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PROOF OF INSURANCE (2014) CLOSEDIDEALAB -01 CMANIS DATE (MMIDDIYYYY)� CERTIFICATE OF LIABILITY INSURANCE 615/2014 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 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; Costello & Sons Insurance Brokers, Inc. PHONE PAX 1752 Lincoln Avenue tc- N *F ,� (415) 257 21.. �� c rte) (4... 455 1516 _) San Rafael, CA 94901 Aq ADDRESS; INSURED Idealab; X1 Discovery 130 West Union Street Pasadena, CA 91103 COVERAGES CERTIFICATE NUMBER: INSURERIS) AFFORDING COVERAGE NAIC # w 22357 sURERA:The Hartford _ ... ...... . ..._- _ INSURER B INSURER C: INSURER INSURER E: 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 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, �..... ----- ......... -. -__ ADOL SUBA, .� ............. ........... ...... ti" dyItoP �'CIudy Eft +.._..... INSR ..,.. .......... ......._.- LIMITS ......__. .......... LTR TYPE OF INSURANCE inlcw IAAM POLICY NUMBER IMWDDffYYYI jmmgqvYYYY` GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 57UUNVX2282 06/1512013 06/15/2014 � "rt7TtENrED.� DAi A`GE PREMISES !Fa ncrilrrenrel , �� �� $ 1,000,00 .. ..�. CLAIMS -MADE X OCCUR MED EXP (Anv one person) $ 10,000 _ PERONAA DV....I. NJURY .... 1,00.0.....,..0,....0 .... ,.. - m ... ..- .. -- .... GENERALAGGREGATE .$ .. ........... . $ 2,000,00 _ GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS 2 000,00 $ mmmm w PRO POLICY 6.tJ AUTOMOBILE LIABILITY COMBINED IN LE LIMIT !Fa accident/ $ 1 I 000,000 A X ANY AUTO 57UUNVX2282 06/15/2013 06/15/2014 BODILYINJURY(Perperson) $ ... ----------- ALL OWNED LED BODILY INJURY Per accident) AUTOS .. NON -O WNED X0,6 tW p OAA� „ $ X HIRED AUTOS X .29R A IT .......m, ......._.------ $ UMBRELLA LIAB X X OCCUR EACH,OCCURRENCE 1.0 000 0 $ O A EXCESS LIAB CLAIMS- MADE 'S7RHUVX1447 06/1512013 06115/2014 AGGREGATE ,. .. $ 10,000,000 _....... - -- DED X RETENTION $ 10,00 O $ WORKERS COMPENSATION X WC STATU- O FIR A ECUTIVE Y 57WEDG5694 06115/2013 06/15/2014 „E L EACH ACCIDENT _. -.. ...1 OFFICERO/MEMBEER EXCLU ED? (Mandatory in NH) N/A 000'OO EA EMPLOYEE $ , , E.L. DISEASE ...........___...... ,.,,..� _..... ........ ...... If yes, describe under DESCRIPTION OF OPERATIONS below E.L., DISEASE- POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Certificate holder is included as additional insured as per written contract. CERTIFIGATL HOLUEK fyrvl.CLLr{IIV IV 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 g El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE 6 U 198t5-21JI1 U AGUKU GUKt'UKA I IUN. All rlgnLS reserve0. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD X1 DISCO -01 CMANIS ACORO° (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE DATE MMID14 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 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: Costello & Sons Insurance Brokers, Inc. PHONE -2100 257 -2100 FAX 1752 Lincoln Avenue AdC No 1Exk, AIC No. 415 455 -1516 San Rafael, CA 94901 ADDRESS: INSURER(SI AFFORDING COVERAGE NAIC # INSURED X1 Discovery, Inc. 130 West Union Street Pasadena, CA 91103 INSURER A: Lloyd's of London INSURER C : INSURER E: INSURER F: C0VFRAnFS 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 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 OLdC E�FF P LICY EXP TYPE OF INSURANCE ,ucn unrn n POLICY NUMBER MMP'rJOJ'YYYY IMM /11nNWV1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS 0 OCCUR DAMAtiE ��1 $ -MADE PREMISES (Ea oc lu'r,_ -ei nrr�a MED EXP (An one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ IRO - � ❑ POLICY LOC POLICY PRODUCTS - COMP /OP AGG $ OTHER; $ AUTOMOBILE LIABILITY COMBINED SINUCE LIMIT $ (Fa Pz.ade'nt ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (PP.rnr_.6rIPntl UMBRELLA LIAR I IOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS - MADE'' AGGREGATE $ DFD RETENTION $ 1 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATi ITF FR ANY PROPRIETOR /PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? N /P` (Mandatory in NH) E L DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE. - -POLICY LIMIT $ A Technology E &O ESCO2075431 04/10/2014 04/10/2015 Per Occurrence 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 9,° AUTHORIZED REPRESENTATIVE \:y,, ©1988 -2014 ACORD CORPORATION. All rights reserved. y e,F ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD