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PROOF OF INSURANCE (2020) CLOSEDPage 1 of 2
AC<:>RD CERTIFICATE OF LIABILITY INSURANCE I °09/2 20 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(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 Willis Towers Watson Certificate Center
NWA�H
Willie Towers Watson Northeast, Inc. PHONE1-877-945-7378 jFAX 1-888-467-2378
c/o 26 Century Blvd EMAIL
tl: I iNolI:
P.O. Boz 305191 ADDRESS; certificates@willia.com
Nashville, TN 372305191 USA INSURER(S) AFFORDING COVERAGE NAICM
INSURER A: Travelers Property Casualty Company of Ame 25674
INSURED INSURER B: Charter Oak Fire Insurance Company 25615
VelocityERS Holdings, Inc. (fka MSDSonline Holdings, Inc) Standard Insurance Company 222 W Merchandise Mart Plaza, Suite 1750 INSURER C: mP y 69019
Chicago, IL 60654 INSURER D:
INSURER E :
INSURER F:
COVERAGES CERTIFICATE NUMBER: W17921828 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 1 D SUBR', POLICY NUMBER I!a Mlpp i"YVI IbPAMPL7 YdYEMXYPM'1 I LIMITS
LTR M.,.,,'�' ,�
X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S 1,000,000
=CLAIMS -MADE L -X OCCUR ID"REh1SES& Eao rrrance„1 S 1,000,000
A
MED EXP (Any one Derson)
GENT AGGREGATE LIMIT APPLIES PER:
ZLP-61N21996 12/12/2019 12/12/20201 PERSONAL dADV INJURY
PRO-
POLICY PRO- JECT
[X LOC
S 2,000,000
OT'H'ER:
$ 2,000,000
AUTOMOBILE LIABILITY
S
COM83NW SINGLE LIMIT
aaouda�lti
ANYAUTO
BODILY INJURY (Per person)
B
OWNED
$
SCHEDULED
S
AUTOS ONLYAUTOS
X
HIRED
X
NON -OWNED
.
AUTOS ONLY
S
AUTOS ONLY
UMBRELLA LIAR Li OCCUR
EXCESSLIAR I I CLAIMS -MADE
DEI
D I RETENTIONS _-
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
C ANYPROPRIETORIPARTNERIEXECUTIVE No
N!A
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS! LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required)
Named Insured includes:
VelocityEBS Holdings, Inc.
MSDSonline, Inc. (dba VelocityEBS)
VelocityEBS Canada, Inc.
Humantech, Inc.
CERTIFICATE HOLDER
City of E1 Segundo
350 Main Street, Room 5
E1 Segundo, CA 90245-3813
ACORD 25 (2016103)
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
lv.�..l� 1trlraYclh�
01988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
BR ID: 20106203 BATCH: 1821994
MED EXP (Any one Derson)
S 10,000
ZLP-61N21996 12/12/2019 12/12/20201 PERSONAL dADV INJURY
$ 1,000,000
GENERAL AGGREGATE
S 2,000,000
PRODUCTS - COMPIOP AGG
$ 2,000,000
S
COM83NW SINGLE LIMIT
aaouda�lti
S 1,000,000
BODILY INJURY (Per person)
S
BA -3P725340 12/12/2019 12/12/2020 BODILY INJURY (Per eaadeni)
$
MPROPER'TYDAMAGE
S
VV p'Pet nockyen7l
5
EACH OCCURRENCE
S
AGGREGATE
S
S
X IP I I ER"
V STATUTE
E.L. EACH ACCIDENT
5 1,000,000
UB -3P717604 12/12/2019 12/12/2020+
E.L. DISEASE - EA EMPLOYEE
S 1,000,000
E1 DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS! LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required)
Named Insured includes:
VelocityEBS Holdings, Inc.
MSDSonline, Inc. (dba VelocityEBS)
VelocityEBS Canada, Inc.
Humantech, Inc.
CERTIFICATE HOLDER
City of E1 Segundo
350 Main Street, Room 5
E1 Segundo, CA 90245-3813
ACORD 25 (2016103)
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
lv.�..l� 1trlraYclh�
01988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
BR ID: 20106203 BATCH: 1821994
AGENCY CUSTOMER ID:
LOC #:
AC ADDITIONAL REMARKS SCHEDULE Page 2 of 2
AGENCY 1222
NAMED INSURED
Willis Towers Watson Northeast, Inc. VelocityEHS Holdings, Inc. (fka MSDSonline Holdings, Inc)
W Merchandise Mart Plaza, Suite 1750
POLICY NUMBER Chicago, IL 60654
See Page 1
CARRIER NAIL CODE
See Page 1 See Page 1 N EFFECTIVE DATE: See Page 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
City, its officials, and employees are included as Additional Insureds as respects to General Liability and Auto
Liability.
General Liability and Auto Liability policies shall be Primary and Non-contributory with any other insurance in force
for or which may be purchased by the City.
ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SR ID: 20106203 BATCH: 1821994 CERT: W17921828
Policy no. ZLP-61 N21996
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(Includes Products -Completed Operations If Required By Contract)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS
The following is added to SECTION II — WHO
IS AN INSURED:
Any person or organization that you agree
in a written contract or agreement to
include as an additional insured on this
Coverage Part is an insured, but only:
a. With respect to liability for "bodily
injury" or "property damage" that
occurs, or for "personal injury" caused
by an offense that is committed,
subsequent to the signing of that
contract or agreement and while that
part of the contract or agreement is in
effect; and
b. If, and only to the extent that, such
injury or damage is caused by acts or
omissions of you or your subcontractor
in the performance of "your work" to
which the written contract or agreement
applies. Such person or organization
does not qualify as an additional insured
with respect to the independent acts or
omissions of such person or
organization.
The insurance provided to such additional
insured is subject to the following
provisions:
a. If the Limits of Insurance of this
Coverage Part shown in the Declarations
exceed the minimum limits required by
the written contract or agreement, the
insurance provided to the additional
insured will be limited to such minimum
required limits. For the purposes of
determining whether this limitation
applies, the minimum limits required by
the written contract or agreement will
be considered to include the minimum
limits of any Umbrella or Excess
liability coverage required for the
additional insured by that written
contract or agreement. This provision
will not increase the limits of insurance
described in Section III - Limits Of
Insurance.
b. The insurance provided to such
additional insured does not apply to:
(1) Any "bodily injury",
"property
damage" or "personal injury" arising
out of the providing, or
failure to
provide, any professional
architec-
tural, engineering or
surveying
services, including:
(a) The preparing, approving, or
failing to prepare or
approve,
maps, shop drawings,
opinions,
reports, surveys, field
orders or
change orders, or the
preparing,
approving, or failing to
prepare or
approve, drawings and
specifica-
tions; and
(b) Supervisory, inspection, architec-
tural or engineering activities.
(2) Any "bodily injury" or "property
damage" caused by "your work" and
included in the "products -completed
operations hazard" unless the written
contract or agreement specifically
requires you to provide such
coverage for that additional insured
during the policy period.
C. The additional insured must comply with
the following duties:
(1) Give us written notice as soon as
practicable of an "occurrence" or an
offense which may result in a claim.
To the extent possible, such notice
should include:
(a) How, when and where the
"occurrence" or offense took
place;
(b) The names and addresses of any
injured persons and witnesses;
and
(C) The nature and location of any
injury or damage arising out of
the "occurrence" or offense.
(2) If a claim is made or "suit" is
brought against the additional insured:
(a) Immediately record the specifics
of the claim or "suit" and the
date received; and
(b) Notify us as soon as practicable
and see to it that we receive
CG D2 46 04 19 0 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2
COMMERCIAL GENERAL LIABILITY
written notice of the claim or
"suit" as soon as practicable.
(3) Immediately send us copies of all
legal papers received in connection
with the claim or "suit", cooperate
with us in the investigation or
settlement of the claim or defense
against the "suit", and otherwise
comply with all policy conditions.
(4) Tender the defense and indemnity of
any claim or "suit" to any provider
of other insurance which would cover
such additional insured for a loss we
cover. However, this condition does
not affect whether the insurance
provided to such additional insured is
primary to other insurance available
to such additional insured which
covers that person or organization as
a named insured as described in
Paragraph 4., Other Insurance, of
Section IV - Commercial General
Liability Conditions.
Page 2 of 2 0 2018 The Travelers Indemnity Company. All rights reserved. CG D2 46 04 19
Aftk
TR'A AI' ELERV WORKERS COMPENSATION
AND
ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY
HARTFORD CT 06183
ENDORSEMENT WC 00 03 13 (00) - 001
POLICY NUMBER: UB -3P717604 -19 -I5 -G
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 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.
DATE OF ISSUE: 12-20-19 ST ASSIGN: PAGE 1 OF