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PROOF OF INSURANCE (2016) CLOSEDCity of El Segundo Recreation Park 401 Sheldon Street El Segundo, CA 80245 $MOULD ANY OF TMI AIOV! DISONORD POLICIaa as CANCELLED $IPO!!I TNI EXPIRATION DATI TMInIOP, NOTIiCI WILL Be DELIVERED IN ACCORDANCE 4'IIITM TM'I POLICY PROVIVON$, AUTNORUAV Rl P TATPA ACORD 25 (2010105) The ACORD name and logo are roo fid marks of ACORD Printed by JJM on May 06, 2016 at 09,18AM Insurance III Markel Coimpany i:R COMMERCIAL GENERAL LIABILITY POLICY DECLARATIONS POLICY NUMBER: 3602SS302777 -8 RENEWAL OF NUMBER: 360285302777.7 Named Insured And Melling Address (No„ 81resc, Tow„ or city, county, si te, Vp cods) Oceanographic Teaching Station P.O. Box 1 Manhattan Beach, CA 80266 Policy Period: From 00- 15-2015 To 08 -16 -2016 It at 12:01 A,M, Standard Time at your mailing address shown above, IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Limits Of Insurance General Aggregate Limit (Other Than Products - Completed Operations) $ 2,000,000 Products - Completed Operations Aggregate Limit $ 2,000,000 Personal And Advertising Injury Limit $ 1.000.000 Each Damage Occurrence To You Umll $ See �Mi i To Promises 242, Any One Premises Medical Expense Limit $ see MGt.1242 Any One Person Retroactive Date (CO 00 02 Only) NIA In New York This insurance does not apply to "'bodily Injury", "property damage" or "personal and advertising Injury" which occurs before the Retroactive Date, If any, shown below, Retroactive Date: None (Enter Dale Or "None" If No Retroact Date applies) Business Description And Location Of Premises Form Of Business: Organization Business Description: Nature centers Location Of All Premises You Own, Rent Or Occupy: SEE ATTACHED "EXTENSION OF DECLARATIONS" Producer Number, Name and Melling Address 013411 Marks Service Incorporated - Service Center 4601 HIghwoode Parkway Suite 2 Glen Allen, VA 23080 MDOL 1300 0314 Includes copyrighted material of Insurance Services Office, Inc,, with Its permission. Insured POLICY NUMBER: 4602883027784 RENEWAL OF POLICY: 4W2SS302778 -7 Named Insured and Mailing Address: Oceanographic Teaching & don P.O. Box 1 Manhattan Beech, CA 90288 Policy Period From: 09.15.2015 To; o9. 16.2016 At 12:01 a.m, standard *no at your mailing eddrea shown above This policy provides ❑ Excess Liability coverage only or © Umbrella Liability coverage only. Only the policy provisions applicable to the type of coverage checked In the above box will apply. Please refer to the appropriate sections of the policy for what is and Is not covered according to the coverage type. IN RETURN FOR THE PAYMENT OF THE PREMIUM AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Policy Premium: $ 2,500.00 ® Direct Billed ❑ Agency Billed Limits of Insurance: General Aggregate $ 2,000,000 Products - Completed Operations Aggregate $ 2,000,000 Each Occurrence $ 2,000,000 Each Person - Personal And Advertising Injury $ 2,000,000 Self Insured Retention - Each Occurrence $ 10,000 THIS POLICY PROVIDES CLAIMS -MADE COVERAGE FOR THE UNDERLYING INSURANCE SHOWN AS CLAIMS -MADE IN THE SCHEDULE OF UNDERLYING INSURANCE. PLEASE READ THE ENTIRE FORM CAREFULLY. This Insurance does not apply to Coverage A - Bodily Injury And Property Damage Liability and Coverage B - Personal And Advertising Injury written under Section II - Umbrella Liability Coverage which occurs before the Retroactive Date shown below, NIA In Now York Retroactive Date: Per Underlying Claims -made Coverage, if applicable. (Enter a date only when one or more underlying Insurance coverages are dalme- made) MDUB 1000 0314 Includes copyrighted material of Insurance Services Office, Inc, Page 1 of 4 with Its permission. Insured MDUB 1000 0314 Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 4 with Its permission. Named Insured: OceanographlcTesching Station Policy Number: 4602SS302778 -8 EXCESWUMBRELLA POLICY SCHEDULE OF UNDERLYING INSURANCE (An "X" In the Type of Coverage boxes below (0) Indicates these coverages are provided by the underlying policies.) Carrier, Policy Number, Pollcv Period (If Aroliceble) Tvoe of Covereae Underlvina Limits of Insurance Carrier. ® Occurrence ❑ Claims -Made $ 2,000,000 General Aggregate Markel Insurance Company gl Commercial General Liability $ 2,000,000 Products -Completed Operations Policy Number. p Liquor Liability Aggregate $ 1,000,000 Each Occurrence 3602SS302777 $ 1,000,000 And Adverti . Polley Period: Each Per n r O nizationry 09/15/2015 09/15/2016 $ Carrier. Occurrence Claims -Made Markel Insurance Company 1 000 000 Each Wrongful Act Policy Number. ® Professional Liability 2,000,000 Aggregate 3602SS302777 Policy Period: 09/16/2016 09/1512016 Carrier. Occurrence Claims -Made $ Each Employee $ Aggregate Policy Number. O Employee Benefits Liability Policy Period: Carder. Occurrence Claims -Made Each Common Cause Aggregate Polley Number. D Liquor Liability Polley Period: ........ Carder. O Stop Gap - Employers Liability $ Bodily Injury by Accident Policy Number. $ Bodily Injury by Disease - Each Person Policy Period: $ Bodily Injury by Disease - Pollcy Limit Carrier. C3 Business Automobile Liability $ Each Accident Polley Number. O Owned Automobiles O Non -Owned Automobiles Polley Period: O Hired Automobiles Carrier. p Gerege Llebllity $ Each Accident - Gara e Operations - Auto Only Polley Number. 13 Owned Automobiles $ Other than Auto Only 0 Non-Owned Automobiles Polley Period: p Hired Automobiles $ At ee ate - Garage . Operations - 0 er sn Aumy MDUB 1000 0314 Includes copyrighted material of Insurance Services Office, Inc. Page 3 of 4 with its permission, Carrier, Y ier, Poli( Number, I Policy Period If Applicable) T e Type of Coverage Underlying Limits of Insurance Carrier. ❑ Occurrence Claims -Made Markel Insurance Company Polley M $ 2,000,000 Aggregate Number. Sexual Abuse & Molestation $ 1,000,000 Per Person, Per Occurrence 3602SS302777 $ Policy Perlod: 09/15/2015 09/15/2016 Carrier E] Occurrence Claims -Made Policy Number. O $ Per Occu rrenoe O $ PerOccurrenoe Policy Perlod: $ Carrier. Occurrence E) Claims -Made $ Each Wrongful Act Policy Number. 13 $ Aggregate Policy Period: Carrier. ❑ Occurrence Clalms -Made Policy Number. $ Aggregate ❑ $ Each Qccurrence Polley Period: $ Carrier. Occurrence Claims -Made Policy Number. ❑ rate $ Eacch Occurrence $ Policy Period: Carrier. Occurrence Claims -Made $ Aggregate Policy Number. $ Personal & Advertising Injury O $ Each Occurrence Policy Period: Carrier Occurrence Claims-Made Policy Number. General Aggregate Each Occurrence Policy Period: Carrier. Occurrence []Clalms -Made 9 Bodily Injury by Accident Policy Number. ❑ 9 Bodily Injury by Disease - Each Person Policy Period: Bodily Injury by Disease - Policy Limit MDUB 1000 0314 Includes copyrighted material of Insurance Services Office, Inc. Page 4 of 4 with its permission. EXCESS/UMBRELLA � Id n Markel, nsaralncaor�parrY EXCESS /UMBRELLA POLICY This explains your EXCESS /UMBRELLA POLICY, The coverages referenced in this policy are: EXCESS LIABILITY COVERAGE UMBRELLA LIABILITY COVERAGE No obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under: 1. The insuring agreements applicable to these coverages; or 2. The Supplementary Payments. These coverages are subject to exclusions or provisions that restrict coverage. The amount we will pay is limited as de- scribed under Section VI - Limits Of Insurance. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout the policy the words "you" and "your" refer to the Named Insured shown in the Declarations and any other person or organization qualifying as a Named Insured under this policy. The words "we ", "us ", and "ouru refer to the company providing this insurance. The word "insured" means any person or organization qualifying as such under Section V - Who Is An Insured. Other words and phrases that appear in quotation marks have special meaning. Refer to Section VIII - Definitions for their explanation. SECTION I - EXCESS LIABILITY COVERAGE 1. Insuring Agreement We will pay on behalf of the insured the "ultimate net loss" in excess of the "retained limit" because of "bodily in- jury", "property damage" and "personal and advertising injury" covered by the "underlying insurance ". Except as specifically provided in this policy, insurance afforded by Excess Liability Coverage is subject to defini- tions, terms, conditions, exclusions and limitations contained in the "underlying insurance" except any definition, term or condition relating to: a. Transfer Of Rights Of Recovery Against Others to Us (Subrogation); b. Other Insurance; c. Supplementary Payments and obligation to investigate or defend; d. Amounts of Insurance; or e. Limits Of Insurance. 2. Exclusions This insurance does not apply to Medical Expense or Medical Payments coverages as described in the "underlying insurance ". SECTION II - UMBRELLA LIABILITY COVERAGE COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY 1. Insuring Agreement a. We will pay on behalf of the insured the "ultimate net loss" in excess of the "retained limit" because of "bodily Injury" or "property damage" to which this insurance applies. We will have the right and duty to defend the in- sured against any "suit" seeking those damages when the "underlying insurance" does not provide coverage or the limits of "underlying insurance" have been exhausted. When we have no duty to defend, we will have the right to defend, or to participate in the defense of, the insured against any other "suit" seeking damages to which this Insurance may apply. However, we will have no duty to defend the insured against any "suit" seeking damages for "bodily Injury" or "property damage" to which this insurance does not apply. We may, at our dls- cretlon, investigate any "occurrence" that may Involve this insurance and settle any claim or "suit' for which we have the duty to defend that may result. But: MUB 000103 14 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 26 with its permission. CALIFORNIA INSURANCE IDENTIFICATION CARD COMPANY NUMBER COMPANY NAME AND ADDRESS 38342 California Automobile Insurance Company POLICYNUMSER PO Box10730 BA040000000734 Santa Ana, CA 92711 EFFECTIVE DATE EXPIRATION DATE 06/25/2015 06/25/2016 THIS POLICY MEETS THE REQUIREMENTS OF 116055 OF THE CALIFORNIA VEHICLE CODE YEAR MAKENODEL VEHICLE IDENTIFICATION NUMBER 2009 GMC SAVANA G2500 1GTGG25K591114454 AGENCY)COMPANY ISSUING CARD Tustin Insurance Agency OG61086 17621 Irvine Blvd Ste 112 Tustin, CA 92780 INSURED OCEANOGRAPHIC TEACHING STATION LLC PO Box 1 LManhattan Beach, CA 90267 -0001 BEE IMPORTANT NOTICE ON REVERSE SIDE THIS CARD MUST BE KEPT IN THE INSURED VEHICLE AND PRESENTED UPON DEMAND IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following Information: 1. Name and address of each driver, passenger and witness. 2. Name of Insurance Company and policy number for each vehicle involved. ACORD 00 CA Iwwo7) • ACORD CORPORATION 1004 Printed by RAM on September 25, 2015 at 12:53PM HOME OFFICE SAN FRANCISCO I ANNUAL RATING ENDORSEMENT IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING IN THE CONTINUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW. HERE ARE YOUR NEW RATES FOR THE PERIOD INDICATED. IF YOUR NAME OR ADDRESS SHOULD BE CORRECTED OR IF INSURANCE IS NOT NEEDED FOR NEXT YEAR, PLEASE TELL US. IMPORTANT THIS IS NOT A BILL CONTINUOUS POLICY 1766056 -15 SEND NO MONEY UNLESS STATEMENT IS ENCLOSED THE RATING PERIOD BEGINS AND ENDS AT 1 a01AM RATING PERIOD 11 -01 -15 TO 11 -01 -16 PACIFIC STANDARD TIME OCEANOGRAPHIC TEACHING STATION DEPOSIT PREMIUM $772.00 PO BOX 1 MINIMUM PREMIUM $390.00 MANHATTAN BEACH, CALIF 90267 PREMIUM ADJUSTMENT PERIOD MONTHLY R SC NAME OF EMPLOYER— OCEANOGRAPHIC TEACHING STATIONS, INC (A NON— PROFIT CORP.) CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE FROM 11 -01 -15 TO 11- 01 -16 INTERIM PREMIUM BASE BILLING BASIS RATE RATE* 8838 -1 MUSEUMS- -ALL EMPLOYEES 222833 3.97 3.79 * * * * * ** *BUREAU NOTE INFORMATION * * * * * * ** FEIN 953409019 TOTAL ESTIMATED ANNUAL PREMIUM $8,442 COUNT IRS SSUED AT SAN FRANC 10 PLERSWOBER 14, 2015 POLICY L PAGE 1 OF 3 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION 1766056 -15 RENEWAL SC 6- 19 -86 -67 PAGE 1 HOME OFFICE SAN FRANCISCO EFFECTIVE MAY 20, 2016 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING NOVEMBER 1, 2016 AT 12.01 A.M. AT 12.01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME OCEANOGRAPHIC TEACHING STATION PO BOX 1 MANHATTAN BEACH, CA 90267 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND WAIVES ANY RIGHT OF SUBROGATION AGAINST, CITY OF EL SEGUNDO WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS POLICY IN CONNECTION WITH WORK PERFORMED BY, OCEANOGRAPHIC TEACHING STATION IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE EMPLOYER. IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH EMPLOYEES SHALL BE INCREASED BY 03 %. NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. MAY 24, 2016 COUNTERSIGNED AND ISSUED AT SAN FRANCISCO. nHOR &2147 11EPR'ESEItiiT iJE PRESIDENT AND CEO SCIF FORM 10217 (REV.7 -2014) WE 2570 OLD OP 217