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PROOF OF INSURANCE (2022 - 2023) CLOSEDpage 2 of 11 Client#: 1252713 305STRADYOC DATE (MM/DD/YYYY) ACORDT. CERTIFICATE OF LIABILITY INSURANCE o4/2s/2o22 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. e holder an ADDITIONALhNSURED, the olicy(ies) must haveADDITIONAL INSURED provisions or be IMPORTANT: If the certificat mm p 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 NAOMNIPOT ng McGriff Insurance Services PHONE„ Kimberly714928 �..... mm 1 ) XXXX 7 mm^ A/c No 'n1C 2 877 29 7-9247 130 Theo Suite 200 i,5 i Igriff com Irvine, CA 92617 rpRw s 714 INSURER(S)m.. A+ ...... _ ..._..... .. Theory kelfrj'n AIC # i714 941-2800 INSURER Vigilant Insurance m an.NGCOVERAGE �2039 —. A: 9 Company 7 INSURED ........-_ --... ..... ..................---- INSURERB. Federal Insurance Company ....... .w.. '20281mmmmmm Stradling Yocca Carlson & Rauth APC INSURER c. 660 Newport Center Drive, Suite #1600 INSURER D Newport Beach, CA 92660 INSURER E s INSURER F : 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. .,. k�k�51,�.. - __ . _....--- Ada................ AOt1Br1 .... ... FrOLNCY EF. POi.i�Y EXP p POLICY. NUMBER Wk9d'VDh'�iY`:"'Y,'V MIkVD,PfI1XYY,)„ ...... LIMITS LiF1 ...,.,. TYPE OF INSURANCE INSR WV. ------ .. ... ,. I. ( ...,,.,..... ..... -... ... COMMERCIAL GENERAL LIABILITY ENCE $1�000000. A _ X 35327003 5/O1/2022 O5/O1/2023 EACHOCCURRENCE CLAIMS -MADE [X OCCUR Fkl5 a�cf,) _s1_f000,000 MED EXP (An one person) $10 000 _ P .... _..................$1/OOOr000 ERSONAL & ADV INJURY �.�EN'LAGGREGATELIMI�......... .... ,... ., G LIMIT APPLIES GENERAL AGGREGATE $2,t000t000 w LOC AGG $INCLUDED — PRODUCTS-COMPIOP OTHER: .... .... .......... __,. --- ..... ...... ..................._. ..,, ..._. ._, . . ._... B ,COMBINED SINGLE LIMIT AuronnoBlLELw 74988851 5/01/2022 05/01/2023 1,000,000 _. ANY AUTO BODILY adINJ _.,........�.,,-. ... .,... INJURY (Per person) .................... OWNED SCHEDULED i $ AUTOS ONLY NAOS UT PROPERTY DAMAGE ,Ent ) .... (Per acc ,. HIRED ON -OWNED $ X AUTOS ONLY X_ AUTOS ONLY (P,er accident) . .. ... . I X OCCUR 79726620 5/01/2022 05/01 _ B UMBRELLA LIAB AGGREGATE $27, 0,000 EACH OCCURRENCE $27 OQ EXCESS LIAB/2023 E G OQO,�QOO X .............w. A DEU RETENTION $ ---- ................... X.... ,.,._ STA. ''....ELA..... $.............. CLAIMS -MADE pp AND EMPLOYERS'S COM EN �/ N.. 71700994 1/03/2021 11/03/202 X PER � oTH OF.. ,..,� ',..,...,,..,,,an.-._ _ _.._... WORKERS COMPENSATION A LIABILITY . ' YCERWEMBERFF'XCLUDEEXECU�T9VE E.L. EACH ACCIDENT $1 f%OO�OQO FICER/MEMBEREXCLUDLDT N/A ' . SE ... ,OOOr000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE. $1 IF yes, describe under DESCRIPTION OF OPERATIONS below,,.. .........,_.. ....„ .. .... 000000 E.L. DISEASE - POLICY LIMIT $1 a.. .. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) Certificate holder is included as Additional Insured including Primary/Noncontributory wording with respects to General Liability as required by written contract, per form attached. Waiver of Subrogation applies to Workers Compensation per form attached. 60 Day Notice of Cancellation/Nonrenewal (20 Day in the event of non-payment) applies per form attached. (See Attached Descriptions) FICATE HOLDER CI of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Administrative Technical Specialist ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD 185 #S29946984/M29946977 KSELF AGITTA 25.3 (2016/03) 2 of 2 #S29946984/M29946977 186 S page 3 of 11 page 4 of 11 Liability Insurance Endorsement Policy Period 05/01 /2022 Effective Date Policy Number 35327003 Insured Stradling Yocca Carlson & Rauth APC 05/01 /2023 Name of Company VIGILANT INSURANCE COMPANY Date Issued r This Endorsement applies to the following forms: GENERAL LIABILITY Under Who Is An Insured, the following provision is added. Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds: but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in die Schedule; • to die extent such contract or agreement requires die person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before die 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). Liability Insurance Additional Insured - Scheduled Person Or Organization continued Form 80-02-2367 (Rev. 5-07) Endorsement Page t 187 0 page 5 of 11 Who Is An Insured Additional Insured - with respect to any assumption of liability (of another person or organization) by them in a Scheduled Person contract pr agreement. This limitation does not apply to the liability for damages, loss, cost or Or Organization expense for injury or damage, to which this insurance applies, that the person or organization (continued) would have in the absence of such contract or agreement. 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 die 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 availableto 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 I.i bRit'y Insurance Additional Insured - Scheduled Person OrOrgmUzation last page Form 80-02-2367 (Rev. 5-07) Endorsement Page 2 188 page 6 of 11 Stradling Yocca Carlson & Rauth APC 35327003 Conditions Duties In The Event Of F. Knowledge of an occurrence or offense by an agent or employee of the insured will not Occurrence, Offense, constitute knowledge by the insured, unless an officer (whether or not an employee) of any Clain? Or Suit insured or an officerk designee knows about such occurrence or offense. (continued) G. Failure of an agent or employee of the insured, other than an officer (whether or not an employee) of any insured or an officer§ designee, to notify us of an occurrence or offense that such person knows about will not affect the insurance afforded to you. H. If a claim or loss does not reasonably appear to involve this insurance, but it later develops into a claim or loss to which this insurance applies, the failure to report it to us will not violate this condition, provided the insured gives us immediate notice as soon as the insured is aware that this insurance may apply to such claim or loss. Legal Action Against Us No person or organisation has a right under this insurance to: join us as a party or otherwise bang us into a suit seeking darnages frotru an insured; or sue us on this insurance unless all of the term-, and conditions of this insurance have been fully complied with. A person or organization may sue its to recover on an agreed settlement or on a finaIjudgment against an insured obtained after an actual: trial in a civil proceeding or arbitration or other alternative dispute resolittion proceeding; but we wRl not be liable for damages that are not payable under the terms a . d conditions of this insur-ance or that are in excess of the applicable Limits its Of Insurance. Other Insurance If other valid and collectible insurance is available to the insured for loss we would otherwise cover under this insurance, our obligations are limited as follows. Primary Insurance This insurance is primary except when the Excess Insurance provision described below applies. If this insurance is primary, our obligations are not affected unless any of the other insrurnce is also primary. Then, we will share with all that other insurance by the method described in the Method of Sharing provision described below. Excess Insurance This insurance is excess over any other insurance, whether primary, excess, contingent or on any other basis: A. that is Fire, Extended Coverage, Buildetl Risk, Installation Risk or similar insurance for your work; B. that is insurance that applies to property damage to premises rented to you or temporarily occupied by you with permission of the owner, C. if the loss arises out of aircraft, autos or watercraft (to the extent not subj ect to the Aircraft, Autos Or Watercraft exclusion); Liability Insurance Form 80-02-2000 (Rev. 4-01) Contract Page 22 of 32 189 0 page 7 of 11 Conditions Other Insurance (continued) Premium Audit Separation Of Insureds Liability Insurance Font 80-02-2000 (Rev. 4-01) General Liability D. that is insurance: provided to you by any person or organization wonting under contract or agreement for you; or tnderwhich you are included as an insured; or E. that is