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PROOF OF INSURANCE (2022 - 2023) CLOSEDDATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 06/20/2022 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 holster 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 endorssementO. PRODUCER CONTACT Kevin O'Brien Insurance Agency NAME. Claudia Lop ez 720 H Moon Bay, CA 94019 �claUdla)Isevsno 8 Noll (650) 726 6320 Kelly Y AODRESS � brleninsurance.com INJUKtNI5I AFFORDING COVERAGE NAIC 0 _ INSURER A: Hartford Insurance Company 29424 INSURED SWIftCOm I US O CO Inc y p INSURER B :� Lloyd.. S Of London ..® m. wm._ ._ _ ............... . 6701 Koll Center Pkwy Ste 250 _ ..... Pleasanton, CA 94566 INSURER INSURER D INSURER E' 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 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, AODL's4art[ „ ...,, .. .....,POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY Y ' 57SBMBM8524 07/05/2022 P7/05/2023 EACH OCCURRENCE _ -.. $ 2,000,000 µ CLAIMS -MADE OCCUR � b( IrsEitE�r.. , FnRi RWrhR�C�; �F'm r�cchvneiu�e[ 1,000,000 $ _ ..... . '.,.. MED EXP (Any one person) $ 10,000 ........ .... ,,., ....... .... PERSONAL & ADV INJURY $ i'000,000 ER� r>>LNl10LICYECaTE PRO APPLIESP®c GREGATE GENERALAPRooucTSGcoMP®PAGG 4,000,000 I'�aLic v - ,._ 5 4,000,000 A AUTOMOBILE LIABILITY Y ,57SBMBM8524 07/05/2022 ;07/05/2023 c MaINt DSINGLE L. $ 2,000,000 00 ANY AUTOBODILY �JEa ocodeni) _ -„ INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS JHIRED NON -OWNED ..V frr AUTOS ONLY AUTOS ONLY 11 BODILY INJURY Per accident ( ) F"ROPERrY ..... 54MAat [Pec accaderl4,l m, .... .. S $_. „ , , -......... _.._. j $... A UMBRELLA LIA9 'OCCUR Y 57SBMBM8524 07/05/2022 07/D5/2D23 ., EACH OCCURRENCE .., $ 3,000,000 E%CESS LIAR CLAIMS MADE � EXCI , AGGREGATE P RETENTION WORKERS COMPENSATION ! PER 'TH- fANDEMPLOYERS' LIABILITY YIN m- S8ArLIT" a_ER, ,... MANY PROPRIETORIPARTNER/EXECUTIVE E L EACH ACCIDENT $ 'OFFICEWMEMBER EXCLUDED? N / A - ,. (Mandatory In NH) EL DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ B ,E & O ESK0131910157 67/14/2021 ,07/14/2022 Professional Liability 2,000,000 Cyber Liability 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City of El Segundo, its officials, and employees are additional insured per attached endorsement as required by written contract. CERTIFICATE HOLDER CANCELLATION ElSegundo 350 Main St El Segundo, CA 90245 ACORD 25 (2016/03) 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 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: I. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: I. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 �, DATE (MMIDDIMrYY) ! �RL> CERTIFICATE OF LIABILITY INSURANCE ,� _ 06/20/2022 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 pol'icy(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 this certificate does not confer rights to the certificate holder in lieu of such endorsementlsl, PRODUCER Kevin O'Brien Insurance Agency 720 Kelly Avenue Half Moon Bay, CA 94019 INSURED Swiftcomply US Opco Inc 6701 Koll Center Pkwy Ste 250 Pleasanton, CA 94566 COVERAGES CERTIFICATE NUMBER: r.:Ewtclaud /kev n 8 ""— .. 4 Nul..AX (650) 725-63 0 MAIL ADDRESS; a) _ @breninsurance.com INSURERS) AFFORDING COVERAGE NAIC # INSURERA: Hartford Insurance Company 29424 INSURER B : Llo ds Of London y INSURER C : INSURER D : REVISION NUMBER: THIS 15 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 ....... _.... iADDCSUBFI' - ..... ..— .... _... LTR. TYPE OF INSURANCE OLICY ..�- P(EXP POLICY NUMBER ¢JlpddDrylYwhY",1~' MM1DD�IDDr 11"YYY LIMITS A COMMERCIAL GENERAL LIABILITY Y 57SBMBM8524 07/05/2021 ',07105/2022 EACH OCCURRENCE $ 2,000,000 f— IrAlt'ra rai NYE6:I m,.... CLAIMS-MADEL occuR P81CMIE�,)Fa,IaCaamnv�ncey s 1,000,000 MED EXP (Any one personl $ 10,000 GEN'L AGGREGATE LIMIT APPLIES PER: '.. POLICY "0 LOC OTHER A AUTOMOBILE LIABILITY Y ANY AUTO OWNED c SCHEDULED AUTOS ONLY a AUTOS f HIRED Ill NON -OWNED AUTOS AUTOS ONLY A UMBRELLA LIAB EXCESS LIAR I DED i I RETENTIL WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERI OFFICER/MEMBER EXCLUDEI (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIC OCCUR I Y CLAIMS -MADE ''.... 57SBMBM8524 PERSONAL& ADV INJURY $ 2,000,000' GENERALAGGREGATE $ 4,000,000 PRODUCTS- CAMP/OPAGG $ 4,000,000 ,,,,. - .. ,. a,.,... -... $ 07/05/2021 ;07/05/2022 t.'U YBINED SWA,ULE LiMlr $ 2,000,000 Ea ace, dent), BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ G*bPERIYDAWI(E b 07/05/2021 '07/0512022 EACH OCCURRENCE $ 3,000,000 AGGREGATE . $ $ PER OTH- Y I N .,, STATUTE ER .., .............. ❑ N / A E L EACH ACCIDENT....... $ .. '... EL DISEASE - EA EMPLOYEE $ ..............._ E.L DISEASE - POLICY LIMIT $ ESK0131910157 07/14/2021 07/14/2022 Professional Liability 2,000,000 ,Cyber Liability 2,000,000 DE5GRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City of El Segundo, its officials, and employees are additional insured per attached endorsement as required by written contract. CERTIFICATE HOLDER ElSegundo 350 Main St El Segundo, CA 90245 ACORD 25 (2016/03) CANCELLATION 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 @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD