No preview available
PROOF OF INSURANCE (2021 - 2022) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2/24/2021 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 Marsh & McLennan Agency LLC 15415 Middlebelt Road Livonia MI 48154 INSURED OCLC, Inc. 6565 Kilgour Place Dublin OH 43017 COVERAGES CERTIFICATE NUMBER:448294454 cy Paine 734-525-2463 REVISION NUMBER: 212-607-1160 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. _,_._ ... �......._,,, _.... _,_,._...... ......_.......................... .... ..... I R .NUM .. ......... ......LL..(MMt0 Y EFF POLICY EXP TYPE OF INSURANCE-----.._ N%r) LIMITS LTR � P POLICY NUMBER MMPDDt'r'YYY MM/QQIYXYY V T A X COMMERCIAL GENERAL LIABILITY 35756671 3/1/2021 3/1/2022 EACH OCCURRENCE $1,000000 ��.........� I X`._� OCCUR EArviA�E 1 t� 1�EY�tLi1 .. ...... $ 1,000,000 CLAIMS -MADE P,ftk,Kullt',�(�Ea oaurenCa), _,.m,.,_.,.... _. _....... ED EXP (Any one person) .-.. ._ $ 10 000 ---- _.,,.. PERSONAL & ADV INJURY $ 1,000,000 �$ GENT AGGREGATE. LIMIT APPLIES PER '' GENERAL AGGREGATE 2,000,000 LOC PROLICTSCOMPfOP. A,. GG s2,000,000 „ ._XPOLICY JECT ..iI .M........... ... $O AUTOMOBILE LIABILITY .....,, ' $ ANY AUTO BODILY INJURY (Per person $ OU SCHEDULED . B cadent} $ _ AOAUTOS HIRED NON -OWNED i $t^iCdl"ERTY'OAMAr E $ .... .. _. AUTC7S GNLY .. AUTOS ONLY ... L..... tF,er aa.,Cadeni) . UMBRELLA LIAR ............... OCCUR EA( N OCCURRENCE 4, EXCESS LAB DEL) RFTE14IONS B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY UB8J443127 12/31/2020 12/31/2021 X fLR OTH- .-..-.... _w9i TLEE . _ ._l=R......._ Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE """° E.L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N / A , �...,.-.--...._ ....... '_____......_. ..-._..__. ...... (Mandatory in NH) E.L DISEASE - EA EMPLOYEE $ 1,000,000 f describeunder uE.. ........ ........—.. ....... ....... �.SC OPERATIONS below L. DISEASE POLICY LIMIT $ 1,000,000 C Cyber Liao/Professional Liab F1564509A 4/2/2020 4/2/2021 Limit $7,000,000 (Claims Made) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of El Segundo, its officials, and employees are included as additional insured for commercial general liability on a primary and non-contributory basis to the extent provided in the attached form #80-02-2367; and as additional insured for professional/cyber habliity coverage to the extent provided in the attached form #PF-48238. The commercial general liability insurance carrier will provide the Certificate Holder with direct notice of cancellation to the extent provided in the attached form 80-02-9779. C City of El Segundo 350 Main Street El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIT.ED REPRESMTATI'VE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Effective Date MARCH 1, 2019 r's7rom, Insured OCLC, INC. Date Issued MARCH t9,2019 '11& U3dorsenwot Wlies to the following forms: QHNI� Ll"1111"Y LIQUOR LIABILff Y Under who Is An JhsurmL the following provision is added, Who Is An Insured AdMonal Insured - Poisons or organizations shown in the khodule am invireds; but they are 1mure& only if you are Scheduled Person obligated purmant to a contract. or agreement -to provide them with such insurance asis afrorded. by Or Orgenizavon this. policy, However, ft person or organization is an huvrW only: • if and then only to the extent the person or organization is described In The Schedule, to the extent Ruch co or agreetaw ft requim., the perrion or organization to be afforded status as an inwnA. W activitics that did not occur, in whole or in part, Wore the cxccution of the cone or agreernent; and with respect to damages, loss, cost or expense for injury or damage to which this insurance applies, No pemn or organization is an bmured an this provision, that is more specifically Identified under any other provision of the Who Is An In soalott (regtTdIm of any limitation applicable there(o), with respect to any assumption of liability Cot another person or organization) by them in a Contract of OgrOMML TWA h1nit9diOn does not apply to the liability for damiages, loss, cost or experm for injury or damage, to WhIgk4hisiusuranve appues, W ft person or Organization would have W the ab=ce of such con of