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PROOF OF INSURANCE (2022) CLOSED
CERTIFICATE OF LIABILITY INSURANCE EMBROKER DATE (MM/DDIYYYY) 07/12/2022 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(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 NAME: Embroker Insurance Services LLC PHONE FAx 24 Shotwell Street8444362765...-N . �.. E-MAILE«MAIL San Francisco, CA, 94103 ASEDfE§s. certlficateS embroker.com INSURED Camino Technologies 122 2nd Ave San Mateo, CA, 94401 INSURER (s) AFFORDING COVERAGE NAIL # Sentinel Insurance Company, Limited 11000 UNDERWR ITERS ATWLLOYDS F 32727 INSURER D : INSURER E : INSURER F : r =Mrntrtr wAT= dll nlADCD• RFVISI(1M NI IMRFR• 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. . ................ ......... __..R ILT„R --------------._.m....,,. - ALYfYd."U .._.-....... - POLICY EFF Pi7LICY E7tPIT_ 1INSD 1.14MIDD/YYYY LIMITS TYPE OF INSURANCE WVD POLICY NUMBER (MM/DDfYYYY1 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADEOCCUR ^� X- bW M MI�_1°E ff, _PR„FMnA&.SFw,�o�;t;ui'ra,nq g w.. 000,000 „ MED EXP (An one person) $ 10,000 A_..... ITITITITIT Y Y 57SBABK1807 12/28/2021 12/28/2022 WINJURY ._.M$... µPERSONAL &.. _.._.2.......,..0......00,000 ... GEN'L ............. ..........m......m,-.._. AGGREGATE LIMIT APPLIES PER: .GENERA..AGGREGATE ..A..D.V.. $ 4,000,000 Xm " POLICY PRO'LOC JEI PRODUCTS COMP/OPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMaC$IcNEeDp tlNUL...IMOY' ..I.w. ._.. _... $ 2,000,000 .......... .... ANY AUTO BODILY INJURY (Per person) $ ................_ A ...... OWNED SCHEDULED AUTOS ONLY AUTOS Y Y 57SBABK1807 12/28/2021 12/28/2022 .....................m.,.. BODILY INJURY (Per accident) ... _ $ „ ..X-HIRED NON -OWNED AUTOS ONLY iz.. AUTOS ONLY PROPERTY DAP'+1AGE: ,,Pzr art^ddernt4 -, $ - $ .... UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE www. $ ....... DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIEECUTIVE H ACCIDENT E L EAC.. $ _ w,-„wwww OFF CEO/MET REXC UDEE • (Mandatory m NH) N / A W E.L. DIS - EA EMPLOYEE: ... EASE E ......____..--.. ....... If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) UNDERWRITERS AT LLOYDS, NAIC# 32727 Technology Errors And Omissions Cyber Package - ESK0537103637, 12/28/2021 - 12/28/2022 Aggregate $3,000,000.00 City of El Segundo, CA is included as an Additional Insured on the General Liability and Auto Liability policies as per written contract. A Waiver of Subrogation applies to the Additional Insured with respect to the General Liability and Auto Liability policies as per written contract. City of El Segundo, CA is included as an Additional Insured on a primary non-contributory basis on the General Liability and Auto Liability policies as per written contract. CERTIFICA City of El Segundo, CA 350 Main Street El Segundo, CA, 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V lUt$tf-ZUl O AGUKU t,UKMUKA I IUIV. All r19nls re5erve0.. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY POLICY NUMBER CARRIER AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of NAIC CODE NAMED INSURED EFFECTIVE DATE: ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD