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PROOF OF INSURANCE (2022) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATO(/D02YYYY) 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 Aon Risk Insurance Services west, Inc. NAME: San Francisco CA Office (A,i�ONE,EX1).; (866) 283-7122 f1# ,, (800) 363-0105 425 Market Street E-MAIL Suite 2800 ADDRESS: San Francisco CA 94105 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Old Republic Union Insurance Company 31143 Lyft, Inc. INSURERB: Safety National casualty Corp 15105 185 Berry St, Suite 5000 INsuRERc.....................................................................�....._.._. San Francisco CA 94107-2503 USA ............ .._........................................_...._.._.._.._.._. INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570089508072REVISION 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. Limits shown are as requested INSIR ILT 1 TYPE OF INSURANCE IN S D 'WVt1 UBRI POLICY NUMBER pyl LyTyP"CMY y pD, yy+y yy LIMITS X COMMERCIAL GENERAALL L7IABILITY MWZV 1 EACH OCCURRENCE $1, 000, 000 CLAIMS -MADE IFl I_l UR SIR applies per policy terns & conditions "5 $100,000 II p PREMISES En occurrence) MED EXP (Any one person)�� PERSONAL & ADV INJURY $1, 000, 000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE 12,000,656 X, POLICY JECT LOG PRODUCTS DUCTS-COMPE/OPACG $2,00),000' .., -, 11 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO N I l fh II, G BODILY INJURY ( Per person) OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS ONLY ... AUTOS NON PROPERTY DAMAGE HIRED AUTOS -OWNED (PP.r,acciden ONLY ,..,. AUTOS ONLY _....., u..............., UMBRELLA LIAB EACH OCCURRENCE HOCCUR EXCESS LIAB CLAIMS -MADE AGGREGATE WORKERS ORKS SCOLIABILITY NION AND Ym ANY PROPRIETOR / PARTNER / EXECUTIVE EMPLO(Mandatory LDS40607Z5 �U77U172U2::L U/7U1/LU2L X PERSTATUTE OTH R E L. EACH ACCIDENT 11,000, OFFICER/MEMBER EXCLUDED? in N N / A E L DISEASE -EA EMPLOYEE PLGVEE $1,000, II yes, describe under no 1—Tinni nr n.—TIMIQ hoi.. I E.. L. DISEASE -POLICY LIMIT $1, 000, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of insurance for Lyft, Inc. RE: General Services Agreement between The City of El Segundo and Lyft, Inc. Any such coverage extended to the Certificate Holder by the General Liability policy will apply as Primary and Non -Contributory, to the extent of liability assumed under contract. waiver of subrogation applies for General Liability and workers' Compensation coverages where required by written contract. CERTIFICATE HOLDER 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, city of El Segundo 350 Main Street El Segundo CA 90245 USA AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD a� c CD N O n co o 0 M Cl CW A03 10 11 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this docu- ment have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as be- tween the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder: City of El Segundo 350 Main Street El Segundo, CA 90245 Named Insured: Lyft, Inc. 185 Berry Street, Suite 5000 San Francisco, CA 94107 Automobile Liability Insurer Name: North Light Specialty Insurance Company Policy Number:648908651 X 10— Autos As Defined 2 — Owned Autos Only 3 — Owned Priv. Pass. Autos Onl 4 — Owned Autos Other Than Priv, 5 — Owned Autos Subject to No 6 — Owned Autos Subject to a Compul- Pass. Autos Onl Fault sory UM Law 7 — Specifically Described Autos 8 —Hired Autos Onl 9 — Nonowned Autos Only Policy Effective Date: 10/1/2021 Policy Expiration Date: 10/1/2022 Limits of $ 1,000,000 Combined Single Limit (each accident) Insurance: $ BI Per Person Is BI Per Accident $ PD Per Accident Description of O erations/Locations/Vehicles/Endorsements/S ecial Provisions UM/UIM: $1,000,000 Combined Singled Limit (each accident) Proof of insurance for Lyft, Inc. re: General Service Agreement between The City of El Sungundo and Lyft, Inc. Any such coverage extended to the additional insured will apply as primary and non-contributory, to the extent of liability assumed under contract. Waiver of subrogation applies for Automobile Liabili coverage where required by written contract. Interested Party Type: THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS, THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. .......................................................... Cancellation Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accord- ance with the policy provisions. Producer: Aon Risk Insurance Services West Authorized Representative: Allstate Business Insurance Center (095010) Date: 10/1 /2021 Page 1 of 2 Includes copyrighted material of Insurance Services Offices, Inc., with its permission Cl CW A03 10 11 North Light Specialty Insurance Company Cl CW A03 10 11 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this docu- ment have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as be- tween the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder: City of El Segundo 350 Main Street El Segundo, CA 90245 Named Insured: Lyft, Inc. 185 Berry Street, Suite 5000 San Francisco, CA 94107 _..... Auto mobile Liability Insurer Name: North Light Specialty Insurance Company Po lic Number:648908661 ............ X 10—Autos As Defined 2mm-mmOwned Autos Only 3 — Owned Priv. Pass Autos Onl 4 — Owned Autos Other Than Priv. 5 — Owned Autos Subject to No 6 — Owned Autos Subject to a Compul- Pass. Autos Onl Fault sory UM Law 7 — Specificall Described Autos 8 — Hired Autos Only 9 — Nonowned Autos Only -Policy Effective Date: 10/1/2021 Polic Ex iration Date: 10/1/2022 Limits of 000,000Combined Single Limit (each accident) Insurance:lvi. BI Per Person $ BI Per Accident $ PD Per Accident w_....... Description of O erations/Locations/Vehicies/Endorsements/S ecial Provisions LIM(UlK 1„000„6"0 Combined Singled Limit (each accident) Proof of insurance for Lyft, Inc. re: General Service'Agreement between The City of El Sungundo and Lyft, Inc. Any such coverage extended to the additional insured will apply as primary and non-contributory, to the extent of liability assumed under contract. Waiver of subrogation applies for Automobile Liability coverage where required by written contract. Interested Party Type; THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT.. . Cancellation Cancellation Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accord- ance with the polic provisions. Producer: Aon Risk Insurance Services West Authorized Representative: Allstate Business Insurance Center (095010) Date: 10/1 /2021 Page 2 of 2 Includes copyrighted material of Insurance Services Offices, Inc., Cl CW A03 10 11 with its permission North Light Specialty Insurance Company IL 10 (04/18) OLD REPUBLIC UNION INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - SCHEDULED PERSON OR ORGANIZATION - PRIMARY AND NON-CONTRIBUTORY BASIS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART/FORM SCHEDULE Name Of Person Or Organization: Where required by written contract A. SECTION II — WHO IS AN INSURED is amended to include as an Additional Insured, the person or organization (referred to throughout this endorsement as Additional Insured) shown in the above Schedule but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you.. The insurance provided under this policy to the Additional Insured is primary insurance and we will not seek contribution from any other insurance available to the Additional Insured provided that: 1. The Additional Insured is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured. GL 799 008 0721 Includes copyrighted material of Insurance Services Office, Inc., with its permission, Page 1 of 2 MWZY 316409 21 Lyft, Inc. 07/01/2021 - 07/01/2022 However: 1. If the Additional Insured is solely liable for the loss, this insurance shall be excess and shall contribute to the loss as set forth in the policy; 2. The insurance afforded to such Additional Insured only applies to the extent permitted by law; and 3. If coverage provided to the Additional Insured is required by a contract or agreement, the insurance afforded to such Additional Insured will not be broader than that which you are required by the contract or agreement to provide for such Additional Insured. B, With respect to the insurance afforded to these Additional Insureds, the following is added to SECTION III — LIMITS OF INSURANCE: If coverage provided to the Additional Insured is required by a contract or agreement, the most we will pay on behalf of the Additional Insured is the amount of insurance: Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; Whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. The coverage provided by this endorsement shall be subject to all the terms, conditions and exclusions of the policy and all endorsements attached thereto. GL 799 008 0721 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2 MWZY 316409 21 Lyft, Inc. 07/01/2021 - 07/01/2022 IL 10 (04/18) OLD REPUBLIC UNION INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART/FORM Name of Person(s) Or Organization(s): In the event of payment under this policy, we waive our right of subrogation against any person or organization where the insured has waived liability of such person or organization as part of a written contractual agreement between the insured and such person or organization entered into prior to the "occurrence" or offense. The following is added to Paragraph 8. Transfer Of Rights of Recovery Against Others To Us of SECTION V — CONDITIONS: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. GL 799 007 0721 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 MWZY 316409 21 Lyft, Inc. 07/01/2021 - 07/01/2022 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 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 anyone not named in the Schedule. SCHEDULE Wi-f..ER:E .A WIVIVER OF OUR :RIGHT' TO RECOVER FROM OTHERS IS REQUIRED BY WRT':1'TEN CONTRACT, SUCH ADDITIONAL ENTITIES SHA.I.,:L BE CONSIDERED AUTOMATICALLY SCHEDULED BY THE COMPANY INDIVIDUALLY SCHEDULED WAIVERS SHALL NOT BE CONSTRU:ED TO OVEFI RIDE NOR NEGATE THIS BLAN = WAIVER. This endorsement changes the policytowhich 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 preparation of the policy.) Endorsement Effective 07/01/2021 Policy No. LDS4060725 Endorsement No. Insured LYFT, INC. Premium $ Included Insurance Company Safety National Casualty Corporation Countersigned By WC 00 0313 (04 84) Page 1 of 1 ©1983 National Council on Compensation Insurance.