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PROOF OF INSURANCE (2022 - 2023) CLOSED
Page 1 of 1 " DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/03/2021 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 Willis Towers Watson Certificate Center Willis Towers Watson Insurance Services West, Inc. PHONE L. .. C/o 26 Century Blvd 1-877-945-7378 INC, No 1=888-967-2378 P.O. Box 305191 ADD RE )c; F•MAIL certi£icatea@wilhs.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED Innovative Interfaces, Inc. 3133 W Frye Road Suite 401 Chandler, AZ 85226 Federal Insurance Company 20281 Great Northern Insurance Company 20303 -------_ ........ _ .-.. ........- ---n............. ..... Pacific Indemnity Company 20346 CAVFRAnPA CFRTIFICATF Nt1MRFR W23002286 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. �,w_.w,__mm ---------. ........ ......... ....._ ..-... IN5R , ....,... ---- ---- ......... aA_66L SU AT...__ -------- .... POLICY EFP POLICY EXP LTR, TYPE OF INSURANCE I (I POLICY NUMBER MMI`D YYY MPLIMITS.... MMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 %� -.. 1 000 000 CLAIMS -MADE 1 OCCUR PREMISE Ea occurrence S..L )�............... $ A 10 0000 ........ ""....._ __ -- Y 3604-45-27 12/01/2021 12/01/2022 PERSONAL&ADV INJURY a... '""""`" 1 0.. 0 _ AGGREGATE LIMIT APPLIES PER: GENLAGG GENERAL A .__ $ 2,000,000 __ POLICY JKIT LOC 1-1 PAGG PRODUCTSGCOMPOE ...... . $ OTHER AUTOMOBILE LIABILITY C"OMBINCO SING -LE LIMIT $1, 000, 000. ANY AUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED 7359-54-50 12/01/2021 12/01/2022 11 ODILY INJURY (Per accident) ®RCC�EJ'"G"I' $ X,,,, AUTOS ONLY AUTOS HIRED }NON -OWNED P DAMA,E X AUTOS ONLY .. AUTOS ONLY ,,,(Para„udeTrd,) ........... $ ... . $ A X LALIAB UMBRELX CCURRENCE } $ 10 000 �- EXCESS LIAB f�COLAIMS-MADE( 78182680 12/Ol/2021 12/Ol/2022 AGGREGATE $ 10,000,000000 -- II DED I I RETENTION $ $ WORKERS COMPENSATION X $7ATU7E r H- AND YIN . """""",,,__ . 1 000 000 C ANYROPRI TOR/PARTBILITY NERIEXECUTIVE No OFFICER/MEMBER EXCLUDED? NIA (2P) 7176-34-98 12/O1/2021 12/Ol/2022 , EL EACH ACCI ENT -ER $ 1,000,000 (Mandatory ) _E.L DISEASE EAEMPLOYEE� $ IfyesdesribeNnder DESCRIPTION under OPERATIONS below E,L. DISEASE -POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: IF REQUIRED BY WRITTEN CONTRACT OR AGREEMENT CITY OF EL SEGUNDO IS INCLUDED AS ADDITIONAL INSURED WITH REGARD TO GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT. rE City of El Segundo El Segundo Public Library ATTN: Debra Brighton Ill West Mariposa Avenue E1 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 A4 U 1986-ZU16 AGUKD GUKYUKA I IUN. All rlgnLs reserves. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SR ID: 21904235 BATCH: 232B341 Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY)05/31/2022 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 FCGAM- T Willis Towers Watson Certificate Center Willis LimitedPHONE 51 Lime Street 4 4lS #a Est)_ 1-977 945-7378 T!I_( QI,_-------------------- 888 467 2378 -MAILondon, EC3M7DQ GBR A, EsS certificates@willis.com Lloyds Syndicate 2987 C0978 INSURED Clarivate Analytics US LLC Innovative Interfaces, Inc„ 3133 W Frye Road Suite 401 Chandler, AZ 85226 COVERAGES CERTIFICATE NUMBER- W24945023 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.L............. .....- ---- - ICY EXP .........1466.,SUBR... .POLICY POLIC..",� ... � .. ............................... .... ...- ... TYPE OF INSURANCE........ NUMBER"."""""" MIOLIC Y tb LIMITS LTR 1 I'DCYY"k'"M" COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ....� CLAIMS OCCUR ... .... . -MADE .� f P " i.$ —j� MED EXPS(An(aone pe Sin) ., Y .... .......... - --- --- _ L.. PERSONAL&ADV INJURY l$ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE$ POLICY LOC JECT" PRODUCTS,,,,-COMP/OP" AGG ` $.-.. ..... O T HER: ., ,,,,,,,,,,,,,, ,. ______, I} $ AUTOMOBILE E LOIABILITY... COMBINEO SINLE Ll IURY(Per ....................... ....... ANAU ODILY NJperson) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ .. AUTOS ONLY AUTOS r ' ....................... . HIRED NON -OWNED HIRED ONLY AUTOS ONLY AUTO PROPERTY DAMAGE Perac,delu.IJ ......... _$,.._ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ .... DED RETENTION .................. $ ,._._ __._......-. $ WORKERS COMPENSATION PER OT'H- STATUTE 1 AND EMPLOYERS' LIABILITY Y / N ..ER ..... , ,,,,, ANYPROPRIETOR/PARTNER/EXECUTIVE E.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N /A -------L. ------ -------- ................ ....•. (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under ...., ................. ................. .... .......,..."..,...... DESCRIPTION OF OPERATIONS below E L DISEASE POLICY LIMIT $ A Technology E&O 50483P22 06/01/2022 06/01/2023 Per Claim $5,000,000 Cyber Security & Privacy Liab Per Claim $5,000,000 Media Liability Per Claim $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) l:L.K I Ir"15.:A I L HULU City of El Segundo E1 Segundo Public Library ATTN: Debra Brighton Ill West Mariposa Avenue 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 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SIR ID: 22649360 13ATCH: 2544187