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PROOF OF INSURANCE (2022) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 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 .,._._,._., 7767DMar Mariners Island Blvd Suite r250s CONTACT mm bot.... equest .. FAX o.:.................................................... PHONE San Mateo, CA 94404[E-MAILINR. � ..................... ...aas w8... ,. ,...... _y......�! ..��._.)°..............._.m......_.... 565 www.theabdteam.com INSURE....___..,.,_�__.....—__,..... �,�,.._..,,,...__........................_w.,,,.,,,........._ D Govern mentjobs.com, Inc. (NEOGOV) 300 Continental Blvd. Suite 565 El Segundo CA 90245 COVERAGES CERTIFICATE NUMBER: eggqmr; INSURER(S) AFFORDING COVERAGE I NAIC# RFVISION Nt1MRFR- 20281 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. POLICYEXP INSR TYPE OF INSURANCE ADDL SU o POLICY NUMBER POLICYMMIDDE"FF I MMIDDIYYYY. LIMITS LTR A �/ COMMERCIAL GENERAL LIABILITY TCP 7011473 8/25/2021 8/25/2022 EACH OCCURRENCE 0 000 $1 Op0 QQp i5titvlad b Iz�rirEb _._. tl —.._—..__.. CLAIMS -MADE � OCCUR �P, FL=MISES. (Ea occurrence), $ 1 000,000 MED EXP (Any one person) $ 15,000.___, PERSONAL >fADVINJURY ,m,....,,.,.. ....,.,._,m......,,,, ..._. $_1,000000 .,� P.�,�w�..:............m,....".............a GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 ✓".. POLICY JLCT LOC PROD,UCTS,mmC,O„MP/O"P.�G...".�$®.QO 00 z...........m...,. OTHER, $ B AUTOMOBILE LIABILITY TCA 7011474 8/25/2021 18/25/2022 COMBINED SINGLE LIMIT $ 1 000000 ANY AUTO BODILY INJURY (Per person) $ — OWNED SCHEDULED BODILY INJURY (Per accident)$ _ AUTOS ONLY ,m'"r. AUTOS OTOSONLY trOffiF�TYrAMAiE,.µ w"✓"""�-...AUTOSONLY ++"�„m AUHIRED `....W...$.vv. $ A UMBRELLA LIAB ,/ OCCUR 7011473 8/25/2021 8/25/2022 EACHOCCURRENCE $SOOO,OOO I EXCESS LIAB CLAIMS MADE AGG AGGREGATE $ 5 O00 OOO " m .,�..,n ,, ., ".,' _ .. ....m......aY _.. _. ,.�... RE1TEN._.11 r DED TION$10,000 $ A WORKERS COMPENSATION TWC 7011475 11/25/2021 8/25/2022 I ERH AND EMPLOYERS' LIABILITY Y f N �/ STATUTE ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 .00 0000 OFFICER/MEMBEREXCLUDED? N I I N/A ' (Mandatory in NH) """" E.L.,DISEASE EA EMPLOYEE. $_1,pppappp If yes, describe under _ --' DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ 1,000000 E CRIME 8255-8026 8/25/2021 8/25/2022 Per Occur/Agg. Limit: $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All Operations of the Named Insured. City of El Segundo, CA is included as an additional insured as respects to General Liability, but only to the extent required by written contract or written agreement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Clty Of El Segundo, CA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE Rod Sockolov ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 63535456 121-22 A11./ESO $5M/C:rS. $1M (20-21 E&O) I Pa.tra (1} 1 8/25/2021. 2:44: nes AM (rUE) I Page 1 of 6 Inc. (NEOwOV) 08/25/2021 nCPnxw73 COMMERCIAL GENERAL LIABILITY CG83W01216 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITCAREFULLY. GENERAL LIABILITY 0TY EXTENSION FOR TECHNOLOGY COMPANIES ENDORSEMENT This Endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM This endorsement broadens coverage. The following schedule of coverage extensions is a general coverage description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this endorsement along with your entire policy carefully to determine the extent of coverage afforded. SCHEDULE OF COVERAGE EXTENSIONS A. Additional Insured — Lessors of Leased K. Duties in the Event of Occurrence, Offense, ent Claim or Suit B Additional Insured — Owners, Managers or L. Expected or Intended Injury or Damage C Additional Insured —Vendors, K Medical Pavments D. Additional Insured — Written Contractor N. Non -owned Aircraft Broadened Named Insured R. Unintentional Omission I Damage to Property — Borrowed Equipment, S. Waiver of Subrogation - Blanket Customer Goods, Use of Elevators -...G.00d Samaritan Services A. ADDITIONAL INSURED ~LESSORS OF LEASED EQUIPMENT Under Section 11 - Who Is An Insured, the following is added: Any person or organization that is an equipment lessor is an insured, but only with respectholiability for "bodily injury", "property damage", "personal and advertising injury" caused . in whole or in part, byyour acts or omissions in the maintenance, operation or use by you of equipment leased to you by such equipment lessor. The insurance provided to such equipment lessor does not apply to any "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal and advertising injury' caused by an offense that is committed after the equipment lease expires. B. ADDITIONAL INSURED - OWNERS, MANAGERS ORLESSORS OPPREMISES Under Section 11-Who hsAmInsured, the following isadded: Any person or organization that is a premises owner, manager or lessor is an insured, but only with respectto liability arising out of the ownership, maintenance or use of that part of any premises leased to you. The insured provided to such premises owner, manager or lessor does not apply to: 1. Any "bodily injury' or "property damage" caused by an "occurrence" that takes place, or "personal and advertising 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 nrlessor. CGO3SO121S Includes copyrighted material ofInsurance Page 1of5 Services Office, Inc., with its permission. 6353s456 1 21-22 ^u/E'&O �uM/c*"ne ^2M woz� E&w ' p°^ra 'n 1 8/25/2021 2.wm8 ^w �PDT) / ,aq. 2 of 6 C. AODITIONAl|NSURED-VENDORS Under Section U'Who haAnInsured, the following isadded: Any person ororganization that is avendor and that you have agreed inmwritten contract nragreement ho include auanadditional insured onthis Coverage Part ismninsured, buy only with respect toliability for "bodily injury" or"property damage" that: 1. Is caused by an "occurrence" that takes place after you have signed and executed that contract or agreement; and 2. Arises out of "your products" which are distributed or sold in the regular course of such vendor's business. The insurance provided to such vendor is subject to the following provisions: 1. The limits of insurance provided to such vendor will be the limits which you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. 2. The insurance provided tusuch vendor does not apply to: a. Any express warranty not authorized byyou; b. Any change in"your products" made bysuch vendor; c. Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of part under instructions from the manufacturer, and then repackaged in the original container; d. Any failure to make such inspections, adjustments, tests or servicing as vendors agree to perform or normally undertake to perform in the regular course of business, in connection with the distribution or sale of"your pnmduota^; e. Demonstration, installation, servicing or repair operations, excepts such operations performed at such vendor's premises inconnection with the sale of"your products";nr t "Your products" which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or on behalf of such vendor. Coverage under this provision does not apply to: 1. Any person ororganization from whom you have acquired "your products^ orany ingredient, part or container entering into, accompanying orcontaining such products; or 3' Any vendor for which coverage as an additional insured specifically is scheduled by endorsement. O. ADDITIONAL INSURED - WRITTEN CONTRACT OR AGREEMENT Under Section |f'Who kaAnInsured, the following isadded: Any person ororganization that isnot otherwise aninsured under this Coverage Part and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury" or "property damage" that: 1. Is caused by an "occurrence" that takes place after you have signed and executed that contract or agreement; and 2. Is caused, in whole or in part, by your acts or omissions in performance of your ongoing operations to which that contract or agreement applies or the acts or omissions of any person or organization performing such operations onyour behalf. The limits of insurance provided to such insured will be the limits which you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are -less. E. AGGREGATE LIMIT PER LOCATION 1' Under Section III - Limits OfInsurance, the following is added: The General Aggregate Limit applies separately toeach ofyour ^locaUona owned byorrented orleased tu you. 2. Under Section V-Definitions, the following ieadded: "Locotion^means premises involving the same orconnecting lots, orpremises whose connection is interrupted only bya street, roadway, waterway orhght-od-wayoforailroad. Page 2mf5 Includes copyrighted material ofInsurance CG836O121S Services Office, Inc., with its permission. 63535456 1 21-22All/E&O $5M/C"ime"1m /2+/1sux / patra w / o/zs/uuz x.