PROOF OF INSURANCE (2022 - 2023) CLOSEDDATE (MM/DD/YYYY)
AC"RV CERTIFICATE OF LIABILITY INSURANCE 04/05/2022
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 Finn Davis
MARSH USA, INC. NAME
99 HIGH STREET PHONE (617) 999-7893 No).
BOSTON, MA 02110 ®,n RFq_q- Finn.Davis@marsh.com
INSURERS AFFORDING COVERAGE NAIC #
CN102891976-TTI-GAWX-22-23 INSURER A: Hartford Fire Insurance Co 19682
INSUREDyl yer Technol og . ......... _........... .......... _.. INsuRIER B Trumbull Insurance Cospecialty Insurance Company_ .,.,..........._. ..._ A� 17120
5101 Tennyson ParkwayINSURER C : QBE
T ies, Inc. m an
1515 _.
Plano, TX 75024 INSURER D . Sentinel Insurance Company 11000
INSURER Hartford Casualty Insurance COmDanv 29424
e.0 %is:RAezizC f`FRTIFIr:ATF NI IMRFR• NYr-011255659-02 RFiNmnNl NIIMRFR! 0
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.
.........-... ...................._TYPE OF INSURANCE.......,..,..........................................�,..... _ �._...,-......... �_.... ....�...... .._... LIMITS
INSR Df3L 'A POLICY EFF POLICY EXP
L R POLICY NUMBER MMIDD/VYY DD
A
X
COMMERCIAL GENERAL LIABILITY
10 UEN DL0437
04/01/2022
04/0112023
EACH OCCURRENCE
$ 1,000,000
CLAIMS MADE L...X OCCUR
bAtAA�� m........_............
REMI$E Ea occtiurencel
$_ 300,000
MED EXP (An one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN
a
L AGGREGATE LIMIT APPLIES PER:
...
GENERAL AGGREGATE
000
$ 000
�m
X
POLICY [ PRO LOC
JE'CT
PRODUCTS COMP/OP AGG
. ......
2 000....
$ 000
OTHER:
$
B
AUTOMOBILE LIABILITY
10 LIEN DI9897
0410112022
04/0112023
oMBIt E D 91N LF L If�11T
Eaaccddenl
$ 1,000,000
X ANY AUTO
BODILY INJURY (Per person)
$
OWNED SCHEDULED
BODILY INJURY Per accident
( )
_....-
$
AUTOS ONLY AUTOS
HIRED NON -OWNED
P!307RI DAMAGE
$
AUTOS ONLY AUTOS ONLY
J
Pea arcudY
----...........
$
X
UMBRELLA LIAR X OCCUR
10 XHU DLO102
04101/2022
04101/2023
EACH OCCURRENCE
$ 25,000,000
EXCESS LIAB CLAIMS -MADE
..._ ..._
AGGREGATE
�_.. -
$ 25,000,000
�..._ __ ._..
X
DED RETENTION $10 000
$
D
WORKERS COMPENSATION
1 OWBAKSAGK
U 01/202
X PER OT'H-
T ER.-,000
AND EMPLOYERS' LIABILITY / N
mmm
1000,000
ANYPROPRIETOR/PARTNER/EXECUTIVE �Y
OFFICER/MEMBER EXCLUDED? -
N/A'
CI
EL A H ACCIDENT
EACH ACCIDENT m
$
I w
EMPLOYEE
1,00.0,000
(Mandatory m NH)
E.L DI SEASE - EA
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E L DISEASE - POLICY LIMIT
$ 1,000,000
C
Professional Liability
130001996
12/1712021
12/17/2022
Limit
5,000,000
Cyber Protection
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD101, Addltlonal Remarks Schedule, may be attached If more space is required)
Certificate holder including its officers employees and volunteers are listed as additional insured under the GL policy when required by written contract,
City of El Segundo
350 Main Street
El Segundo, CA 902453895
Loy -I. LW1 _q A w*1
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
VW2L.191-0 9"e.
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN102 - 891976
LOC #: Boston
ADDITIONAL REMARKS SCHEDULE
---7NAMED INSURED
AGENCY Tyler Technologies, Inc.
MARSH USA, INC. 5101 Tennyson Parkway
POLICY NUMBER Plano, TX 75024
CARRIER
NAIC CODE
I
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
The Professional Liability/Cyber policies evidenced contain Self insured Retentions to various perils covered. it you would like additional information regarding these sublimity or
deductibles, please contact the insured.
Excess Cyber Protection:
$5,000,000 xs $5,000,000
Carrier: Munich Re Syndicate Limited
Policy Number: B0509FINPY2150857
Eff/Exp dates: 12/17/2021 - 12117/2022
Per Claim and Aggregate Limit: $5,000.000
Business Interruption: $2,500,000
Ransomware: 2,500.000
ACORD 101 (2008/01)
Page 2 of 2
. D 2008 ACORD CORPORATION. All rights i
The ACORD name and logo are registered marks of ACORD 0
0114-01-00-0001195-0002-0002739