PROOF OF INSURANCE (2024 - 2025) CLOSED;.: DATE (MMIDDIYYYY)
'R...ArRl....A^' CERTIFICATE OF LIABILITY INSURANCE 06n112024
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 Tami Van Ert
The LibertyCompany Insurance Brokers PRONE (888 918.3WO
P Y , EMt : ) AfC No
Lic #OD79653 'MAIL tvanert@libertycompany.com
AODR'SS:
5955 De Soto Ave, Ste 250 INSURER(S) AFFORDING COVERAGE NAIC #
Woodland Hills CA 91367 INSURER A • Berkley National Insurance Company 1 38911
INSURED
Veritone, Inc.
5291 California Ave, Ste 350
INSURER B : Indian Harbor Ins Co
INSURER C I
INSURER D :
INSURER E
Irvine CA 92617 INSURER. F
rnv�onr_�c rr0TICIreTF IdIIMrx1=R• 24-25 GLAUWCYB 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 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
MWDDYIYYYY
JMMLg2=
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence)
1,000,000
$
CLAIMS -MADE � OCCUR
MEDEXP Am one person)
$ 15.000
A
Y
TCP7012737-16
06/11/2024
06/11/2025
PERSONAL & ADV INJURY
$ 1,000,000
G'ENLAGGREC'A'rF_ LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2.000,000
I"N JEGT El POLICY PRO, LOC
PRODUCTS - COMP/OPAGG
$ 2,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMAINEt4 SINGLE 4IMIT
1E2accldnnt.
$ 1,000,000
BODILY INJURY (Per person)
,,.,.,.,...
$
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED "+w NON -OWNED
AUTOS ONLY _.. AUTOS ONLY
TCP7012737-16
06/11/2024
06/11/2025
BODILY INJURY (Per accident)
$
PROPERTY DAMAGM
al
Per arent.
$
X..
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
A
EXCESS LIAB HCLAIMS-MADE
TCP7012737-16
06/11/2024
06/11/2025
$
DIED I I RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
TWC7012814-16
06I11I2024
06/11/2025
STATUTE EORTH-
E.L.EACH ACCIDENT
1,000,000
$,,,,,,,,
E. DISEASE - EA EMPLOYEE
1,000,000
$
E.L. DISEASE - POLICY LIMIT
1,000,000
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
Annual Aggregate
$5,000,000
B
Cyber Liability/rechnology Products and
Services - Claims Made
Y
MTP9043631 02
06I11I2023
07/11/2024
Retention -Per Claim
$250,000
Full Prior Acts
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
Re: El Segundo Police Department.
Whereby required by written contract or agreement, City of El Segundo is included as an Additional Insured under the Commercial General Liability per form
CG 83 60 12 19.
CERTIFICATE HOLDER
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
ElSegundo CA 90245 t Wn 't
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Additional Named Insureds
Other Named Insureds
Broadbean Technology Limited
Additional Named Insured
fivaadbean Technology Pty Ltd
Additional Named Insured
Broadbean, Inc,
Additional Named Insured
Machine Box, Inc.
Corporation, Additional Named
Insured
Pandologic :[..to.
Limited Liabil..!.ty Company, Additional Named Insured
Pandologic, Inc.
Corporation, Additional Named
Insured
Performance Bridge Media, Inc.
Corporation, Additional Named
Insured
T3 Media UK
Addi.t.i.onal. Nained Insured.
T311qedia, Inc.
Co.Eporation, Additional. Named
Insured
'J'able Rock Management, LLC
Additional Named Insured
'Phought Equity Motion, Inc,
Corporation, Additional Named
Insured
Ve.r.itone Alpha, Inc,
Corporation, Additional Named
Insured
Veritone Digital, Inc,
Corporation, Additional Named
Insured
Veritone Enterprise, LLC
T....Daited Liability Company, Additional Named In.
Veritone France S.A.R.L,
Additional Named Insured
Ver.i tone One, Inc.
Corporation, Additional Named
Insured
Ver.J.tone Politics, LLC
Add.itional Named Insured
tone UK LTD. Additional Named Insured
lif)" Inc, Additional Named Insu.red
I OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC I
Policy Number TCP7012737-16
COMMERCIAL AUTOMOBILE
Policy Period 06/11/2024 to 06/11/2025 CA 83 63 04 18
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO BROADENING ENDORSEMENT
This endorsement modifies insurance provided under the following form:
BUSINESS AUTO COVERAGE FORM
To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions
of the policy, the provisions of this endorsement apply.
This is a summary of the various additional coverages and coverage
modifications provided by this endorsement.
For complete details on specific coverages, consult the actual policy
wording.
SCHEDULE
.....................
Coverage ............
Limit of Insurance
Who is an Insured - Employees, Partners, Members, Volunteers
Included
and Board Members
Automatic Additional Insureds - By Contract and Primary and
Included
Non -Contributory Provision
Leased Auto Coverage ...... ...._._.._.._.
Included
._.._....._
Owned Subsidiaries and Newly Acquired or Formed
Included
Organizations
Supplementary Payments - Bail Bonds
....
$5,000 _.
Supplementary Payments - Loss of Earnings ......
$1,000 - Per Day
Fellow Employee
Included
Physical Damage Coverage Extensions - Towing
$200 - Any Auto
Physical Damage Coverage Extensions - Glass Breakage
...............
No Deductible .......
Physical Damage Coverage Extensions - Transportation
$100 - Per Day
Expenses
$3,000 - Maximum
------- .. ......
Hired Auto Physical Damage Coverage
$100 - Per Day
$3,000 - Maximum
_.
.. ... .._.._..______
Total Theft of a Covered Auto
$500 - Personal Items
$1,000 - Reasonable Expenses to Return
Stolen Auto ....... ......
...............
Auto Loan / Lease Gap Protection
.._
Included
Customization Coverage
.. .. ..................
$2,000
Newly Acquired Owned Autos and Donated Autos Physical
$100,000
Damage Coverage
...._ .... ............ ....... ...._�
Rental Reimbursement Coverage
$100 per day up to 30 days
$500 for reasonable expenses to remove and
replace your materials and equipment
Accidental Discharge - Airbag Coverage
Included
Original Equipment Manufacturer OEM Part Replacement
Included
Multiple Deductibles
Included
CA 83 63 04 18 Includes copyrighted material of Insurance Services Page 1 of 6
Office, Inc., with its permission
SCHEDULE (Continued)
------............... __
Coverage Limit of Insurance
�._. W_...... .... ... ... ._ .............
Notice and Knowledge of Occurrence - Duties in the Event of Included
Accident, Claim, Suit or Loss
....._....... ........................................... _.
Blanket Waiver of Subrogation By Written Contract Included
Unintentional Errors And Omissions Included
._._._.... _._._._._._. ._ _. ........
Mental Anguish Included
A. WHO IS AN INSURED - EMPLOYEES, PARTNERS, MEMBERS, VOLUNTEERS AND BOARD MEMBERS
The following is added to Section II - Covered Autos Liability Coverage, Paragraph A.I. Who Is An
Insured:
d. Any "employee", partner or member of yours while using a covered "auto" you don't own, hire or borrow in
your business or your personal affairs.
e. Anyone volunteering services to you while using a covered "auto" you don't own, hire or borrow in activities
necessary to your business. Anyone else who furnishes that "auto" is also an "insured".
f. Board members (or their spouses) while renting a vehicle while on business for the named insured.
B. AUTOMATIC ADDITIONAL INSUREDS BY CONTRACT AND PRIMARY AND NON-CONTRIBUTORY
PROVISION
1. Section II - Covered Autos Liability Coverage, Paragraph A.1. Who is An Insured is amended to
include as an Insured any person or organization whom you are required to add as an Additional Insured
on this policy under a written contract or written agreement in effect on the date of the "accident"; and
signed by all parties prior to the "accident."
2. This person or organization is an Additional Insured only to the extent you are liable for an "accident"
caused, in whole or in part, by the use of a covered "auto" being driven by you or any "insured." However:
a. The insurance afforded to such Additional Insured only applies to the extent permitted by law; and
b. If coverage provided to the Additional Insured is required by a written contract or written agreement, the
insurance afforded to such Additional Insured will not be broader than that which you are required by
the written contract or written agreement to provide for such Additional Insured.
3. With respect to insurance provided to an Additional Insured the following provisions apply:
a. 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
(2) You have agreed in writing in a contract or agreement that this insurance would be primary and
would not seek contribution from any other insurance available to the Additional Insured.
b. When a written contract or written agreement does not require this insurance to be primary or primary
and non-contributory, this insurance is excess over any other insurance for which the Additional
Insured is designated as a Named Insured.
c. Regardless of the written contract or written agreement between you and an Additional Insured, this
insurance is excess over any other insurance whether primary, excess, contingent or any other basis
for which the Additional Insured has been added as an additional insured on other policies.
d. If coverage provided to the additional insured is required by a written contract or written agreement, the
most we will pay on behalf of the additional insured is the amount of insurance:
(1) Required by the written contract or written agreement; or
(2) Available under the applicable Limits of Insurance show in the Declarations;
whichever is less.
C. LEASED AUTO COVERAGE
With respect to insurance provided to an Additional Insured who is a lessor of a "leased auto" the following
provisions apply:
1. Section II - Covered Autos Liability Coverage, Paragraph A. Coverage is amended by adding the
following:
a. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you
own and not covered "auto" you hire or borrow.
Page 2 of 6 Includes copyrighted material of Insurance Services CA 83 63 04 18
Office, Inc., with its permission
b. For a covered "auto" that is a "leased auto" Who Is An Insured is changed to include as an "Insured"
the lessor.
c. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule
until the expiration date shown in the Schedule, or when the lessor or his or her agent takes
possession of the "leased auto," whichever occurs first.
2. Section IV - Business Auto Conditions, Paragraph A.4. Loss Payment - Physical Damage Coverages
is amended by adding the following:
a. We will pay, as interest may appear, you and the lessor for "loss" to a "leased auto."
b. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or
omissions on your part.
c. If we make any payment to the lessor, we will obtain his or her rights against any other party.
3. Section V - Definitions is amended by adding the following definition:
"Leased auto" means any "auto" leased or rented to you including any substitute, replacement or extra
"auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to
provide direct primary insurance for the lessor.
D. OWNED SUBSIDIARIES AND NEWLY ACQUIRED OR FORMED ORGANIZATIONS
Section II - Covered Autos Liability Coverage, Paragraph A.1. Who Is An Insured is amended by adding
the following:
The following are "insureds":
1. Any subsidiary which is a legally incorporated entity of which you maintain ownership or majority interest on
the effective date of this Coverage Form, except:
a. Any subsidiary that is an insured under any other automobile liability policy.
b. Any subsidiary which would be an insured under any other automobile liability policy but for the
termination of such policy or exhaustion of such policy's Limits of Insurance.
2. Any organization you newly acquire or form, and in which you maintain ownership or majority interest, but
only for the period beginning when you first maintained majority interest until the end of the policy period of
this Coverage Form, or the next anniversary of the inception date of this Coverage From, whichever is
earlier. However, the newly acquired or formed organization is not an "Insured":
a. For "bodily injury" or "property damage" resulting from an "accident" that occurred before you acquired
or formed the organization.
b. If it is an insured under any other automobile liability policy or would be an insured under any other
automobile liability policy but for the termination of such policy or exhaustion of such policy's Limits of
Insurance.
E. SUPPLEMENTARY PAYMENTS
1. Section II - Covered Autos Liability Coverage, Paragraph A.2.a.(2) is deleted and replaced with the
following:
(2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because
of an "accident" we cover. We do not have to furnish these bonds.
2. Section II - Covered Autos Liability Coverage, Paragraph A.2.a.(4) is deleted and replaced with the
following:
(4) All reasonable expenses incurred by the "Insured" at our request, including actual loss of earnings up
to $1,000 a day because of time off from work.
F. FELLOW EMPLOYEE
Section II - Covered Autos Liability Coverage, Paragraph B.5.b. is amended with the addition of the
following:
This exclusion does not apply to "bodily injury" resulting from the use of a covered "auto" you own or hire. This
Coverage is excess over any other collectible insurance.
G. PHYSICAL DAMAGE COVERAGE EXTENSIONS - TOWING
Section III - Physical Damage Coverage, Paragraph A.2. Towing is deleted in its entirety and replaced with
the following:
2. Towing
We will pay up to $200 for towing and labor costs incurred each time a covered "auto" is disabled.
However, the labor must be performed at the place of disablement. No deductible applies to this
enhancement.
CA 83 63 04 18 Includes copyrighted material of Insurance Services Page 3 of 6
Office, Inc., with its permission
H. PHYSICAL DAMAGE COVERAGE EXTENSIONS - GLASS BREAKAGE
Section III - Physical Damage Coverage, Paragraph A.3. Glass Breakage - Hitting a Bird or Animal -
Failing Objects or Missiles is amended by adding the following:
No deductible for covered "autos" applies to "loss" resulting from glass breakage.
I. PHYSICAL DAMAGE COVERAGE EXTENSIONS - TRANSPORTATION EXPENSES
Section III - Physical Damage Coverage, Paragraph A.4.a. Transportation Expenses is deleted in its
entirety and replaced with the following:
a. Transportation Expenses
We will pay up to $100 per day to a maximum of $3,000 for temporary transportation expense incurred by
you because of "loss" to a covered "auto". We will pay only for those covered "autos" for which you carry
either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation
expenses incurred until the covered "auto" is returned to use or we pay for its "loss," regardless of the
policy's expiration.
We will pay under this Coverage Extension only that amount of Transportation Expenses which is not
already provided under Paragraph O. Rental Reimbursement Coverage Extension of this endorsement.
J. HIRED AUTO PHYSICAL DAMAGE COVERAGE
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the
following:
Hired Auto Physical Damage Coverage
If Comprehensive Coverage, Specified Causes of Loss or Collision Coverage is shown in the Declarations for
any covered "auto", then the same type of Physical Damage Coverage is provided for any Hired Auto, subject
to the following:
1. The most we will pay for any one "accident" or "loss" is the lesser of:
a. The actual cash value of the covered "auto" at the time of the `loss"; or
b. The actual cost to repair or replace such covered "auto" at the time of the "loss".
2. The Limit of Insurance as determined under Paragraph 1. above, will be reduced by any applicable
Comprehensive or Collision deductible for each covered "auto". This deductible will be equal to the largest
deductible applicable under any coverage for such covered "auto". No deductible applies to `loss" caused
by fire or lightning.
3. The coverage provided by this Coverage Extension will be excess over any other collectible insurance.
4. Subject to Paragraphs 1., 2., and 3. above, we will provide the broadest coverage applicable to any
covered "auto" shown in the Declarations.
