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PROOF OF INSURANCE (2025)
Client#: 2059006 BAKERTAY DATE (MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 12/12/2024 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:ACT Susan McCormack USI Insurance Services, LLC PHONE g80-265-5819 FAx 6100 Fairview Rd Ste 1400 E-MAIL o, EXt): A/c, No ADDRESS: susan.mccormack@usi.com Charlotte, NC 28210 INSURER(S) AFFORDING COVERAGE NAIC # 704 543-0258 Ph I C 25623 INSURED Baker & Taylor, LLC 2810 Coliseum Center Drive Charlotte, NC 28217 INSURERA: oemX nSUrance ompany INSURER B: Travelers Property Cas. Co. of America 25674 INSURER C : Great American Alliance Insurance Co. 26832 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMIT A X COMMERCIAL GENERAL LIABILITY H630A0440117PHX24 11/02/2024 11/02/2025 EACH OCCURRENCE $1,000,000 PREMISES(Eaoccu RENTED CLAIMS -MADE "I OCCUR ) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL PRO- I POLICY JECT I LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY BAA05160612413G 11/02/202411102/202 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ HIRED NON -OWNED X AUTOS ONLY AUTOS ONLY (Per accident) B X UMBRELLA LIAB X OCCUR CUPA05178192413 11/02/2024 11/02/202 EACH OCCURRENCE $25,000 000 EXCESS LIAR CLAIMS -MADE AGGREGATE $25,000 000 DED X RETENTION $10,000 $ C WORKERS COMPENSATION WCE78380203 (AOS) 11/02/2024 11/02/202 X IPER STATUTE EORH AND EMPLOYERS' LIABILITY Y/ N C ANY PROPRIETOR/PARTNER/EXECUTIVE WCF11238701 (WI) 11/02/2024 11/02/2025 E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? I NJ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insureds include the following: Baker & Taylor LLC, Bridgeall Libraries Limited and BTAC United Acquisition Holding Company and its Direct and Indirect Subsidiaries. The City of El Segundo, its officials, and employees are named as Additional Insured and coverage is Primary and Non -Contributory with respects to the General Liability policy. A 30 Day notice of cancellation is granted in favor of the certificate holder. A Waiver of Subrogation applies in favor of the certificate holder with respects to the Workers Compensation policy. CERTIFICATE HOLDER CANCELLATION City of El Segundo 350 Main Street El Segundo, CA 90245-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1 of 1 #S47311284/M47028908 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD This page has been left blank intentionally.