agreement. OftOnsurance — If you are obligated, pursuant w a conmact or agreemenC to provide ft person or organization frlmaly� Noncontributoty shown in the Schedule with pdnwy insuranoc such as is afforded by this wlicy, then in such Insurance — Schaddled this insurance is primary and we will not wok oontribWou fmm insurance available to such pen Persoll Or OtganizaYbn or organization. Schedule VOMI RL14qjfM111A41.32j;jLj _j4P)AqL,,I ON i � , 11 11 111 _it 14 MY1111IMPOI =17 11-M AuMartzod Rapro"NoUva Policy Conditions Endorsement Policy Period Effective Date Policy Number Insured Name of Company Date Issued �P.!'k'4�JShc.mn�t�'�lo�d�yu��IlwNw�m,'p�Yb'�omIIIIryYPUM�noIMUWdwMw�m�.�Y tll&,7�'BEM�utl W/Y%wGl��^'P�d',V�YIP�'re5W/IGf�'F`N�'W'www're�Nbn.kC�k�mnmPol�9i�%1W�'lArvmtil�JYnA'�bd6Mll0.b%%%CL WVW�wY�IJf��EIMfNW!�XfM1duMY.''k�YNWSNwWmW'��E�UP�OOf MGMMC�MYW#M W�i4N�dIWk This Endorsement applies to the following forms: COMMON POLICY CONDITIONS 'bl�A6�DATn14�"fA�rvtawHmY.(�dIX�ItltlYdlO�dtNMimhi�LMiiiiNk�Wu'b't4M'�w.m�rvmm�W gpprcptw.m�i MYMV'�1Wd1�'n1uw�nnB0.y�%uY�Miml:f lNv�Oo'�xWddipIX%1�@Y'�k1U,�q�VM�IS,'�k'deY00fAN�E4i�pIV+��AWY�6".d(R��' p'"MWi�M1iy!tlS�Slr'�MmmWOMOWwWP'MMWu 1�mr'al rodYL'4yMk'UMddIWYf��f4��W"�AppSS;i'dll@N1tt� Under Conditions, the following condition is added. Conditions Notice Of Cancellation When we cancel this policy for any reason, other than non-payment of premium, we will notify To Scheduled Persons person(s) or organization(s) shown in the Schedule at least 30 days in advance of the cancellation Or Organizations When date. We Cancel Any failure by us to notify such person(s) or organization(s) will not: • impose any liability or obligation of any kind upon us; or • invalidate such cancellation. ��H'YWIVSM'U�&,'u89!YNM4NC�itlJNPYdWplk�l,tipACY�IPWdrvY'b�M�'n'+'uiW'�fU'�Wm'tMIDI�I�ICM�fiG�h�U1MG4411�d"pJ`ri owrirv'a�m��IWOiWptl'1ny�lb�lUWbi01�OWUPW QEF' NNmUJfiM9W�9VkatlWp#DMidubgpVYW�iAWYSI��WWdH�WIpd�INON�WA75xdYrcN"�o�h��.w'.aPoIUWW�'tllo'i5N�u4AK�16+d�%i'�'u'Uw�JGW'u'y'sowi'um�➢NN4muMNW U%Hn'Wfiv�4iNYw�9ub�4'�UIkX�.a%9PM;k,'Y�M(2W °�OIP.��y4R Schedule Person(s) or Organization(s): Address: Notice Of CancelQ* i dlg .t ' Or OrgaMzations Policy Conditions (Except Non -Payment Of Premium) continued Form 80-02-9779 (Ed. 3-11) Endorsement Page 1 Conditions (continued) All other terms and conditions remain unchanged. Authorized Representative Q),-,NV—,, a, Notice OfCaracellatdor t� f rs w irgavroizat'aons Policy Conditions (Except Non -Payment Of Premium) last page Form 80-02-9779 (Ed. 3-11) Endorsement Page 2 Additional Insured - Blanket Pursuant to a Contract - DigiTech@ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Chubb DigiTech* Enterprise Risk Management Policy It is agreed that Section 11, Definitions, Insured, subparagraph 6 is deleted and replaced with the following: 6. any natural person or entity for whom an Organization is required by written contract or agreement to provide insurance coverage under this Policy (hereinafter "Additional insured"), but only with respect to Claims: a. arising out of any Incident committed after the Organization and the Additional Insured entered into such written contract or agreement; b. for any Incident committed by, on behalf of, or at the direction of the Organization; and c. subject to the lesser of the limits of insurance required by such written contract or agreement between the Organization and the Additional Insured, or the applicable Limits of Insurance of this Policy. However, no natural person or entity shall be an Additional Insured with respect to any Claim arising solely out of such natural person's or entity's independent act, error, or omission. In the event of a disagreement between the Named Insured and the natural person or entity as to whether the Claim arises solely out of such natural person's or entity's independent act, error, or omission, it is agreed that the Insurer shall abide by the determination of the Named Insured on this issue, and such determination shall be made by the Named Insured within 20 days of the notification of the applicable Claim. All other terms and conditions of this Policy remain unchanged. PF-48238 (og/16) Page -t of 1