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PROOF OF INSURANCE (2023 - 2024) CLOSEDHADRINC-01 _Ti(Ah DATE (MM/DD/YYYY) ( CERTIFICATE OF LIABILITY INSURANCE 1/26/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE _...... H m RTIFICATE 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). CONTACT License # OC36861 PRODUCER NAME,...,......Kellie.Guggiana San Marcos - Escondido PHONE FAX Alliant Insurance Services, Inc IABC,-No, Extl a 1AJC1 Nab( EMAIL 570 Rancheros Dr Ste 100 Op KeNlle.�NJgglana aIliant Gortt( San Marcos, CA 92069 m,,,INBURERj,S AFFORDING COVERAGE J „NAIC # „ INSURER A: Continental Insurance Company _ _35289 INSURED "'' INSURER B : Hadronex, Inc. dba: SmartCover Systems wsURERc _ ,, 2110 Enterprise INSURER D Escondido, CA 92029 + INSURER E a COVERAGES CERTIFICATE NUMBER:.... �_.. 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, IN9RR TYPE OF INSURANCE ..... W..,.�p ^S,R.. ,.,.. ......' POLICY EFF POLICY EXP ., ,. ,. - ..p POLICY NUMBER �MM/DDIYYYYI fM/�/�1:lYLYYJ,..,.,.... LIMITS .... A X COMMERCIAL GENERAL LIABILITY AUH UCCIJRRFNCE . $ 1,000 000 CLAIMS -MADE X I OCCUR I X X =7018210531 2/2/2023 2/2/2024h DAMAGE t 4Eaag� 100 000 15,000, MED EXP fgny one„person) 1 '000,000 RERscaNAL A aC V i vJI.IRY 2,000,000 CE,C'"L AGGREGATE III APPLIES PERd GENERAL AGGREGATE,. $ .. PLI CCU} POLICY X X LOC PROOUL'T G'C?6AP/UP AGG S � 2,000,000 07HER �__.... __ ._._ ...... .........m.... A COMBINED SINr�LE LIMITS 1,000 000 AUTOMOBILE LIABILITY X ANY AUTO X 7018210545 2/2/2023 2/2/2024 SIIDILY INJURYPap OWNED SCHEDULED AUTOS ONLY AUTOS ,wkI ,I(Per 7ccdent) $ HR%NL16911J AONLY A .. PROPERTY OaAAG% ...,< UMBRELLA LIAB OCCUR . F,ACF# 0PCL;IiiRENCE n EXCESS LIAR ,.,. -... . CLAIMS -MADE AGGREGATE S '... DED RETENTIONS . WORKERS COMPENSATION PER OTH ER AND EMPLOYERS' LIABILITY y, (, P1 ..ATI,aT . . ANY ECUTIVE N I A t '...... CCIDENT S I E: L EACH A... OFFICER/MEMBOER/EXCLUDED? (Mandatory in NH) '....... E.L DISEASE ,EA EMPLOYEE, 5 If yes, describe under + ... =DES...C...RIPTION OF OPERATIONS below ........_...... ... ... I E.L ,DI9LSEPUCYLIMIT S „�.�.. .......�. ,......_....----------------_.. - .._.,.................................. DESCRIPTION OF OPERATIONS / LOCATIONS P VEHICLES (ACORD 101, Additio0al Remarks Schedurle, may be attached if more space is requirexl'I Certificate holder is named as additional insured as respects to General Liability when required b,ywritten contract or agreement, for services provided by the named insured for the certificate holder. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 _________- AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors -with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10- 01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: ._._._.....__ ._._. ........ CNA75079XX (10-16) Policy No: 7018210531 Page 1 of 2 Endorsement No: 7 The Continental Insurance Co. Effective Date: 02/02/2023 Insured Name: HADRONEx, INC. Copyright CNA All Rights Reserved, Includes copyrighted material of Insurance Services Office, Inc,, with its permission, _ A, A Primary and Noncontributory Insurance CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. ........... . ................ _...... _...... ............... This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy, . ......._ _ ..................... CNA75079XX (10-16) Policy No: 7018210531 Page 2 of 2 Endorsement No: 7 The Continental Insurance Co. Effective Date: 02/02/2023 Insured Name: HADRONEX, INC. Copyright CNA All Rights Reserved Includes copyrighted material of Insurance Services Office, Inc, with its permission,. AC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 10/25/2022 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 Milestone Risk Management & Insurance Services CONTACT Rachel Arnold NAME; PHONNEo (949) 852-0909 FAX No): (949) 852-1131 License No. OB72766 EMAIL rarnold@milestonepromise.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 8 Corporate Park, Suite 130 INSURERA: Technology Insurance Co 42376 Irvine CA 92606 INSURED INSURER B : INSURER C : Hadronex, Inc,, DBA: SmartCover Systems INSURER D : 2110 Enterprise St INSURER E : INSURER F : Escondido CA 92029 w- r`CDTICW! ATC rd11rU1eC97• ZZ-Z3 MaSier KtVlSIUN NUMCtK: 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 INSURANCE tl' p POLICY NUMBER POLICY EF'F MMIDD/YYYY POLICY EXP MM/DUIYYYY LIMITS ._ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ __ CLAIMS -MADE OCCUR DAMAGE -:. R .T U PREMISES Ea.4ccurrence .__. $ MED EXP (An ane arson] $ PERSONAL&ADV INJURY $ GE!N"LACGREGATELIMITAPPLIESPE,R.� GENERAL AGGREGATE Imo" PRODUCTS - COMP/OPAGG $ POLICY ❑PRO JECT LOC OTHER: $ AUTOMOBILE LIABILITY CEOeM,,' MEiINGLE LIMIT $ ANYAUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY -•-•---- PROPERTY iUAPNAGE' (Per accident. $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE"' OFFICER/MEMBER EXCLUDED? (Mandatory in NH) H- X PTA UTE FOR $ A N /A TWC4163468 10/01/2022 10/01I2023 E.L. EACH ACCIDENT $ 1,000,000 - E.L.. DISEASE - EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY LIMIT 1,000000 $' If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Hadronex, Inc. dba SmartCover Systems does not have any employees domiciled in the state of Washington, USA, The Workers Compensation Insurance evidenced herein includes a blanket waiver of subrogation which applies in favor of the Certificate holder where required by written contract with Hadronex, Inc.. r"dllSir'twl I ATtom 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. Public Works Department AUTHORIZED REPRESENTATIVE 400 Lomita St. ElSegundo CA 90245 U l`Jiblf-ZU70 AI.VKU 1 UKrVMAI IVN. All F19rIL5 rVb VFVVU. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person or organization as required by written contract This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10/1/2022 Policy No. TWC4163468 Endorsement No. 0 Insured Hadronex Inc Premium $ 14,100 Insurance Company Technology Insurance Company, Inc. Countersigned by ......._......... ._.... WC000313 (Ed. 04-84) WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Any person or organization as required by written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10/1/2022 Policy No. TWC4163468 Endorsement No. 0 Insured Hadronex Inc Premium $ 14,100 Insurance Company Technology Insurance Company, Inc. Countersigned by _ _- WC 04 03 06 (Ed. 04-84)