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PROOF OF INSURANCE (2017) CLOSEDDATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/1(2017 9/29/2016 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 rislhts to the certificate holder In lieu of such endorsement(s). PRODUCER Lockton Insurance Brokers, LLC CA License #01`15767 Two Embarcadcro Center, Suite 1700 San Francisco CA 94111 (415) 568 -4000 INSURED Innovative Interfaces, incorporated 1372300 5850 Shellmound Way Emeryville CA 94608 National Insurance INSURER D: Federal Insurance Company INSURER E , Berklev Regional Insurance C( NAIC # Will 20281 29580 COVERAGES 1084520 CERTIFICATE NUMBER: 12590562 REVISION NUMBER: xxxxxxx 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. � INS4 "I TYPE OF INSURANCE AMIL' 9UBit ......... ,,, ,,,,,,,,,, , ,, pp ' POLICY EFF POLICY EXp_...M... ._ LIMITS 1EL ...... _._.. „ j( POLICY NUMBER l MMI D M I 4 (. A X S' COMMERCIAL GENERAL LIABILITY N EACH OCCURRENCE $ 1.099,Q90- TC'F'7003344 —t3 10(1!2016 IOIi /2017 t7,AY4 F ri�ft�NYl "o" } CLAIMS -MADE OCCURarl�ls MED EXP (Any one person) rr PERSONAL _ .. ADV INJURY $ 1000,000 AGGREGATE GATE LUMI r APPIIJES PER: GENERAL AGGREGATE s ,2,000,000 POLICY P JECT E LOG „PRODUCTS - COMP(OPAGO $ ,2,900,000 A AUTOMOBILE LIABILITY N N '1017003344 —o 3 10/1/2016 1011(2017 I,1M 9411 SINGLE LL . TI - iEIx eac4enl) $ _.1,000,000 , ANY AUTO i BODILY INJURY (Per person) $,XXXXXXX ' OWNED SCHEDULED BODILY INJURY (Per accident) $ xxxic}cxx AUTOS ONLY AUTOS X " NON -OWNED tl R61 04fy bAMAUE ..� AUTOS ONLY AUTOS ONLY .glslra�Arnt) $ XXXXXXX _ $ XXXXXXX ._ ,UMBRELLA LIAB �CCUR A�G4"IiLAURRENCE S_ 000,000 ESS LIAB 0 B X EXC X N N ' 1'L'IL70(13:fi46 -16 ]0(!(2016 10(l/20I7 EACHOC A (1 DE:D X... RETENTIONS 10.000 $ ,X. X 1. WORKERS COMPENSATION 'r 1 II MIT AND EMPLOYERS' LIABILITY YIN I °WC'7003345 -13 1(1(1/2016 1()(1/2(}17 ,X iS, 1w7f.ItL ER ANY PROPRIETOMPARTNERIEXECUTIVE — E I., EACI I ACCIDEN I $ ,1 ,,000,000 under DFS , desviVe OF OPERATIONS bwlnw NIA E L DISEA E J V tw E:.IU r'd AR $__ 1,000,000 It IMEMBER EXCLUDED? N j -. (Mandatory SE - POLICY LIMIT $ 1,L0 000 ... C `t'echnology E&C /Cyber N N i MTP 9030774 -02 10!]/2016 10(1 /2017 1 $5M per claim /$5M Agg($50K Ded Liability(Claims Made) D Crime €4240 -1562 (Crime) 10/1/2016 10/1/2017 $50010 Limit/$25K Ded _ l DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace is required) Re: If required by written contract or agreement City of El Segundo is included as Additional Insured respect Genera( Liability as their intent may appear in connection with services provided by the Named Insured for the Additional Insured, CERTIFICATE HOLDER CANCELLATION 12590562 City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE El Segundo Public Libra THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g Library ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Debra Brighton 1 l 1 West Mariposa Avenue El Segundo CA 90245 -3895 AUTHORIZED REPRI © I rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 83 60 01 12 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 broadons coverage. The following schedule of coverage extensions is a general coverage description only. Limitations and exclusions may apply to these coverages. Road all the provisions of this endors+ernont along with your entire policy carefully to doterrnine I11e extent of coverage afforded, SCHEDULE OF COVERAGE EXTENSIONS 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 injury" or "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 injury" or "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 insured provided to such premises owner, manager or lessor does not apply to: Any "bodily injury" or "property damage" caused by an 'occurrence" that takes place, or "personal injury" or "advertising injury" caused by an offense that is committed, after you cease to be a tenant in that premises; or CG 83 60 01 12 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 7 2. Structural alterations, new construction or demolition operations performed by or on behalf of such premises owner, manager or lessor. C. ADDITIONAL INSURED VENDORS Under Section It - 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, buy 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 vendors 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, excepts such operations performed at such vendors 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 coritaining such products; or 2. Any vendor for which coverage as an additional insured specifically is scheduled by endorsement. D. ADDITIONAL INSURED -WRITTEN CONTRACTOR 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 wfltten 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: Page 2 of 7 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CG 83 60 01 12 7. Is caused by an 'occurrence" that takes place after you have signed and executed that contractor agreement; and 2. Is caused, in whole or in part, by your acts or missions in performance of your ongoing operations to which that contract or agreement applies or the acts or omissions or 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. E. AGGREGATE LIMIT PER LOCATION Under Section ill - 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. 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. F. AMATEUR ATHLETIC PARTICIPANTS Under Section 11- 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: i. "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 area partnership or joint venture), or any member (if you area 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 area partnership or joint venture), or any member (if you area limited liability company), or any "executive officer" (if you are an organization other than a partnership, joint venture, or limited liability company); or G. BODILY INJURY Under Section V - Definitions, the definition of "bodily injury" is deleted and replaced by the following: "Bodily injury" means bodily injury, mental anguish, mental injury, shock, fright, disability, humiliation, sickness or disease sustained by a person, including death resulting from any of these at any time. CG 83 60 01 12 Includes copyrighted material of Insurance Services Office, Inc_, with Its permission. Page 3 of 7 H. BROADENED NAMED INSURED Under Section II - Who Is Insured, the following is added: Any person or organization named in the Declarations and any organization which is a legally incorporated entity over which you maintain ownership or majority interest on the effective date of this Coverage Part will be a Named Insured until the 1801h day after which you acquire or form the organization or the end of the policy period, whichever comes first, unless reported in writing to us within the 180 days. Coverage under this provision does not apply to any person or organization for which coverage is excluded by endorsement. I. 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 1 - 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: (I) Property loaned to you; (ii) Personal property in the care, custody or control of the insured; and (iii) 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 ". 2. 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 b. Used in your manufacturing process. 3. 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. J. GOOD SAMARITAN SERVICES 1. 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 ". Page 4 of 7 Includes copyrighted material of Insurance Services Office, inc., with its permission. CG 83 60 01 12 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. K. 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 mush 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: (i) You, if you are an individual; (Ii) A partner, if you are a partnership, (iii) An executive officer of the corporation or insurance manager, if you are a corporation; or (iv) 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. L. 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. M. 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 $10,000 per person or the amount shown in the Declarations as the Medical Expense Limit, whichever is greater. 3. This provision M. does not apply if Coverage C, Medical Payments, is otherwise excluded either by the provisions of the Coverage Form or by endorsement. CG 83 60 01 12 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 7 N. 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 N. 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. O. NON -OWNED WATERCRAFT 1. Under Section 11- 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 O, 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. P. NEWLY ACQUIRED OR FORMED ORGANIZATIONS Under Section 11- 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. Q. 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. R. UNINTENTIONAL OMISSION Under Section IV - Commercial General Liability Conditions, paragraph 6., Representations, the following is added: Page 6 of 7 Includes copyrighted material of Insurance Services Office, Inc., with its CC 83 60 01 12 permission. The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this pcalicy will not pn uciice your rights under this insurance. However, this provision does not affect our right to colloct additional promivai or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. S. WAIVER OF SUBROGATION - BLANKET Under Sanction IV - Commercial General' Liability Conditions, paragraph 8., Transfer of Rights of Recovery Against Others to Us tite following is added: We will waive any right of recovery we may have against any person or organization bemause of payments we rnake for injury or darnage raising out of your ongoing operations done under a written contract or a reecrient with that person or organization and included in "your work " or the "products - completed operations liraz and ".. This waivrar applies only to persons or organizations with wliom you have a written contract, executed prior to the "bodily injury" or "property damage ", that requires you to waive your rights of recovery. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. CG 83 60 01 112 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7. of 7