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PROOF OF INSURANCE (2022) CLOSEDCC)R& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNMI st E 6/22/2022 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(les) 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 thls certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NFP Corporate Services (SE), Inc. 1901 RoXbofough Rd, Ste 300 Charlotte NC 28211 AME: Mitzi Mines PHONE FAX fAIC. No.. 704-385-7236 Arc N� 704-973-9501 _ DDRE , „ mitzi.hines 'nf g.Oom ADDRESS- INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Phoenix Insurance Coma 25623 INSURED BAKEB.TA-01 Barer �w Taylor qui and 1Holding Libraries andILimited BTAC �Nretiterl Acquisition Holding Company and Its Direct and Indirect Subsidiaries; INSURER B : Charter Oak Fire Insurance Com an 25615 INSURER C: Travelers Pro a Casua Company of America INSURER D: Great American Alliance Insurance Company 25674 26832 2810 Coliseum Center Drive, Suite 300 Charlotte NC 28217 INSURERE: Federal Insurance Company 20281 INSURERF: 6: ie1 +tfz1 :4, iildlror-Af;AL,IIlXI:I .. z r A r 0, a L J ': 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. INSR T TYPE OF INSURANCE AOOL1fU R POLICYNUMBER POLICY EFF M D'.. POLICY UP MMIDDFYYYY. LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y-63MS587628-PHX-21 11/2(2021 11/2/2022 ' EACHOCCURRENCE S1,000,D00 PREMISES . ce 9MMnce $1,000,000 CLAIMS -MADE 1�1OCCUR MED EXP LAny one eraw) $10 000 PERSONAL &ADV INJURY $10O0,o00 GEN1. AGGREGATE LIMIT AP POLICY PLIES PER: �'JEC ..... I� LOC GENER4LAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG S 2 000 000 OTHER" Employee seaefft 31,000,GOO B AUTOMOBILE LIABILITY BA-0S58694A-21-14-G 1102021 11/2/2022 COMBINED SINGLE LIMIT arCli a S 1,000,000 X ANY AUTO INJURY (Par person) S OWNED SCHEDULED AUTOS ONLY ..AUTOS _�. BODILY INJURY (Per accident) ( ......_.........m S X PR�7pE%RTYDAgwryAGE r S HIRED X NON -OWNED AUTOS ONLY '.. AUTOS ONLY Comp a Cohesion Ded $1,000 C X UMBRELLALIAB X .....00CUR CUP-BS589161-21-14 11/2/2021 11/2/2022 EACH OCCURRENCE 525.000.000 X EXCESS LIAB CLAIMS -MADE, AGGREGATE S25,000 000 DED x RETENTIONS ,,... S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY v r ANYPROPRIErOR/PARTNER/EXECUrIVE OFFICERIMEMBEREXCLUDED? NIA. Y WCE783802-00 11/2/2021 11%2/2022 X PAR OR E.L. EACH ACCIDENT S1,000,000 E.L. DISEASE- EA EMPLOYEE S 1 ODO,000 .(Mandatory In NH) If yes, descdbe under L. DISEASE - POLICY LIMIT S 1,000 000 DESCRIPTION OF OPERATIONS below E Crime Coverage 82624961 11/2/2021 11/2/2022 Limit Of Liability 5,000,000 Insured Retention 100,00o DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached If more space Is required) The City of El Segundo, its officials, and employees are named as Additional Insured and coverage is Primary and Non -Contributory with respects to the General Liability policy. A 30-Day notice of cancellation is granted in favor of theel Certificate holder. A Waiver of Subrogation applies in favor of the certificate holder with respects to the Workers Compensation policy. City of El Segundo 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 REPRESENTATIVE A.UO-e ©1ga8-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: Y-630-8S587628-PHX-21 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (includes Products=Completed Operations if Required By Contract) This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LABILITY COVERAGE PART PROVISIONS The following is added to SECTION 11— WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal Injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "yam work" to which the written contract or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent ads or omissions of such person or organization. The insurance provided to such additional insured Is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown In the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required bythe written contract or agreement will be considered to include the minimum limits of any Umbrella or Emess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of Insurance described in Section III — Limits Of Insurance. (1) Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including; (a) The preparing, approving, or falling to prepare or approve, maps, shop drawings, opinions` reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications, and (b) Supervisory, inspeofon, architectural or engineering a tMdes. (2) Any "bodily injury" or "property damage" caused by 'your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. C. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the wdent possible, such notice should Include: (a) How, when and where the "occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. The Insurance provided to such additional (2) If a claim is made or "suit' is brought against insured does not apply to: the additional insured: CG 02 46 0419 C 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the claim or "suit" and the date received; and (b) N otify us as soon as practicable and see to it that we receive written notice of the claim or "suit' as soon as practicable. (3) Immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. (4) Tender the defense and indemirdy of any claim or "suit to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional Insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section N — Commerclal General Liability Conditions. Page 2 of 2 0 2018 The Travelers Indemnity Company. AD rights reserved. CO D2 46 0419 COMMERCIAL GENERAL LIABILITY c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, 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 insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. d. Primary And Non -Contributory Insurance If Required By Written Contract If you specifically agree in a written contract or agreement that the insurance afforded to an insured under this Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available to such insured which covers such insured as a named insured, and we will not share with that other insurance, provided that: (1) The "bodily injury' or "property damage" for which coverage is sought occurs; and (2) The "personal and advertising injury" for which coverage is sought is caused by an offense that is committed; subsequent to the signing of that contract or agreement by you. S. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown In this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the eamed premium, we will return the excess to the first Named Insured. a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: c. The first Named Insured must keep records of a. Notices that are published include material the information we need for premium placed on the Internet or on similar electronic computation, and send us copies at such times means of communication; and as we may request. b. Regarding websites, only that part of a website 6. Representations that is about your goods, products or services By accepting this policy, you agree: for the purposes of attracting customers or supporters is considered an advertisement. Page 16 of 21 ® 2017 The Travelers Indemnity Company. All rights reserved. CG T1 00 02 19 Includes copyrighted material of Insurance Services Office. Inc. with its permission. POLICY NUMBER: Y-630-8S587628-PHX-21 GENERAL PURPOSE ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION PROVIDED BY US IL T9 05 05 19 THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: ALL COVERAGE PARTS INCLUDED IN THIS POLICY CONTINUATION OF FORM IL T9 05, PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 19 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS ENDORSEMENT. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. IL TO 03 Page 1 POLICY NUMBER: BA-BS58894A-21-14-G ISSUE DATE: 12-6-21 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION., Number of Days Notice: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM CONTINUED ON IL TS 03 ADDRESS: CONTINUED ON IL TS 03 CHARLOTTE KC 28219-0888 PROVISIONS If we cancel this Policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to (lie person or organization shown in such Schedule. We will mail such notice IQ the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation. IL T4 05 05 19 v 2019 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 WORKERS COMPENSATION ONE TOWER SQUARE AND HARTFORD CT 06I63 EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 0313 (00) - 001 POLICY NUMBER: WCE783802-00 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. SCHEDULE DESIGNATED PERSON: DESIGNATED ORGANIZATION; ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT HXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVZR. DATE OF ISSUE: 09-13-21 ST ASSIGN: PAGE i OF 1