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PROOF OF INSURANCE (2022 - 2023) CLOSEDDATE (MMIDD/VYYY) . cblz ► CERTIFICATE OF LIABILITY INSURANCE .- 7/11 /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 Jennifer Argo Insurance B1 ... 2 FAX Np) 075452915 JAJ N9 ti 1ers 2001 Wilshire ,j0 .,.. -- ....----- ..-.... Santa Monica CA 90403 E-MAIL A91190,S Insur9@ti lib calm ....... --- ___ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A. Sentinel Insurance Compa.nv,.LTD ......... .......... 11000 INSURED EDGEINC-01 INSURER B : Underwriters at LID S, LOndOfl 15792 ._. EdgeSoft, Inc. _ ._ .... Rosecrans Ave. Rc Media Center 4th Floor INsuRER D ManOhattan Beach CA 90266 INSURER E ............... ----- INSURER F: COVERAGES CERTIFICATE NUMBER:56331730 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 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. 54(.D F PMID Y � ILTR� TYPE OF INSURANCE NSD POLICY NUMBER MM pD MMtOF}JYYYY LIMITS LTR IYYYY YYYI., A X COMMERCIAL GENERAL LIABILITY Y Y 57SBANH1726 4/27/2022 4/27/2023 EEACHOCC RRREN� E, $2000000 X OCCUR L..... 1 00 000 CLAIMS -MADE ....: PRg_tjJSr'S Ea9rqurrpnrPl rson) 10,000 M.E.D...EXP (Anyone pe$ .-. ...,,.. µmm.......................... ....._ PERSONAL & ADV INJURY $ 2 000,000,,,,,, e.W...... .,,. ... ........ ........ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 „ POLICY Pfm.' X LOC JE PRODUCTS COMP/OP AGG $ 4 000 000 OTHER A AUTOMOBILE LIABILITY N N 57SBANH1726 4/27/2022 4/27/2023 COI4BtlNE5SING 1.E[lMIT oderil Lc $2,000,000 ANY AUTO BODILY INJURY (Per person) $ - ____ OWNED SCHEDULED .........._.._ ... _ _ ,_...._.___.---------- BODILY INJURY (Per accident) $ .,. X, .. AUTOS HIRED NON -OWNED AUTOS X.. y PROPERTY DAMAGE.. .__ .., .. ... AUTOS ONLY .. AUTOS ONLY ....(Per nwdwant� ..,,. ...,_........ $........... ---------- $ UMBRELLALIAB OCCUR EACH OCCURRENCE � $ EXCESS LIAR CLAIMS MADE AGGREGATE � . ji �7 DE I, RETENTION $ WORKERS COMPENSATION STA UTE„, OTH AND EMPLOYERS'LIABILITY YIN ...�R.' OFF ICER/M En BE EXCLUDED? N/A N / A E1. EACH IDENT CEA $ (Mandatory ) E L. DISEASE EMPLOYEE: $ _________ If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE POLICY$ LIMIT B I Professional Liability ESK0139456455 4/27/2022 4/27/2023 Professional Liab. 3,000,000 B Cyber Liability ESK0139456455 4/27/2022 4/27/2023 Cyber Liaibility 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of El Segundo, its officials, and employees are included as additional insured with regards to General Liability per attached forms including Primary & Non -Contributory wording and Waiver of Subrogation. GtK11rIGAlt HULUtK t.ANk LLLAIrVry City of El Segundo 350 Main Street El Segundo CA 90245-3895 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,tYz ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD � DATE (MMIDDlYWY) AC40 I' CERTIFICATE OF LIABILITY INSURANCE 7/11/2022 y 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 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 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 Marie Ramos The Empire Company PHONE (909) 476-0600 NO),, c909)47e-0601 E•MAfL mramos@empire-co.com ADDRESS 9050 Archibald Avenue INSURERS AFFORDING COVERAGE NAIC# ''.P.O. Bog 5400 INSURERA:Preferred 110900 Rancho Cucamonga CA 91729 INSURED INSURER B : INSURERC Edgeso£t, Inc. 1600 Rosecrans Blvd INSURERD; INSURERE: Media Building 4th Floor INSURERF: Manhattan Beach CA 90266 COVERAGES CERTIFICATE NUMBER:21,/22 MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Y.NSR LTR TYPE OF INSURANCE L I. y POLICY NUMBER POLICY F MMIDDIWW POLICY X MMIDDWW LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CILAIM'...MADE �. OCOJR ,FrRr-poI ,F+ir IaEnD, EiiXP (Any one person} ' PERSONAL 8, ADV INJURY $ fi[-AGGRE:.CAE'E:L..IMIIAPPL.II;`iFIER C'P.NERALAGCRE AiEii M PRODUC fS..COMPIOPAGG A i �fi�G, Poo -ICY [ I ,J"", [ ..] IIOC OTHER AUTOMOBILE LIABILITY II M1 IFL ;' n �riNri,,,L'A: LDIEEII PC21 JI lu¢Pp'IY$ 8, i �, ANY ALI.1..C) E30EAPI INJURY (PerperscYn) `6.... BODILY INJURY (Perecrldenl) ...--..—...-�-. ALL OWNED CEIID(AE.0 AUTC7S ALI Fos NON OWNED HIRED AL I O � AU FOS PRO CF�6'YDANIA(Fi! I"�` a r "CJof0 y ............ UMBRELLA LIAB OCCLIR EACH (OCCURPENCEii! $ HCLAIMS-MADE AGGREGA:rF. S EXCESS LIAB DED..... I RE.1..EN"I`IOIN $ A WORKERS COMPENSATION 'AND YIN EMPLOYERS' LIABILITY ANY PROPRIETORiPARTNERiEXECUTIVE FFI CEPJM EM B ER EXCLUDED? Mandatory in NH) N/A y WKN119604-19 12/1/2021 12/1/2022 11 PERC IH- STATUTE FI2 PI I dtT'I-I AC'C I�..)C dV�T $ 1,000,000 E L DISEASE EAE::MPIOYEF. $ 1,000,000 E L DISEASE POLICY LIMIT $ 1,000,000 Iyes, describe under DFSCRJPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached Ir more space Is required) Waiver of subrogation applies. Formal waiver to follow upon company issuance CERTIFICATE HOLDER CANCELLATION City of El Segundo 350 Main Street El Segundo, CA 90245-3895 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ri e Ramos /MARS E Llllna ?Ulc' ahts, reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)