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PROOF OF INSURANCE (2023) CLOSED
ACCORD® CERTIFICATE OF LIABILITY INSURANCE `.... DATE(MM/DD/YYYY) 9/28/2022 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 Newfront Insurance Services 777 Mariners Island Blvd Suite 250 San Mateo, CA 94404 CONT NAMEACT Cert Request PHONEExt: 650-488-8565 FAX No: E-MAIL ADDRESS: TechCertReguest@newfront.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Berkley National Insurance Company 38911 www.newfront.com INSURED PowerDMS Parent Inc PowerDMS Holdings Inc PowerDMS Inc. INSURERB: Berkley Regional Insurance Company 29580 INSURERC: INSURER D7 101 S. Garland Ave, Ste 300 Orlando, FL 32801 INSURER E7 INSURER F COVERAGES CERTIFICATE NUMBER: 70549113 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 11/1 OCCUR TCP 7011473 9/25/2022 9/25/2023 EACH OCCURRENCE $ 1 ,000,000 DAMAGE TO RENTED ccurrrence)$ PREMISES(E. occurrence) 1 ,000,000 MED EXP (Any one person) $ 1 5,000 PERSONAL & ADV INJURY $ 1 ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑PRO JECT ❑ LOC OTHER: GENERALAGGREGATE $3,000,000 ✓ PRODUCTS - COMP/OP AGG $ 3,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY TCA 7011474 9/25/2022 9/25/2023 Ee aBINEDtSINGLE LIMIT $ 1 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ✓ PROPERTY DAMAGE Per accident $ A �/ UMBRELLALIAB EXCESS LAB �/ OCCUR CLAIMS -MADE TCP7011473 9/25/2022 9/25/2023 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1 ,000,000 DED ✓ RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICE R/MEMBEREXCLU EXCLUDED? ECUTIVE ❑N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A TWC 7011475 9/25/2022 9/25/2023 �/ SPER TATUTE OERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 E.L. DISEASE - POLICY LIMIT $ 1 ,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: All Operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo Police Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 348 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE Rod Sockolov ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 70549113 122-23 All/E&O $1M I Patra (1) 19/28/2022 5:11:32 PM (PDT) I Page 1 of 1