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PROOF OF INSURANCE (2022 - 2022) CLOSED
Client#: 444977 KNNPUBLI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/18/2021 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: Ifthecertificate 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NEE: Felicia McAroy Marsh & McLennan Agency LLC PHONE 925 482 9337 `X 925-482-9390 -LLC naP, E G .,. _ Marsh &McLennan Ins Agency LLC ADDRESS, Felicia.Mc:Aroy@MarshM!MA.com 1340 Treat Blvd #250 INSUR_ER(S) AFFORDING COVERAGE NAIC # Walnut Creek, CA 94597 " Hanover Insurance Com an �22292 INSURED KNN Public Finance LLC 2054 University Avenue #300 Berkeley, CA 94704 P Y INSURER B : Gemini Insurance Company 10833 _ _ .....................u.., INSURER C _.._...............................�� INSURER D : COVERAGES CERTIFICATE NUMBER: REVISION 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 CONTRACTOR 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, 6NSR ADDLSUBR POLICYEFF POLICYEXP". Fi. TYPE OF INSURANCE INR gJarVD POLICY NUMBER (MMrDDrYYYY) MM/DD/YYYY)_ LIMITS A )( COMCLAIMS CMERCIAL LAIMS-MADE AL LIABILITY T X OHFD50198804 8/19/2021 01/19/202 DAMAGE OC � RENTED CE $,1 000,000 I I � _ $1 A000'000 _ MED EXP (Any one person)_ $10 000 PERSONAL & ADV INJURY $1 .000.000 GEN'LAGGREGATE LIMIT APPLIESPER: X� POLICY � PRO- JECT � � LOC .. .... I GENERALAGGREGATE $2 ... _... OP AGG s PRODUCTS COMP/ �2 OTHER: $ A AUTOMOBILE LIABILITY - AU I OHFD50198804 8/19/2021 08/19/202:r,den l a 1 ANY AUTO BODILY INJURY (Per person) $ JI OWNED SCHEDULED AUTOS ONLY AUTOS XHIRED �, NON -OWNED f AUTOS ONLY 1 X AUTOS ONLY BODILY INJURY (Per accident) I $ 'PROPER"��'Y DR1IuGA4)(~: „,Pmr kScrstl,&s't�, $ $ I A UMBRELLA LIAB Xf X_, OCCUR OHFD50198804 8/19/2021 /19/202 08- 9/2 EACH OCCURRENCE $2 1, EXCESS LIAB CLAIMS -MADE AGGREGATE $2 WORKERS PER OTH_ Y/N A ANNDEMPLOYERSELPABILTY X NY R9ETORJPARTRVLRPE ECUTIVE$ 0.' fFIC.ERJMEMBER EXCLUDED? � N / A_ E.L. EACH ACCIDENT [$ (MarWalory In NH) E.L. DISEASE - EA EMPLOYEE yes, describe under if _ - POLICY LIMIT B Errors & Omission ........ VCPL066959 _ .------- 8/19/2021 . .............. ....w,..,,E,.L..DISEASE I08/19/202 ,.. $2,000,000 Per Claim $2,000,000 Aggregate $50,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached.. more space is required) City of El Segundo, its officials and employees are included as Additional Insured (General Liability), per the attached. City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Joseph Lillio ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S8601657/M8601522 WBFZM INSURED: KNN Public Finance LLC POLICY#: OHFD50198804 POLICY PERIOD- 08119/2021TO: 08/19i2022- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESSOWNERS LIABILITY SPECIAL BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM .............. SUMMARY OF COVERAGES m _........ Limits . -�----------- Page 1. Additional Insured by Contract, Agreement or Permit Included 1 2. -,o ................ . �.._,,,,,.w„ ............ _.��._ Additional Insured - Broad Form Vendors Included _ w � ........ 3. m. _ ... _ __ - . .......... Alienated Premises _._ ... ...... Included J_..�� 3 4. _...,,._, ..,._. ............. _ Broad Form Property Damage - Borrowed Equipment,�Custmomers Included 3 Goods and Use of Elevators 5. Incidental Malpractice- (Employed Nurses; EMT�s arrd-P Paramedics) _.. Included _ 3 6. Personal and Advertising Injury - Broad Form Included 4 7. ��.......� ................ ____m.........................................�.�.�.........� Product Recall Expense Included __ 4 .,.........Product .... ...Expense EOccurrencem.n.�.�................................................................. ...Recall Each Limit . � �....-u�renc....-.,.,. Occurrence e Product Recall Expense .................. .imi Aggregate Limit $50,000 5 Aggregate to Product Recall Deductible $500 5 �.._. 8. ,..._...... .�w-._-_ ......... ..�.... Unintentional Failure to Disclose Hazards _._w....._ Included __,m-..................._ ....� 6 9..�.�_ __-_ _ .., .�� .....-..w...._.. __.._.,,,..__ .._ Unintentional Failure to Notify �....... Included 6 This endorsement amends coverages provided under the Businessowners Coverage Form through new coverages and broader coverage grants. This coverage is subject to the provisions applicable to the Businessowners Coverage Form, except as provided below. The following changes are made to SECTION II - LIABILITY: 1. Additional Insured by Contract, Agreement or Permit The following is added to SECTION II - LIABILITY, C. Who Is An Insured: Additional Insured by Contract, Agreement or Permit a. Any person or organization with whom you agreed in a written contract, written agreement or permit to add such person or organization as an additional insured on your policy is an additional insured only with respect to liability for "bodily injury", ""property damage", or "personal and advertising injury" caused, in whole or in part, by your acts or omissions, or the acts or omissions of those acting on your behalf, but only with respect to: (1) "Your work" for the additional insured(s) designated in the contract, agreement or permit; (2) Premises you own, rent, lease or occupy; or (3) Your maintenance, operation or use of equipment leased to you. b. The insurance afforded to such additional insured described above: (1) Only applies to the extent permitted by law; and (2) Will not be broader than the insurance which you are required by the contract, agreement or permit to provide for such additional insured. (3) Applies on a primary basis if that is required by the written contract, written agreement or permit. (4) Will not be broader than coverage provided to any other insured. (5) Does not apply if the "bodily injury" "Yproperty damage" or "personal and advertising injury°is otherwise excluded from coverage under this Coverage Part, including any endorsements thereto. 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 1 of 6 INSURED: KNN Public Finance LLC POLICY#: O H F D 50198804 POLICY PERIOD: 08/19/2021 TO: 08/19/2022 c. This provision does not apply: (1) Unless the written contract or written agreement was executed or permit was issued prior to the "bodily injury" ""property damage", or ""personal injury and advertising Injury". (2) To any person or organization included as an insured by another endorsement issued by us and made part of this Coverage Part. (3) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily injury", "property damage",." "personal and advertising injury"' apses out of sole negligence of the lessor, (4) To any: (a) Owners or other interests from whom a. land has been leased if the .'occurrence" takes place or the offense is committed after the lease for the land expires; or (b) Managers or lessors of premises if: (1) The "occurrence" takes place or the offense is committed after you cease to be a tenant in that premises; or (ii) The "bodily injury", "property damage"" "personal Injury" or "advertising Injury" arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. (5) To "bodily in "property damage"" or personal and advertising injury arising out of the rendering of or the failure to render any professional services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring„ employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" or the offense which causedthe ""personal and advertising injury" involved the rendering of or fai�ure to render any professional services by or for you. d. With respect to the insurance afforded to these additional insureds, the following is added to SECTION II - LIABILITY, D. Liability and Medical Expense Limits of Insurance: The most we will pay on behalf of the additional insured for a covered claim is the lesser of the amount of insurance: 1. Required by the contract, agreement or permit described in Paragraph a.; or 2. Available under the applicable Limits of Insurance shown in the Declarations. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations e. All other insuring agreements,, exclusions, and conditions of the policy apply. 2. Additional Insured - Broad Form Vendors The following is added to SECTION II - LIABILITY, C. Who Is An Insured: Additional Insured - Broad Form Vendors Any person or organization that is a vendor with whom you agreed in a written contract or written agreement to include as an additional insured udder this Coverage Part is an insured„ but only with respect to liability for "bodily injury" or "property damage" arising out of "your products" which are distributed or sold In the regular course of the vendor's business. b. The insurance afforded to such vendor described above: (1) Only applies to the extent permitted by I aw; (2) Will not be broader than the insurance which you are required by the contract or agreement