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PROOF OF INSURANCE (2024) CLOSEDPolicy Number: Date Entered: CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODIYYYY) 5/_2/2023 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 CONTA Michael Wa tters Benedetti Insurance Agency (650)697-2044 (650)697-4506 AIc Na 199 California Drive #20261EtcT E_......... - Millbrae, CA 94030 not�Rss;._._ ........ _. INSURERS AFFORDING COVERAGE NAIC p INSURER A: The Hartford Insurance Company 22357 INSURED RACE TELECOMMUNICATIONS, LLC .INSURERS: INSURER C: and Race Technologies, LLC INSURER D: 1325 Howard Ave, Ste 604 '. INSURER E Burlingame, CA 94010 """"'''''" INSURER F:. 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. INSR LTR '. TYPE OF INSURANCE DL SUER """' POLICY NUMBER POLICY EFF IO YY POLICY EXP rAI DIYXYX LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S2,000,000 CLAIMS -MADE XOCCUR X.......X 57SBA13K3443 2/26/2023 /26/2024I„, a,.,urraSe $2,000,000 MED EXP (Any oneperson) S10,000 PERSONAL & ADV INJURY S2,000,000 0EN"L.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 6, 000, 000 PRODUCTS -COMPIOPAGG $ 6,000, 000 POLICY X PR ® LOC �... S OTHER: AUTOMOBILE LIABILITYCOM,BIN IN E LIMIT Ea acc4onl' $ 1 , 000, 000 A X ANY AUTO X X 57UFCFN1611 2/26/2023 /26/2024 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ M ERTY D E� (I�olac�cldk4ol. $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S A UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 8 , 000 , 000 AGGREGATE $8,000,000 EXCESS LIAB CLAIMS -MADE ..DED 57SBABK3443 2/26/2023 /26/2024 S RETENTION $ WORKERS COMPENSATION STATUTE I ER. iAND EMPLOYERS' LIABILITY YIN 1 000, 000 A iANY PROPRIETORIPARTNER/EXECUTIVE ��� q�... 'OFFICERIMEMBER NIA X 57WECAB3DTL 2/26/2023 /26/2024 EL EACH ACCIDENT - $ , --- EXCLUDED? !'••& E.L,DISE%SE-EA EMPLOYEE. S 1, OCIO, OOU (Mandatory inNH) If yes, describe under DESCRIPTION OF OPERATIONS below EL, DISEASE - POLICY LIMIT $ 1 000 000 A Professional Liab./ 57SBABZ3172 2/26/2023 /26/2024 Limit $5,000,000 D&O Liability DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space is required) Certificate of GL, Auto, and Workers Comp for Race Telecommunications Inc. 30 day notice of cancellation to cert. holder. Insurance is primary and non-contributory. City of El Segundo is named as additional insured per attached blanket endorsement CERTIFICATE HOLDER CANCELLATION City of El Segundo 350 Main Street 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 Michael Melchior 6,-' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER:. 57SBABK3443 CG 20 3707 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional 1 nsured Person(s) Or Organization(s): Location And Description Of Completed Operations Any person or organization for whom you are All Jobs/Locations performing "commercial construction" during the period of this policy and have agreed in a written contract to add as an additional insured for products -completed operations. "Commercial construction" does not include any habitational or residential construction other than hotels or apartments. Inrorriauon required to lete this S orn chdu cele, if not shownmabove, wit[ be s - � p _ hown in the Declarations. Section It - Who Is An Insured is amended to include as an additional insured the person(s) or organization (s) shown in the Schedule, but only with respect to ;iabi!ity for "bodily injury" or "property damage' caused, in whole or in part, by "your work" at the location designated and. described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc , 2004 Page 1 of 1 POLICY NUMBER: 5 7 SBABK3 4 4 3 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): I Location(s) Of Covered Operations Any person or organization for whom you are All Jobs/Locations performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization, be added as an additional insured on your policy. +n mi^lion re�#urredµto comp _ _ _ — _.. �_ complete this Schedule, if not shown above, will be shown in the Decrarations. imr, ------------- - A. Se :lion Il -- Who Is An Insured is amended to include as an additional insured the parson(s) or organizatiorr(sj shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1- Your acts or omissions; or 2. The acts or omissions of those acting on your behalf: in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded lc 'these additional in the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after. 1. All work, including materials, parts or equip- ment furnished in connection with such worf;, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a .principal as a part of the same project. CG 20 10 07 04 © ISO Properties. Inc., 2004 Page 1 of 1 POLICY NUMBER: 57SBABK3443 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: - COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that you will waive any right of recovery against such person or organization - Info mation required to complete this Schedule, if not shown above, will be shown in the Declarations_ The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard"_ This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page i of 1 POLICY NUMBER: 57SBABK3443 COMMERCIAL GENERAL LIABILITY CG20010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -- OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contractor Condition and supersedes any provision to the agreement that this insurance would be primary contrary: and would not seek contribution from any other Primary And Noncontributory Insurance insurance available to the additional insured_ This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 © Insurance Seivices Office, Inc., 2012 Page 1 of 1 P01icy{ : 57lJECF'N1 611 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. The following is added to the Section II — Liability Coverage, Paragraph A.1. Who Is An Insured Provision: Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organiztion qualifies as an "insured" under the Who Is An Insured provision contained in Section II. MCA20480711 Policy#: _57CJECFN1611 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION IV — BUSINESSS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights Of Recovery Against Others To Us, the following is added: We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. MCA04440913 M_� THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the company for non- payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Form SS 12 23 06 11 Page 1 of 1 © 2011, The Hartford 2. "Bodily injury" or "property damage" occurring after. a. All work, including materials, parts or equipment furnished in connection with such works on the project (other than serv- ice, maintenance or repairs) to be per- formed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or or- ganization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Sec- tion III - Limits Of Insurance: The most we will pay on behalf of the additional in- sured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insur- ance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Copyright, Insurance Services Office, Inc., 2012 CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 57 WEC AB3DTL Endorsement Number: Effective hour is the same as stated on the Information Page of the policy, Named Insured and Address: RACE TECHNOLOGIES, INC. & RACE TELECOMMUNICATIONS, INC 1325 HOWARD AVE STE 604 BURLINGAME CA 94010 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 % of the California workers' compensation premium otherwise due on such remuneration. Form WC 04 03 06 Countersigned by Authorized Representative (1) Printed in U.S-A.