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PROOF OF INSURANCE (2024 - 2025) CLOSED"R DATE (MM/2024 1) �� CERTIFICATE OF LIABILITY INSURANCE 04/17/2024 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 AME: CO ACT Serge Sinanian N MBISI - Meridian Brokerage Insurance Services PHONE (818) 225-7025 Atc No , (818) 225-7026 A!C Na 18980 Ventura Blvd., Suite 330 EAnnip-MAIL_gS, serge@mbisi.com INSURER(S) AFFORDING COVERAGE NAIC # Tarzana CA 91356 INSURER A: Sentinel Insurance Company, Ltd INSURED INSURER B : Allstate Insurance Company Govinvest Inc. INSURER C Hiscox Insurance Company Inc. 8605 Santa Monica Blvd., INSURER D INSURER E West Hollywood CA 90069-4109 1INSURER F , ,�.,�a ra ,�rw.icr• rCoricvATc WrIsr112=0, CL2441710359 IRr-VI1.gln+t NLIMRFR- 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. Y EXP I TR TYPE OF INSURANCE IN D NND POLICY NUMBER MMFDDfYYYY M'MdL'6�p LIMITS XCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 � PREMISES Ea. occurrence $ 1,000,000 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 10,000 A Y Y 72 SBM BB5518 DX 06/25/2023 06/25/2024 PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'LAGGREGATE :LIMITAPPLIESPER: PRODUCTS 4,000,000 POLICY ❑TLOC JE OTHER: $ AUTOMOBILE LIABILITY OMBINEO SINGt.11 UMIT Ea a iderup $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ''....... B OWNED SCHEDULED N N 648847300 04/17/2023 04/17/2024 AUTOS ONLY AUTOS HIRED NON -OWNED kT'OPERTYDAMAGE 'Par accident. $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB x OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE Y Y 72 SBM BB5518 DX 06/25/2023 06/25/2024 AGGREGATE $ 1,000,000 DED1xi RE"TENTI $ 10,000 $ WORKERS COMPENSATION STATUTE ERH AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE 0N / A N E.L. EACHACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ Aggregate 2,000,000 Cyber Liability & Professional Liability MPL2075241.23 09/28/2023 09/28/2024 Each Claim 2,000,000 C Claims Made Retention 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101,Additional Remarks Schedule, may be attached If more space Is required) Application Service Provider. City of El Segundo, its officers, officials, employees, and designated 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. Policy includes Waiver of Subrogation. Refer to attached endorsement forms SS 00 08 04 05 for scope of additional insured status. Regarding Commercial Auto policy, please refer to attached endorsement 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 City of El Segundo CA 90245 Serge Sinanian Sef Gje Sinanian @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD (b) Rented to. In the care, custody or control of, or over which physical control Is being exercised for any purpose by you, any of yaw "employees'", "volunteer workers", any partner or member Of you are a partnership or joint venture). or any member (If you are a limited Ilebllfty company). b. Real Estate Manager Any person (other than your"employeeR or 'volunteer worker„), or any organization while acttrto as your real estate manager. c. Tpmpomry Custodians Of Your Property Anry person or organization having proper t�mtporary astody of your property if you d , but only: (1) With respect to Nabilily arising out of the makienance or use of that praperV, and (2) Until your legal representative has been appointed. d. Legal Representative ff You Rig Your legal nIPM90618tive If you die, but to duties as such. That representtative will have all your rights and das under this Insurance.. e. Unnamed Subsidiary subsidiary and dlary thereof, of which Is a JeWy incorporated et" dWhICh you own a financial interest of than, 60of the voting stock on the offectim o date of this Coverage Pad. The Insurance aflarded herein for any s4bsidlary not shown In the Declarations as a named Insured does not apply to Injury or damage with moped to whit an Insured under this Insurance is also an Insured under' another policy or 'would be ark Insured under such policy but for its WImminallon or upon the exhaustion of its units of Insurance. 3. Newly Acquired Or Formed Organization Any orgarrnizati'on you nVMY acquire or farm, other n than a partnarshlpr. joint venture or limited liability company, and over which you maintiln financial Interest of more than of the v dng stock, will quality as a Named Insured if there Is no other similar Insurance available to that organtmilan. However a. Cqwerage under this provision Is afforded only until the 18 th day after you acquire or -form the organtmlon or the end of the policy parlod, wwhlchaver Is earlier. and BUSINESS LIABILITY COVERAGE FORM b. Coverage under this provision does not apply to: (1) 'Bodily Injury- or -property damage" that occurred; or (2) "Personal and advertising injury° arising out of an offense committed before you acquired or fanned the organb atlon. 4. Operator Of Mobile Equipment With respect to "motile equi in your name under any mobr vehicle regisImum law, any person Is an IrmmW while drift such equlpinent along a public highway with your pemtisston. Any other person or orgatftaflon responsiblo for the conduct of such person Is also an Insured, but only with respect to liability arising out of the operation of the equorwK and only if no other fivognae of any kind Is available to thal person or organization fbr this HOWSWOr. no person car oMolzatlon Is an insured with respect to: a. "Bodily Injury" to a CD-PemployW of the person driving the equipment; or b. Oftperty doW 10 property Owned by; rented to, In the Charge of or occupied by you or the employer of any person who is an insured under this provision. S. Operator of Nonowned Watercraft With respect to watercraft you do not own that Is less than 51 feet long and is not being used to carry persons far a charge. any person Is an insured while operating such watercraft with your permission. Any other person or organization responsible for the Conduct of such person Is also an Insured, but only with respect to Iiabliffy a ising out of the operation of the wahwaft, and only if no other Insurance of any kind is available to that person or orgenizatlon for this liability. However, no person or organization Is an Insured with respect to: a. "Bodily injury' to a oo-°employee" of the person " the watercraft or b."Property ge" to property owned by; rented to. In the charge cad or occupled by you or the ern of any person who is an Insured under this provision. 6. Additional Insurods When Re+qutrad By Written Contract, Written Agreement Or Permit The n(s) or org on(s) Menuffed in Paragraphs a. through L below are addihornal Insureds when you have agreed. In a written Form SS 00 08 04 06 Page 1111 of 24 BUSINESS LABILITY COVERAGE FORM contract, written agreement or because of a (e) Any failure to make such pemdt Issued by a state or political Inspections, adjualments, tests or subdivision, that such person or organization 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 agrearnent, or the Issuance of the permit. with the distribution or sale of the A person or organization is an additional products. Insured under this provision only for that (f) Qamonstralion, Installation, period of time required by the contruc, servicing or repair operations, agree went or parmll. except such operations performed Howe mr, no such person or organization Is an at the vendor's premises in connection with the sale of the WWII; nal insured under this provision if such ' product; pFe or organization Is Included as an add I Insured by an endorsement Issued' (9) Products which, after distribution by us'and made a part of this Coverage Part, or sate by you. have been !abated Inctudf ng all persons or organizations added or relabeled or used as a as e Vona[ Insureds under the s container, part or Ingredient of a ny e at Insured coverage grams In Sectlon other thing or substance by or for F. — 0 tiona'l Additional Insured Coverages. the vendor. or a. VO (h) "Sedgy injury" or °property Any p) or o s) (referred to damage" arising out of the sole #W as vendor), but only whh mpxg to negligence of the vendor for its IrW or � gmty damage arising " own ads or emissions or those of out of 'Your produaw which we dstrIbuled J add In the casrrse of the vender its enrfrloyess or anyone also acting on its behalf. However. this lxrslrress and only If this Coverage Part exclusion does not apply to: w�m*bs coverage for 'oozy► Injury' or (1) The exceptions contained in ftTW included within the Subparagraphs (d) or (Q; or operadons hazamr. f l ' The insurance afforded to the vendor (0) Such inapedJons, sAusbmts, tests or servicing as tits vendor Is subject to the following additional has agread to make or norrnally effusions* make In the usual This Insurance does not apply to: p wise � bustroM In otmnectlon with the delftullon (a) Todgy injury" or "property oraaleofthe .. damage" for which the vendor Is obligated to pay damages by (2) This homm does not apply to any reason of the a�rr� of lramW person or orgardmVen floc I liability In a contract or whom you haw mquIred such products,ni 'This exclusion does not apply to � orded y �In� part or corms ar, Itsbiliiy for damages that time cartalrt[ng such products.vendor would have in the absence of the contract or agreement; b. Lessors Of Equipmad (b) Any express warranty (1) Ary person or organization from unauthorized by you; whom you a Ipme ab d only (c) Any physical or e chalion to their r Obodgy "property In the product made Intentiana[fy a Inte1calntionally ly Injury'. damage" or "Rem and advertising Injury" by the vendor; caused, in whole or In part, by your (d) Repackaghg, except when maintenance, operation or use of Solelyunpacited for the purpose of ' equipment leased to you by such demrpr person or organization. or the substitution of parts under Instruadons from the maruffacum and than repackaged in the original container, Page 12 of 24 Form SS 00 08 04 05 BUSINESS LIABIEJTIr COVERAGE FORM (2) With rasped to the Insurance afforded e. Permits Issued By State Or Political to these additional Insureds, this Subdivisions Insurance does not apply to any (1) Any state or political subdivision, but 'occurrence' which takes place after only with respect to operations you cease to lease that equipment. performed by you or on your behalf for c. Lessors Of Land Or Promises which the state or political subdivision (1): Any person or organization from has Issued a permit whom you lease land or premises, but (2) WIIh respect to the Insurance afforded only with respect to QabNity arlsing out to these additional Insureds. this of the ownership, maintenance or use insurance does not apply to: i of that part of the land or premisesleased to (a) "Bodily Injury". 'property d gge' 'personal or and advertising (2)�With respect to the Insurance afforded Injury' arising out of operations to these additional Insureds, this performed for the state or Insurance does not apply to: munidpality; or (a) Any 'occurrence" which takes Y (b) "may Irtjtrry" or Voperty damager place after you aces to lease that Included within the VWucts- Nand or be a tenant In dud cros u pm, or f Any Other Party (b) Structural atteratlons, new won orron demolition (1) Any other person or organization who operations performed by � oor o Is not an Insured under Paragraphs a. behalf of p or through.. e. a tart only with orgarlizallon. raped to flablllly for fiiv injuy, d. Artchitectso Efthtears orSunrve ors "Property ftnW or Versonal and mMftlng Injurf caused, In whole or (11 Aaty Sidiftcl. +rmglnaar, or sun4qM,, trot In part, by your ads or ontlesiono or only with respect to I the or owlssions of those acting Injury". or Wm on your behalf. and ln9 IrW caltsed, In whole (a) In the peftrmance of your or In park by your mb or omissions or ongoing ors; the ads or omissions of those acting on (b) In connection with your promises (a) In co on with your premises; owned by or rented to you; or or (c) In connedlon with moor work" and (b) In the performance of r included within the "p - operations hazard°, but ongoing operetim performed by hi feted only y you or on your behalf. (q The written contract or written (2) Wffh rasped to the insurance ag you to to adds Insureds, the followirM ad al excivalm appifW ide provide such coverage to such additional Insured; and This Insurance dos not apply tD (I) This Coverage Part provides Injury',, "Prop" damoW ,or "p+emonal and advertising Iplury+"" coverage Ib r "bodily InfuryP or "per adft out of the rendering of or the a� Inclutled within the voducts- faiiur to render any pwfwslonal services by or for you, IndudIng: completed operatons hazard". (a) The PmPwtng. approving, or (2) With respect to the Insurance afforded to these additional Insureds, this failure to prepare or approve. Insurance does not apply to: amps. shop drawings, opinions, surveys. field orders" "Bodily Injury"°`. 01propedy damage" or change ge orders, designs or "Personal and advertising irtjruy"" draWrr;s and specifications: or arising out of the rendering of, or the (b) Supervbory, Inspection. failure to render; any profasslonsi architectural, enolneefto or surveft architecdnal or engineering services, Including: acavitles. Form 88 00 0,1104 06 Page 13 of 24 BUSINESS LIABILITY COVERAGE FORM (a) The preparing. approving, or failure to prepare or approve, maps. shop droWnge, opinions. surveys, field orders, change orders. designs or drawings and specifications; or (b) Supervisory. Inspection, ardtitechnal or engineering adivities. The U Is of Insurance that apply to additional are described in Section D. — Limb Of Inst rance. How his insurance applies when other Insurm ce is available to an additional insured [a dm fted In the Other Insurance Condition in Section E. — Liability And Medical Expenses Genan I Conditions. No persor or organization Is an Insured with rasped to the conduct of any current or past partnership, Joint venture or limited liability company 0 Is not shown as a Named Insured In the Decla tions. D. LIABIL l AND MEDICAL EXPENSES LIMITS OF INSURANCE 1. The 0 at We Will Pay The Imits of Insurance shown in the Dec and the rules below fix the most we vul0 regardless of the number of: a. in its" b. made or "subrought; or C. Pa m or orgedzations making claims or C "suits". 2 Aggrepsto Ltmbe The molt we will pay for a. s of "bodily InJury" and O demege" included in the 'r+du P eted' opera hazard" is Z' mple!od Operations Unit shown in the D orations. b. D � gas bemuse of ail other "bodily fury", "p " d or "personal o;t I edwnrUsing kow. including medical exp?rwe% Is the General Aggregate unfit shorn In the Declarations. Thl General Aggregate Limit appiles se"rately to each of your 'Jocationle owned by or rented to you. "Lom" means premises irm*4 rg the same or connecting lots, or premises whose connection Is Interrupted only by a 098t, roadway or righW-way of a This General Aggregate Unit does not apply to "property d ° to premises while rented to you or temporadly occupied by you with permission of the owner. arising out of fire, lightning or explosion. 3. Each Occurrence Limn Subject to 2.a. or 2.b above. whichever applies. the most we will pay for the sum of all damages because of all "bodily Injury", *property damageP and medical expenses arising out of any one "ocaunence" Is the Liability and Medical Expenses UmIt 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 in the Declarations. 4. Personal And Advertising Injury L.tmlt Subject to 2b. above, the most we will pay for the sum of all damages because of all Opersonat and advertising Injury" sustained by any one person or orgentMon is the Personal and Advertissing Injury Limit shown In the Declarations. S. Damage To Premises Rented To You Ltmlt The Damage To Promises Rented To You Limit is the most we will pay under Buskuss Liability Coverage for damages became of "Properly damage" to any one premises, while rented to you, or In the case of damage by fire, Lightning or explosion. while rented to you or ternpooffy occupied by you with permission of the owner. In the case of damage by fire, lightning or explosion, the Damage to Promises Rued To You Limit applies to all damage proximately caused by the same event whether such damage rest4ts, from fire, Ilghtn!M or explosion or any comrbinatton of these. G. How Limits Apply To Additional Insureds The most we will pay on behalf of a person or organttation who Is an additional insured under this Coverage Part la the lesser at a. The limits of Insurance spedflod In a written contract, written agreement or permit issuued by a state or political subdivision; or b. The Units of Insurance shown In the Declarations. Such amount stall be a part of and not In addition to the Umlls of Insurance shown in the Declarations and described In this Section. Page 14 of 24 Form SS 00 08 04 05 BUSINESS UABUN COVERAGE FORM IF more than one limit of insurance under this (1) Immediately send us copies of any policy and any endorsements attached thereto demands, n08005. summonses or applies to any claim or'sulr, the most we will pay legal papers received In connection under this policy and the endorsements Is the with the claim or "sun"; single hlgoest limit of liability of all coverages applicable .tss such damn or ° Muir. However, this (2) Authorize us to obtain records and paragraph does not supply to the Medical Expanses other Information; Ilmit set "In Paragraph 3. above. (3) C40perale with us in the Invedgstlon, The Umns of insurance of this Coved Part apply settlement of the calm or defense agalnst the "sulr; and to each consect6m annual period and to (4) Assist any "period of less than 12 months, starting us, upon our request, In the with the of the policy period shown In the entorcemerrt of any right any On Unlass Beply pad b person or Mahon that may be after for an additional period of less than 12 the tits because of anent I that case, the add period will be or d m to which this insurance ranee doomed" of the last may also apply. of the Unft of Insurance. d. Obligations At The Insured's Own Cost E. LIAI IL AND MEDICAL EXPENSES No Insured will, except at that InsuredIs own GENCONDITIONS coK vohuttarily make a payment, assume 1. Bankruptcy otter than aK f�rr w B 'or insolvency of the Insured or of a. Additional Insured's Other Insurance the Ins red% estate will not relieve us of our oblige under this Coverage Part: If we cover a claim or "suit under this Coverage Part that may also be covered 2. duties a In The Evert Of Occurrence, by other insurance available to an , Claim Or Suit additional Insured, such addMonal Insured a. Notice Of Occurrence Or Offense must submit such claim or "sun' to the You or any additional Insured must we to other Insurer for defense and Indemnity. It that we are raftd as soon as However, this provision does not apply to pra0mbie of on woccurrenoie or an the extent that you have agreed In a offense which may result In a claim. To written contract, women agreement or the °extent possible, notice should permit that this Insurance Is primary and ;Flaw, when and whams the ce'" non-cordrlbutory with the additional(i) I "s own Insurance. ere oftse se loofa ply (2) the n and addresses of any f. CIaim Or Su[t Knowledge Of An Occurrence. Offense, jhJured and ; and ( 1ootrrs d aboo and t on of any iri)Me Paragraphs a. and b. apply to you or to any additional Insured only when such out of lira "occum mW or olfense. °o.,c�cUrrrence", erase, dalm or "suit is known to. b. Notice Of Claim (1) You or any additional Insured that Is 0 claim Is made or 'suit Is brought an Individual; asany Insured. you or any additional must: t2) Any partner, If you or an additional w insured is a p' p; (1) Mi staly record the spedfmcs of the m or "suit and the data received; ) Any �� 0 you or an additional d Insured is a limitedIleblAty company, (2) 14ofify us as scores practicable. (4) Any "executive officer' or Insurance You or any additional Insured must see to matuqW, If you or an additional Insured Is a corporation; It that we recelve a written notice of the claim or "suit" as soon as practicable. (5) Any trustee. If you or an additional Insured Is a frisk or h- as And Cooperation Of The Ins (6) Any elected or appointed cftidal. If you You any other involved Insured or an additional Insured Is a poldml shin g, subdivision or public entity. Form 83 00 08 04 05 Page 15 of Z4 BUSINESS LIABILITY COVERAGE FORM This Paragraph E applies separately to you and any additional Insured. 3. Financial ResponslIbIllty Laws a. When this policy is certified as proof of fininclal responsiblifty for the future under Me PM44MB of any MOW vehlcle financial slblifty law, the insurance provided by the policy fbr "bodily injury" liability and 'property damage° ffablifty, will comply wldr the p of the law to they axle, t of the coverage and limits of Ire rence requlmd by that law.. b. With respect to "mobile equipment! to Bch this Insurance apply. we will provide any liability. urdnsured motorists, unpuinsured motorists, no-fault or other coyerago required by any motor vetrfcle . We will provide the required limits for those coverages. 4. Legal A, cftn Against Us No person or orgardzedon has a right under this Form;. a. Tor us as a or bring us a 'suit' asIdnq for darnages from an IrWi ed; or b. To :sue us on this Coverage Forme unless all of its terms have been fully compiled with. A person or orgartizedon may am us to momw on an 4med settiomeal or on a gnu Ndgmard but we will not be for that are not payable under the terns of file irmaence or tfeat are In wows of the wftawo limit of Insurance. An agreed mom a sememert and rehlase of Oddly s%ned by us. the Msuredl and the dai or the legal datiirq. IL an Of Insureds Except yft respect to the Limits of Insurance, and any rights or dudes spedticatly assigned In thts jollcy to the ferst Named insured, this ffl'�o' applies: a. As If each Named insured were the only Insured; and b. ;fie W each Insured against whom a Im Is made or'suU" to brought. 6. tions, a. lwliffun You Accept This Policy By pdng this policy. you agree: (1) The statements to the Declarations re accurate and complete: (2) statements are based upon rain you made to us; and (3) We have lesued this policy In reliance upon your reprosentations. b. Unintentional Failure To DkWkmo Kazards If unintentionally you should fall to disclose all hazards relating to the conduct of your business at the Inception date of this Coverage Part, we shall not deny any coverage under this Coverage Part because of such failure. 7. Other Insurance If other valid and collectible insurance Is available for a loss we cover under this Coverage Part, our obligations are llmEted as follows: a. Primary Insurance This insurance is primary except when b. below applies. If other Insurance Is also primary, we will share with all that other Insurance by the method described In c. below. b. Ertereas Insurance This insurance Is excess aver any of the other Insurance, whetiter primary, excess, conftregent or on any other basis: (1) Your Weir That Is Fire. Extended Coverage, Bulldef's Risk, InsWaftion Risk or similar coverage for" lour work"; (2) Premises Rented To You That Is fire, lightning or explosion Insurance for premises rented to you or tempmartly occupied by you with permission of the owner, (3) Tenant LUMIlty That is Insurance purchased by you to cover your fiabliiiy as a tenant for 'property dameW to premises rented to you or temporarily occupied by you with permission of the owner, (4) A craft. Auto Or Watetwift If the loss arim out of the malblenance or use of akaa%'autos' orwatercraft to the extend not subject to Exclusion g. of SedonA.—+V o (5) Property Damage To Borrowed Equipment Or use Of Elevators If the loss arises out of "property damage to borrowed equipment or the use of elevators to the extent not subject to Exclusion L of Section A. — Coverages. Page 16 of 24 Form 88 00 08 04 05 (6) When You Are Added As An Additional Insured To Other Insurance That Is other Insurance avallable to you covering liability br damages arising out of the premises or operations, or products and completed operations, br which you have been added as an additional insured by that (7j IInsurance; or When You Add Others As An Additional Insured To This insurance That Is other Insurance available to an additional insured However. the Mowing provisions apply to other Insurance available to any person or organization who Is an additldntal Insured under this Coverage Part: (a) Pdwry Insurance When Required By Contract This Insurance Is primary if you have agreed In a written contrail, a 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 (lasoribed In c. below. (b) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a wrtt<en contract written agreement or permit that this insurance is primary and non-contributory with the additional InsrrWs own a 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 whirr the additional Insured has been added as an tddlWml insured. When this Insurence is excess, we will have no duty under this Coverage, Dart to d Ind the Insured against any "sut "" If airy r Insurer has a duty to delland the lnwjmd against that Osuulr. If no other Insurer defends, we will undertake to do so, but we will be entitled to the Insured'e righp against all those other Insurers. Whan this Insurance is excess oar (Mar Insurance, we will pay only our share of the amount of the toss. if any, that exceeds the sum of. (1) The total anmot nt that all such other insurance world 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 mmahng loss. If any. with arty other Dnsusance that is not described in this Emu Insurance provision and was not bought spectl1cally to apply in excess of the Limits of Insurance shown In the Vactaratlans of this Coverage Part. c. Mbthod Of Sharing if all the other insurance permits contribution by equal shares, we wail follow Oft method also. Under this approach, each Insurer contributes equal amounts until it has paid its applicable limit of Insurares or none of the toss remains, whichever comes first. if any of the other Inumice does not pwrnit contribution by equal shmm we will contribute by Wis. Underthis math ad, each hmmWs share is based on the ratio of Its applicable ilmlt of Insurance to the total applicable limits of insurance of ell Insurers. 8. Transbr Of Rights Of Recovery Against Others To Us a. Transfer Of Rights Of Recovery 0 the Insured has rights to recover all 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 after lose to Impair them. At our request, the insured will bring Isuit or transfer those rights to us and help us enforce them. This condition does not apply to Medical Expertses Coverage. b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) 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 waive that right, provided the insured waived their rights of recovery against such person or cManbxftn in a contrail. agreement or permit that was executed prior to the lnjuuy or damage. Form SS 00 08 04 05 q, Page 17 of 24 k du We won 07dom of mawasy we mail hoo 1. Wry or aqwd=gon sham b the Dedgmum or a 2 Arq► or so whom you two a "rawkw such Wow. Faun m -m ill"Oo 0 ?,0M I to HMMWd Page 1 of 1 *tits► HISCOX PRO" jTn. Z"mJ 71 NAMED INSURED: Govinvest Inc. 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. II. 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: Endorsement No: Hiscox Inc. Authorized Representative Kevin Kerridge 09/28/2023 Certificate No.: Processed Date: MPI2075241.23 08/28/2023 CYBCL-CYB E2013 CW (04/19) Page 1 of 1 HPAENADREN172 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 04/17/2024 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 Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 5 Concourse Parkway Suite 2150 Atlanta GA, 30328 INSURED Govinvest Inc. 8605 Santa Monica Blvd PMB 52465 West Hollywood, CA 90069 COVERAGES CERTIFICATE NUMBER: 202-3007 INSURER(S),AFFORDING COVERAI Hiscox Insurance COmpanv Inc REVISION NUMBER: NAIL # 10200 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. -..............-... AD'i3L..0.; .... POLICY POLICYE7tV.__Ww lL TYPE OF INSURANCE POLICY NUMBER MWODNYYY DD LIMITS COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ CLAIMS -MADE r OCCUR PREIMNSE ja �u�rem) -MED FJCP (Any one person) $ .................. WW........._.....""" PERSONAL&ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE. $ ......... .. POLICY El PRJECT � LOC Oµ PRODUCTS - COMP/OP AGG ......-.� $ OTHER:. AUTOMOBILE 4t NED SINGLE LIMIT $ LIABILITY E 0 Y (Per person) BODILY INJURY $ ANY AUTO WWWWWWWWWWWWWWWWW ww�ALL OWNED SCHEDULED '... BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED __ PROPERTY D'dthclAGE •.................. $ HIRED AUTOS AUTOS ° a 'Idfflt) -........... • UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE ......................._...........,.. AGGREGATE ..... .........._..,_.,. ..... DED RETENTION $ $ WORKERS COMPENSATION STATUTE OTRH " AND EMPLOYERS' LIABILITY Y / N """'"'"" """""""""""""" ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/AE„LL.ISEASE-EA E EACH ACCIDENT _ $ """""" (Mandatory In NH) DEMPLOYEE; w�. $ � ....."".. _.-. If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Professional Liability P100.094.137.10 02/10/2024 02/10/2025 Each Claim: $ 1,000,000 Aggregate: $ 2.000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main St, El Segundo, CA 90245 ACCORDANCE WITH TNOTICETHE EXPIRATION DATE THEREOF, WILL BE DELIVERED IN HE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD GOVINVE-01 LVASQ-0- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �...�" 4/17/2024 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 ,Jill Holcomb Total Resources Ins A A/c, No):(570 825_ 9Y I .. 9 A/CNN EM 800 969 0 FPS ., 39 Public Square 45v�u..W.erMCy c........., (. _ ) �.. Wilkes-Barre, PA 18702 tr�ervicertte„ om 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 . ....� ���,��.� POLICY NUMBER .....�P ADDL SUBR' ".___..._.._ POLICY EFFLTR POLICY EXP �,..... ... .....m.m.. ------... .............. LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ...... CLAIMS -MADE OCCUR --..., MAGETORENTED -......_ .......k ..� . ngm9 $,g _4 4%M4LR9:k454 ..^�.... ....... m .... MED E:CP & ny one person) . .... m. PERSONA,. L &.ADV INJURY $ GEN L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE S ---... .. POLICY T LOC PRODUCTS COMP/OP AGG $...... .. _�— OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY -(Par -OWNED -- AUTOS ONLY w .m. AUTOSULED SpDILY INJURY Par_arcident ......, AUTOS AUYO�N Y IP�N�p d pyDAMAf";E $ ONLY .. _,,..�.. .......... , $ UMBRELLA LIAB OCCUR P.ACH OCCURRENCE., $ ........ __. EXCESS LIAB CLAIMS MADE _ DED RETENTION $ _AGGREGATE A WORKERS COMPENSATION '^X P TET a AND EMPLOYERS' LIABILITY Y/N X GOWC431680 8/27/2023 8/27/2024 -EOTHH •••�---^ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y �— NIA E lam, EACH ACCIDENT $,,,,,, ..........^ n NH) EXCLUDED? 7,000,000 AndateM pry E L. DISEASE EA EMPLOYEE $ ............ _. If yes, describe under DESCRIPTION OF OPERATIONS below _ _ E,L DISEASE POLICY LIMIT 1,000,000 $ T1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) Included Ted Price Excluded Jasmine Nachtigall-Fournier A waiver of subrogation in favor of the certificate holder has been included in the workers compensation policy (see attached endorsement). 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 St. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE s' ACORD 25 (2016/03) ©1988-2015 ACORD 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. This endorseinemi aAaeira tine hooey to w hi cll it is attfiar"laee and is effective Oil 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 08/27/2023 Policy No. GOWC431680 Endorsement No. 0 Insured Insurance Company AmGUARD Insurance Company GovInvest, Inc. CeZZ11GIFICf'fi�3r8 , V 998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved.