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PROOF OF INSURANCE (2025)
A�."RCERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 05/1612025 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 NAME Raed Shubbak Marsh Canada Limited q @ FAk .. 120 Bremner Blvd, Suite 800 Attn: Canada, Certre uest marsh com WQ, NoEX,0�_1 416 349 6602 IA1 , fagy.. Toronto, ON, M5J OAB EMAIL nnnoa"c r8ed.s1hu6bak0marsh,rA)m ar GAWP-24-25 CN102165922 Va„ U_ _ INSURED EnvisionWare, Inc. 3820 Mansell Rd., Suite 350 Alpharetta, GA 30022 INSURERS) AFFORDING COVER AGE NAIC # VoIarl ,,, INSURERA Fadgrpl�nsyrancp,Comoan„7,,,, 20261 Uo�o B . Grcl^No them insurance Comppny 202667 INSURER F: t'=DTIrIPeTG MI IUrtI=P- uni Lnnd1ua7Fr,1raREVISION NUMBER: 4 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. ILTR.I._._. ..ADDL'SU�6f�.� ,. pOL1GYNUMBER....... TYPE OF INSURANCE .. _ .......... „... �.® .®.. PMMGD(YYFYY MMID fMy)I LIMITS A X 1 COMMERCIAL GENERAL LIABILITY 9950-48-39 EUC 09/27/2024 09/27/2025 i EACH OCCURRENCE 1 $ 1,000,000 mm j CLAIMS MADE X OCCUR UAMAOETORENT ED REMISES (Ea occurrence) $ 1,000,000 1 - MED EXP (Anone erson) $ 25 000 y p A - f ....... . . . � PERSONALBADVINJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIE S PER: i GENERAL AGGREGATE Is 2,000,000 PRO. X POLICY ❑ JECt. LOC TS-COGM OIPIAGG I $ 1 000 000, .,,, ,.. . LITHFF RVF AUTOMOBILE LIABILITY B A ^. 7360-03-97 LPROOMDB a Is 1,000,000 09/2712024 09127/2025 a ,lecrdgn�u¢,f X ANY AUTO BODILY INJURY (Per person) I $ -- OWNED X t AUTOS ONLY AUTOS accident)' $ BODILY INJURY RY (Per ao NON -OWNED PROPERTY DAMAGE . $ XHIRED . e. { AUTOS ONLY X ` AUTOS ONLY j - r a a�den � � -- j $ A F X UMBRELLA LIAR 1 1 OCCUR 9365-24-30 i 09/27/2024 09/2712025 EACH OCCURRENCE $ 2,000,000 EXCESS LIAR CLAIMS -MADE . ...... .......m E AGGREGATE J $ 2,000,000 ,—. „ .-,, ................... 1, TENTION $ DED RE I i $ C WORKERS COMPENSATION 71764342 09/27/2024 09127/2025 X PER FORTH AND EMPLOYERS' LIABILITY y I N _/� I 1,000,000 E L EACH ACCIDENT $ -..OFFICER RIETO REXCLUOEOo ECUTIVE N N I A f ......_,... (Mandatory in NH) E L DISEASE EA EMPLOYEE $ 1,000.000 jif yes, describe under { POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE A Professional Liability D01813225 09/27/2024 09/2712025 Limit 10,000.000 Tech E&O & Cyber SIR: $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1W, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo, its elected and appointed officials, and employees are included as additional insured (except workers compensation, Professional Liability and Errors & Omissions) where required by written contract. The General Liability insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION City of El Segundo, I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segundo, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA LLC I ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: (2 x) 7360-03 97 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: Name t°tf:1 !I°em.sm i,i(s) Ou t„ trNantza ioin(s). Uk' 0 i t :m11I'J 1. A'' 1' "b .? 7�wT NY, 7 n I ` T r' i " S .�'.� , I �,11V i �'� r'�"� C,i r,7� r,P�, � � I � , I'w :1;1'I I A on rewired to complete this Schedule. if SCHEDULE TI ��":17 1 H . P I f`, { .1 ,I JI, I I F's i"r ":'A , ..��I l y l i0 Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but; only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph Al. of Section Ili - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. own above„ will be shown in CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 C H U B B° Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured Name of Company Date Issued This Endorsement applies to the following forms: GENERAL LIABILITY Who Is An Insured Additional Insured - Scheduled Person Or Organization SEPT ER 27, 2024 TO SEPTEMBER 27, 2025 SEPTEMBER 27, 2024 995048-39 EUC CONSTELLATION SOFTWARE, INC. l�. r . t. lI:. tt�� ►7T7a010 OCFOBER 15, 2024 Under Who Is An Insured, the following provision is added. Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured-, • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an itisured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Liability Insurance Additional insured - Scheduled Person Or Organization continued Form 80-W-2367 (Rev. 5-07) Endorsement page 1 C: H U E3 So Liability Endorsement (continued) Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance - Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. Authorized Representative Liability Insurance Additional Insured - Scheduled Person Or Organization last page Form 80-02-2367 (Rev. S-07) Endorsement Page 2 E: H U B B" Policy Conditions Endorsement Policy Period SEPTEMBER 27,2024 TO SEPTEMBER 27,2025 Effective Date SEPT EMBER 27. 2024 Policy Number 9950-49-39 ETJC Insured CONSTELLATION SOFIWARL, INC, Name of Company FEDERAL INSURANCE COMPANY Date Issued OCTOBER 15,2024 This Endorsement applies to the following forms: Under Conditions, the following condition is added. Conditions Notice Of Cancellation When we cancel this policy for any -reason, other than non-payment of prerniurn, we will notify To Scheduled Persons person(s) or organization(s) shown in the Schedule at least 30 days in advance of the cancellation Or Organizations When date. We Cancel Any failure by us to notify such person(s) or organization(s) will not: • impose any liability or obligation of any kind upon us; or • invalidate such cancellation. Schedule Person(s)orOrganization(s): DEPT. OF WATER& POWER RISK MANAGEMENI SECTION, R.M. 465 111 N. HOPE ST. LOS ANGELES, CA 90012 Person(s) or Organization(s): CITY OFCARROLIXON Person(s) or Organization(s): CITY OFANNARBOR C/O: YCOI Address: 1075 BROAD RIPPLE, AVE, SUITE 313 INDIANAPOLIS, IN 46220 Notice Of Cancellation To Scheduled Persons Or Organizations Policy Conditions (Except Non -Payment Of PremiumJ continued Form 80-02-9779 (Ed. 3-11) Endorsement p4qe 1 Conditions (continued) Person(s)orOrgganization(s): HFTC: HOUSING TRUST FUND CORPORATION, ATIMA Address: 25 BEAVER STREET NEW YORK, NY 10004 Person(s)orOrganizadon(s): DH NEW YORK STATE DIVISION OF HOUSING AND Address: COMMUNITY RENEWAL (DCHR) HAMPTON PLAZA 38-40 STATES ET ALBANY, NY 12207 Person(s)orOrganization(s): SDCM STREET SPECIALTY LENDING, INC, AS ADMINISTRATIVE AGENT, AND ITS SUCCESSORS AND ASSIGNS Address: 988 SEVENTH STREET, 35TH FLOOR NEWYORK, NY 10 106 Person(s)orOrganizaaon(s): THE CITY OF SANTA CLARA CIO INSURANCE DATA SERVICES INSURANCE COMPLIANCE Address: PO BOX 100085 DULUTH, GA 30096 Person(s)orOrganizafion(s): HAMILTON COUNTY BOARD OFCOMMISSIONERS C/O: MYCOI Address: 1075 BROAD RIPPLE AVE, STE 313 INDIANAPOLIS, IN 46220 Person(s) or Organization(s): JACKSON ENERGY AUTHORITY 250 NORTH HIGHLAND AVE Address: JACKSONJN 38301 Person(s)orOrganization(s): BANKOFMONTREAL Address: 100 KING STREET WEST, I 8TH FLOOR TORONTO, ON M5X I A I CANADA Person(s) or Organization(s): TOWN OF GREENWICH DIRECTOR OF PURCHASING & ADMINISTRATIVE SERVICES Address: 101 FIELD POINT ROAD GREENWICH, CT 06830 Notice Of Cancellation To Scheduled Persons Or Organizations Policy Conditions (Except Non-Paymenf Of Premiumj continued ............ Form 60-02-9779 (Ed. 3-11) Endorsement Page 2 C: H U E3 B0 Policy Conditions Endorsement Effective Date SEPTEMBER 27,2024 Policy Number 9950-48-39 EUC Person(s)orOrganizaLion(s): RGRTA PROCUREMENT DEPARTMENT 1372 EAST MAIN STREET Address: ROCHESTER, NY t4609 Person(s) or Organization(s): THE PORT AUTHORITY' OFNY& NJ ATTN: PROCUREMENT DEPARTMENT Address: ONE MADISON AVENUE, 7TH FLOOR NEW YORK, NY 10010 Person(s) or Organization(s): VALLEJO CTI`YUNTFIED SCHOOL DISTRICT Address: 665 WALNUT AVENUE VALLEJO, CA 94592 Person(s)orOrganization(s): WELLS FARGO BANK, NATIONAL ASSOCIATION AS AGENT AND ITS SUCCESSORS AND/OR ASSIGNS Address: 125 HIGH STREET BOSTON MA, 02110 Person(s) orOrganization(s): THE CITY OF RANCHO CUCAMONGA, ITS ELECTED OFFICIALS, OFFICERS, EMPLOYEES, SERVANTS, VOLUNTEERS AND AGENTS Address: SERVING AS INDEPENDENT CONTRACTORS IN THE ROLE AGENCY OFFICIALS 10500 CIVIC CENTER DRIVE RANCHO CUCAMONGA, CA 91730 If you are obligated, pursuant to a written contract or agreement, to provide person(s) or organization(s) with notice of cancellation, then we will notify such person(s) or organization(s) provided that within 15 days of the date we send notice of cancellation to the first named insured, the first named insured or producer of record provides us with a spreadsheet containing the name, mailing address and, if available, e-mail address of the person(s) or organization(s). All other terms and conditions remain unchanged. Notice Of Cancellation To Scheduled Persons Or Organizations Policy Conditions (Except Non -Payment Of Premium) continued Form 80-02-9779 (Ed. 3-11) Endorsement Page 3 Conditions (continued) Authorized Representative Notice Of Cancellation To Scheduled Persons Or Organizations Policy Conditions (Except Non -Payment Of Premium) ast page Form 80-02-9779 (Ed. 3-11 J Endorsement Page 4 worKers- compensation ana r-mptoyers L-iaomLy roll Named Insured I Endorsement Number CONSTELLATION SOFTWARE, INC. 5265 ROCKWELL DRIVE NE CEDAR RAPIDS IA 52402 Policy Period 09-27-2024 TO 09-27-2025 Policy Number Symbol: RWC Number: (25)7176-43-42 Effective Date of Endorsement 09-27-2024 ISSA.W 9 tray (Nar'ane oi' insurance c_:ompany) ACE AMERICAN INSURANCE COMPANY Insert the policy number, The remainder of the information is to be completed only when this endorsement it issued subsequent to the preparation of the policy This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. EARLIER NOTICE OF CANCELLATION OR NON RENEWAL PROVIDED BY US A. Under Condition D. Cancellation of Part Six, the time period is amended as follows: We may cancel this policy by mailing or delivering to you written notice of cancellation at least: 1. 10 days before the effective date of cancellation if we cancel for non-payment of premium; or 2. 90 days before the effective date of cancellation if we cancel for any other reason. B. Under Part Six - Conditions of the policy, the following is added... Notice of Nonrenewal When we do not renew this policy, we will mail or deliver to you written notice of the nonrenewal at Least 90 days before the expiration date. Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will be sufficient to prove notice. State Exceptions California Not Applicable Authorized Representative VYC 99 06 46 (Ed. 6-11)