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PROOF OF INSURANCE (2019 - 2019) CLOSED TE CERTIFICATE OF LIABILITY INSURANCE I 3/132019IYYYY) 3/13/2019 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(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). Y PRODUCER tNAMEA CT Calculated Risk Advisors,LLCPHONE _- , ,.. I FAXC_H0,-EiC1 8 QAIC ,No) Michigan500 N Ave,Suite 600 E-MAIL ChicagoIL06 AWCeGI: C7M?iers CoT.. INSURER(S)AFFORDING COVERAGE . l NAIC# INSURER A: Sentinel Insurance Company 11000 INSURED .........r suRED INSURER 13: Certain Underwriters at Lloyds Legacy Inmate Communications INSURERC: Jail Education Solutions dba Edovo 215 W Superior St INSURER D: Suite 600 INSURER E: Chicago,IL60654 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. INTR LIMITS TYPE OF INSURANCE .. POLICY NUMBER .... fyp'LdOY EFF 6"'OLI�CY EXF" .... .... ...... ....IN (MM1OD/YYYYI IMMIODXYYYYI X COMMERCIAL GENERAL LIABILITY Et'7A' CQ H OCCURRENCE CCURRENCE s 2,000,000 CLAIMS-MADE I �occuR pRtWBE5�JEarqu!erceJ $ --1,QQQ,QQQ MED EXP(Any one person) $ 10,000 .,P,E,R.S,O.NAL. ADV INJURY $ 2pOQQmQQQ............... GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 83SBAAB3534 5/7/2018 5!1/2019 PRODUCTS $ 4,000,000 V POLICY PFYO A JEC'D LOC � ........ � .., ----- OTHER $ I ( a q, pogglcrutb 000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ----- Ea $ 1 _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED YY SCHEDULED BODILY INJURY(Per accident) S AUTOS NON-OWNED 6'RPJPi;f1 "r'6AN1/awME A X HIR AUTOS Auros X„,AUTOS 83 SBA AB3534 5/1/2018 5/7/2019 TPF ar4499t) UMBRELLA LIAB .I. OCCURI EACH OCCURRENCE...................... $.5.Q.QQ..Q.QQ--- .. EXCESS LIAB CLAIMS-MADE (AGGREGATE $ A DED,., ...� .... ,5..0001000--_ . WORKERS COMPENSATION RETENTION$ 83 SBA AB3534 5/7/2018 5!1/2019 $ PER O rH- AND EMPLOYERS'LIABILITY Y/N 45TAT,QTF "�,ER ANY PROPRIETOR/PARTNER/EXECUTIVE ACCIDENT CID N OFFICER/MEMBER EXCLUDED NIA (Mandatory. ) EL DISEASE E MPLOYEE $ $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACOR 1101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is an additional insured with a waiver of subrogation where required by written contract. CERTIFICATE HOLDER CANCELLATION City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Clerk's i ffice THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. EI Segundo,CA 90245 AUTHORIZED REPRESENTATIVE I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD BUSINESS LIABILITY COVERAGE FORM (b) Rented to, in the care, custody or b. Coverage under this provision does not control of, or over which physical apply to: control is being exercised for any (1) "Bodily injury" or "property damage" purpose by you, any of your that occurred;or "employees", "volunteer workers", any partner or member (if you are (2) "Personal and advertising injury" a partnership or joint venture), or arising out of an offense committed any member (if you are a limited before you acquired or formed the liability company). organization. b. Real Estate Manager 4. Operator Of Mobile Equipment Any person (other than your"employee"or With respect to "mobile equipment" registered in "volunteer worker"), or any organization your name under any motor vehicle registration while acting as your real estate manager. law, any person is an insured while driving such c. Temporary Custodians Of Your equipment along a public highway with your Property permission. Any other person or organization responsible for the conduct of such person is Any person or organization having proper also an insured, but only with respect to liability temporary custody of your property if you arising out of the operation of the equipment, and die, but only: only if no other insurance of any kind is available (1) With respect to liability arising out of the to that person or organization for this liability. maintenance or use of that property;and However, no person or organization is an insured (2) Until your legal representative has with respect to: been appointed. a. "Bodily injury" to a co-"employee" of the d. Legal Representative If You Die person driving the equipment; or Your legal representative if you die, but b. "Property damage" to property owned by, only with respect to duties as such. That rented to, in the charge of or occupied by representative will have all your rights and you or the employer of any person who is duties under this insurance. an insured under this provision. e. Unnamed Subsidiary 5. Operator of Nonowned Watercraft Any subsidiary and subsidiary thereof, of With respect to watercraft you do not own that yours which is a legally incorporated entity is less than 51 feet long and is not being used of which you own a financial interest of to carry persons for a charge, any person is an more than 50% of the voting stock on the insured while operating such watercraft with effective date of this Coverage Part. your permission. Any other person or The insurance afforded herein for any organization responsible for the conduct of such person is also an insured, but only with subsidiary not shown in the Declarations respect to liability arising out of the operation as a named insured does not apply to of the watercraft, and only if no other injury or damage with respect to which an insurance of any kind is available to that insured under this insurance is also an person or organization for this liability. insured under another policy or would be an insured under such policy but for its However, no person or organization is an termination or upon the exhaustion of its insured with respect to: limits of insurance. a. "Bodily injury" to a co-"employee" of the 3. Newly Acquired Or Formed Organization person operating the watercraft;or Any organization you newly acquire or form, b. "Property damage" to property owned by, other than a partnership, joint venture or rented to, in the charge of or occupied by limited liability company, and over which you you or the employer of any person who is maintain financial interest of more than 50% of an insured under this provision. the voting stock, will qualify as a Named 6. Additional Insureds When Required By Insured if there is no other similar insurance Written Contract, Written Agreement Or available to that organization. However: Permit a. Coverage under this provision is afforded The person(s) or organization(s) identified in only until the 180th day after you acquire Paragraphs a. through f. below are additional or form the organization or the end of the insureds when you have agreed, in a written policy period, whichever is earlier; and Form SS 00 08 04 05 Page 11 of 24 BUSINESS LIABILITY COVERAGE FORM contract, written agreement or because of a (e) Any failure to make such permit issued by a state or political inspections, adjustments, tests or subdivision, that such person or organization servicing as the vendor has be added as an additional insured on your agreed to make or normally policy, provided the injury or damage occurs undertakes to make in the usual subsequent to the execution of the contract or course of business, in connection agreement, or the issuance of the permit. with the distribution or sale of the A person or organization is an additional products; insured under this provision only for that (f) Demonstration, installation, period of time required by the contract, servicing or repair operations, agreement or permit. except such operations performed at the vendor's premises in However, no such person or organization is an connection with the sale of the additional insured under this provision if such product; person or organization is included as an additional insured by an endorsement issued (g) Products which, after distribution by us and made a part of this Coverage Part, or sale you, have been labeled including all persons or organizations added or relabeled used a as additional insureds under the specific container, part orr ingredient oof f any additional insured coverage grants in Section other thing or substance by or for F.—Optional Additional Insured Coverages. the vendor;or a. Vendors (h) "Bodily injury" or "property Any person(s) or organization(s) (referred to damage" arising out of the sole negligence of the vendor for its below as vendor), but only with respect to own acts or omissions or those of "bodily injury" or "property damage" arising its employees or anyone else out of "your products" which are distributed acting on its behalf. However, this or sold in the regular course of the vendor's exclusion does not apply to: business and only if this Coverage Part provides coverage for "bodily injury" or (i) The exceptions contained in "property damage" included within the Subparagraphs(d)or(f);or "products-completed operations hazard". (ii) Such inspections, adjustments, (1) The insurance afforded to the vendor tests or servicing as the vendor is subject to the following additional has agreed to make or normally exclusions: undertakes to make in the usual course of business, in This insurance does not apply to: connection with the distribution (a) "Bodily injury" or "property or sale of the products. damage" for which the vendor is (2) This insurance does not apply to any obligated to pay damages by insured person or organization from reason of the assumption of whom you have acquired such products, liability in a contract or agreement. or any ingredient, part or container, This exclusion does not apply to entering into, accompanying or liability for damages that the containing such products. vendor would have in the absence of the contract or agreement; b. Lessors Of Equipment (b) Any express warranty (1) Any person or organization from unauthorized by you; whom you lease equipment; but only with respect to their liability for "bodily (c) Any physical or chemical change injury", "property damage" or in the product made intentionally "personal and advertising injury" by the vendor; caused, in whole or in part, by your (d) Repackaging, except when maintenance, operation or use of unpacked solely for the purpose of equipment leased to you by such inspection, demonstration, testing, person or organization. or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; Page 12 of 24 Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM (2) With respect to the insurance afforded e. Permits Issued By State Or Political to these additional insureds, this Subdivisions insurance does not apply to any (1) Any state or political subdivision, but "occurrence" which takes place after only with respect to operations you cease to lease that equipment. performed by you or on your behalf for c. Lessors Of Land Or Premises which the state or political subdivision (1) Any person or organization from has issued a permit. whom you lease land or premises, but (2) With respect to the insurance afforded only with respect to liability arising out to these additional insureds, this of the ownership, maintenance or use insurance does not apply to: of that part of the land or premises (a) "Bodily injury", "property damage" leased to you. or "personal and advertising (2) With respect to the insurance afforded injury" arising out of operations to these additional insureds, this performed for the state or insurance does not apply to: municipality;or (a) Any 'occurrence" which takes (b) 'Bodily injury" or "property damage" place after you cease to lease that included within the "products- land or be a tenant in that completed operations hazard". premises;or f. Any Other Party (b) Structural alterations, new (1) Any other person or organization who construction or demolition is not an insured under Paragraphs a. operations performed by or on through e. above, but only with behalf of such person or respect to liability for "bodily injury", organization. "property damage" or "personal and d. Architects, Engineers Or Surveyors advertising injury" caused, in whole or (1) Any architect, engineer, or surveyor, but in part, by your acts or omissions or only with respect to liability for "bodily the acts or omissions of those acting injury", "property damage" or "personal on your behalf: and advertising injury" caused, in whole (a) In the performance of your or in part, by your acts or omissions or ongoing operations; the acts or omissions of those acting on (b) In connection with your premises your behalf: owned by or rented to you;or (a) In connection with your premises; (c) In connection with "your work" and or included within the "products- (b) In the performance of your completed operations hazard", but ongoing operations performed by only if you or on your behalf. (i) The written contract or written (2) With respect to the insurance afforded agreement requires you to to these additional insureds, the provide such coverage to following additional exclusion applies: such additional insured; and This insurance does not apply to (ii) This Coverage Part provides "bodily injury", "property damage" or coverage for "bodily injury" or "personal and advertising injury" "property damage" included arising out of the rendering of or the within the "products- failure to render any professional completed operations hazard". services by or for you, including: (2) With respect to the insurance afforded (a) The preparing, approving, or to these additional insureds, this failure to prepare or approve, insurance does not apply to: maps, shop drawings, opinions, "Bodily injury", "property damage" or reports, surveys, field orders, "personal and advertising injury" change orders, designs or arising out of the rendering of, or the drawings and specifications;or failure to render, any professional (b) Supervisory, inspection, architectural, engineering or surveying architectural or engineering services, including: activities. Form SS 00 08 04 05 Page 13 of 24 T3-XK1 DATE(MMIDD/YYYY) ACSI CERTIFICATE OF LIABILITY INSURANCE 3/14/2019 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 CONTANAME" Risk Management Department Commercial Lines-(305)669-6000 P.HON 6 8t gt (866)443 84 F� ( ) 89-0021 c+�'C.t�q. asa➢�___... 89 ��tArc,Nr,I. .. USI Insurance Services LLC EMAIL Work.Com Tdnet.com 2601 S Bayshore Dr INSURER(S)AFFORDING COVERAGE NAIC A i.NSURERA: Company 2667 ...Coconut Grove,FL 3313.3..................... ------ ACE American Insurance Coman 2 INSURED INSURER B; TriNet HR III,Inc. INSURER C: ........................... L/C/F Legacy Long Distance Int'I Inc INSURER D: DBA Legacy Inmate Communications INSURERE: 9000 Town Center Parkway,Bradenton,FL 34202 INSURER P COVERAGES CERTIFICATE NUMBER: 14004758 REVISION NUMBER: See below 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 REDUCED BY PAID CLAIMS. I OF SUCH OSI I �LIMITS SHOWN r1uMBERVE BEEN „ O'LICY EFi=_ _016LICY EXP --- LTRTYPE OF INSURANCE MMIDDIYYYY) IMWDOIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCES IbAiM Abti'��r A� ^ NTI.(�a._ ------ .. .... CLAIMS-MADE �I OCCUR .PREMN ,E tEw Axl.r uarerer„M,I S . MED EXP(Any,one person)-- S PERSONAL&ADV INJURY S GEN°L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S POLICYJiECT El LOC PIirA PRODUCTS-COMP/OP AGG S S AUIOMOBILELIABILITYU"u�el,, LYSINriLE,'LIp�91"fi.........^_WL..S .......... ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED (Per S AUTOS ONLY AUTOS -m._. HIRED NON-OWNED PROIPLEYR�TYDAMIP(eEaccident, AUTOS ONLY AUTOS ONLY YPtwt 0106dagkh ( ) S UMBRELLA EAC AB OCCUR CLAIMS-MADE -_ ,•HENCS S EXCESS LIAB I AGG,REGAEGA,.ER............. S ...-......................._._. U T WORKERS DED RETENTION$ PER 12/02/2018� 07/01/2019X l�STATLI„TI�ERA AND EMPLOYERS'LABILITYYIN X WLR,,065624254 __, EOT H S ................- ..2,0 ANYPROPRIETORIPARTNER/EXECUTIVE ,E,L•EACH ACCIDENT S ,000,000 OFFICER/MEMBER EXCLUDED N. NIA ”" ""' (Mandatory in NH) E L DISEASE-EA EMPLOYEES 2,000,000 m.•,w ............................... If yes,describe under I E L DISEASE-POLICY S 2,000,000 DESCRIPTION OF OPERATIONS below ., DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation coverage is limited to worksite employees of Legacy Long Distance Int'I Inc DBA Legacy Inmate Communications through a co-employment agreement with TriNet HR III,Inc. A Waiver of Subrogation applies in favor of certificate holder as required by written contract. CERTIFICATE HOLDER CANCELLATION City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk's Office ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo,CA 90245 AUTHORIZED REPRESENTATIVE I The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016103) rn1�:r,.ntu�rnwlIN11, .r„1-I'llu,i«.1111:nn.ar,^l;l�!,,e,s„N�+nae:a:n,} Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number TriNet HR III,Inc. Policy Number L/C/F Legacy Lon Distance Int'I Inc WLR 065624254 9 Y 9 Symbol: Number: Policy Period Effective Date of Endorsement 12/02/2018 TO 07/01/2019 07-01-2018 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy i CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us- You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1 (X) Specific Waiver Name of person or organization: City City Clerk r Segundo erk 350 Main Street EI Segundo,CA 90245 ( ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: 9e- � --- Authorized Agent WC 99 03 22 1