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PROOF OF INSURANCE (2023) CLOSED
Page 1 of 2 DATE (MMIDDfYYYY) CERTIFICATE OF LIABILITY INSURANCE 12,13,2022 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 Willis Towers Watson Certificate Center Willis Towers Watson Northeast, Inc. PHONE ficateS7rovil is com � 1-888 46 certi c/o 26 Century Blvd 1-8 N�wlr 7 2378 P.O. Box 305191 L Nashville, TN 372305191 USA INSURERISI AFFORDING COVERAGE f NAIC 9 INSURER A : Hartford Fire Insurance Company 19682 INSURED INSURERS: Trumbull Insurance Company 27120 _.. VelocityEBS Holdings, Inc. (fka MSDSonline Holdings, Inc) Twin City Fire 222 W Merchandise Hart Plaza, Suite 1750 INSURERC Y Insurance Company 29459 Chicago, IL 60654 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: W26884067 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 - TYPE OF INSURANCE AhDL S4NBRi .. POLICY NUMBER .-... PMIGDYYY FY rI YYYy ��.....- LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 � j CLAIMS -MADE %� � OCCUR I„.,PF�E�riIC7'� �,�Ear��araui�ou e�� �.$ 1,000,000 A . MED EXP (Any one person) $ 10 0 00 39 UUN DQ0188 12/12/2022 j -12/12/2023 `PERSONAL & ADV INJURY I$ � 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER �` GENERAL AGGREGATE $ .,., 2 0.. 000 r POLICY y W X LOC �.__.. PRODUCTS-COMP/OP AGG $ ...... .... _..... ._,2..000, 0, 0 00 OTHER: $ AUTOMOBILE LIABILITY C MBINED SINGr E L fAII $ 1, 000, 000 ANY AUTO BODILY INJURY (Per person) H I OWNED r SCHEDULED 1 39 UEN D00124 1 AUTOS ONLY AUTOS 12/12/2022 12/12/2023 BODILYI INJURY (Per 1 accident) I $ .,., r� HIRED NON -OWNED PR0PERTYDAMAGE $ �jP AUTOS ONLY AUTOS ONLY acridgfltl9...� UMBRELLA LIAB 1 OCCUR EACH OCCURRENCE Is CLAIMS•MADE AGGREGATE 4, �$ DEDESSLIARETENTL.._.�- ON$ WORKERS COMPENSATION PER OTH X STATUTE { OFFICERJMEAND EMPLOYERS* LIABILITY C ANYPROPRIETORIPARTNER/EXECUTIVE v NIer1 NfA 39WBAV1ZA3 �I OFFICER/ryEMBEREXCLUDED. � ,ER E L EACH ACCIDENT $ 12/12/2022 12/12/2023 1,000,000 , � 1 000 000 (MandatoIn NH) E L DISEASE EA EMPLOYE( $ m If yes, descnbe under DESCRIPTION OF OPERATIONS below i 1 E.L. DISEASE • POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Named Insured includes: VelocityEKS Holdings, Inc. MSDSonline, Inc. (dba VelocityEHS) Humantech, Inc. City, its officials, and employees are included as Additional Insureds as respects to General Liability and Auto SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE 350 Main Street, Room 5 p 21 Segundo, CA 90245-3813 /Vt� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD sR ID: 23431757 aAT01: 2772739 2 of 2 4847 AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Northeast, Inc.. VelocityERS Holdings, Inc. (Pka MSDSonline Holdings, Inc) .m 222 W Merchandise Mart Plaza, Suite 1750 POLICY NUMBER Chicago, IL 60654 See Page 1 CARRIER See Page 1 NAIC CODE g EFFECTIVE DAT.__.�. e Page I See Page 1 E:See Page 1 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:23431757 BATCH:2772739 CERT:w26884067