Coverage A — Bodily Injury And Property Damage Liability, other than exclusions a., b., d., e., f. and L and the Nuclear Energy Liability Exclu- sion (Broad Form) are deleted and replaced by the following: a. "Bodily injury" to: (1) Any fellow "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 busi- ness. b. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or con- trol of the insured_ C. WHO IS AN INSURED Section 11 — Who Is An Insured is replaced by the following: Each of the following is an insured under this in- surance to the extent set forth below: 1. You; 2. Anyone else including any partner or "execu- tive officer" of yours while using with your permission a "hired auto" or a "nonowned auto" except: a. The owner or lessee (of whom you are a sublessee) of a "hired auto" or the owner or lessee of a "nonowned auto" or any agent or "employee" of any such owner or lessee; b. Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her household; c. Your "employee" if the covered "auto" is leased, hired or rented by him or her or a member of his or her household under a lease or rental agreement for a period of 180 days or more: d. Any partner or "executive officer' with re- spect to any "auto" owned by such part- ner or officer or a member of his or her household: e. Any partner or "executive officer" with re- spect to any "auto" leased or rented to such partner or officer or a member of his or her household under a lease or rental agreement for a period of 180 days or more; MP T1 25 11 03 Copyright, The Travelers indemnity Company, 2003 Page 1 of 2 Includes copyrighted material of insurance Services Office, Inc-, with its permission. COMMERCIAL GENERAL LIABILITY t Any person while employed in or other- wise engaged in thepwiseengagedin duties inconnection with an '�uuho business"' other than an "auto business" you operate; g. Anyone other than your "employees", paMnao, a lessee or borrower or any of their "employees", while moving property to or from a "hired auto" ora "nonmvned auto"; or 3. Any other person or organization, but only with respect to their liability because of acts or omissions of an insured under 1. or 2' above. The Definition of"insured contract" of Section V— Defimitionsisanmendedbytheadditionof\hefol- |owingexceptionshoparagnaphC: Paragraph t dues not include that part of any contract oragreement: (4) That pertains tothe loan, lease orrental nfan "auto" to you or any of your "emp|oyees°, if the "auto" is loaned, leased or rented with a driver; or (5) That holds person or organization engaged in the business of transporting property by "auto" for hire harmless for your use of a cov- ered "auto" over a route or territory that per- son epson or organization is authorized to serve by public authority. E. ADDITIONAL DEFINITIONS SmctiuoV—Defimitiuns isamended bythe addi- tion of\hefodkxwng definitions: 1. "Auto Business" means the business or oc- cupation of selling, nepairing, semicing, stor- ing or parking "autos". 1 "Hired outo" means any "autu" you lease, hire, rent orborrow. This does not include: a. lease, hire mrent under a lease orrental agreement for period of 18Udays ormore, or b. Any '\aubf you lease, hire' rent orborrow from any of your "emp|oyees", partnem, utockho|ders, or members oftheir house- ho|ds. 3. "Nnnowned auto" means any °autosyou du not own, lease, hire, rent orborrow that are being used in the course and scope of your business at the time nYan"occunenca".This includes "autos" owned bvyour '\ymp|oyees" or partners or members cftheir households but only while being used in the course and scope uYyour business at the time ofan"oc- curnence". If you are a sole proprietor, °nonowned auto" means any "autos" you do not mvn, lease, hine, nsrt or borrow that are being used in the course and scope of your business or per- sonal affairs at epmona|affaioat the time ofan"ocrunence°. Page Jof2 Copyright, The Travelers Indemnity Company, 2003 IVIP T1 25 11 03 includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy Number: 6*0~4K656959 Insured: Risk Management Professionals, Inc. COMMERCIAL GENERAL LIABILITY 4. Other Vnsomu� w 00 That is insurance for "premises |fvalid and collectible other insurance isavailable bz damage"; the insured for a loss wecover under Coverages A (iii) If the loss arises out of the o/ B of this Coverage Pod, our obligations are maintenance or use of aircraft. limited as described in Paragraphs a. and b. below. "autos" or watercraft to the extent As used anywhere in this Coverage part' other not subject to any exclusion in this insurance means insurance, or the funding of Coverage Part that applies to losses, that isprovided by, th,oughoronbehalf of: aircraft, ^ autos" orwatercraft: (i) Another insurance company: (|u) That is insurance available to a (U) Us orany cd our affiliated insurance companies, premises owner, manager or lessor that qualifies as an insured except when the Non cumulation of Each under Paragraph 4. of Section 11 — Occurrence Limit provision of Paragraph 5. of Who Is An Insured, except when Section UO — Limits Of Insurance or the Non Paragraph d.below applies, o, cumulation of Personal and Advertising Injury Limit provision of Paragraph 4' of Section O| — (w) That is insurance available to an Limits of insurance applies because the equipment |essorthatqua|�c� �� Amendment — Nom Cumulation Of Each an insured under Paragraph �. of Occurrence Limit Of Liability And Non Section U[ — Who |s An |n�unsd. Cumulation Of Personal And Advertising Injury except when Paragraph d. below Limit endorsement iy included in this policy; applies. (ii#Any risk retention group, or (b) Any of the other insonanoe, whether primary, excess' contingent or on any (iv)Any self-insurance method or prognam, in other basis, that is available to the which mese the insured will be deemed to be insured when the insured is an the provider ofother insurance, additional insured, or is any other Other insurance does not include umbrella insured that does not qualify as a imsunance, or excess insurance, that was bought named insured, under such other specifically to apply in excess of the Limits of insurance. Insurance shown in the Declarations of this (2) When this insurance is excess, we will Coverage Part. have nmduty under Coverages Aur8Vm As used anywhere in this Coverage partother defend the insured against any ''suh^ifany insurer means a provider of other insurance. As other insurer has a duty to defend the used in Paragraph #' be|ov` insurer means a insured against that 'Suit". If no other insurer defends, wev�i|unde�aketndo�o provderofin�ununce ~� ` ' ' but wewill beentitled bzthe insmned'srights a. Primary Insurance against all those other insurers. This insurance is primary except when (3) When this insurance is excess over other Paragraph b. below applies. |fthis insurance is insurance, wewill pay only our share ofthe primary, our obligations are not affected unless amount cfthe loss, ifany, that exceeds the any of the other insurance is also primary. sum of: Then, wewill share with all that other insurance (m) The total amount that all such other bythe method described inParagraph c.below, insurance Would pay for the loss inthe except when Paragraph d. below applies, absence ofthis insurance; and 6' Excess Insurance (b) The hzbs| of all deductible and self- insured amounts under all that other (1) This insurance isexcess over: insurance. (a) � whether (� We w0 share the �ma�h� ��. if any, ^,excess, cond��r�—r on any with any other insurance �a1 is not - ntbe/basis: described in this Excess Insurance provision and was not bought spedfica||vto (|) That is Fine' Extended Cmvemuge, apply in excess of the Limits of Insurance Builder's Risk, Installation Risk or shown inthe Declarations ofthis Coverage similar coverage for "your work.; Part' CG T100 0219 Qmn7The Travelers Indemnity Company. All rights reserved. Page 15 of 21 Includes copyrighted material orInsurance Services Office, Inc. with its permission. '`' CERTIFICATE OF LIABILITY INSURANCE I DATE ( YYYY) 08//24/224/2 0 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(les) 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER (CONTACT Aon Risk Services, Inc of Florida NAME: Aon Risk Services, Inc of Florida 1001 Brickell Bay Drive, Suite #1100 PHONE FAX Miami, FL 331314937 (ANC, No, Ext): 800-743-8130 (A/C, No): 800-522-7514 EMAIL ADDRESS: ADP.COLCenter(a)Aon.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: American Home Assurance Co. 19380 INSURED I INSURER B ADP TotalSource DE IV, Inc. 10200 Sunset Drive I INSURER C: Miami, FL 33173 L/C/F I INSURER D: The Maher Corporation DBA Risk Management Professionals I INSURER E Two Venture Plaza Suite 500 Irvine, CA 92618 I INSURER F: COVERAGES CERTIFICATE NUMBER: 3099931 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. LIMITS SHOWN ARE AS REQUESTED. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ —]OCCUR DAMAGE CLAIMS -MADE PREMISES (OEa occur ence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY = PROJECT = LOC PRODUCTS - COMP/OP AGG $ OTHER $ COMBINED SINGLE LIMIT AU—OMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ _ OWNED ! SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEC I I RETENTION $ WORKERS COMPENSATION X I PER 1OTH- A AND EMPLOYERS' LIABILITY Y / N WC 027121351 CA 07/01/20 07/01/21 STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? N / A X (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All worksite employees working for THE MAHER CORPORATION DBA RISK MANAGEMENT PROFESSIONALS, paid under ADP TOTALSOURCE, INC's payroll, are covered under the above stated policy. WAIVER OF SUBROGATION IN FAVOR OF CERTIFICATE HOLDER AS RESPECTS OF JOB PERFORMED BY THE MAHER CORPORATION DBA RISK MANAGEMENT PROFESSIONALS AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CITY OF EL SEGUNDO 350 Main Street EI Segundo, CA 90245 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. AUTHORIZED REPRESENTATIVE l zaa © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below. (The following" attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement. Effective on 08/24/2020 at 12:01 AM, forms a part of Policy No. WC 027121351 Issued to: ADP TotalSource DE IV, Inc. 10200 Sunset Drive Miami, FL 33173 L/C/F The Maher Corporation DBA Risk Management Professionals Two Venture Plaza Suite 500 Irvine, CA 92618 Premium: N/A By: American Home Assurance Co. 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). You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be Additional Premium Percent% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization CITY OF EL SEGUNDO 350 Main Street EI Segundo, CA 90245 WC 04 03 06 Countersigned by (Ed. 4-84) Authorized Representative