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PROOF OF INSURANCE (2024) CLOSEDBLUECEL-01 AOC40J?� DATE (MMIDDIYYYY) ERTIFICATE OF LIABILITY INSURANCE 81212024 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 ondorserrlent(s,). PRODUCER �--Jgcwm yr com ae n r va i • 7*7 mkci-tl1can HUB International Insurance Services (COL) PHONE FAX Tower 2, Suite 1S0 N . lnrani603 8en11er�liubinternatlonal Com 0727 2000 S. Colorado Blvd gym• l D iAIC Nra) {656) 243„ Denver, CO 80222 �..,�.. ... .� l .d.. INSURED The Blue Cell LLC 19062 E. Union Dr. Aurora, CO 60015 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. eR EDUCED BY PAID CLAIMS iw[rt 'rYPE OF INSURANCE ",.........,-.....��a+arY r.�.._s.... ,.,... ,..�.. ..........._.. POLICYNUMOER ruul"'ImnY ran auPiutnraesruEw�Pva LIMITS -.. ,..� u.. ( I X COMMERCIAL GENERAL LIABLLITY .. cLAIMs•MADE occuR X X �PSM0239799113 11/1/2023 111112024 1 � Ik EO ure zv I 2S0,i9 L AGG,REGA7E LIMIT APPLIES PER: POLICY I..,y—J ,OfEl LOC AUTOMOBILE LIABILITY ANY AUTO WE' SM0239199113 A�U�TOSDONLY _�i AUTO�S�UfLED .X., AUTOS ONLY L X..l A�I T6OS�O�dR I 6 UMBRELLA LIAS OCCUR EXCESS LIAS _ CLAIMS -MADE DED r-._....... ...RETENTIONS...,....._..-. ....... WOR l P'S COMPENSATION AND E"rIrPLDYEiR1 LABILITY Y 6 N ANY PROPPIET�71'F PAR"INER)EXE'�CuTAIE NIA X 'Qg.F �,�-Mf&tF�excaUDEc r 11/1/2023 � 11/1/2024 11/1/2023 11/'112024 19 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. AddAlonill RaauaAs 34IssdWc may be attached If more space Is mgtl rm��yy City of El Segundo is included as additional Insured under General Liabllity. A waiver of subrogation in 'favor of additional insured applies to Workers Compensation, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo City Main Street ACCORDANC9 WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED RE�PRE,SENTA'IWE p I ACORD 25 {2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD c. the reasons why you believe that this incident could give rise to a claim under this Policy; d. the identity of the potential claimant; and e. an indication as to the size of the claim that could result from this incident. In respect of INSURING CLAUSE 2, if you discover a cyber event you may only incur costs without our prior written consent within the first 72 hours following the discovery and any third party costs incurred must be with a company forming part of the approved claims panel providers. All other costs may only be incurred with the prior written consent of the claims managers (which will not be unreasonably withheld). 2. Additional insureds We will indemnify any third party as an additional insured under this Policy, but only in respect of sums which they become legally obliged to pay (including liability for claimants' costs and expenses) as a result of a claim arising solely out of an act committed by you, provided that: a. you contracted in writing to indemnify the third party for the claim prior to it first being made against them; and b. had the claim been made against you, then you would be entitled to indemnity under this Policy. Before we indemnify any additional insured they must: a. prove to us that the claim arose solely out of an act committed byyou; and b. fully comply with CONDITION 1 as if they were you. Where we indemnify a third party as an additional insured under this Policy, this Policy will be primary and non-contributory to the third party's own insurance, but only if you and the third party have entered into a contract that contains a provision requiring this. Where a third party is treated as an additional insured as a result of this Condition, any claim made by that third party against you will be treated by us as if they were a third party and not as an insured. 3. Agreement to pay claims (duty to defend) We have the right and duty to take control of and conduct in your name the investigation, settlement or defense of any claim. We will not have any duty to pay costs and expenses for any part of a claim that is not covered by this Policy. You may ask the claims managers to consider appointing your own lawyer to defend the claim on your behalf and the claims managers may grant your request if they consider your lawyer is suitably qualified by experience, taking into account the subject matter of the claim, x31^1(1 th.rC� r,r,,;l to a :Die it i i ,e c. then to you as recovery of your deductible. 17. Prior subsidiaries Should an entity cease to be a subsidiary after the inception date, cover in respect of the entity will continue as if it was still a subsidiary during the period of the policy, but only in respect of an act, error, omission or event occurring prior to the date that it ceased to be a subsidiary. 18. Process for paying privacy breach notification costs Any privacy breach notification transmitted by you or on your behalf must be done with our prior written consent. We will ensure that notification is compliant with any legal or regulatory requirements and contractual obligations. No offer must be made for financial incentives, gifts, coupons, credits or services unless with our prior written consent which will only be provided if the offer is commensurate with the risk of harm. We will not be liable for any portion of the costs you incur under INSURING CLAUSE 2 (SECTION C only) that exceed the costs that you would have incurred had you gained our prior written consent. In the absence of our prior written consent we will only be liable to pay you the equivalent cost of a notification made using the most cost effective means permissible under the governing law. 19. Waiver of subrogation Notwithstanding CONDITION 16, we agree to waive our rights of recovery against any third party if, prior to the claim or incident which you reasonably expected to give rise to a claim, you entered into a contract that contains a provision requiring you to do this. 20_ Choice of law, jurisdiction and service of suit In the event of a dispute between you and us regarding this Policy, the dispute will be governed by the laws of the State of the United States of America shown as the choice of law stated in the Declarations page. We agree, at your request, to submit to the jurisdiction of a court of competent jurisdiction within the United States of America. Nothing in this Condition constitutes or should be understood to constitute a waiver of our rights to commence an action in any court of competent jurisdiction in the United States of America, to move an action to a United States District Court, or to seek a transfer of a case to another court as permitted by the laws of the United States of America or the laws of any State of the United States of America. It is further agreed that service of process in such suit may be made upon the representative stated in the Declarations page and that in any suit instituted against us, we will abide by the final decision of such court or of any appellate court in the event of an appeal. The representative stated in the Declarations page is authorized and directed to accept service of PINNA COL ASSURANCE The Blue Cell LLC 19062 E Union Dr Aurora, CO 80015-4912 ENDORSEMENT: Waiver Of Subrogation 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 Pinnacol.com NCCI #: WC000313 Policy #: 4223267 Hub International Insurance Service 2000 S. Colorado Blvd. Tower 2, Suite 150 Denver, CO 80222 (888) 795-0300 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE City of El Segundo 350 Main St El Segundo, CA 90245-3813 Effective Date: August 2, 2024 Pinnacol Assurance has issued this endorsement August 2, 2024 7501 E. Lowry Blvd Denver, CO 80230-7006 Page 1 of 5 P LAWSONM - CSR Support 08/0212024 12:47:40 4223267 83786178 UW137