5. For coverage provided under this coverage extension, the last sentence of Paragraph A.4.b. of Section III
- Physical Damage Coverage, is deleted and replaced with the following:
However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3,000
per "accident" if loss of use results from an "accident" for which you are legally liable and the lessor incurs a
financial loss.
K. TOTAL THEFT OF A COVERED AUTO
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the
following:
Total Theft of a Covered Auto
In the event of the total theft of a covered "auto":
1. Coverage includes personal items in the covered "auto" at the time of loss up to a maximum of $500. No
deductible applies to this coverage.
2. We will pay reasonable expenses for returning the stolen covered "auto" to you once it is recovered, up to a
maximum of $1,000. No deductible applies to this coverage.
L. AUTO LOAN / LEASE GAP PROTECTION
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the
following:
In the event of a total "loss" of a covered "auto" shown in the Declarations for which Physical Damage
Coverage is provided, we will provide coverage for any unpaid amount due on the lease or loan for such
covered "auto", less the following:
Page 4 of 6 Includes copyrighted material of Insurance Services CA 83 63 04 18
Office, Inc., with its permission
1. The amount paid under the Physical Damage Coverage Section of the Policy for that covered "auto"; and
2. Any:
a. Overdue lease or loan payments at the time of the "loss";
b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;
c. Security deposits not returned by the lessor;
d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance
purchased with the loan or lease; and
e. Carry-over balances from previous loans or leases.
M. CUSTOMIZATION COVERAGE
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the
following:
1. We will pay with respect to a covered "auto" for "loss" to automobile customization which includes special
carpeting and insulation, height - extended roofs and custom murals, paintings, vinyl wraps or other details
or graphics.
2. Our limit of liability for "loss" to automobile customizations in any one 'loss" shall be the least of:
a. The actual cash value of the stolen or damaged property;
b. The amount necessary to repair or replace the property; or
c. $2,000.
This Coverage Extension does not apply to electronic equipment.
N. NEWLY ACQUIRED OWNED AUTOS AND DONATED AUTOS PHYSICAL DAMAGE COVERAGE
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the
following:
1. If Comprehensive, Specified Causes of Loss, or Collision Coverage is provided by this Policy, the coverage
is extended to apply to Physical Damage 'loss" to your newly acquired owned "autos" and donated autos.
We will provide the broadest coverage available to any covered "auto" shown in the Declarations.
2. The most we will pay for 'loss" to a newly acquired "auto" or donated auto is the least of:
a. The actual cash value of the damaged or stolen property as of the time the "loss," or your actual cost of
purchase of the newly acquired "auto", whichever is more;
b. The actual cost of:
(1) Replacing the damaged or stolen property with other property of like kind and quality; or
(2) Repairing the damaged property without deduction for depreciation; or
c. $100,000.
However, the most we will pay for all covered physical damage 'loss" for newly acquired autos and donated
autos occurring during the policy period shown on the Declarations is $100,000.
3. For each newly acquired "auto" our obligation to pay "loss" will be reduced by a deductible equal to the
highest deductible applicable to any "auto" for that coverage. No deductible will be applied to `loss" caused
by fire or lightning.
4. Coverage under this Extension, for newly acquired owned "autos" is afforded until you notify us to add the
newly acquired owned vehicle to your auto schedule or until the end of the policy period, whichever is
earlier.
O. RENTAL REIMBURSEMENT COVERAGE EXTENSION
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the
following:
1. For those covered "autos" for which you carry Comprehensive or Specified Cause of Loss Coverage:
a. We will pay up to $100 per day, for up to 30 days, for Rental Reimbursement Expenses incurred by you
for the rental of an "auto' because of a `loss" to a covered "auto".
b. We will pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace
your materials and equipment from the covered "auto'.
2. We will pay under this coverage extension only that amount of your Rental Reimbursement Expenses
which is not already provided under Paragraph I. Transportation Expenses of this endorsement.
CA 83 63 04 18 Includes copyrighted material of Insurance Services Page 5 of 6
Office, Inc., with its permission
P. ACCIDENTAL DISCHARGE - AIRBAG COVERAGE
Section III - Physical Damage Coverage, Exclusion B.3.a. does not apply to "loss" due and confined to the
accidental discharge of an airbag. No deductible applies to this coverage.
Q. ORIGINAL EQUIPMENT MANUFACTURER (OEM) PART REPLACEMENT
Section III - Physical Damage Coverage, Paragraph C.1. Limits of Insurance is amended to include the
following:
We will pay the cost to replace the damaged parts (excluding glass and mechanical parts) with new Original
Equipment Manufacturer (OEM) replacement parts if the damage parts cannot be repaired.
R. MULTIPLE DEDUCTIBLES
Section III - Physical Damage Coverage, Paragraph D. Deductible is amended to add the following:
When two or more covered "autos" sustain "loss" in a single incident, a single Physical Damage deductible will
apply to the total "loss" for all covered "autos." That deductible will be the largest of all deductibles applying to
any of the covered "autos" involved in the single incident.
S. NOTICE AND KNOWLEDGE OF OCCURRENCE - DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT
OR LOSS
1. Section IV - Business Auto Conditions, Paragraph A.2.a. is deleted and replaced with the following:
a. In the event of "accident," claim, "suit" or "loss," you must give us or our authorized representative
notice as soon as practicable of the "accident" or "loss" after the "accident" or "loss" is known to you (if
you are an individual), one of your partners (if you are a partnership), or one of your officers or any
personnel responsible for insurance, risk management, or loss prevention (if you are a corporation).
Notice shall include:
(1) How, when and where the "accident" or "loss" occurred;
(2) The "insured's" name and address; and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
2. Section IV - Business Auto Conditions, Paragraph A.2.b(2) is deleted and replaced with the following:
(2) As soon as practicable send us copies of any request, demand, order, notice, summons or legal paper
received concerning the claim or "suit" after the claim or "suit" is known to you (if you are an individual),
one of your partners (if you are a partnership), or one of your officers or any personnel responsible for
insurance, risk management, or loss prevention (if you are a corporation).
T. BLANKET WAIVER OF SUBROGATION BY WRITTEN CONTRACT
Section IV - Business Auto Conditions, Paragraph A.S. is amended to add the following:
However, we waive any right of recovery we may have against any person or organization to the extent
required of you by a written contract or written agreement signed by all parties prior to any "accident" or "loss",
provided that the "accident" or "loss" arises out of the operations contemplated by such written contract or
written agreement. The waiver applies only to the person or organization designated in such written contract or
written agreement.
U. UNINTENTIONAL ERRORS AND OMISSIONS
Section IV - Business Auto Conditions, Paragraph B.2. is amended to add the following:
However, if you should unintentionally mispresent or conceal information to us at any time, we will not deny
coverage under this policy based on this unintentional error or omission.
This provision does not affect our right to cancel or non -renew your coverage or collect additional premium for
any added exposures.
V. MENTAL ANGUISH
Section V - Definitions, Definition C. "Bodily Injury" is deleted and replaced by the following:
"Bodily Injury" means physical injury, sickness or disease sustained by a person including death resulting from
any of these. "Bodily Injury" also means mental injury, mental anguish, humiliation or shock if directly resulting
from physical injury, sickness or disease to that person.
Page 6 of 6 Includes copyrighted material of Insurance Services CA 83 63 04 18
Office, Inc., with its permission
Policy Number TCP7012737-16
Policy Period 06/11/2024 to 06/11/2025 COMMERCIAL GENERAL LIABILITY
CG 83 60 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
GENERAL LIABILITY EXTENSION FOR, TECHNOLOGY
COMPANIES ENDORSEMENT
This Endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
This endorsement broadens coverage. The following schedule of coverage extensions is a general coverage
description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this
endorsement along with your entire policy carefully to determine the extent of coverage afforded.
SCHEDULE OF COVERAGE EXTENSIONS
�...._ ........ ........
A. Additional Insured - Lessors of Leased L. Duties in the Event of Occurrence, Offense,
Equipment Claim or Suit
B. Additional Insured - Owners, Managers or M. Expected or Intended Injury or Damage
Lessors of Premises Pro ertDam-,,-'
C. Additional Insured - Primary and Non- N. Damage to Premises Rented To You
contributo
D. Additional Insured -Vendors O. Medical Payments
- __........ ..........
E. Additional Insured - Written Contract or P. Non -owned Aircraft
Agreement
F. Aggregate Limit Per Location Q. Non -owned Watercraft
G. Amateur Athletic ParticiEants R. Newly Acquired or Formed Or anizations
H. Bodily InjLLry.. Definition S. Supplementary Payments
1. rBroadened Named Insured T. Unintentional Omission
J, to Property -Borrowed EquipmentU. Waiver of Subrogation - Blanket
stomer Goods, Use of Elevators ...................._._._._____od Samaritan Services
A. ADDITIONAL INSURED - LESSORS OF LEASED EQUIPMENT
Under Section II - Who Is An Insured, the following is added:
Any person or organization that is an equipment lessor is an insured, but only with respect to liability for "bodily
injury", "property damage", "personal and advertising injury' caused, in whole or in part, by your acts or
omissions in the maintenance, operation or use by you of equipment leased to you by such equipment lessor.
The insurance provided to such equipment lessor does not apply to any "bodily injury' or "property damage"
caused by an "occurrence" that takes place, or "personal and advertising injury" caused by an offense that is
committed after the equipment lease expires.
B. ADDITIONAL INSURED - OWNERS, MANAGERS OR LESSORS OF PREMISES
Under Section II - Who Is An Insured, the following is added:
Any person or organization that is a premises owner, manager or lessor is an insured, but only with respect to
liability arising out of the ownership, maintenance or use of that part of any premises leased to you.
The insurance provided to such premises owner, manager or lessor does not apply to:
1. Any "bodily injury' or "property damage" caused by an "occurrence" that takes place, or "personal and
advertising injury" caused by an offense that is committed, after you cease to be a tenant in that premises;
or
2. Structural alterations, new construction or demolition operations performed by or on behalf of such
premises owner, manager or lessor.
CG 83 60 12 19 Includes copyrighted material of Insurance Page 1 of 6
Services Office, Inc., with its permission.
C. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY
The following is added to the Other Insurance Condition and supersedes any provision to the contrary:
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
2. You have agreed in writing in a contractor agreement that this insurance would be primary and would not
seek contribution from any other insurance available to the additional insured.
D. ADDITIONAL INSURED - VENDORS
Under Section II - Who Is An Insured, the following is added:
Any person or organization that is a vendor and that you have agreed in a written contract or agreement to
include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily
injury" or "property damage" that:
1. Is caused by an "occurrence" that takes place after you have signed and executed that contract or
agreement; and
2. Arises out of "your products" which are distributed or sold in the regular course of such vendor's business.
The insurance provided to such vendor is subject to the following provisions:
1. The limits of insurance provided to such vendor will be the limits which you agreed to provide in the written
contract or agreement, or the limits shown in the Declarations, whichever are less.
2. The insurance provided to such vendor does not apply to:
a. Any express warranty not authorized by you;
b. Any change in "your products" made by such vendor;
c. Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the
substitution of part under instructions from the manufacturer, and then repackaged in the original
container;
d. Any failure to make such inspections, adjustments, tests or servicing as vendors agree to perform or
normally undertake to perform in the regular course of business, in connection with the distribution or
sale of "your products";
e. Demonstration, installation, servicing or repair operations, except such operations performed at such
vendor's premises in connection with the sale of "your products"; or
f. "Your products" which, after distribution or sale by you, have been labeled or relabeled or used as a
container, part or ingredient of any other thing or substance by or on behalf of such vendor.
Coverage under this provision does not apply to:
1. Any person or organization from whom you have acquired "your products", or any ingredient, part or
container entering into, accompanying or containing such products; or
2. Any vendor for which coverage as an additional insured specifically is scheduled by endorsement.
E. ADDITIONAL INSURED - WRITTEN CONTRACT OR AGREEMENT
Under Section II - Who Is An Insured, the following is added:
Any person or organization that is not otherwise an insured under this Coverage Part and that you have agreed
in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but
only with respect to liability for "bodily injury" or "property damage" that:
1. Is caused by an 'occurrence" that takes place after you have signed and executed that contract or
agreement; and
2. Is caused, in whole or in part, by your acts or omissions in performance of your ongoing operations to
which that contract or agreement applies or the acts or omissions of any person or organization performing
such operations on your behalf.
The limits of insurance provided to such insured will be the limits which you agreed to provide in the written
contract or agreement, or the limits shown in the Declarations, whichever are less.
F. AGGREGATE LIMIT PER LOCATION
1. Under Section III - Limits Of Insurance, the following is added:
The General Aggregate Limit applies separately to each of your "locations" owned by or rented or leased to
you.
Page 2 of 6 Includes copyrighted material of Insurance CG 83 60 12 19
Services Office, Inc., with its permission.
2. Under Section V - Definitions, the following is added:
"Location" means premises involving the same or connecting lots, or premises whose connection is
interrupted only by a street, roadway, waterway or right-of-way of a railroad.
G. AMATEUR ATHLETIC PARTICIPANTS
Under Section II - Who Is An Insured, the following is added:
Any person representing you while participating in amateur athletic activities that you sponsor. However, no
such person is an insured for:
1. "Bodily injury" to:
a. A co -participant, your "employee" or "volunteer worker" while participating in amateur athletic activities
that you sponsor; or
b. You, any partner or member (if you are a partnership or joint venture), or any member (if you are a
limited liability company), or any "executive officer" (if you are an organization other than a partnership,
joint venture, or limited liability company); or
2. "Property damage" to property owned by, occupied or used by, rented to, in the care, custody, or control of,
or over which physical control is being exercised for any purpose by:
a. A co -participant, your "employee" or "volunteer worker"; or
b. You, any partner or member (if you are a partnership or joint venture), or any member (if you are a
limited liability company), or any "executive officer' (if you are an organization other than a partnership,
joint venture, or limited liability company).
H. BODILY INJURY
Under Section V - Definitions, the definition of "bodily injury" is deleted and replaced by the following:
"Bodily injury" means physical injury, sickness, or disease sustained by a person, including death resulting from
any of these. "Bodily injury" also means mental injury, mental anguish, humiliation, or shock sustained by a
person, if directly resulting from physical injury, sickness, or disease sustained by that person.
I. BROADENED NAMED INSURED
Under Section II - Who Is Insured, the following is added:
Any person or organization named in the Declarations and any organization you own, newly acquire or form, other
than a partnership, joint venture, or limited liability company, and over which you maintain more than 50% of
the interests entitled to vote generally in the election of the governing body of such organization will qualify as a
Named Insured if there is no other similar insurance available to such organization until the end of the policy
period.
Coverage under this provision does not apply to any person or organization for which coverage is excluded by
endorsement.
J. BROADENED PROPERTY DAMAGE - BORROWED EQUIPMENT, CUSTOMERS' GOODS AND USE OF
ELEVATORS
The insurance for "property damage" liability is subject to the following:
1. Under Section I - Coverages, Coverage A, Bodily Injury and Property Damage Liability, paragraph 2.,
Exclusions, item j., Damage To Property is amended as follows:
a. The exclusion for personal property in the care, custody or control of the insured does not apply to
"property damage" to equipment you borrow while at a job site and provided it is not being used by
anyone to perform operations at the time of loss.
b. The exclusions for:
(1) Property loaned to you;
(2) Personal property in the care, custody or control of the insured; and
(3) That particular part of any property that must be restored, repaired or replaced because "your work"
was incorrectly performed on it;
do not apply to "property damage" to "customers' goods" while on your premises nor do they apply to
"property damage" arising from the use of elevators at premises you own, rent, lease or occupy.
Subject to the Each Occurrence Limit, the most we will pay for "property damage" to "customers' goods" is
$25,000 per "occurrence".
3. Under Section V - Definitions, the following is added:
"Customers' goods" means goods of your customer on your premises for the purpose of being:
a. Repaired; or
CG 83 60 12 19 Includes copyrighted material of Insurance Page 3 of 6
Services Office, Inc., with its permission.
b. Used in your manufacturing process.
4. Under Section IV - Commercial General Liability Conditions, the insurance afforded by this provision is
excess over any other valid and collectible property insurance (including any deductible) available to the
insured whether such insurance is primary, excess, contingent or on any other basis. Any payments by us
will follow the Other Insurance - Excess Insurance provisions.
K. GOOD SAMARITAN SERVICES
Under Section II - Who Is Insured, paragraph 2., item d., the following is added:
This exclusion does not apply to your employees or volunteer workers, other than an employed or
volunteer physician, rendering "Good Samaritan services".
2. Under Section V -Definitions, the following definition is added:
"Good Samaritan services" means any emergency medical services for which no compensation is
demanded or received.
L. DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
Under Section IV - Commercial General Liability Conditions, paragraph 2., Duties In The Event Of
Occurrence, Claim or Suit is amended to include the following:
1. The requirements that you must:
a. Notify us of an "occurrence" offense, claim or "suit"; and
b. Send us documents concerning a claim or "suit" apply only when such accident claim, "suit" or loss is
known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership;
(3) An executive officer of the corporation or insurance manager, if you are a corporation; or
(4) A manager, if you are a limited liability company.
2. The requirement that you must notify us as soon as practicable of an "occurrence" or an offense that may
result in a claim does not apply if you report an "occurrence" to your workers compensation insurer which
later develops into a liability claim for which coverage is provided by this policy. However, as soon as you
have definite knowledge that the particular "occurrence" is a liability claim rather than a workers'
compensation claim, you must comply with the Duties In The Event Of Occurrence, Offense, Claim Or Suit
Condition.
M. EXPECTED OR INTENDED INJURY OR DAMAGE (PROPERTY DAMAGE)
Under Section I - Coverages, Coverage A, Bodily Injury And Property Damage Liability, paragraph 2.,
Exclusions, item a., Expected Or Intended Injury, is deleted and replaced by the following:
a. Expected or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured.
This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable
force to protect persons or property.
N. DAMAGE TO PREMISES RENTED TO YOU
If damage to premises rented to you is not otherwise excluded from this policy or coverage part, then the
following provisions apply:
1. The last paragraph under 2. Exclusions of Section I - Coverage A - Bodily Injury And Property
Damage Liability is deleted and replaced by the following:
Exclusions c. through n. do not apply to damage by fire, lightning, explosion, "smoke", or leakage from
automatic fire protective systems to premises while rented to you or temporarily occupied by you with the
permission of the owner, including the contents of premises rented to you for a period of seven or fewer
consecutive days. A separate limit of insurance applies to this coverage as described in Section III - Limits
Of Insurance.
2. The paragraph immediately after Sub -paragraph j.(6) of Paragraph 2. Exclusions of Section I - Coverage
A - Bodily Injury And Property Damage Liability is deleted and replaced by the following:
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire,
lightning, explosion, "smoke", or leakage from automatic fire protective systems) to premises, including the
contents of such premises, rented to you for a period of seven or fewer consecutive days. A separate limit
of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of
Insurance.
Page 4 of 6 Includes copyrighted material of Insurance CG 83 60 12 19
Services Office, Inc., with its permission.
3. Paragraph 6, of Section III - Limits Of Insurance is deleted and replaced by the following:
6. Subject to Paragraph 5. above, the greater of:
a. $500,000; or
b. The Damage To Premises Rented To You Limit shown in the Declarations;
is the most we will pay under Coverage A for damages because of "property damage' to premises
while rented to you, or in the case of damage by fire, lightning, explosion, "smoke', or leakage from
automatic fire protective systems, while rented to you or temporarily occupied by you with permission of
the owner, including the contents of such premises rented to you for a period of seven or fewer
consecutive days.
4. Subparagraph b.(1)(a)(ii) of Paragraph 4. Other Insurance of Section IV - Commercial General Liability
Conditions is deleted and replaced by the following:
(ii) That is fire, lightning, explosion, "smoke' or leakage from automatic fire protective systems insurance
for premises rented to you or temporarily occupied by you with permission of the owner, or for personal
property of others in your care, custody or control;
5. Subparagraph a. of Definition 9. 'Insured contract' of Section V - Definitions is deleted and replaced by
the following:
a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that
indemnifies any person or organization for damage by fire, lightning, explosion, "smoke' or leakage
from automatic fire protective systems to premises while rented to you or temporarily occupied by you
with permission of the owner is not an "insured contract'.
6. As used in this provision "smoke' does not include smoke from agricultural smudging, industrial operations
or a "hostile fire'.
O. MEDICAL PAYMENTS
1. Under Section I - Coverages, Coverage C, Medical Payments, paragraph 1., Insuring Agreement, the
requirement that expenses are incurred and reported to us within one year of the date of the accident is
changed to three years.
2. The Medical Expense Limit is $15,000 per person or the amount shown in the Declarations as the Medical
Expense Limit, whichever is greater.
3. This provision O. does not apply if Coverage C, Medical Payments, is otherwise excluded either by the
provisions of the Coverage Form or by endorsement.
P. NON -OWNED AIRCRAFT
1. Under Section I - Coverages, Coverage A, Bodily Injury and Property Damage Liability, item 2.,
Exclusions, item g., Aircraft, Auto Or Watercraft, does not apply to an aircraft that is:
a. Hired, chartered or loaned with a paid crew; and
b. Not owned by any insured.
2. The insurance afforded by this provision P. is excess over any other valid and collectible insurance
(including any deductible or Self Insured Retention) available to the insured, whether such insurance is
primary, excess, contingent or on any other basis. Any payments by us will follow the Other Insurance -
Excess Insurance provisions in the Commercial General Liability Conditions.
Q. NON -OWNED WATERCRAFT
1. Under Section II - Who Is Insured, is amended as follows:
To include as an insured for any watercraft that is covered by this policy, any person who, with your
expressed or implied consent, either uses or is responsible for the use of a watercraft. However, no person
or organization is an insured with respect to:
a. "Bodily injury" to a co -"employee" of the person operating the watercraft; or
b. "Property damage' to 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.
2. In the exception to the Aircraft, Auto Or Watercraft exclusion under Coverage A, Bodily Injury And
Property Damage Liability, the limitation on the length of a watercraft is increased to 75 feet.
3. The insurance afforded by this provision Q. is excess over any other valid and collectible insurance
(including any deductible or Self Insured Retention) available to the insured, whether such insurance is
primary, excess, contingent or on any other basis. Any payments by us will follow the Other Insurance -
Excess Insurance provisions in the Commercial General Liability Conditions.
CG 83 60 12 19 Includes copyrighted material of Insurance Page 5 of 6
Services Office, Inc., with its permission.
R. NEWLY ACQUIRED OR FORMED ORGANIZATIONS
Under Section II - Who Is An Insured, item 3.a. is deleted and replaced by the following:
a. Coverage under this provision is afforded only until the end of the current policy period.
S. SUPPLEMENTARY PAYMENTS
Under Section I - Coverages, Supplementary Payments - Coverages A and B is amended as follows:
1. The limit for the cost of bail bonds is amended to $2,500; and
2. The limit for reasonable expenses incurred by the "insured" is amended to $500 a day.
T. UNINTENTIONAL OMISSION
Under Section IV - Commercial General Liability Conditions, paragraph 6., Representations, the following
is added:
The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in
issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our
right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with
applicable insurance laws or regulations.
U. WAIVER OF SUBROGATION - BLANKET
Under Section IV - Commercial General Liability Conditions, paragraph 8., Transfer of Rights of
Recovery Against Others to Us the following is added:
We will waive any right of recovery we may have against any person or organization because of payments we
make for injury or damage arising out of your ongoing operations done under a written contract or agreement
with that person or organization and included in "your work" or the "products -completed operations hazard".
This waiver applies only to persons or organizations with whom you have a written contract, executed prior to
the "bodily injury" or "property damage", that requires you to waive your rights of recovery.
Page 6 of 6 Includes copyrighted material of Insurance CG 83 60 12 19
Services Office, Inc., with its permission.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 04 03 06 04 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 2% of the California workers' compensation premium
otherwise due on such remuneration.
Person or Organization
Schedule
Job Description
Any person or organization for which you have agreed to waive your rights of recovery in a written contract, provided such
contract was executed prior to the date of loss.
This endorsement changes the policy to which it is attached and is effective on 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
06/11/2024
Insured
Veritone, Inc.
Insurance Company:
Berkley National Insurance Company
Policv No. Endorsement No.
TWC7012814-16
Premium
Countersigned
by
WC 04 03 06 04 84 1998 by the Workers' Compensation Insurance Rating Bureau of California. Page 1 of 1
All rights reserved. From the WCIRB's California Workers' Compensation
Insurance Forms Manual 2001.