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PROOF OF INSURANCE (2019 - 2020) CLOSED 0 I DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE (IRI 2/5/2019 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 1:UNIACI NAME: Eric Evans Chrysalis Insurance Agency �No,Ext_1: 714-464-8080 �(A/C,No): 714-464-8070 3001 Red Hill Ave.Suite.2-226 (G ADDRESS; l,1'I''rt't'YIIV7D'tl1.N5eI INSURER(S)AFFORDING COVERAGE NAIC# Costa Mesa CA 92626 INSURER A: SENTINEL INS CO LTD 11000 INSURED INSURER B: PROPERTY&CAS INS CO OF HARTFORD 34690 WEBIPLEX.INC, INSURER C: ACL-FIRE UNDERWRITERS INS CO 20702 9 Corporate Park,Suite 240 INSURER D: INSURER E: Imine CA 92606 (INSURER F: COVERAGES 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 IN5R AU JL JUOK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) LIMITS _ X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS-MADE �OCCUR PF�IE'1'11SE5(Ewl ot,�uir,unix. S 1.000.000 M � Ew�d�.,.a c� otl,r+"tt..NIt�.Irl D EXP(Any one person) M S 10,000 A Y Y 72SBABA9522 1 1/22/2018 1 l/22/2019 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 ..............._�.... POLICY 7.910- ❑JLC T ❑LOC PRODUCTS-coMl=IOP aGG $ 4,000,000 .. AUT .................... .....................__._._.. ��;u�bDINE,.D�"S"iN G�LE�I-IMP $ .... OTHER: AUTOMOBILE LIABILITY a ul o 1 $ 2,000.,000 ANY AUTO BODILYINJURY(Per person) $ A OW AUTOSED SCHEDULED AUTOS Y Y 72SBABA9522 11/22/2018 1 1/22/2019 BODILY INJURY(Per accident) $ ONLY DX ® Td11'CR r LNurvatalvk; $X AUTOS ONLY AOS ONL ........_.._.._................ UMBRELLA LIAB OCCUR ............... ........ _...�.�..._ ._.._.......................................... ....._._.._.m............ ._"............................. _. _.._....._.................. EACH OCCURRENCE $ ........... ._........................................... .._._.._ ..........___� EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER � I OTH- AND EMPLOYERS'LIABILITY Y I N X I STATUTE L ER. ZANY PROPRIETORIPARTNERIEXECUTIVE E L EACH ACCIDENT $ $1,000,000 B �DFFICERIMEMBEREXCLUDED? y NIA Y 72WECAA9ZAU 01/01/2019 01/01/2020 (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E DISEASE-POLICY LIMIT $ $1,000,000 EACH CLAIM $5,000,000 C TECH E&O AND CYBER EONCAF137939312 11/22/2018 11/22/2019 AGGREGATE S5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached it more space is required) Certificate Holder is named Additional Insured under blanket endorsement and Waiver of Subrogation applies. CERTIFICATE HOLDER CANCELLATION 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 AUTHORIZED REPRESENTATIVE EI Segundo,CA 90245 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 72SBABA9522 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s)Of Covered Operations City of EI Segundo 350 Main Street EI Segundo,CA 9045 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law;and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 04 13 C Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on 'behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 2010 0413 BUSINESS LIABILITY COVERAGE FORM F. OPTIONAL ADDITIONAL INSURED 3. Additional Insured'Grantor Of Franchise COVERAGES WHO IS AN INSURED under Section C. is amended to include as �n additional insured |fUatedorshown ooapplicable inthe Deo|o�t|one. one or more of the following Optional Additional the person(s) ororgonizaUon(u) shown in the Insured Coverages also apply, When any ofthese Declarations as an Additional Insured ' Optional Additional Insured Coverages apply, Grantor OfFranchise, but only with respect to Paragraph, 6. (Additional Insureds When Required their liability as grantor mffranchise toyou. byWritten Contract, Written Agreement nrPermit) 4. Additional Insured ~ Lessor Of Leased of Section C-` Who Is An |neured, does not apply Equipment to the person or organization shown in the a' WHO IS AN INSURED under Section C.is Declarations. These coverages are subject hmthe amended to include as an additional henne and conditions applicable to Business insured the person(s) or organization(a) UabU\b/ Coverage in this policy, except as shown inthe Declarations amonAdditional provided below: Insured — Lessor of Leased Equipment, 1. Additional Insured - Designated Person Or but only with respect to hahi|lty for "bodily Organization fr*mry'`, "property damage' or "personal VVHD IS AN INSURED under Section C. is and advertising injury" caused, inwhole or amended to include as an additional insured in part, by your maintenance, operation or the person(s) mrmrganization(s) shown in the use of equipment leased to you by such Dec|arati#ns, but only with respect to liability peroon(s)ororganization(o). for ''bodily i,Kury", "property damage' or b. With respect to the insurance afforded to "pensmmal and advertising injury" caused, in these additional inuunads, this insurance whole or in pad, byyour acts oromissions nr does not apply io any ''occum*nue'' which the acts or omissions of those acting on your takes place after you u000e to lease that behalf: equipment. m. In the performance of your ongoing 5. Additional Insured ' Owners Or Other operations; or Interests From Whom Land Has Been b. In connectionwith your premises owned Leased byurrented boyou. m. WHO under Section C. is amended to include as �n additional2. Additional Insured ' Managers <�rLessors Of Promises insured the person(s) or organization(s) shown inthe Declarations asanAdditional a. WHO IS AN INSURED under Section C. is Insured—OwneneC)rOther Interests From amended toinclude aeanadditional insured Whom Land Has Been Laaeed, but only the person(e)ororganizoUon(m)shown inthe with respect to liability arising out of the Declarations as on Additional Insured - ownership, maintenance nruse ofthat part Designated Person(]rOrganization;but only ofthe land leased tnyou and shown inthe with ampeoi to liability arising out of the Declarations. ownership,maintenance b With respect tothe insurance afforded to mepnam�esleased toyou and shown inthe ' these additional insureds, the followingDen!om� 'i�ne additional exclusions apply: bWith respect the insurance afforded' This insurance does not apply to: these additional inounedo, the following additional exclusions apply: (1) Any "occurrence" that takes place This insurance does not apply to: after you cease tolease that land;or (i) Any "occurrence" which takes place (2) Structural alterations, new after you ueooa to be o tenant in that construction ordemolition operations pnom\oew' performed by or on behalf of such �or penaonprorgan�e�ion. (2) Structural alterations, new 6 Additional |msymmd - State Or Political construction or demolition operations ' performed by or on behalf of such Subdivia|on—Pmnnibs person ororganization. a. WHO |GANINSURED under Section C. ia amended to include as an additional insured the state or political subdivision shown inthe Declarations amanAdditional Page 18 of 24 Form SSO0OM84 06 BUSINESS LIABILITY COVERAGE FORM |nsured — Gtote Or Political Subdivision - (e) Any failure to make such Peonho, but only with respect to inopactkmnn, adjustnents, tests or operations performed by you or on your servicing as the vendor has agreed behalf for which the state or political to make or normally undertakes to subdivision has issued apermit. make in the usual course of b. With respect to the insurance afforded to business, in connection with the these additional inaunydu, the following distribution orsale nfthe products; additional exclusions apply: M Denmonstration, insta||ation, servicing or repair operations, Thioinounanoedoonncdepp�to � except such operations performed (1) "Bodily injury", "property damage" or at the vendors premises in ''ponsnna| and advertising injury" connection with the sale of the arising out ofoperations performed for product; the state ormunicipality; or ��) Products which, after distribution (2) "Bodily injury" or "property damage" orsale byyou, have been labeled included in the ^product-oomp|eUed or relabeled or used as a operations"hazard, container, part oringredient ofany 7' Additimna|Imsunad—Vendprs other thing or substance by or for � ven heoror a. VVHO |GANINSURED under 8e��ionC'is t ' amended to include as an additional (h) "Bodily injury" or "property insured the person(u) or organization(s) damage" arising out of the sole (referred hobelow aovendor)shown inthe negligence of the vendor for its Declarations as an Additional Insured - own acts nromissions orthose of Vendor, but only with respect to "bodily its employees or anyone e|oa injury" or"property damage" arising out of acting on As behalf. However,this "your pnoducto" which are distributed or exclusion does not apply to: sold in the regular course of the vendor's (f) The exceptions contained in business and only if this Coverage port Subparagraphs(d)or(f);or provides coverage for "bodily injury" or (h) Such inspections, "property damage" included within the ' ' ��uo�mmnba' Lm�noro�m�in� "products-completedopen��nohazord" . as the vendor has agreed tn b. The insurance afforded to the vendor is make or normally undertakes subject tothe following additional exclusions: to make inthe usual course of (1) This insurance does not apply to: bue\naao. in connection with .. the distribution or sale of the ��� "Bodily injury". or "property dmmmge/' for which the vendor is products. obligated to pay damages by (2) This insurance does not apply to any reason of the assumption of insured person or organization from |iobUib/in o contract oragreement. whom you have acquired such This exclusion does not apply bm products, or any ingnadient, part or UobUih/ for damages that the oontoiner, entering into, vendor would have inthe absence accompanying or containing such ofthe contract oragreement; products. (b) Any express warranty 8. Additiwma||mmmred—CmntpmUingintmmemt unauthohzedbyyou; WHO IS AN INSURED under Section C. is (c) Any physical or chemical change amended to include as an additional insured in the product made intentionally the person(s) or organization(s) shown in the bythe vendor; Declarations as an Additional Insured — (d) Repuckaging, un|omo unpacked Controlling |nb*neot, but only with respect to solely for the purpose oYinspection, their liability arising out of: dmmnnstnation, teobng, or the a' Their financial control cfyou;nr substitution of ports under b. Premises they mwn, maintain or control instructions from the manufacturer, while you lease oroccupy these premises, and then repackaged i" the original container; Form SS 00 08 0405 Page 1$mY24 BUSINESS LIABILITY COVERAGE FORM This insurance does not apply to structural The limits of insurance that apply to additional alterations, new construction and demolition insureds are described in Section D. - Umks Of operations performed byorfor that person or Insurance. organization. How this insurance applies when other insurance 9' Additional Insured - Owners, Lessees Or ioavailable hmonadditional insured is described in K%mmtnmmtone - Scheduled Person Or the Other Insurance Condition in Section E. - Organization Liability And K8odioa} Expenses General a. WHO|GANINSURED under Section C' \a Conditions. amended to include as an additional G. LIABILITY AND MEDICAL EXPENSES insured the person(s) or organization(s) DEFINITIONS shown inthe Declarations osanAdditional |nsuned-Owner. Lessees Or Contractors, 1. "Advertisement" means the widespread public but only with respect toliability for "bodily dissemination of information or images that injury". "property damage" or "personal has the purpose ofinducing the sale nfgoods, and advertising injury" oauoed. inwho|mor products orservices through: in part, by your acts or omissions or the a' (1) Radio; ado or omissions of those acting on your (3) Television; behalf: (3) Billboard; (1) In the performance of your ongoing (4) Magazine; operations for the additional (8) Newspaper; 'r - �� The Internet, but only that podofaweb (2) In connection - � `you, work" oiba that is about goods, products or performed �vthat additionalinsured ` oamicoe for the purposes of inducing the and included within the "products- completed operations hazard"` but o�/eoygoodm. pno�u��orm�mio�s� nr only if this Coverage Part provides c. Any other publication that is given coverage for "bodily injury" or widespread public distribution. "property damage" included within the However, ^advertioenneny'does not include: '.products-completed operations m' The dea\gn, printed material, information hazard". or imo0ao contained in, on or upon the b. With respect tothe insurance afforded to packaging or labeling of any goods or these additional inounede, this insurance products; or does not apply to"bodily irjuq/'. ''property b /\n interactive conversation between or damage" or "personal on advertising ' among persons through ocomputer network. injury" arising out of the rendering of, or the failure to nander, any professional 2. "Advertising idea" means any idea for an ornhiheotuoa|, engineering or surveying "advertisement". services, including: 3. 'Asbestos hmaand" means an exposure or (1) The pnepohng, approving, or failure to threat of exposure to the actual or alleged pnmpeno or appnovm, mmpe, shop properties of asbestos and includes the mana drawingo, opiniono, reports, surveys, presence ofasbestos inany form. field orders,change orders, designs or 4. 'Y\ubo' means a land motor mah\de, trailer or drawings and specifications;or semi-trailer designed for travel on public (2) Gupemiso[y, inopaotion, architectural nnado, including any attached machinery or urengineering activities. equipment. But ^aubo" does not include equipment'. 10' Additional vv �mn�| |nmore� - �m'� nerQf |nmnrmd ''mpb|}eeq . Premises S. "Bodily injury"means physical: WHO IS AN INSURED under Section C. is m' Injury; amended to include as an additional insured b. Sickness; or the pemon(a) or <]rganization(o) shown in the m. Disease Declarations as an Additional |nnunad - Co- mumbyinedbyoperson mnd ifarising out ofthe Co- Owner D� Insured Premises, but onlywith ' respect to their liability as co-owner of the above, mental anguish nrdeath atany time. premises shown inthe Declarations. 6. "Coverage territory"means: Page 20mf24 Form SS 0088 040S WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person or organization from whom you are required by written contract or agreement to obtain this waiver or rights from us. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement WEBIPLEX, INC. Effective Policy No 72SBABA9522 Endorsement No. $1,139.00 Insured Premium Insurance Company The Hartford Countersigned by Underwriter,SENTINEL INS CO LTD WC 00 0313 (Ed.4-84) ©1983 National Council on Compensation Insurance. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 72 WEC AA9ZAU Endorsement Number: Effective Date: 01/01/19 Effective hour is the same as stated on the Information Page of the policy, Named Insured and Address: Webiplex, Inc. 4667 MACARTHUR BLVD STE 310 NEWPORT BEACH CA 92660 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers'compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by .............. Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 11/22/18 Policy Expiration Date: 01/01/20