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PROOF OF INSURANCE (2022) CLOSEDDATE (MM/DDIYYYY) AC40RV CERTIFICATE OF LIABILITY INSURANCE 11 /3/2021 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 endorsement(s). PRODUCER._ CONTACT ....... NAV.EW Wallace Welch & Willingham, Inc. PHONE 727""" F 300 1st Ave. So., 5th Floor 0VC N'Q",Ex , -522 7777 tAi r11 7 �7-5 19 .202 EDPRE aces w 3ins cOm ---.. ,INSURER erIIfC, INSURERLSIAFFORDINGCOVERAGE w � NAIC# Saint Petersburg A1�IaRE� ...� -------- ... A Great Northern Ins. Co. } 20303 INSURER B: INSURED REDVCOM-01 al InsurancePay ' LLC INSURERC ACE Americanlns Co 22667 (See Named Insureds listed below) Suite 00 wsuRER E Kennedy Blvd , Vigilant Insurance Company 20. S -. Tampa FL 33609 INSURER RF: fIAVCDA1,11CC it C=PTICII`"AT= MI IMRFR•I FVItSIr"3N rJ1IMRFR- 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. ............... -... �.. ...........� .......,.q--- INSR AEIDL SUER POLICY"EFF POLICY EXP TYPE OF IN POLICY NUMBER MM/ RAID LIMITS L R DVYYYY' A GENERAL COMMERCIALCLAIMS-MADE Y 36051315 11/1/2021 11/1/2022 EACH OCCURRENCE LAIMS-MADEXOCCUR $1 000 000 .. ... -LIABILITY AT p 0' 000 ERSONAL& ADV INJURY $ 1 ,000,000 AGGREGATE $ 2 000 000 GEN LAGGRE PRO OPER: POLICY ATE LIMIT APPLIES P JECT X PRODUCTS COMP/OPAGG $ 2,000.000 OTHER, $ A AUTOMOBILELIABILITY 73606230 11/1/2021 11/1/2022 COMBINED SINGLE LIMIT tE g.aooi denD. .. $ 1,000,000 ......,. .... .. ANY AUTO INJURY (Per person) $ OWNED SCHEDULED .BODILY BODILY INJURY (Per accident) m___. —_— $ AUTOS ONLY -.-... AUTOS X HIRED X NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY ..._ AUTOS ONLY I ( i $ B X �--- UMBRELLALIAB X OCCUR 78188424 11/1/2021 11/1/2022 EACH OGGU RRENCE $10000,000.. EXCESS LIAB CLAIMS -MADE'.., AGGREGATE g 10 000,000 D E D ( RETENTION $ $ D WORKERS COMPENSATION 71754615 11/1/2021 11/1/2022 X PER OTH t STATUTE '... ER AND EMPL L Y/N .-. ANYPROPRIETOR/PARTNER/EXECUTIVE N CCIDENT EEA $ 1 000 ""' OFFICER/MEMBER EXCLUDED? ( ry )00 Mandato in NH N / A E.L.LDISEASE r EMPLOYEE " $ 1.000 000 _ ,,, If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000.000 C Professional E&O and D95676960 11/1/2021 11/1/2022 Per Claim/Agg 5,000,000/5.000000 C CyberLiability D95676960 11/1/2021 11/1/2022 Per Claim/Agg 5,000,000/5,000000 Cyber Retention 100,000 DESCRAddtilPTION OF OPERATIONS I LOCATIONS f VEHICLES �ACORO 101, Additional Ramat" Schoduto, may be �PaL aI" r"'�garl�d'p to � lions Learning, LLC; Scenario Learning, LLC; Clearlaond Technologies onal Named Insureds: SimplyDig com lno, Convergence, Training LLC,, Tar e.tSolutions rni Inc.; Essentials LLC; ICGIP, LLC; CreWSense, LLC; Halligan, Inc..; TSL Inc,; NFORMD.NET LLC„ Scenario Learning Canada ULC; TargetSolutions, �yaslon International Holdnggs, lnc.; 116i8940B,C Ltd.; Medteq Solutions CA Ltd; Callback Staffing Solutions, LLC dba CreWsense; Livesafe, Inc. Industrysafe, LLC; LLC; Guardian Tracking, LLC; CareSafely, Inc Industrysafe IP, LI_C; DiversittyEdu LLC; CPN Holdings„ LLC; ETH Midco, LLC; Envisage Technologies, Professional E&O Retroactive Date: 10/19/2011 See Attached... CERTIFICATE CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 314 Main Street El Segundo, CA 90245 AUTHORIZE D REPRESENTATIVE Attn: Chief Christopher Donovan ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: REDVCOM-01 LOC #: AC"RE) ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Wallace Welch & Willingham, Inc. RedVector.com, LLC .......... - (See Named Insureds listed below) POLICY NUMBER 4890 W. Kennedy Blvd Suite 300 ............... Tampa FL 33609 CARRIER NAIC CODE I EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE. CERTIFICATE OF LIABILITY INSURANCE ................ . .. . . ................. . . . . . . . . . . . . . . . ...... . . .......... The City of EiSegundo, its officials and employees are additional insured on a primary and non-contributory basis with respect to General Liability if required by written contract subject to terms, conditions, and exclusions of the policy. The General Liability policy includes 30 days' notice of cancellation will be furnished to the Certificate Holder, except for nonpayment of premium, in which case ten days of notice will be given. ACORD 101 (2008/01) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD C HU B® Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured Name of Company This Endorsement applies to the following forms: GENERAL LIABILITY Who Is An Insured Additional Insured - Scheduled Person Or Organization 11/1/2021 to 11/1/2022 11 /1 /2021 3605-13-15 TPA REDVECTOR.COM LLC GREAT NORTHERN INSURANCE COMPANY Under Who Is An Insured, the following provision is added Persons or organizations shown in the Schedule are bmreds; but they are insureds only if you are obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by this policy. However, the person or organization is an ims wed only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part. before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contractor agreement. Liability Insurance AddMonal Insured - Schedulod Person Or Organization continued Form 80-02-2367 (Rev_ 5-07) Endowment page 1 r-Huss° Liability Endorsement {continued} Under Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance — If you are obligated pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement. to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative Liability Insurance AddXwW Insured - Scheduled Person Or Organization Form 80-02-2367 (Rev. 5-07) Endorsement lastpage Page 2