PROOF OF INSURANCE (2024) CLOSED/
ACC"R" CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
10/13/2023
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
CONTACT Adrienne Lamon
NAME:
Valent Group, LLC
AICONN0 Ext : (205) 262-2700 AIC No): (205) 262-2701
3500 Blue Lake Drive, Ste. 120
E-MAIL alamon@valentgroup.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
Birmingham AL 35243
INSURERA: Travelers Property & Casualty Co of America
25674
INSURED
INSURER B : The Charter Oak Fire Insurance Company
25615
EBSCO Industries, Inc.
INSURER C : Travelers Indemnity Company
25658
EBSCO Information Services, LLC
INSURER D : Endurance American Specialty Insurance Co
41718
P. O. Box 1943
INSURER E :
Birmingham AL 35201
INSURER F
COVERAGES CERTIFICATE NUMBER: . 23/24 EIS 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.
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDD YIYYYY
t )
MM Y EXP
t DDIYYW)
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE X OCCUR
PREMISES Ea occurrence
100,000
$
X
MED EXP (Any one person)
$ 5,000
GL Ded: $250,000
X
Printers E&O Ded: $250,000
PERSONAL&ADV INJURY
$ 1,000,000
A
TC2JGLSA-9D909462-TIL-23
10/15/2023
10/15/2024
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X POLICY ❑JECT PRO ❑ LOC
PRODUCTS - COMP/OPAGG
$ 2,000,000
OTHER:
Printers E&O
$ 1,000,000
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
TC2JCAP-9D909474-TIL-23
10/15/2023
10/15/2024
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
X
UMBRELLALIAB
X
OCCUR
EACH OCCURRENCE
$ 25,000,000
X
AGGREGATE
$ 25,000,000
A
EXCESS LIAB
CLAIMS -MADE
CUP-7S137226-23-NF
10/15/2023
10/15/2024
DED I X RETENTION $ 10,000
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICE R/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
TWXJUB-9D911955-TIL-23 (AL)
10/15/2023
10/15/2024
X STER
ATUTE ER
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 L339839-23-51-K
10/15/2023
10/15/2024
E.L. Disease - Each EE
$1,000,000
E.L. Disease - Policy Lmt
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe 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,NE, WI) - Pol# UB-9K299627-23 - 10/15/23 - 10/15/24
Coverage Code
WC/EL
Form No.
Edition Date
Limit 1
$1,000,000
Limit 2
$1,000,000
imit 3
F$L1,000,000
Deductible Amount
$500,001
Deductible Type
SIR
Premium
Ref #
D
Description
Cyber/PLlTechE&O - Pol# NR030018238501 - 4/7/23 - 4/7/24
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
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rOFADTLCV Copyright 2001, AMS Services, Inc.