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PROOF OF INSURANCE (2022) CLOSED0 ACC?R" CERTIFICATE OF LIABILITY INSURANCE 04/06DATE MM,120DDIYYYY) 22 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 CAMONTACT Kimberley Kenealy, CIC N Lowe-Tillson Insurance & Assoc. PHONE (301) 258-7773 PAX (301) 258-5111 A/C, No. Eat): 2403 Research Boulevard ADDRESS: kkenealy@lowetillson.com ............. Suite 350 INSURER(S) AFFORDING COVERAGE NAIC# Rockville MID 20850-3778 INSURER A: Hartford Underwriters Ins Co 30104 ...... .......... . ..... . ...... _ .................... . . .. INSURED INSURER B: Nutmeg Insurance Company 39608 Progressive Technology Federal Systems: Inc, INSURER C: Philadelphia Indemnity Insurance 18058 ......................... 1801 Research Blvd Ste 310 INSURER D: . . . . . . . . . . . . . ......................... INSURER E ....... . . . . . . . . . . . . . . . ............ . ...... Rockville MID 20850-3184 INSURER F COVERAGES CERTIFICATE NUMBER: 2021-2022 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. NOTVIATHSTANDING 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, ;R . . .. . .. ..................... . ..... AMCY EFF POLICY EXP .............. f!_[X] INSO VIVO LIMITS TYPE OF INSURANCE POLICY NUMBER (MM1qRffYYY ..... . ................... .... J_ J.M ME= COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 CLAIM DAMAGE1b_P5RTrr.Y__— S-MADE OCCUR occurrence [9 1 1 PREMISES (Ea orcur, 1,0600 A GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC OTHER AUTOMOBILE LIABILITY ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED _Ix AUTOS ONLY RX ATOS ONLY Y 1 142SBAAH3FBV 42SBAAH3FBV UMBRELLA LIAB I X1 OCCUR A EXCESS LIAB =L__.S_2ADE 42SBAAH3FBV DED I X1 RETENTION S 10,OD0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N B ANY PROP RI ETORIPARTNER/EXECUTIVE NIA 42WECAH3FFN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below ........... .... . . ......... . ..... . ......... . ...... C � Professional Liability PHPK2333361 NED EXP (Any one person) S 10,000 10/02/2021 10/02/2022 Pl:::RSONAI.. & ADV INJURY s 1,000,000 GENERAL AGGREGATE s 2,000 000 PRODUCTS - COMPIOP AGO .. . . . . . . . . . . . . . . . ....................... S 2,000,000 C=0NED SINUR.E LWIT .................... . . . . . . . . . . . . . . ..... s 1,000.000 Ea ast dsn BODILY INJURY (Per person) s 10/02/2021 10102/2022 ........ .. BODILY INJURY (Per accident) S RR&FICIPTY DAMAGE We, aecderf) .... ..................... IEACH OCCURRENCE S 3,000,000 10/02/2021 10/02/2022 I AGGREGATE .. . ................ S 3,000,000 — — PER 6TH - — ------- - -- — STATUTE ER 10/02/2021 10/02/2022 1,000,000 EA.1IS1ASE-EABAP- YE� l2 1000,000 ............. E1 DISEASE- POLICY LIMIT S 1-000-000 ....... .......................... Policy Aggregate 10,060,066 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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. 111 W. Mariposa Avenue AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD