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PROOF OF INSURANCE (2022) CLOSEDO �® ACC� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �V/ 07/13/2021 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 CONTACT NAME' MARSH USA INC. PHONE FAX 1050 CONNECTICUT AVENUE, SUITE 700 (A/C, No Ext : No): E-MAIL WASHINGTON, DC 20036-5386 Attn: CSS, TELEPHONE 202-263-7600 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Federal Insurance Company 20281 CN 1 15014019-NAV-GL+-21-22 INSURED DUNCAN SOLUTIONS, INC. INSURER B : Vigilant Insurance Company 20397 INSURER C 633 W. WISCONSIN AVE. INSURER D MILWAUKEE, WI 53203 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-006253882-20 REVISION NUMBER: 23 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY 3597-08-27 04/30/2021 04/30/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1XI OCCUR DA PREM SESO a occur ence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY ❑PRO JECT [X]LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 7358-87-40 04/30/2021 04/30/2022 COEaMBINEDidentSINGLELIMIT acc $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLALIAB X OCCUR 93647773 04/30/2021 04/30/2022 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTN ER/EXECUTIVE OFFICE R/M EMBER EXCLUDED? � (Mandatory in NH) N/A 7174-06-33 04/30/2021 04/30/2022 X PER oTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000DESCRIPTION $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) THE CITY, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS IS/ARE INCLUDED AS ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT WITH RESPECTS TO GENERAL AND AUTO LIABILITY. WAIVER OF SUBROGATION IS APPLICABLE WHERE REQUIRED BY WRITTEN CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS WITH RESPECT TO WORKER'S COMPENSATION AND GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION CITY CLERK'S OFFICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF EL SEGUNDO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 MAIN ST. ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGUNDO, CA 90245 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _+uyc..�...� ......._. L. © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD r Ef gdAfe Date A1'RR, 30, 2021 Policy Number 3597-M27 DTO -1• r UPORMOTMETAMPOR9 Date Issued MAY 19, 2i 1, This Fndmmmt applies to d follow forms: GENERALIJABRITY LlnLkx W n L An 1%urml, the fol owft provision .is akkA AB ft onaf ! sure - persons cur organizations ons shown in the Schedule arehmwt&but they am hwze& only if you are sch P 0 obfigateripumant to a ccmwactcr agremnett to pmvkle d=n with sm hum)ceas is aff'oxded by 0 ga & thispn lic . However, the person car orgar&nt nn is an iin red cntnly: • if and then only to the extent the person or crganization is desmibed in the Schedule; • to the extent such contract or agreernent requires the person or organization to be afforded sratuas as an insnrenl, • tar activities that did not occur, in whole or in paart, before the execution of the contract or agreennent; and • with iespeet to ciannnges, .loss, c^cnst or expetse inquiry ordarnage to w this kusnrrance applies. No person or tendon is an 'ina tr l nnckr this p mWon: • that is more sfecifallly identified under any other provision of the Who Is An Inmred section (regardless of .any 1.knitation applicable thereto). • with zespeetto any assumption of alaiality(ofarrntherp m anncar organi2 donn)Iny dnern in a ccM&du t or Vmnent. This knitatuon sloes not .apply to due lralaiu ty for chtrnages, loss, cost or expmw for J r jnary or damage, to which this irmrarre applies, that the p r)n or chat gun wou ki have in the abseme of such contract or w �ww i* mw •mw -w .w ii'. w, rrriw rw ^w -7 (continued) 1 -. .! - "7 Mar InuaC — Pim y,No t b i.uace Shill P n0 g & to Under Conditions, the following provision is added to the condition titled Other Insurance. If you a obligated pursuant to a c a fi—act cr agreement, to provide the person cr organization r shown to the Schedule with insurance such as is affiorded by this policy, then in such case this insurance is primary and we will not seek contribution from insurance available to much person or mgmization. Persons or organizations that your are bbligawcL pursuant to a contract or agreernent, to provide with such itna mice as its by this policy. AuthorWd RepmentabW w ww iir I mw •W w w ii '. w.' rrriw wLC. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0311 A (Ed. 8-91 ) VOLUNTARY COMPENSATION AND EMPLOYERS LIABILITY COVERAGE ENDORSEMENT This endorsement adds Voluntary Compensation Insurance to the policy. A. How This Insurance Applies This insurance applies to bodily injury by accident or bodily injury by disease. Bodily injury includes resulting death. 1. The bodily injury must be sustained by an employee included in the group of employees described in the Schedule. 2. The bodily injury must arise out of and in the course of employment necessary or incidental to work in a state listed in the Schedule. 3. The bodily injury must occur in the United States of America, its territories or possessions, or Canada, and may occur elsewhere if the employee is a United States or Canadian citizen temporarily away from those places. 4. Bodily injury by accident must occur during the policy period. 5. Bodily injury by disease must be caused or aggravated by the conditions of your employment. The employee's last day of last exposure to the conditions causing or aggravating such bodily injury by disease must occur during the policy period. B. We Will Pay We will pay an amount equal to the benefits that would be required of you if you and your employees described in the Schedule were subject to the workers compensation law shown in the Schedule. We will pay those amounts to the persons who would be entitled to them under the law. C. Exclusions This insurance does not cover: 1. any obligation imposed by a workers compensation or occupational disease law, or any similar law. 2. bodily injury intentionally caused or aggravated by you. D. Before We Pay Before we pay benefits to the persons entitled to them, they must: 1. Release you and us, in writing, of all responsibility for the injury or death. 2. Transfer to us their right to recover from others who may be responsible for the injury or death. 3. Cooperate with us and do everything necessary to enable us to enforce the right to recover from others. If the persons entitled to the benefits of this insurance fail to do those things, our duty to pay ends at once. If they claim damages from you or from us for the injury or death, our duty to pay ends at once. E. Recovery From Others If we make a recovery from others, we will keep an amount equal to our expenses of recovery and the benefits we paid. We will pay the balance to the persons entitled to it. If the persons entitled to the benefits of this insurance make a recovery from others, they must reimburse us for the benefits we paid them. F. Employers Liability Insurance Part Two (Employers Liability Insurance) applies to bodily injury covered by this endorsement as though the State of Employment shown in the Schedule were shown in Item 3.A. of the Information Page. 1 of 2 a 1991 Notional Council on Compensation Insurance. Insu...red.. Copy WC 00 0311 A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY (Ed. 8-91) Employees All employees not subject to the workers compensation law. Schedule State of Employment Any State Shown in Item 3.A. of the Information Page except CA, NJ and WI. Designated Workers Compensation Law The State where the injury takes place. This endorsement changes the policy to which It Is attached and Is effective on the date Issued unless otherwise stated. (The Information below Is required only when this endorsement Is Issued subsequent to prepamtlon of the policy.) Endorsement Effective 04-30-21 Policy No. 71740633 Insured NAVIENT CORPORATION Insurance Company Vigilant Insurance Company Countersigned By WC000311A 2of2 [Ed. 8-91 ] a 1991 Nagonal Council on Compeneapon Insurance. Endorsement No. Premium $ Incl . Insu...red.. Copy