^^*"^m �Pu` / ,ag°`ofo F. AMATEUR ATHLETIC PARTICIPANTS Under Section U-Who |aAnInsured, the following isadded: Any person representing you while participating in amateur athletic activities that you sponsor. However, no such person ivaninsured for: i. "Bodily injury" to: a. A co -participant, your "employee" or "volunteer worker" while participating in amateur athletic activities that you sponsor; or b You, any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company), or any "executive officer" (if you are an organization other than a partnership, joint venture, or limited liability company); or 2. "Property damage" toproperty owned by, occupied orused by, rented to, inthe care, custody, orcontrol of, nrover which physical control isbeing exercised for any purpose by: u. Ann'particjpant.your ^emp|oyee^or"volunteer wmrker";or b. You, any partner or member (if you area partnership or joint venture), or any member (if you area limited liability company), or any "executive officer" (if you are an organization other than a partnership, joint venture, or limited liability company); or G. BODILY INJURY ' Under Section V - Definitions, the definition of "bodily injury" is deleted and replaced by the following: "Bodily injury" means physical injury, sickness, or disease sustained by a person, including death resulting from any of these. "Bodily injury' also means mental injury, mental anguish, humiliation, or shock sustained by a person, if directly resulting from physical injury, sickness, or disease sustained by that person. G. BROADENED NAMED INSURED Under Section ||- Who |sInsured, the following isadded: Any person or organization named in the Declarations and any organization you own, newly acquire or form, other than a partnership, joint venture, or limited liability company, and over which you maintain more than 50% of the interests entitled to vote generally in the election of the governing body of such organization will qualify as a Named Insured if there is no other similar insurance available to such organization until the end of the policy period. Coverage under this provision does not apply to any person or organization for which coverage is excluded by endorsement. |. BROADENED PROPERTY DAMAGE - BORROWED EQUIPMENT, CUSTOKO2RS'GOODS AND USE OF ELEVATORS The insurance for "property damage" liability is subject to the following: 1. Under Section |' Coverages, Coverage A.Bodily Injury and Property Damage Liability, paragraph 2.. Exclusions, item j..Damage ToProperty iaamended asfollows: a. The exclusion for personal property in the care, custody or control of the insured does not apply to "property damage" to equipment you borrow while at a job site and provided it is not being used by anyone Loperform operations atthe time ofloss. b. The exclusions for: (1)propedyloaned toyou; (2) Personal property inthe care, custody orcontrol nfthe insured; and (3) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it; do not apply to "property damage" to "customers' goods" while on your premises nor do they apply to "property damage" arising from the use of elevators at premises you own, rent, lease or occupy. 2. Subject tothe Each Occurrence Limit, the most wawill pay for "property damage" to°oustomem'goods" io $25.000per "oonurronoe'. 3. Under Section V - Definitions, the following is added: "Customers' goods" means goods of your customer on your premises for the purpose of being: a. Repaired; or b. Used inyour manufacturing process. CGO3SO121O Includes copyrighted material ofInsurance Page 3cf5 Services Office, Inc., with its permission. 63535456 1 21*2 ^zuu&Omm/C,u=$u^ p0-21E&w / matra '1, 1 ouauuz 2.44.08vm �mn ' r=~ 4 or 6 4. Under Section PV'Commercial General Liability Conditions, the insurance afforded bythis provision is excess over any other valid and collectible property insurance (including any deductible) available to the insured whether such insurance is primary, excess, contingent or on any other basis. Any payments by us will follow the Other Insurance - Excess Insurance provisions. J. GOOD SAMARITAN SERVICES 1. Under Section 11 - Who Is Insured, paragraph 2., item d., the following is added: This exclusion does not apply to your employees or volunteer workers, other than an employed or volunteer physician, rendering "Good Samaritan services". 2. Under Section V-Definitions, the following definition badded: "Good Samaritan services" means any emergency medical services for which no compensation is demanded orreceived. K. DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions, paragraph 2., Duties In The Event Of Occurrence, Claim orSuit ksamended toinclude the following: 1. The requirements that you must: a. Notify umofan"omcurnsnoe^offense, claim or"auit";and b. Send umdocuments concerning a claim or "suit" apply only when such accident claim, "suit" or loss is known to: (1) You, ifyou are anindividual; (2) Apndner, ifyou are opartnership; (3) An executive officer of the corporation or insurance manager, if you are a corporation; or (4) Amanager, ifyou are alimited liability company. 2. The requirement that you must notify us as soon as practicable of an "occurrence" or an offense that may result inaclaim does not apply ifyou report an\oonunenoe^buyour workers compensation insurer which later develops into a liability claim for which coverage is provided by this policy. However, as soon as you have definite knowledge that the particular "occurrence" is a liability claim rather than a workers' compensation claim, you must comply with the Duties In The Event Of Occurrence, Offense, Claim Or Suit L. EXPECTED OR INTENDED INJURY OR DAMAGE (PROPERTY DAMAGE) Under Section I - Coverages, Coverage A, Bodily Injury And Property Damage Liability, paragraph 2., Exclusions, item a., Expected Or Intended Injury, is deleted and replaced by the following: a. Expected wrIntended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force toprotect persons orproperty. M. MEDICAL PAYMENTS 1. Under Section |' Coverages, Coverage C.Medical Payments, paragraph 1..Insuring Agreement, the requirement that expenses are incurred and reported to us within one year of the date of the accident is changed 10three years. 2. The Medical Expense Limit is $15,000 per person or the amount shown in the Declarations as the Medical Expense Limit, whichever isgreater. D. This provision M. does not apply if Coverage C, Medical Payments, is otherwise excluded either by the provisions ofthe Coverage Form orbyendorsement. N. NON -OWNED AIRCRAFT 1. Under Section I - Coverages, Coverage A, Bodily Injury and Property Damage Liability, item 2., Exclusions, item g..Aircraft, Auto OrWatercraft, does not apply toanaircraft that is: a. Hired, chartered cxloaned with apaid crew; and b. Not owned by any insured. 2. The insurance afforded by this provision N. is excess over any other valid and collectible insurance (including any deductible or Self Insured Retention) available to the insured, whether such insurance is primary, excess, contingent or on any other basis. Any payments by us will follow the Other Insurance - Excess Insurance provisions in the Commercial General Liability Conditions. Page 4of5 Includes copyrighted material ufInsurance CQO3GO121G Services Office, Inc., with its permission. 63535456 1 21-22 ^um°u $5M/C,ill* $u^ w0-21 E&w I matla w / z.^".00 xy �m'T` / r.g° 5 of 6 0. NON -OWNED WATERCRAFT 1. Under Section |l-Who 1sInsured, ksamended asfollows: To include as an insured for any watercraft that is covered by this policy, any person who, with your expressed or implied consent, either uses or is responsible for the use of a watercraft. However, no person ororganization iooninsured with respect to: a' "Bodily injury" to a co -"employee" of the person operating the watercraft; or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer ofany person who isoninsured under this provision. 2. In the exception to the Aircraft, Auto Or Watercraft exclusion under Coverage A,Bodily Injury And Property Damage Liability, the limitation on the length of a watercraft is increased to 75 feet. 3. The insurance afforded bythis provision <].is excess over any other valid and collectible insurance (including any deductible nrSelf Insured Retention) available tothe insured, whether such insurance in primary, excess, contingent or on any other basis. Any payments by us will follow the Other Insurance - Excess Insurance provisions in the Commercial General Liability Conditions. P. NEWLY ACQUIRED ORFORMED ORGANIZATIONS Under Section U'Who hxAnInsured, item 3.a isdeleted and replaced bythe following: a. Coverage under this provision is afforded only until the end of the current policy period. Q. SUPPLEMENTARY PAYMENTS Under Section |- Coverages, Supplementary Payments 'Coverages Aand Bisamended mofollows: 1. The limit for the cost ofbail bonds isamended to$2.5UO;and 2. The limit for reasonable expenses incurred by the "insured" is amended to $500 a day. R. UNINTENTIONAL OMISSION Under Section IV - Commercial General Liability Conditions, paragraph 6., Representations, the following is added: 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 or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. S. WAIVER [}FSUBROGATION -BLANKET Under Section yV-Conmmnercim| General Liability Conditions, paragraph 8, Transfer of Rights of Recovery Against Others to Us the following is added: VVawill waive any right ufrecovery wemay have against any person ororganization because nfpayments we make for injury or damage arising out of your ongoing operations done under a written contractor agreement with that person or organization and included in "your work" or the "products -completed operations hazard". This waiver applies only to persons or organizations with whom you have a written contract, executed prior to the "bodily injury" or "property damage", that requires you to waive your rights of recovery. CG&3GO1216 Includes copyrighted material of Insurance Page 5of 5 Services Office, Inc., with its permission. 63535456 1 21-22 ez`/E&O $SM/C^^=vzx p0-21 E&o' / r=ra n, 1 w25n021 2.4^.08e 'PDT` I ,age 6of 6