to provide for such vendor; (3) Will not be broader than coverage provided to any other insured; and (4) Does not apply if the "bodily injury", "property damage" or ""personal and advertising injury" is otherwise excluded from coverage under this Coverage Part, I ncluding any endorsements thereto C. With respect to insurance afforded to such vendors, the following additional exclusions apply„ The insurance afforded to the vendor does not apply to: (1) "Bodily injury" or "property damage" for which the vendor Is obligated to pay damages by reasons of the assumption of Viability in a contract or agreement. This exclusion does not apply to liability for darnages that the Insured would have in the absence of the contract or agreement; (2) Any express warranty unauthorized by you; 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 2 of 6 INSURED: KNN Public Finance LLC POLICY#: OHFD50198804 (3) Any physical or chemical change in the product made intentionally by the vendor;. (4) Repackaging, unless unpacked solely for the purpose of Inspection„ demonstration, testing, or the substitution of parts under instruction frown the manufacturer, and then repackaged in the original container; (5) Any failure to make such inspection, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the sale of the product; (6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (7) 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 su stance by or for the vendor; (8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (a) The exceptions contained within the exclusion in subparagraphs (4) or (6) above; or (b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (9) "Bodily injury" or "property damage" arising out of an "occurrence" that took place before you have signed the contract or agreement with the vendor. (10)To any, person or organization included as an insured by another endorsement. issued by us and made part of this Coverage Part (11)Any insured person or organization, from whom you have acquired such products, or any Ingredient„ part or container„ entering into, accompanying or containing such products. POLICY PERIOD: 08/19/2021 TO: 08/19/2022 The most we will pay on behalf of the vendor for a covered claim is the lesser of the amount of insurance: 1. Required by the contract or agreement described in Paragraph a.; or 2. Available under the ap licable Limits of Insurance shown in the Declarations; This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 3. Alienated Premises SECTION II - LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage k. Damage to Property, paragraph (2) is replaced by the following: (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises and occurred from hazards that were known by you, or should have reasonably been known by you, at the time the property was transferred or abandoned. 4. Broad Form Property Damage - Borrowed Equipment, Customers Ooods, Use of Elevators a. The following is added to SECTION 11 - LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage, k.. Damage to Property: Paragraph (4) does not apply to "'property damage„` to borrowed equipment while at a jobsite and not being used to perform operations. Paragraph (3), (4) and (6) do not apply to "property damage" to "customers goods" while on your premises nor to the use of elevators. b. For the purposes of this endorsement, the followin definition is added to SECTION' II - LIABILIN F. Liability and Medical Expenses Definitions: 1. "Customers goods" means property of your customer on your premises for the purpose of being: a. Worked on; or b. Used in your manufacturing process. c. The insurance afforded under this provision is excess over any other valid and collectible property insurance (including deductible) available to the insured whether primary, excess, contingent or on any other basis. 5. Incidental Malpractice - Employed Nurses, EMT's and Paramedics d. With respect to the insurance afforded to SECTION II - LIABILITY, C. Who Is An Insured , these vendors, the following is added to paragraph 2.a.(1)(d) does not apply to a nurse, SECTION 11 - LIABILITY, D. Liability and Medical Expense Limits of Insurance: 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission„ Page 3 of 6 INSURED: KNN Public Finance LLC POLICY#: OHFD50198804 POLICY PERIOD: 08/19/2021 TO: 08/19/2022 emergency medical technician, or paramedic o. Recall of Products, Work or Impaired employed by you if you are not engagedin the Property is replaced by the following: business or occupation of providing medical, paramedical, surgical, dental, x-ray or nursing o. Recall of Products, Work or Impaired services. Property 6. Personal Injury - Broad Form a. SECTION II - LIABILITY, B. Exclusions, 2. Additional Exclusions Applicable only to "Personal and Advertising Injury", paragraph e. is deleted. b. SECTION 11 - LIABILITY, F. Liability and Medical Expenses Definitions, 14. "Personal and advertising injury", paragraph b.. is replaced by the following: b. Malicious prosecution or abuse of process. c. The following is added to SECTION If - LIABILITY, F. Liability and Medical Expenses Definitions, Definition 14. ""Personal and advertising injury": "Discrimination" (unless insurance thereof is prohibited by law) that results in injury to the feelings or reputation of a natural person, but only if such "discrimination" is: (1) Not done intentionally by or at the direction of: (a) The insured; (b) Any officer of the corporation, director, stockholder, partner or member of the insured; and (2) Not directly or indirectly related to an "employee"", not to the employment, prospective employment or termination of any person or persons by an insured. d. For purposes of this endorsement, the following definition is added to SECTION II - LIABILITY, F. Liability and Medical Expenses Definitions: 1. "Discrimination" means the unlawful treatment of individuals based upon race, color, ethnic origin, gender, religion, age, or sexual preference. "Discrimination" does not include the unlawful treatment of individuals based upon developmental, physical, cognitive, mental, sensory or emotional impairment or any combination of these. e. This coverage does not apply if liability coverage for "personal and advertising injury" rs excluded either by the provisions of the Coverage Form or any endorsement thereto. Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: (1) "Your product'; (2) "Your work"; or (3) "Impaired property"; If such product, work or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy, or dangerous condition in it, but this exclusion does not apply to "product recall expenses" that you incur for the "covered recall" of "your product". However, the exception to the exclusion does not apply to "product recall expenses" resulting from: (4) Failure of any products to accomplish their intended purpose; (5) Breach of warranties of fitness, quality, durability or performance; (6) Loss of customer approval, or any cost incurred to regain customer approval; (7) Redistribution or replacement of "your product" which has been recalled by like products or substitutes; (8) Caprice or whim of the insured; (9) A condition likely to cause loss of which any insured knew or had reason to know at the inception of this insurance; (10)Asbestos, including loss, damage or clean up resulting from asbestos or asbestos containing materials; or (11)Recall of "your products" that have no known or suspected defect solely because a known or suspected defect in another of "your products"" has been found.. b. The following is added to SECTION II - LIABILITY, C. Who Is An Insured, paragraph 3.b.: 7. Product Recall Expense "Product recall expense" arising out of any a. SECTION II - LIABILITY, B. Exclusions, 1. withdrawal or recall that occurred before you Applicable To Business Liability Coverage, acquired or formed the organization. 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 4 of 6 INSURED: KNN Public Finance LLC POLICY#: OHFD50198804 POLICY PERIOD: 08/19/2021 TO: 08/19/2022 c. The following is added to SECTION II - of a deductible amount, you shall LIABILITY', D. Liability and Medical Expenses promptly reimburse us for the part of the Limits of Insurance: deductible amount we paid. Product Recall Expense Limits of Insurance a. The Limits of Insurance shown in the SUMMARY OF COVERAGES of this endorsement and the rules stated below fix the most that we will pay under this Product Recall Expertise Coverage regardless of the number of: (1) Insureds; (2) "Covered Recalls" initiated; or (3) Number of "your products" withdrawn. b. The Product Recall Expense Aggregate Limit is the most that we will reimburse you for the sum of all "product recall expenses" incurred for all "covered recalls" initiated during the policy period. c. The Product Recall Each Occurrence Limit is the most we will pay in connection with any one defect or deficiency. d. All to product recall expenses'" in connection with substantially the same general harmful condition will be deemed to arise out of the same defect or deficiency and considered one "occurrence". e. Any amount reimbursed for "product recall expenses" in connection with any one "occurrence" will reduce the amount of the Product Recall Expense Aggregate Limit available for reimbursement of "product recall expenses" in connection with any other defect or deficiency. f. If the Product Recall Expense Aggregate Limit has been reduced b reimbursement of "product recall expenses" to an amount that is less than the Product Recall Expense Each Occurrence Limit, the remaining Aggregate Limit is the most that will be available for reimbursement of "product recall expenses' in connection with any other defect or deficiency, g. Product Recall Deductible We will only pay for the amount of product recall expenses" which are in excess of the $500 Product Recall Deductible. The Product Recall Deductible applies separately to each "covered recall". The limits of insurance will not be reduced by the amount of this deductible. We may, or will' it required by law" pay all or any part of any deductible amount, if applicable. Upon notice of our payment The Product Recall Expense Limits of Insurance apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the bening of the policy period shown in the Dgineciarations, unless the poll cy eriod is extended after issuance for an addiitional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding, period for the purposes of determining the Limits of Insurance.. d. The following is added to 'SECTION II - LIABILITY, E. Liability and Medical Expense General Conditions, 2. Duties in the Event of Occurrence, Offense, Claim or Suit: You must see to it that the following are done in the event of an actual or anticipated "covered recall" that may result in "product recall expense,": (1) Give us prompt notice of any discovery or notification that "your product" must be withdrawn or recalled.. Include a description of "your product" and the reason for the withdrawal or recall; (2) Cease any further release, shipment, consignment or any other method of distribution of like or similar products until it has been determined that all such products are free from defects that could be a cause of loss under this insurance. e. For the purposs of this endorsement, the following definitions are added to SECTION II - LIABILITY, F. Liability and Medical Expenses Definitions: 1. "Covered recall" means a recall made necessary because you or a government body has determined that a known or suspected defect, deficiency, inadequacy„ or dangerous condition in '.your product" has resulted or will result in "bodily injury" or ""property damage" 2. "Product recall expense(s)" means: a. Necessary and reasonable expenses for: (1) Communications, including radio or television announcements or printed advertisements including stationary, envelopes and postage; 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 5 of 6 INSURED: KNN Public Finance LLC POLICY#: OHFD50198804 POLICY PERIOD: 08/19/2021 TO: 08/19/2022 (2) Shipping the recalled products from any purchaser, distributor or user to the place or places designated by you; (3) Remuneration paid to your regular "employees" for necessary overtime; (4) Hiring additional persons, other than your regular "employees"; (5) Expenses incurred by "employees" 8. including transportation and accommodations; (6) Expenses to rent additional warehouse or storage space; (7) Disposal of "your product", but only to the extent that specific methods of destruction other than those employed for trash discarding or disposal are 9. required to avoid "bodily injury"" or "°property damage" as a result of such disposal, you incur exclusively for the purpose of recalling "'your product'; and b. Your lost profit resulting from such "covered recall". f. This Product Recall Expense Coverage does not apply: (1) If the :products - completed operations hazard"' is excluded from coverage under this Coverage Part including any endorsement thereto; or (2) To "product recall expense" arising out of any of "your products" that are otherwise excluded from coverage under this Coverage Part including endorsements thereto, Unintentional Failure to Disclose Hazards The following is added to SECTION II - LIASILITY, E. Liability and Medical Expenses General Conditions: Representations e will not disclaim coverage under this Coverage Part if you fail to disclose all hazards existing as of the inception date of the policy provided such failure is not intentional. Unintentional Failure to Notify The following is added to SECTION II - LIASILITY, E. Liability and Medical Expenses General Conditions, 2. Duties in the Event of Occurrence, Offense, Claim or Suit: Your rights afforded under this Coverage Part shall not be prejudiced if you fail to give us notice of an "occurrence", offense, claim or "suit" solely due to your reasonable and documented belief that the "bodily injury"" ""properly damage"'' or "personal and advertising injury" is not covered under this Policy. ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 6 of 6 40 DATE (MMIDONYYY) CERTIFICATE OF LIABILITY INSURANCE 06/14/2021 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(iies) 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 =OWTA_C� Doug Jones PHONE -4177 1AX 411, 951-4266 '411, 151 mvc-mv, ............. . .. . . . c/o Artex Risk Solutions, Inc. E-MAIL 8840 E. Chaparral Rd.; Suite 275 ADDRESS S D L. BS D Certificates@artex risk -com ... . . . . ...... . . . . . ....... . . . . ............ . ..... . ............... . . ..... Scottsdale, AZ 85250 IN URER(S) AFFORDING COVERAGE NAIC # . . .... . .......... ..... . ........... . . ... .. ... INSURER A: American Zurich Insurance ComDanv 40142 INSURED ' INSURER B: TriNet HR IV, LLC Labor Contractor, for co -employees of: KNN Public Finance, LLC One Park Place Suite 600 INSIUIRIER,C: Dublin, CA 94568 INSURER P11_ . ......................... INSURER, E: COVERAGES CERTIFICATE NUMBER:21NY605912196 REVISION 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, fF...... ---------- — ------ _POLf6_ft)(P- ' ' ' " 1 1-11,11111--- ___ 1111111111111-111 ............ sv. ..... . . ...................... . . ............................. ......... . . . ............... — ... ........ ... 74661�NOA LTR TYPEOFINSURANCE !O—LICYN.UMBERLINpTS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I's CLAIMS MADE OCCUR (.WSE .......... . - ___ I S ...... --- — -- ....... ... GEN'L AGGREGATE LIMIT APPLIES PER POLICY DLICY Ppg JECT r LOG OCHER AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED ....... .. . J AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPCIOPRIETOR/PART I'BER/EXFrUrIVE -O' A OFFICE-R/MEEN ? MBEREXCLU D NIA (Mandatory in NH) 11 vas. describe under MED EXP fhiy one pcimri PERSONAL & ADV INJURY GENERAL Arc" GREGA7E I , - - -- 1 11 .111111_1_1M ...... .. ............ PRODUCTS - COMP/OP AGO --- I I I .... 111111 ------------ 5 JE................ BODILY INJURY (Per Person) $ BODILY INJURY (Per acciderfl) rir0pantYDAMAdE . .......... EACH OCCURRENCE AGGREGATE i Is X , "" P!i sTA;TE UT , E WC 16-62-791-06 07/01/2021 07/0112022 ......... . . . . E.L. DISEASE - EA EMPI-0YEE E I_ DISFASE, POLICY LIMIT S Location Coverage Period: 107/01/2021 07/01/20221 Client# 9FYK-CA DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) coverage is provided for KNN Public Finance, LLC 2054 University Avenue Suite 300 01, but not subcontractors Berkeley, CA 94704 to: CERTIFICATE HOLDER City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attention: Joseph LINO ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are reciistered marks of ACORD 2'of2 0712 WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA WC 04 03 06 (Ed. 4-84) 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 per- form 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 $0 of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization .lob Description IN FAVOR OF: Waiver of subrogation is granted to City of El Segundo where required City of El Segundo by written contract. 350 Main Street Attention: Joseph Lillio El Segundo, CA 90245 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 preparation of the policy.) Endorsement Effective: 07/31/2020 Policy No: WC 16.62-791-05 Endorsement No: Insured: TriNet HR IV, LLC Labor Contractor, for co -employees of: KNN Public Finance, LLC 909 Third Ave FI 10 Insurance Company: American Zurich Insurance Company Countersigned by WC 04 03 06 Copyright 1983 National Council on Compensation Insurance