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PROOF OF INSURANCE (2022) CLOSEDGVPVE-1 OP ID: DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/14/2021 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 endorsements . PRODUCER 916-773-3800 C NTACT` Dianne Nielsen ISU/Francis-Pig ne Ins. PHONE'LL 6-773-3800Ax 916-773-4484 2266 Lava Ridge Court Ste 200 (Atc No. 91 EMAIL isuors.com P.O. Box619050 Certitcate ._ _ ... Roseville, CA 95661-9050 0t IIsuREPi 5 nFFI]FIDII covERAGE 18058 Bruce Winning �w.-� _„_--- ..__... INSURERA.Philadelpi InsurancewCowmpnrwwwwwwwwwwwwwwwwwwwwwwww ..... INSURED INSURER B Hartford Casualty Ins Company 22357 GVP Ventures Inc. """.." DBA: Bob Murray & Associates INSURER C Sentinel Insurance Company Ltd 11000 w. INSURER D _ In RosevEureka Road, ille, CA 5661 to Hiscox Insurance Company Inc. 10200 ............_................................................._....... INSURER E : INSURER F : • � � ei . :�l�lF«�tdlM��tllt�lillDal';»i� 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.w..._.........----------------. TYPE OF INSURANCE POLICY NUMBER .�.................._-.....................--_._ ................... INSR ADDL. SUB POLICY EFF POLICY EXP[TR LIMITS C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR .......,„ � X X 57SBABG7707 06/16/2021 06/16/2022 AGE TO RENTED P.�.���ln�:�,w�.,�E,S..,�GS,Pd�f.it,0�j 1,000,000 ,.�.__......_�., A Professional E&O PHSD1633199 07/10/2021 07/10/2022 mED ExP qUY o. aP ptI ,pTj_ wwwwwwwwwwwww_W __mmm_10,000 X Claims Made„..... �� PHSD1633199 PERSONAL & ADV INJURY 2,000,000 ....,..._. ....._----..0 pEN'L.ACwGREIaA,,TE: _ E LIMIT APP_ )„ES P.�..�.�.� R. GENERAL AGGREGATE $ 4,000,000 w.... .4................. X PRO- � POLICY LOG JECT C PRODUCTS COMP/OP AGG _. ...._-. _ 4,000,000 . $ ... E&O 11000,000 OTHER,, BAUTOMOBILE LIABILITY COIII MBIhSED SINGLE LIMIT 2,000,000dnnW} ......................,.,,..,�,,,,,mm,. ANY AUTO X 57SBABG7707 06/16/2021 06/16/2022 BODILY INJURY Per erson $ _a ................. „ _ OWNED SCHEDULED AUTOS ONLY AUTOS TzQILY INJURY (Per arcidenl) $ X,,,,,,,, AUTOS X AUUTOS ONLY K' iIPER Y DAMAGE of 7',C�Ckmm9FMl L i $ ONLY I ....... ., ....m.,...... UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION $ B WORKERS COMPENSATION X oTH AN D EMPLOYERS' LIABILITY Y�I, R X 57WBCGG0320 0611612021 06/16/2022 , .__ - --- 000,000 ANY rEICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE �� NIA CH ACCI EL „PE _ „ $ ( a-datory in NH E.,LSEASEEA EMPLOYEE„ 1 ,000,000 If yes, describe under 1,000,000 DESCRIPTI N F P R TI INS below E L. DISEASE • POLICY LIMIT D CYBER LIABILITY MPL4704060 01/19/2021 01/19/2022 PER CLAIM 1,000,000' RETENTION $5,000 AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo, its officials, and employees ,are included as additional insured(s) as required by writte contract per attached endorsements. ELSEG-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. Attn: City Attorneys Office 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo, CA 90245''" �" ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ROLIGYNUMBER; 578 ABG7707 COMMERCIAL GENERAL LIABILITY THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITM,NAL INSURED - DESIGNATED PERSON O ORGAN . 11N This endolsementmodides Insurance provided under1he following: COMMERCIAL GENERAL LIABILrlY COVERAGE PART 8CHiCULN Name d Person or Organization The City of El Segundo, its officials, and employees (If no entry appears above, Inromratlon required to complete We endorseneatw ill be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Secllon Iq Is amended in Include sasn Insured ihs person or orgsnlzellan shown In the Schedule as an Insured but only with respect to IlaWfity arising out of your operations or premises owned by or rented to you. CG 20 2511 a5 Copyright, insurance jervtaes Of ee, Inc, 1984 POLICY NUMBER: 57SBABG7707 COMMERCIAL GENERAL LIABILITY V THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. Ilw 8 8 k 41 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Orgaelzation: The City of El Segundo, its officials, and employees (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. With respect to insurance organization shown in Endorsement, Condition replaced by the following: 4. Other Insurance. provided to the person or the Schedule of this 4, Other Insurance is If other valid and collectible insurance is available for a loss we cover under Coverages A and B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This Insurance Is primary and we will not seek contribution from other Insurance available -to Me person or organization shown in the Schedule of this endorsement except when b. below applies. b. Excess Insurance This insurance is excess over any of the other insurance whether primary, excess, contingent or on any other basis: Form HC 24 08 1184 (1) That is Fire, Extended Coverage, Builde►t Risk, Installation Risk or similar coverage for "your work;" (2) That is Fire Insurance for premises rented to you; or (3) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Coverage A (Section I). When this insurance is excess, we will have no duty under Coverage A or B to defend any claim or "suit" that any other insurer has a duty to defend. If no other insurer defends, we will undertake to do so, but we will be entitled to tha insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, I any. that exceeds the sum of: Page 7 of 2 ® 1995 The Hartford Insurance Group (Includes Copyrighted material of Insurance Services Office (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self -insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that Is not described in the Excess Insurance provlslons and was not bought specifically to apply in excess of the Limb of insurance shown in the Declarations of this Coverage Part. a. Whod of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts unfit it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we Will contribute by limits_ Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Page 2 of 2 Fonm HC 24 08 1194 57SB EIG7707 THIS ENDORSEMENT CHANGE THE POLICY. PLEASE READ IT CAREFULLY. 't qlL�, I ' k ]AIR ill 1 This policy is subject to the following additional Conditions: A. a. If this policy Is cancelled by the Gompany, other than for non-payment of premium, notes of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. If this policy is cancelled by the company for non- payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record orthe Company. If notice Is malled, proof of mailing to the last known mailing address of the certificate holder(&) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were Issued a certificate of insurance applicable to this policy's term. Fallure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send nogce shall Impose no liability of any kind upon the Company or its agents or representatives. Form SS 12 23 0611 ® 2011, The Hartford Page 1 of 1 57SBABG7707 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM We waive any right of recovery we may have against: 1. Any person or organization shown in the Declarations, or 2. Any person or organization with whom you have a contract that requires such waiver,. Form SS 12 15 03 00 Page 1 of 1 © 2000, The Hartford THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) Policy Number: 57 WBC GG0320 Endorsement Number: Effective Date: 06/16/21 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: GVP VENTURES INC., 1544 EUREKA RD STE 280 ROSEVILLE CA 95661 This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for non-payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. Form WC 99 03 94 Printed in U.S.A. Process Date: 05/06/21 If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Policy Expiration Date: 06/16/22 © 2011, The Hartford THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 57 WBC GG0320 Endorsement Number: Effective Date: 06/16/21 Effective hour is the same as stated on the Information Page of the policy, Named Insured and Address: GVP VENTURES INC., 1544 EUREKA RD STE 280 ROSEVILLE CA 95661 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 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 05/06/21 Policy Expiration Date: 06/16/22