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PROOF OF INSURANCE (2022) CLOSED
ACOCERTIFICATE OF LIABILITY INSURANCE Ill DA/12/DD/YYYY)2021 1112/R" 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 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 Valent Group, LLC 3500 Blue Lake Drive, Ste. 120 Birmingham AL 35243 NAME: Linda Fetherol£ A/C NNo Ext: (205)262-2655 A/C, NO: (205)262-2701 ADDRESS, Ilfetherolf@valentgroup.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Travelers Property & Casualty 25674 AXV INSURED EBSCO Industries, Inc. 5724 Hwy 280 E Birmingham AL 35242 INSURER B : Travelers Indemnity Company 25658 AXV INSURER C: Travelers Property & Casualty 25674 AXV INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:2021-22 EBSCO Master 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 MAYBE 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDNYYY MM/DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DA RENTED PREMI SES Ea occurrence AGE To PRE MISES $ 100,000 A CLAIMS -MADE FOOCCUR X X C2JGLSA-9D909462-21 0/15/2021 0/15/2022 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 X Blkt Addt'1 Insured X Blkt Waiver of Subro GENERAL AGGREGATE $ 2,000,000 ontractual Liability GEMLAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PROECT LOC J $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED X X C2JCAP-9D909474-21 0/15/2021 0/15/2022 AUTOS AUTOS X PROPERTY DAMAGE $ NON -OWNED NX Hired Physical Damage HIRED AUTOSAUTOS Per accident X $ Blkt Addtl Ins. Waiver Sub. Limit $100,000/Ded. $25k A X UMBRELLA LAB X OCCUR X X UP-7S137226-21-14F 0/15/2021 0/15/2022 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 EXCESS LAB CLAIMS -MADE DED X RETENTION $ 10,000 $ B WORKERS COMPENSATION Xtro (AZ/FL/MA/NE/OR/WI) X WC STATU- OTH- TORY LIMITS ER AND EMPLOYERS' LIABILITY E. L. EACH ACCIDENT $ 1,000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE B-9K299627-21-51-K 0/15/2021 0/15/2022 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A B-1L339839-21-51-K A/O/S 0/15/2021 0/15/2022 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below WXJUB-9D9ll955-21/AL 0/15/2021 0/15/2022 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Property TJ-CMB-1F64421-8-21 0/15/2021 0/15/2022 $100,000,000 Ded $250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Named Insured Includes: EBSCO Information Services CERTIFICATE HOLDER CANCELLATION dmoser@elsegundo.org 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 St. AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 I Linda Fetherolf/LLFr:(r�li ACORD 25 (2010/05) INS025 (201005).01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD