PROOF OF INSURANCE (2023) CLOSED/
A� " CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
10/14/2022
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 Adrienne Lannon
NAME:
Valent Group, LLC
HCNN. Ext : (205) 262-2700 A/c, No): (205) 262-2701
3500 Blue Lake Drive, Ste. 120
E-MAIL alamon@valentgroup.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURERA: Travelers Property & Casualty Co ofAmerica
25674
Birmingham AL 35243
INSURED
INSURER B : The Charter Oak Fire Insurance Company
25615
EBSCO Industries, Inc.
INSURER C : Travelers Indemnity Company
25658
P. O. Box 1943
INSURER D : Endurance American Specialty Insurance Co
41718
INSURER E
Birmingham AL 35201
INSURER F
COVERAGES CERTIFICATE NUMBER: *22/23 EBSCO Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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 INSURANCEAUULbUBK
INSD
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE OCCUR
DAMAGE TO RENTED
PREM SES Ea o.urrrence
$ 100,000
MED EXP (Any one person)
$ 5,000
PERSONAL &ADV INJURY
$ 1,000,000
A
TC2JGLSA-9D909462-TIL-22
10/15/2022
10/15/2023
GEN'LAGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
El PRO
JECT LOC
PRODUCTS-COMP/OPAGG
2,000,000P1
$POLICY
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
X
BODILY INJURY (Per person)
$
ANYAUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
TC2JCAP-9D909474-TIL-22
10/15/2022
10/15/2023
BODI LY I NJ U RY (Pe r accide nt)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 25,000,000
AGGREGATE
$ 25,000,000
A
EXCESS LAB
CLAIMS -MADE
CUP-7S137226-22-NF
10/15/2022
10/15/2023
DED I X1 RETENTION $ 10,000
$
AOFFICER/MEMBER
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
EXCLUDED?
(Mandatory in NH)
N /A
TWXJUB-9D911955-TIL-22 (AL)
10/15/2022
10/15/2023
X1 STER ATUTE EORH
SIR - $500,000
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
$
E.L. Each Accident
$1,000,000
B
Workers Comp -Per Statute &Employer
Liability (AOS) SIR $500,000
UB-1 L339839-22-51-K
10/15/2022
10/15/2023
E.L. Disease - Each EE
$1,000,000
E.L. Disease - Policy Lmt
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Named Insured Includes: EBSCO Information Services
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of El Segundo
ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main St.
AUTHORIZED REPRESENTATIVE
ElSegundo CA 90245
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
ADDITIONAL COVERAGES
Ref #
C
Description
WC (Per Statute) & EL (AZ,MA,WI) - Pol# UB-9K299627-22 - 10/15/22 - 10/15/23
Coverage Code
WCEL
Form No.
Edition Date
Limit 1
$1,000,000
Limit 2
$1,000,000
Limit 3
$1,000,000
Deductible Amount
$500,000
Deductible Type
SIR
Premium
Ref #
D
Description
Cyber - Pol# NR030018238500 - 4/7/22 - 4/7/23
Coverage Code
CYBER
Form No.
Edition Date
Limit 1
$5,000,000
Limit 2
$5,000,000
Limit 3
Deductible Amount
$2,000,000
Deductible Type
SIR
Premium
Ref #
Description
Coverage Code
Form No.
Edition Date
Limit 1
Limit 2
Limit 3
Deductible Amount
Deductible Type
Premium
Ref #
Description
Coverage Code
Form No.
Edition Date
Limit 1
Limit 2
Limit 3
Deductible Amount
Deductible Type
Premium
Ref #
Description
Coverage Code
Form No.
Edition Date
Limit 1
Limit 2
Limit 3
Deductible Amount
Deductible Type
Premium
Ref #
Description
Coverage Code
Form No.
Edition Date
Limit 1
Limit 2
Limit 3
Deductible Amount
Deductible Type
Premium
Ref #
Description
Coverage Code
Form No.
Edition Date
Limit 1
Limit 2
Limit 3
Deductible Amount
Deductible Type
Premium
Ref #
Description
Coverage Code
Form No.
Edition Date
Limit 1
Limit 2
Limit 3
Deductible Amount
Deductible Type
Premium
Ref #
Description
Coverage Code
Form No.
Edition Date
Limit 1
Limit 2
Limit 3
Deductible Amount
Deductible Type
Premium
Ref #
Description
Coverage Code
Form No.
Edition Date
Limit 1
Limit 2
Limit 3
Deductible Amount
Deductible Type
Premium
Ref #
Description
Coverage Code
Form No.
Edition Date
Limit 1
Limit 2
Limit 3
Deductible Amount
Deductible Type
Premium
rOFADTLCV Copyright 2001, AMS Services, Inc.