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PROOF OF INSURANCE (2023 - 2024) CLOSED0 DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 02/28/2023 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 NONT CT Serge S')nanian MBISI, Inc - Meridian Brokers a PHONE � (818) 225-7025 FAX (818) 225-7026 9 gpfNo ammq�r, AIC Noll:_._. 18980 Ventura Blvd., Suite 330 E-MAIL serge@mbisi,com ADDRESS: ............................... INSURER(S) AFFORDING COVERAGE NAIC # Tarzana CA 91356 INSURERA: Sentinel Insurance Company, Ltd ....................._............ _.._ ._. INSURED INSURER B : Allstate Insurance Company ..__......_,._..........._________ ...._.__ ._ Govinvest Inc. INSURER C : HISCOX Insurance Company Ina. ......_,...... _.........................._ ..........._.._.._.. 1230 Rosecrans Ave , St 300 PMB 754 INSURER D INSURER E Manhattan Beach CA 90266 INSURER F; COVERAGES CERTIFICATE NUMBER: CL2271309454 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 ............................................................- _ ,x�. iR t POLICY EF LY Y' CAP LIMITS R ,TYPE OF INSURANCE INSD W, VD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY m.........._..........................__._.m. _. _ ,. ......... ...............__.._ COMMERCIAL GENERAL LIABILITY 2,000,000 EACH OCCURRENCE S AMAF N 1,000,000 CLAIMS MADE OCCUR PRFMISES,IFa ocr,arrence„ $ A ITLAGGREGAIL LI M IT A PPLI ES PER POLICY POLICY .............. JEO [............1.. LOC AUTOMOBILE LIABILITY ANYAUTO BI OWNED AUTOS ONLY,,,,, SCHEDULED AUTOS HIRED NON -OWNED AUTOS ONLY .. AUTOS ONLY MED EXP (Any one person) S 10,000 Y N 72 SBM BB5518 06/25/2022 06/25/2023 PERSONAL &ADV INJURY 2 000,000 '. S ' GENERALAGGREGATE ''.S 4,000.000 PRODUCTS - COMP/OP AGG _.,.._...... ._.._,_,_,._.._.._.�._.__ S 4,000,000 5 . ................ www __. _.n ._�.. COMB4I+IEDSdN ALE LiMur s 1,000,000 _(E.a_acotda nB ............_ BODILY INJURY (Per person) S N N 648847300 04/17/2022 04/17/2023 BODILY INJURY (Per accident) S PROBa'ERTi°f"�AruiA4s��: ............ � $ x UMBRELLA LIAR IXI OCCUR A EXCESS LAB El CLAIMS -MADE Y N 72 SBM BB5518 DED I X1 RETENTION S 10,000 WORKERS COMPENSATION '.. AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE . NIA 'OFFICER/MEMBER EXCLUDED? _I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Cyber Liability & Professional Liability C Claims Made Y N MPL2075241 22 EACH OCCURRENCE S 1.000,000 06/25/2022 06/25/2023 AGGREGATE S 1,000,000 S PER EL EACH ACCIDENT S E L. DISEASE - EA EMPLOYEE S E L. DISEASE - POLICY LIMIT $ Aggregate 2,000,000 09/28/2022 09/28/2023 Each Claim 2.000,000 Retention 5.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Application Service Provider, City of El Segundo, its elected or appointed officers, officials, employees, agents and volunteers are named as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the consultant or any subcontractors including materials, parts or equipment furnished in connection with such work or operations, including completed operations. Coverage under the policy is Primary and Non -Contributory. Refer to attached policy form IH 12 00 11 85 T for scope of additional insured status, Waiver of Subrogation endorsement form IH 12 00 11 85 T is attached, Regarding Commercial Auto policy, please refer to attached policy form CA 20 01 10 13 for scope of additional insured status.. 30 Days Notice of Cancellation Or Reduction of Coverage. 10 Days Notice of Cancellation for Non -Payment of Premium, 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 Street AUTHORIZED REPRESENTATIVE EI Se undo CA 90245 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD BUSINESS LIABILITY COVERAGE FORM (b) Rented to, in the care, custody or b. Coverage under this provision does not control of, or over which physical apply to: control Is being exercised for any (1) "Bodily injury" or "property damage* purpose by you, any of your that occurred: or "employeas", `volunteer workers°. any partner or member (if you are (2) "Personal and advertising injury" a partnership or joint venture), or arising out of an offense committed any member (if you are a limited before you acquired or formed the ilablitty company). organization. b. ideal Estate Manager 4. Operator Of Mobile Equipment Any person (other than your "employee" or Wth respect to "mobile equipmenr registered in "volunteer workee), or any organization your name under any motor veh1da registration while acting as your real estate manager. law, any is an Insured while driving such c. Temporary Custodians Of Your tf along a public highway with your Proparty pe rr. Any other person or organizallon responsible for the conduct of such person is Any person or organization having proper also an Imured, but only with respell to liaa'idy temporary custody of your property if you arising out of the operation of the equipmerk and ft but onty: only if no oilier Insurance of any kind is available 41) VM respect to Mobility arising out of the to that person or otganizzfim for this malrdonance or use of that property; and However, no person or orgonkstion, Is an Ins , (2) Until your legal representative has with respec um been appointed a. °Bodily injury" to a co -°employee" of the d. Legal RepreserrUdIve If You Die person driving the equipment; or Your legal reptesentafte if you die, but b. "Propertydamage" to property owned by, only with respect to duties as such. That rented to, in the charge of or occupied by representative will have all your rights and you or the employer of any person who Is duties under this insurance. an insured under this provision. 6. Unnamed Subsidiary 5. Operator of Nonowned Watercraft Any subsidiary and subsidiary thereof. of With respect to watercraft you do not own that yours which is a legally Incorporated entity is less than 51 feet long and is not being used of which you own a financial Interest of to carry persons foor a charge. any person is an more then 50% of the voting stock on the insured while operating such watercraft with effective date of this Coverage Part. your permission. Any other person or The Insurance afforded herein far arty organization responsible for the conduct of such person Is also an insured, but anty with subsidiary not shown in the Declarations respect to debility arising out of the operation as a named Insured does not apply to no other the watercraft, and onlysurance Injury or damage with respect to which an ab� to that In of arty tdnd is avafia n insured under this insurance Is also an person or organization for this Rabil[fy. insured under another policy or would be an Insured under such policy but for its However, no peracn or organization Is an termination or upon the exhaustion of Its insured with respect to: Herne of Insurance. a. "Bodily Injury" to a WomploW of the 3. Newly Acquired Or Fomred Organisadon Person operating the watetwaft: or Any orgaftallon you newly acquire or form, b. "Property doge° to party owned by, other than a partnership, joint venture or rented to, in the charge of or occupied by limited liability company, and over which you you or the employer of arty person who is maintain financial Interest of more than 50% of an insured under this provision. the voting stock, vAll qualify as a Named G Additional Ineureft When Required By Insured If there is no other similar insurance Written Contra*, Written Agreement Or avaiiabie bo that organiztion. However. Permit a. Coverage under this provision Is afforded The person(s) or organization(s) Mendfied In only until the IBM day after you acquire Paragraphs a. through L below are additional or corm the organization or the end of the insureds when you have agreed, In a written Policy period, whichever is earlier, and Form SS 00 OB 04 05 Page 11 of 24 BUSINESS LIABILITY COVERAGE FORM contract written agreement or because of a (e) Any failure to make such permit Issued by a state or political Inspections, adjustments, tests or subdivision, that such person or organzation servicing as the vendor has be added as an additional insured on your agreed to make or normally Policy, Provided the injury or damage occurs undertakes to make in the usual subsequent to the execution of the contract or course of business, in connection agreement. or the issuance of the permit with the distribution or sale of the A person or organization is an additional proms; lf) Derreo on, Installation, Insured under this provision only for that period of time required by the contract servicing or repair operations, agreement or permit. except such operations performed at the vendor's premises In However, no such person or organization is an connection with the sale of the additional insured under this provision If such Produce person or organzation Is included as an additional insured by