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PROOF OF INSURANCE (2014) CLOSED Agreement No. 4541 Ac"RV CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/10/20,14 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 polic,y(les)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). Arthur J. Gallagher Risk Management Services, Inc. PHONE CONTACT PRODUCER .P.. 21H�B 0 __.... .. . ... ......1IAIC,,Nol: ..FAX 2 3-a%2-,143!J„ P.O. Box 2925 xllg„OOr11''................... Tacoma WA 98401-2925 ���c��. INSURER(31 AFFORDING COVERAGE NAIC N i INSUR RA:Travelers Casualty Insurance Co of 1,9046 ................ INSURED INSURER B..TlaYelemAdemnity,Go of America 25060 FileOnQ, Inc INSURERc 832 Industry Drive INSURER D: Tukwila,WA 98188 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:11832418887 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'AID CLAIMS. ILTR ,,,,,,,, ., ABOLSUAR POLICYNUMBER�„ WM ... _...�..,.. ......., ............. TYPE OF INSURANCE POpONCOYffEyFYyl (hPidlO'R7m1tMq�EXP,j” LIMITS NDDd'YYY,Y��4 A GENERAL LIABILITY Y 5803864N172 5/1/2013 i1'V2014✓W EACH OCCURRENCE $1,000,000 X COMMERCIAL ENERAV,L;ABIL,I'I'Y ,5AVX �Fa orlc�r 1)nco1 $300,000.......................................,, " x EXP IAnp one person) $5,000 CI,ANM„;C•Pa1A+'0'° �..........�C;Y";Cl.tt'�k MED................. .......m........�.. PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 4,.r„ POLICY OATF.LIMIT APP,R,,I"S�.�.7''"R:............... '° Y p� _) I„PRODUCTSCOMP/OPAGG $2,000,000 A AUTOMOBILE LIABILITY 6803864N172 3/1I2013 ar'1PT014' I„(!I:a R;el d rAM1�"nhdtwC.E Llvslp X11000;000„ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED U................................................,................................................,...._w...,,.....,,.,...,. AUTOS BODILY INJURY(Per ac X HIRED AUTOS X....., -OWNED P Or„„c .7.fi .�...(i:. cidenl} §$ B UMBRELLA CUP30BOT014 3/1/2013 V112014°"x1.X SS LIAR ..... .............. pF.O x RF,TFNTION 55 pODMS•MApE OCCURRENCE $1,000 000 A WORKERS COMPENSATION 5803864N 172(WA Stop Gap) 311/2013 )d'V2014 �`V y i 1 U- Ix 101 H- AND EMPLOYERS'LIABILITY Y d N ANY PR I ORIPARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? NIA L,EACH .. h 7 $1 000,000 (Mandatory In NH) L L ISEASI, L LM"L0E r $1,000,000 Ifyes,describe under .............................................��............................................ DFSCRIPTION OF OPERATIONS below r E I DISr A E POI ICY I IMIl $1,000„000 A Property Section 3803864N172 .311/2013 ;1112014/ Contents Ded$500 607,455 Data Processing 5803864N172 3/1/2013 ;;1112014 Electronic Data 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Addtllonal Remarks Schedule,If more space Is required) RE: El Segundo PolIce Department, City in El Segundo and El Segundo Police Department has been added an additional insured as per written contract per forms CG D105 04/94. CERTIFI'C'ATE HOLDER CA'NCE'LLATION 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. El Segundo Police Department,,,Ac ourrtrrl' 348 Main Street ✓” AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 t.IS u ©1988-2010 ACORD CORPORATION. All rights reserved,. ACORD 25(2010105) The'" CORD name and logo are registered marks of ACORD Agreement No. 4541 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: 1. WHO IS AN INSURED (SECTION ll) is amended in a written contract for this insurance to to include as an insured any person or organiza- apply on a primary or contributory basis. tion (called hereafter "additional Insured") whom 3. This insurance does not apply: you have agreed In a written contract, executed prior to loss, to name as additional insured, but a. on any basis to any person or organization only with respect to liability arising out of "your for whom you have purchased an Owners work" or your ongoing operations for that addi- and Contractors Protective policy. tional insured performed by you or for you. b. to "bodily injury," "property damage," "per- 2. With respect to the Insurance afforded to Addl- sonal injury," or "advertising injury" arising tional Insureds the following conditions apply: out of the rendering of or the failure to render a. Limits of Insurance — The following limits of any professional services by or for you, in- cluding; liability apply; 1. The preparing, approving or failing to 1. The limits which you agreed to provide; prepare or approve maps, drawings, or opinions, reports, surveys, change or- 2. The limits shown on the declarations, ders, designs or specifications; and whichever is less. 2. Supervisory, inspection or engineering b. This Insurance is excess over any valid and services. collectible insurance unless you have agreed M r o� oar. m^— P iiI�MRW CG 1131 05 04 94 Copyright, The Travelers Indemnity Company, 1994. Page 1 of 1 Includes Copyrighted Material from Insurance Services Office, Inc. 005060 Agreement No. 4541 ('�" A�` R " CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1110/2014 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 pollcy(les)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 endorse ment(s). PRODUCER . CONTALr ... Nwk Arthur J. Gallagher Risk Management Services, Inc. PHONE 1 tS Cofatll(34 w_. i 3 a7 '1430 P.O. Box 2925 Tacoma WA 98401-2925 �.pp .lIl �r01W. 1SIg., Orn (Arc,..............._........rr. ........ R R s INSURER A:C �lCe�ul IGoaG o nopve�Rn A�p�... . 0..443O]�GC 1c INSURED INSURER B: FileOnQ, Inc INSURER C: 832 Industry Drive Tukwila,WA 98188 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1601780607 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. IN SR TYPE OF INSURANCE .A100 SUDA POLICY NUMBER ......r I&P9 A PHDYffe"�106U eip. ...m^.m. ^^................ Yq LIMITS GENERAL LIABILITY ......... EACH OCCURRENCE $ rJAMAuE'TCAFNTi"'IV ..... .... ,"t&R(:OALGEN'ERALL6o-M1NI,ITY PRF�AI9gp(FQocsmienctt) $ r�1 CLAIMS-MAO OCCUR MED EXP(Any one person) 5 ...... ............................................................................... .. .PERSONAL..&..A.®V..INJURY.......1'.$.. . GENERAL AGGREGATE $ EN'LAOGRE0ATr PLOT APC ,17S PII::.IK'. PRODUCTS COMP/ .. I ( /OP AGG.. $ POLICY I 1 91rr'.T lI LOC° $ AUTOMOBILE LIABILITY L LI&II N F!kr"16TtvI! ....................................... .S ANY AUTO BODILY INJURY(Per person) $ _ . ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ _..._...,._ ..__....... $................................................................. AUTOS t _....,....._ HIRED AUTOS NON-OWNED PR01'ER"fYUAMA(;'E yQer rridp UMBRELLALIABIROCCURRENCE $ EXCESS LIAR CLAIMS-MADE ............ EACH Y ll DIED h J RETENTION$ $ WO.TER SCOMPENSATION `` WCSTATU- JC.JIH- AND EMPLOYERS'LIABILITY YIN .,.,,,,,„I TQP y.ln.",f�1Ts. ...............,C:Vk$..................,,,,,,,,, ANY OFFICERIMEMBER EXCLUDED?E TIVE NIA E.L.EACH ACCIDENT (Mandatory in NH) LL ,A .A I MP I.C)Yf:t' $ If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof Lia with Cyber Liability 287130815 5110/2013 3/1/2015 Liability limit 1,000,000 Retention 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: El Segundo Police Department. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY ( ng AUTIf I ACCORDANCE WITH THE POLICY PROVISIONS. El Seoun Street l�ice'do eft , -DLInfi ,,gg 348 M C Segundo Department, REPRESENTATIVE El Segundo CA 90245 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) he ACORD name and logo are registered marks of ACORD