insurance under any Property section of this policy. When this insurance is excess, we will have no duty to defend the insured against any suit if any other insurer has a duty to defend such ins tired against such suit. If no other insurer defends, we will undertake to do so, but we will be entitled to the insuredk tights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of loss, if any, that exceeds the stun of the total: • amount that all other insurance would pay for loss in the absence of this insurance; and of all deductible and self -insured amounts under all other insuuance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not negotiated specifically to apply in excess of the Limits of hisuuance shown in the Declarations of this insurance. Method of Sharing If all of the other insurance pen -nits contribution by equal shares, we will follow this method also. Under this method each insurer contributes equal amounts until it has paid its applicable limits of insurance or none of the loss retrains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurert share is based on the ratio of its applicable limits of insurance to the total applicable limits of insurance of all insurers. We will compute all premiums for this insurance in accordance with our rules and rates. In accordance with the Estimated Premiums section of the Premium Summary, premiums shown with an asterisk (*) are estimated premiums and are subj ect to audit. In addition to or in lieu of such designation in the Premium Summary, prermiuuns may be designated as estimated premiums elsewhere in this policy. In that case, these premiums; will also be subject to audit, and the second palagraph of the Estimated Prettvtuns section of the Premium Summary will apply. Except with respect to the Limits of Issuance, and any tights or duties specifically assigned in this insurance to the first named insured, this insurance applies: Contract as if each named insured were the only named insured; and separately to each insured against whom claim is made or suit is brought. Page 23 of 32 190 0 page 8 of 11 Stradling Yocca Carlson & Rauth APC 35327003 CHUBB` Conditions Audit Of Books And Records Common Policy Conditions Contract The following Conditions are included under each part of the policy, unless stated otherwise. We may audit your books and records as they relate to this insurance at any time during the term of this policy and up to three years afterwards. i.. =, :.: ... ., .flk ., ;oY..Y M.. .... .... . I .. rs. .; .oh.,....M .. n^�i.. ",1 ;:: �.�....:.�,+... ..^,', .. .....gin.. .. >�..... .....;. "w ^�X 4G �"i1tli5^�?h1 Vd �G ..�e.�✓.v" G. ..:.. . �.V. A��. ,r..�1 .....r�.. Cancellation The first named insured may cancel this policy or any of its individual coverages at any time by sending us a written request or by returning the policy and staling when thereafter cancellation is to take effect. We may cancel this policy or any of its individual coverages at any time by sending to the first named insured a notice 60 days (20 days in the event of non-payment of premium) in advance of the cancellation date. Our notice of cancellation will be mailed to the first named insured's last known address, and will indicate the date on which coverage is terminated. If notice of cancellation is mailed, proof of mailing will be sufficient proof of notice. The earned premium will be computed on a pro rata basis. Any unearned premium will be returned as soon as practicable. �� .^^ „ ,,�:*'. ,,; . , . , � ..., ..r ..•,,,. ,,...,,,: ,. ,� ,�4 : :. �: ,,:.._ .r ,: +„ �,.:. . . ��. o:ra„rrs.�;���.;,..x ..~s�. �r,��� . a.> ,,.,,:,. ^G�a, ;��:t�s xra�a'a. Changes This policy can only be changed by a written endorsement that becomes part of this policy. The endorsement must be signed by one of our authorized representatives. Compliance By Insureds We have no duty to provide coverage under this policy unless you and any other involved insured have fully complied with all of the terms and conditions of the policy. e � „�. , ., Y' k x., .. C :. , r .i;1 + ., M, �`.. .....�". ... .. ..... ...E .� ^;:', . .,...t!i":� Y.. :,'�.";t , ; .e..M1 ,,, ,�✓ ,a, .. � o. ;,. n;� � ,..:'*4r3.. . ,�. ,.. '"k .eM ,. Compliance With This insurance does not apply to the extent that trade or economic sanctions or other laws or Applicable Trade regulations prohibit us from providing insurance. Sanctions Conformance Ar-y terms of this insurance which are in conflict with the applicable statutes of the State in which this policy is issued are amended to conform to such statutes. ............ ;-:.,,. r:.; ,r ,. a. .an 's,•, � ,✓ +,.. ., �.,,�. y>"�+ ,.y� .., . ,. ,�.r..rt "51'rn",' "�.,rr,r; ,,.;:"< �;c>:-r,r,.r�)f,,. First Named Insured The person or organization first named in the Declarations is primarily responsible for payment of all premiums. The first named insured will act on behalf of all other named insureds for the giving and receiving of notice of cancellation or nonrenewal and the receiving of any return premiums that become payable under this policy. Inspections And Surveys w y e may: Common Policy Conditions make inspections and surveys at any time; give you reports on the conditions we find; and recommend changes. 80-02-9090 (Rev. 6-05) Contract Page 102 page 9 of 11 Conditions Inspections And Surveys Any inspections, surveys, reports or recommendations relate only to insurability and the premiums (continued) to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: are safe or healthful; or comply with laws, regulations, codes or standards. This condition applies not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations for us. Titles Of Paragraphs The titles of the various paragraphs of this policy and endorsements, if any, attached to this policy are inserted solely for convenience or reference and are not to be deemed in any way to limit or affect the provisions to which they relate. I,, VM ., uties under this insurance may not be transferred without our written n Transfer Of Rights And Your rights and d y en consent. Duties However, if you die, then your rights and duties will be transferred to your legal representative, but only while acting within the scope of duties as your legal representative, or to anyone having temporary custody of your property until your legal representative has been appointed. ., ., ,.. ,: �e J, ... ...: ;:,., ..... �'. ::., .. ... '.. .,.., .,a -'✓rn .... .>,r l�. ��..gixe..d .... ...... .. .n^. .w G.; .... ...... ... ,m.. r: �J .... .. When We Do Not Rene w If we decide not to renew this policy, we will mail or deliver to the first named insured's last known address, written notice of the nonrenewal not less than 60 days before the expiration date. If notice of nonrenewal is mailed, proof of mailing will be sufficient proof of notice. Common Policy Conditions Form 80-02-9090 (Rev. 6-05) Contract Page 2 of 2 192 4 . page 10 of 11 Workers' Compensation and Employers' Liability Policy .. ............ ................... .... Named Insured Endorsement Number Stradling Yocca Carlson & Rauth APC •••••••—...••••• Policy Number _Symbol_ Number: 71700994 Policy Period Effective Date of Endorsement 11 /03/2021 TO 11 /03/2022 Issued Insurance Com r n un ..•• Insert tth ( I!o ...n�^mttler, rtroe rear s6nder o) _� y dorse .en he ali smile Name of Insurance Com an f the information i5 to be o rx� Meted ont wtl�eaa Ih"s endnrsemerat s Is. ...___µ. _. _.�� _Y _ uad sr�b�egi�entl to the pr�a Etticrn of the olio CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. (❑) Specific Waiver Name of person or organization Any person or organization where you are required pursuant to a written contract or agreement to waive rights of subrogation against such person or organization. (0) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver„ 2. Operations: 3. Premium: The premium charge for this endorsement shall be 1 % percent of the premium developed on payroll in W connection with work performed for the above person(s)or organization(s) arising out of the operations described.. 4. Advance Premium, WC 90 03 75 (05/18) Authorized Representative 193 w page 11 of 11 This page has been left blank intentionally. 194