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PROOF OF INSURANCE (2022) CLOSED1-1014411111 0 ACDATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE Cw" illlNw� 1, 5/25/2021 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 en,dorsement(s). PRODUCER CONTACT Co T M NA Audre Woodruff Sawyer NAME Curtis PHONE P 2 Park Plaza, Suite 500 Nq xq_949.435.7345 NIAL . .. ........ . .... 18... FNAIL Irvine CA 92614 acurtisiawnnrindfqnvAiPr r.nnn _'i _NAIC# ........ INSURER A: National Fire Insurance CoMiAn 20478 . . . ...... . — — - --------- ' y 2f Hanrd INSURED HDLCOMP-01 INSURER 13: Continental Insurance Compan 35289 Hinderliter de Llamas & Associates . . ..... ... HdL Software, LLC. INSURER C; Continental Casualty _q�m any_ mmm mm 20443 120 S St ate2College Blvd., Suite 200 INSURER D: Lloyds of London Brea CA 9821 INSURER E: Federal Insurance Company s 20281 L INSURER F: Valley Forge Insurance Company 20508 COVFRAr.F.q r`1=PTIF:IrAT= KI1IUIZI=0- 1r:rZZ70110q MI= 11+1^kl KIN 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. ..... ... ..... P6 0 0 0 LTR TYPE OF INSURANCE PV0 I Y EFF 'PU171di"Ek'P )&M: POUCYNUMBER (MMIDDIYYYY) (MMIDDfYYYY) LIMITS F X 1 COMMERCIAL GENERAL LIABILITY Y 6056953483 5/26/2021 5/26/2022 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR nJ PRERutISEa c vymt) $1,000,000 MED EX(An one person) $15,000�.. PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I AGGREGATE s2,000,000 PRO- F I POLICY F LOC JECT ,GENERAL PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY T ANY AUTO 6056953466 512612021 512612022 COMBINED SINGLE LIMIT '_LE_30Aiqff0 _.. BODILY INJURY (Per person) $1,000,000 - $ OWNED SCHEDULED A X. AUTOS ONLY IT HIRED I x NON -OWNED BODILY INJURY (Per accident) PROPERTYDAM ..... ...... . . $ AUTOS ONLY AUTOS ONLY s B X UMBRELLA LIAB X OCCUR 6056953502 1 5/26/2021 5/26/2022 EACH OCCURRENCE $5,000,0010 EXCESS LIAB L I CLAIMS -MADE _-7 . .. . ...... - "np� AGGREGATE S 5=0000 DED RETENTION in - ........... . . .. 111-111111 $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 6056953497 5/26/2021 5/26/2022 X � PER OTH_ Luk YIN 1 6056677063 5/26/20215/26/2022 — " STATUTE . __ ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA EL. EACH ACCIDENT , $1,000,000 (Mandatory in NH) � E.L, DISEASE - EA EMPLOYEE $ 1,000.000 If yes, describe under - -------- --------- - - - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional Liability/Claim Made MPL1007921 5/26/2021 5/26/2022 Each Claim/Aggregate $2,000,000 C E Cyber I. fability Crime 6078657761 5/26/2021 I 5/26/2022 Cyber Limit $2,000,000 82556901 5/2612021 5/2612022 Crime Limit $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of El Segundo, its officials, and employees are included as additonal insured as repects to the General Liability per attached forms, City of EI Segundo, its officials, and employees 350 Main Street El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CNA Paramount Additional Insured - Designated Person or Organization Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ............._._......_........ SCHEDULE ..__ .._........._..._._._......................................�..._....�...._.........._................._._�.._.�. Name Of Additional Insured Person Or Organization: City of El Segundo, its officials, and employees 350 Main Street _............. ...._... _.. ....... _ _ ..... El Segundo, CA 90245 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. It is understood and agreed that the section entitled WHO IS AN INSURED is amended with the addition of the following: A. The person or organization shown in the Schedule is an Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused in whole or in part, by: the Named Insured's acts or omissions, or the acts or omissions of those acting on the Named Insured's behalf: 1. in the performance of the Named Insured's ongoing operations; or 2. in connection with premises owned by or rented to the Named Insured. B. However, if coverage for the additional insured is required by written contract or written agreement, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: 1. coverage broader than required by such contract or agreement; or 2. a higher limit of insurance than required by such contract or agreement. C. The coverage granted by this endorsement does not apply to bodily injury or property damage included within the products -completed operations hazard. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged.. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA74745XX (1-15) Pagel of 1 PoIUWCompany - CNA Paramount Insured Name: HdL Companies Copyright CNA All Rights Reserved. Policy No: 6056953483 Endorsement No: TBD Effective Date: 5/25/2021 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA Paramount Changes - Notice of Cancellation or Material Restriction Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART EMPLOYEE BENEFITS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART STOP GAP LIABILITY COVERAGE PART TECHNOLOGY ERRORS AND OMISSIONS LIABILITY COVERAGE PART SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY — NEW YORK DEPARTMENT OF TRANSPORTATION SCHEDULE Number of days notice (other than for nonpayment of premium): 30 Days —...... ....... .-...... —._ ...... Number of days notice for nonpayment of premium: 10 Days �.... ...—..—...— ........... ._. _._ Name of person or organization to whom notice will be sent: City of El Segundo, its officials, and employees Address: 350 Main Street El Segundo, CA 90245 If no entry appears above, the number of days notice for nonpayment of premium will be 10 days, It is understood and agreed that in the event of cancellation or any material restrictions in coverage during the policy period, the Insurer also agrees to mail prior written notice of cancellation or material restriction to the person or organization listed in the above Schedule. Such notice will be sent prior to such cancellation in the manner prescribed in the above Schedule. All other terms and conditions of the Policy remain unchanged, .......... ...�..._.............. ............ _....... This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA74702XX (1-15) Page 1 of 1 CNA Insured Name: HDL Companies Policy NO: 6056953483 Endorsement No: TBD Effective Date: 5/25/2021 Copyright CNA All Rights Reserved.