an endorsement issued (g) Products which, after distribution by us and a part of this Coverage learn or sale by you, have been labeled Including aiI mesons or organizations added or relabeled or used as a container, part or Ingiedent of any as additional Insureds under the specific other thing or substance by or for additional insured coverage grants in Section the vendor, or F. — Optional Additional Insured Coverages. V a. Vendors (h) "Bodily injury" or "property damage° arising out Of the sole Any s) or lr.atlon(s) (releried to negligence of the vendor for Its bkw as vendor), but arty with respect to own acts or omIssions, or those of I or Voperty damaW arlsing its employees or anyone else out of °"yo prodwhich are distributed acting on its behalf. However, this or sold to the regular course of the vendors exclusion does not apply to: business and only If this Coverage Part (h The exceptions contained to provides coverage for 'bodily injury" or Subparagraphs (d) or M; or °property damage" included within the "prod repro opw4orns hazard". (M) Such inspections, ad" , (1) The Insurance afforded to the vendor tests or servidng as the vendor has sWeW to make or normally is subject to the following additional widertakes to make in the usual exclusions: course of bushms, to This insurance does not apply to: connection with the disti1bution (a) 'bodily Injury" or "Property or sale of the products. damages fdr Which the vendor is (2) This insurance does not apply to any obligated to pay damages by Insured person or organkdon, from mason of the mumption of whom you have acquired such acts, liability in a contract or agreement. or any ingredient part or conntainer, This exclusion does not apply to entering into, accornpanying or liability for damages that the cord*ft such products. vendor would have in the absence b, Lessors, Of E4ui1m� of the contract or agreement (b) Any express warranty 11) Any person or organ from whom you lP but only unauthorized by You; with respect to their liability for `bodily (c) Any physical or chemical change Info , aproperty damage! or In the product made Intentionally"Personal and advertising Injury" by the vendor, caused, In whole or In part by your (d) R ql% except Mien matntenance, operation or use of unpacked ad* for the purpose of equipment leased to you by such inspection, demonstratIM teWrig, person or organization. or the aLtboftifon of parts under Instructions from the manufacturer. and then repackaged in the original container, Page 12 of 24 Form 88 00 08 04 05 S'. (2) vft respect to the Insurance afforded to these additional Insureds, this Insurance does not apply to any "o=rrence" which takes place after you cease to lease that equipment c. Lessors Of Land Or Premises (1) Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenarim or use of that part of the land or premises [eased to you. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: (a) Any -=wmweP which takes place after you cease to lease that land or be a tenant in that premises; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organbuition. d. Arrchhacts, Engineers Or Swveyors (1) Any architect, engineer, or surveyor, but only with respect to iiabllity for "bodily injury", "property darroW or Wsonol and adverUng Injury" caused. in whole or in part, by your acts or omissions or. the ads or onftskm of arose acting on your behralt (a) In connection with your premises; or (b) In the performance of your ongoing operations performed by you or on your behalf. (2) With respect to the insurance aftrded to these additional Insureds, the following additional exclusion applies: BUSINESS LIABILITY COVERAGE FORM e. Permits Inued By State Or Political Subdivisions (1) Any state or political subdMsion, but only with respW to operations performed by you or on your behalf for which the state or political subdivision has issued a pern'dL (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: (a) Todill► lnJW, "property damage° or "personal and advertising injury" arising out of operations performed for the state or municipality; or (b) Ilodly MAW or "property darnage. Included within the "products - completed alwaftm hazard'. L Any Other Party (1) Any other person or organization who is not an Insured under Paragraphs a. through e. above, but only with respect to liability for "bodily Injury", "property damage" or nal and advertising injury" caused, In whole or in part, by your ads or omissions or the acts or omissions of those acting on your behalf. (a) In the performance of your ongoing ape ns; (b) in connection with your premises owned by or rented to you; or (c) In connection with nyourwortr" and included within the "products - completed operalions, rd"', but only if (i) The written corrtract or written agreement requires you to provide such coverage to such additional insured; and This insurance does nat apply to (a) This Coverage Part provides abodily Injury", "property damage or coverage for "bodily injury' or "personal and advertising injury" "property damage" Included arising out of the rendering of or the within the "products - failure to render any professional completed operations hazard". services by or for you, including: (2) With respect to the insurance afforded (a) The preparing. approving, or to these additional Insureds, this failure to prepare or approve, insurance does not apply to: maps, shop drawings, opinions, "Bodily injury"', "property damage" or reports. surveys, field orders, "personal and adverf rtg it ury" change orders, designs or arising out of the rendering of, or the drawings and specifications; or failure to render, any professional (b) Supervisory, inspection, architectural, engineering or surveying architectural or engineering services, including: activities. Form 68 00 08 04 05 Page 13 of 24 BUSINESS LIABILITY COVERAGE FORMA (a) The preparing, •approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or lb) Supervisory, inspection, architectural or engineering activnift The limits of insurance that apply to additional insureds are described In Section D. — Limits Of Insurance. How this Insurance applies when other Insurance is available to an additional insured is described in the Other Insurance Condition in Section E. — Liability And Medical Expenses General Conditions. No person or organization is an insured with respect to the conduct of any current or past emblp, joint verdure or limited liability company that is not sham as a Named Insured In the Declarations. D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE 1. The Most We VWR Pay The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or e. Petsons or organb2tIons malting claims or bringing "suits". 2. Aggregate Limits The most we will pay for. a. Damages because of "bodfly Injury" and °property damage° Included in the products-compieted operations hazard" Is Me Producte-Completed Operations Aggregate Limit shown to the Declarations. b. Damages because of all other °bodily injwryO% "property damaW or*Personal and advertising injury", Including medical expenses, is the General Aggregate Limit shown In the Declarations. This General Aggregate Limit applies separately to each of your "locations° owned by or rented to you. "Location" means premises involving the same or connecting lots, or premises whose connection Is interrupted only by a street, roadway or right-of-way of a railroad. This General Aggregate limit does not apply to "property Oamage" to premises while rented to you or temporarily or,pied by you with permission of the owner, arising out of fire, 119WIng or explosion. 3. Each Occurrence Limit Subject to 2.a. or 2.1b above, whichever applies, the most we will pay for the sum of all damages because of all "bodily injury". "property damage" and medical expenses arising out of any one "occurrence" is the Liability and Medical Expenses halt shown in the Declarations. The most we will pay for all medical expenses because of "bodily injury" sustained by any one person Is the Medical Expenses Limit shown to the Deckwations. 4. Personal And Advertising Injury Limit Subject to 2.b. above, the most we will pay for the sum of all damages because of all "personal and advertising Injury" sustained by any one person ororgartization is the Personal and Advertising Injury Limit shown In the Declarations. 5. DanwW To Premises Rented To You Limit The Damage To Premises Rented To You LhnR is the most we will pay under Business Liability Coverage for damages because of "property damage" to any one premkok while rented to you, or in the case of damage by fire, lighWng or explosion, while rented to you or temporanly occupied by you with permission of the owner. In the case of damage by fine, Bghtntng or explosion, the Damage to Premises Rented To You Limit applift to all damage t* caused by the same evenk whether such damage results from fire, lightning or explosion or any combination of these. 6. Haw Limits Apply To Additional Insureds The most we will pay on behalf of a person or organtzation who Is an additional Insured under this Coverage Part is the laser at a. The limes of insurance specified In a written conftct, written agreement or permit Issued by a state or political subdivision; or b. The Limits of Insurance shown In the Declarations. Such amount shad be a part of and not in addition to the Limits of Insurance shown In the Declarations and described in this Section. Page 14 of 24 Form SS 00 08 04 05 BUSINESS UABILr Y COVERAGE FORMA If more than one limit of insurance under this (1) Immediately send us copies of any policy and any endorsements attached thereto demands, nolices, summonses or applies to any claim or "suit', the most we will pay legal papers received in connection under this policy and the endorsements is the with the claim or"suir, single highest limit of liability of all ge$ (2) Authorize us to obtain records and applicable to such claim or "suit'. However, this other Information; paragraph does not apply to the Medical Expenses (3) Coopeatte with us in the investigation, limit set forth in Paragraph & above. the claim or d efianse The LW ts of Insurance of this �9e Part aPPhr ts gadtst the "suit'; and against sepmaWly to each consecutive annual period and to (4) Assist us, upon our request, in the any remaining period of less than 12 months, starting enforcement of any right against any with the begbWng of the policy period shown In the person or ergo that may t Declarations. unless the policy period Is eduaded liable the insured because of Injuryry after for an add period of less than 12 ar damage which this insurance mmnd . In that case. the l period will be so-aPplYb my allso a deemed part of the last p period for purposes d . Obligations At The Itsnued� Own Cost of the Llndla of Insurance.. E. LIABILITY AND MEDICAL S s awn No tvolInsured arilw1ila eke at payment fnsur assume �.o voluntarily make a GENERAL CONDITIONS any u,Iation, or sour any expense, other 1. Bankruptcy than forfirst all, without our consent Bankruptcy or Insolvency of the Insured or of e. Additional Insured's Other Insurance the irsured's estate will not relieve us of our if we cover a claim or "suit' under this obligations under this Coverage Part. Coverage Part that may also be covered 2. Duties In The Event Of Occurrence. by other Insurance available to an Claim Or Suit additional irhsured, such additional insured a. Notice Of Occurrence Or Offense must submit such claim or "suit" to the other Insurer for defense and Indemnity. You or any additional insured must see W However, this provision does not apply to It that we are notified as soon as the extent that you have ' in a practicable of an "occurrence" or an written certrack written agreement or offense which may result in a claim. To pelt that this insurance is primary and the extent possible, notice should Include: non-co�ry with the additional (1) How, when and where the '0=00WW insured's awn insurance. or offense book place; C Knowledge Of An Occurrence, Offense, (2) The names and addresses of any Claim Or Suit injured persons and witnesses; and paragraphs a. and b. apply to you or to (3) The nature and location of any injury any additional insured only when such or damage arising out of the "occurrence", oilense, claim or "suit" is 10muffencaP or offense. known to: b. Notice Of Claim (1) You or any additional insured that is If a claim is made or "suit is brought an individual; against any insured, you or any additional (2) Any partner, if you or an additional Insured must: Insured Is a partnershlp; (1) Munediately record the specifics of the (3) Any manager, if you or an additional claim or "suit' and the date received; Insured is a limited Mabtiity oompwW, and (4) Any "executive ottio '" or Insurance (2) Notify us as soon as practicable. manager, if you or an additional You or arty additional insured must see to insured is a corporation; lt that we receive a writban notice of the (5) Any oustee, 9 you or an additionad claim or "suit' as soon as practicable. Insured is a trust: or c. Amdeftrice And Cooperation Of The (6) Any elected or appointed otiictal. If you Insured or an additional insured Is a political You and any other involved insured must: subdivision or public entity. Form SS 00 08 04 05 Page 15 of 24 BUSINESS LIABILITY COVERAGE FORM This Paragraph L appGes separately to you and any additional insured. 3. Financial Responsibility Laws a. When this policy is ceriffliedi as proof of fxnandal responsibility for the future under the provisions of any motor vehicle financial responsibility low, the insurance provided by the policy for "bodily injury" liability and "property damage" labllty will comply with the provisions of the law to the extent of the coverage and limits of Insurance required by that low. b. With respect to "mobile equipment" to which this Insurance applies. we will provide any lability, uninsured motorists, underinsured motorists, no-fault or other coverage required by any motor vehicle law. We wrfl provide the required limits for those coverages. 4. Legal Action Against Us No person or organization has a right under this Coverage Form: a. To join us as a party or otherwise bring us Into a "suit asidng for damages from an Insured; or b. To sue us on this Coverage Form unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment agaInat an Insured; but we will not be HaMe for damages that are not payable under the imms of this Insurance or that are In excess of the appliceWe fimdt of Insurance. An agreed settlement means a settlement and release of Daft signed by us, the insured and the claimant or the clairnalft legal represeMativa & Separation Of Irmuetis Except with respect to the Limits of Insurance, and any rights or duties specifically assigned In this policy to the first Named Insured, this Insurance apples: a. As If each Named Insured were the only Named Insured; and b. Separately to each Insured against whom a claim is made or `sure Is brought. 6. Re a. When You Accept This Policy By accepting this policy, you agree: (1) The statements in the Ckwiarattons are accurate and complete; (2) Those staternents are based upon representations you made to us; and (3) We have issued this policy in reliance upon your representations. b. Unintentional Failure To Disclose Hazards If unintentionally you should fail to disclose all hazards relating to the conduct of your business at the inception date of lids Coverage Part, we shall not deny any coverage under this Coverage Part because of such fanure. 7. Othertnsurance If other valid and collectible Insurance Is available for a loss we cover under this Coverage Part, our obligations are lmlted as follows: a. Primary Insurance This insurance is primary except when b. below apples. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Irrsrrranee This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) Your Work That is Fire, Extended C Builder's task, Installation Risk or similar coverage for 'your work"; (2) Promises Rented To You That is fire, lightning or explosion Insurance for premises rented to you or temporarily occupied by you with pemission of the owner, (3) Tenant Llabifrly That is insurance purchased by you to cover your liability as a tenant for "properly damage" to premium rented to you or temporarily occupied by you with permission of the owner, (4) Mau% Auto Or VAttercraft If the loss arlses out of the maintenance or use of aironA "autos" or watenzaitto, Me not act to Emdusion g. of Sexton A. —Coverages. (5) Property Damage To Borrowed Equipment Or Use Of Efentm If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to tExclusion It. of Section A. — coverages. Page 16 of 24 Fong SS 00 08 04 05 (6) When You Are Added As An Additional Insured To Other Insurance That is other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that Insurance; or (7) When You Add Others As An Additional Insured To This Insurance That is other Insurance available to an additional Insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this Coverage Rt� rt" (a) dmary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract, written agreement or permit that this Insurance be primary. If other Insurance Is also primary, we will share with all that other Insurance by the method described in c. below. (b) Primary And No -Contributory To Other Insurance When Required By Contract if you have agreed in a written contract, written agreement or permit that this insurance is primary and non-contributory with the additional insured's own Insurance, this insurance Is primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional Insured has been added as an additional Insured. When this insurance is excess, we will have no duty under this Coverage Part to defend the insured against any "suit" if. any other Insurer has a duty to defend the insured against that "suit". if no other Insurer defends, we will undertake to do so, but we will be entitled to the Insureds rights against all those other insurers. BUSINESS LIABILITY COVERAGE FORM When this Insurance Is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply In excess of the Umfts of Insurance shown in the Declarations of this Coverage hart. c. Method Of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of Insurance or none of the loss remains, whichever comes first. If any of the other Insurance does not perrrtit contribution by equal shares, we will contribute by limits. Under this method, each Insurer's shalt: is based on the ratio of its applicable limit of insurance to the -total applicable limits of insurance of all insurers. 8. Transfer Of Rights Of Recovery Against Others To us a. Transfer Of Rights Of Recovery If the insured has rights to recover a@ or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing sifter loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. This condition does not apply to Medical Expenses Coverage. ( b.) waiver Of Rights Of Recovery (Waiver u OFSubrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, Including Supplementary Payments, we have made under this Coverage Part, we also valve that right, provided the Insured waived their rights of recovery against such person or organization In a contract, agreement or permit that was executed prior to the Injury or damage: Form SS 00 08 04 05 Page 17 of 24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. "'B This endorsement modt ies insurance provided under the foliowing: BUSINESS UABIUTY COVERAGE FORM We welve any right of recovery we may have against: 1. Any person or organizatlon shown In the Declarations, or 2. Any person or organization with whom you have a contract that requires such walver. Form SS 1215 03 00 0 2000, The Hartford Page 1 of 1 A HISCOX PRO" Endorsement,7 NAMED INSURED: Govinvest Inc. E..:1, BI��1Ca�*t �idGli_a1�aN Nnua�r.��i �u.,�1�rr�,ern�I. �Vif�ut erg �.nRr,u�t�, In consideration of the premium charged, and on the understanding this endorsement leaves all other terms, conditions, and exclusions unchanged, it is agreed the Cyber Coverage Part is amended as follows: i. The following definition is added to the end of Section III. Who is an insured: Additional insured means any person(s) or organization(s) the named insured has agreed in a written contract or agreement to add as an additional insured to a policy providing the type of coverage afforded by this Coverage Part, provided the contract or agreement: 1. is currently in effect or becomes effective during the policy period; and 2. was executed before the business operations from which the claim or event arises were performed. Coverage is available for additional insureds solely for their liability arising out of the named insured's negligence or of those acting on the named insured's behalf and not for any liability arising out of the sole negligence of the additional insured. li. In the preamble of Section III. Who is an insured, the words "additional insured," are added after "named insured,". III. In Section VII. Definitions, the definition of "You, your, or insured" is amended to add the words "additional insured," after "named insured,". Endorsement effective: 09/28/2022 Certificate No.: MPL2075241.22 Endorsement No: 7 Processed Date: 07/18/2022 Hiscox Inc. r r' Authorized Representative Kevin Kerridge CYBCL-CYB E2013 CW (04/19) Page 1 of 1 IC1�1�►19�1i�QiCi] GOVINVE-01 813U', .4� CERTIFICATE OF LIABILITY INSURANCE DATE E(MM/D ) ..................... ._._........................,,,,..._..........................................�_..... .e..,. _........,.........m......�..-........,....,� 11202 120 fYYYY.... 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 e ndorsement(s). PRODUCER CONTACT Ed Collins NAME,.em ®...,®..., Total Resources Ins Agy (ACC,PHONE 1.. se(rricecent5454 FAX 39 Public Square F M. No, Ex11 0 (Arc N p:1 70 825-2990 EMMAIL guard corn Wilkes-Barre, PA 18702 A wDRE3_' _ ,.,,,,..w, .,,,....,��... ... __ ., ........ „ IN4I IGFnl G1 AFKnPr1IINCi C nVFRAC'F'. NAI.0 # INSURER A Am,GUARDInsu,rance Company ..42390, INSURED INSURER B Govinvest, Inc. INSURER C 8605 Santa Monica Blvd ®"� ---- PMB 52465 INSURER D s West Hollywood, CA 90069 INSURER E : ®..... ,,,. .. INSURER F : 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, R ADDL S U B R EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER LIMITS Ai ........ ........................ _ ............!1� _.............._. m ll4!IJ�D„li LIMMIDOIYY�YL ............ _. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGETO RENTED 1 �F �'Rk�MI"F_tiL,r��wa Vie.P 1.$ ., L AGGREGATE LIMIT APPLIES PER: POLICY P(n'xC,s � LOC TEPf -- AUTOMOBILE LIABILITY _.' ANY AUTO -, LSE ��.. OWNED .......... SCHEDULED AUTOS NLY AUTOS ",PC .'. AUTOS ONLY A A'. f7 JL ',, '. . .�.. UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE Af DED -. RETENTION 5 ..w........ .............. A WORKERS COMPENSATION .... _.... m X AND EMPLOYERS' LIABILITY Y y N X GOWC324305 '.ANYPROPRIETORtPARTNER/EXECUTIVE 8/27/2022 8/27/2023 '— OFFICER(MEMBER EXCLUDED? Y NIA'., E,I '....... ........ ',. (Mandatory in NH) -- ',.. ''., EA If ves. describe under '.. '.." DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) xcluded: Jasmine Nachtigall-Fournie waiver of subrogation in favor of the certificate holder has been included in the workers compensation policy (see attached endorsement). 1,0 1,0 1.0 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) _ 015 A .� ©1988-2 CORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) 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 1.02 _..% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Blanket Waiver - Any person or organization for whom the All CA Operations Named Insured has agreed by written contract to furnish this waiver. III* endorsement chanqos the pdicy to which A Is attached and is eat .Uve on the eta: Issued thnWss e thwvvise stat(A (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective Policy No. GOWC324305 Endorsement No. Insured Insurance m ny =5 OM998 by the Workers' Compensation Insurance Rating Bureau of Califomla. All rights reserved. w'01I CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 01 /03/2023 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 NAME Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA PHONE. FA7t 520 Madison Avenue f"MAAfL ntYM. 88 c 02i3007x com ..tAe Nay EMAI 32nd Floor ADDRESS .., New York, New York 10022 I�WS.U'iNI,SAFFORD,ING COVERAGE NAIC # INSURER A: HISCOX Insurance Company Inc 10200 .... .................. INSURED INSURER B . , ..... GoVlnvest Inc. INSURER C 8605 Santa Monica Blvd PMB 52465 West Hollywood, CA 90069 INSURER D : INSURER F Crl\/I=RAf_I=S CFRTII=IrATF NIIMRFR^ RFVISI(]N NIIMRFR, 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. AfbDL. TUBA ....... .�.�. ..TYPE INS LTRR OF INSURANCE POLICY NUMBER I. MWDO/YYYY MMfolwy yy ''. LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S ,..�.. �� �� CLAIMS -MADE OCCUR •„PRFM,ISF9�Ea cccurrnce ....., . MED EXP (Any one person) $ ,GEN'LAGGREGATELIMITAPPLIESPER: PERSONAL & ADV INJURY S GENERAL AGGREGATE S ' PRO- POLICY JE:CT ...� I...00 PRODUCTS - COMP/OP AGO $ OTHER: S AUTOMOBILE LIABILITY COMBINED °a"q' GLF LIMIT LE ti �a.cc hjenq $ '.. ANY AUTO BODILY INJURY (Per person) $ .................. .... ...... ALL OWNED SCHEDULED ''..... __ '. BODILY INJURY Per accident) ( D $ AUTOS AUTOS '. NON -OWNED PROPERTY DAMAGE .. $ .......... HIRED AUTOS .,....... 'AUTOS .t,Per u�prWppt) ...... IS UMBRELLA LAB '.. OCCUR EACH OCCURRENCE ., ... , ..., $ . EXCESS LAB CLAIMS MADE .— ........ AGGREGATE $ DEC) RETENTION $ `r WORKERS COMPENSATION OTH ',°°°,m„ AND EMPLOYERS' LIABILITY Y / N _STI�Tµ,Rm, ,,,,. ---- --- .-•• ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA A E L EACH ACCIDENT .., ..,. .�... .. $ .---....... (Mandatory in NH) EL,. DISEASE - EA EMPLOYEE $ -`- If yderes, describe unOF ... . ,., .-..�-- DESCRIPTION OPERATIONS below , E.L. DISEASE - POLICY LIMIT $ A Professional Liability P100.094.137,9 02/10/2023 02/10/2024 Each Claim: $ 1,000,000 S ! Aggregate:$ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) QtKIIFIC:AIt HULUtK UANUr-I LLAIIU'N City of El Segundo 350 Main St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE El Segundo, CA 90245 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE II / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD