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PROOF OF INSURANCE (2023) CLOSED
ACCORD® CERTIFICATE OF LIABILITY INSURANCE 6/25/2022 DD/YYYY) 73072022 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 LOckton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000 NAMEACT PHONE FAX o EXt: A/c No: E-MAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: The Phoenix Insurance Company 25623 INSURED VINCENTBENJAMIN GROUP LLC 1505895 SUBSIDIARY OF THE INTERSECT GROUP, LLC INSURER B : The Travelers Indemnity Company 25658 INSURER C : Travelers Properly Casualty Co of America 25674 INSURER D : Travelers Casualty and Surety Co of America 31194 ONE GLENLAKE PARKWAY, SUITE 800 ATLANTA GA 30328 INSURER E: Travellers Casualty Ins Co of America 19046 INSURER F: Steadfast Insurance Coinvany 26387 COVERAGES CERTIFICATE NUMBER: 18330158 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N 6808S736792 1/15/2022 1/15/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE TO PREMISES(E. occur ence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY n PRO - POLICY F-1 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: E AUTOMOBILE LIABILITY Y IN BA8S736884 1/15/2022 1/15/2023 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ X'XXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ XXXXXXX X PROPERTY DAMAGE Per accident $ XXXXXXX HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ XXXXXXX B UMBRELLA LIAB X OCCUR N N CUP8S736915 1/15/2022 1/15/2023 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ XXXXXXX ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A UBOJ269095 1/15/2022 1/15/2023 PER X STATUTE EERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 F E&O/ProfLI/Cyber N N EOC6778757-00 1/15/2022 1/15/2023 5,000,000EaClaim/Agg F CyberXS C-4LRM-23859I-CYBER-2021 1/14/2021 6/25/2022 5,000,000EaClaim/Agg D Crime 106855765 1/15/2022 1/15/2023 5,000,00OAgg/3rd Party Client Coverage DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THIS CER'FIFICA'I'E SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISPED AND THE POLICY J ERM(S) REFERENCED. Coverage for policy C-4LRM-23859 I -CYBER-2021 is provided by North American Capacity Insurance Company NAIC #25038 City of El SegundoCity Clerk's Office is designated as Additional Insured with regards to General Liability, Auto Liability, and Professional Liability which is primary coverage to the additional insured and other available insurance will be non-contributory as required by written contract, subject to the policy terns and conditions. CERTIFICATE HOLDER CANCELLATION 18330158 City of El SegundoCity Clerks Office SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3SO eam Main St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segun 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE,.} 1, ACORD 25 (2016103) © 1988015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD