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PROOF OF INSURANCE (2020) CLOSED;'_"11� r, DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/10/2019 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 be endorsed. If SUBROGATIONIS 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 CONTACT USAA INSURANCE AGENCY INC/PHS NAME: _,_, PHONE (888) 242-1430 FAX No): (888) 443-6112 65812846 (AIC, No, Ext): The Hartford Business Service Center ........................ 3600 Wiseman Blvd E-MAIL San Antonio, TX 78265 ADDRESS: DESCRIPTION OF OPERATIONS below I DATA BREACH - DEFENSE & $50,000 A LIAB COVG 65 SBA TA6820 05/02/2019 05/02/2020 _ L......_........ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACOnD 101, Additional Rema_...r..ks Schedule, may be attached it more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION �_ ...._ ................ _._... City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245-3813 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ........................ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD INSURER(S) AFFORDING COVERAGE NAIL# INSURED 1 INSURERA: Sentinel Insurance Company Ltd. 11000 REDDOOR CREATIVE, LLC. J INSURER B: 208 E FRANKLIN AVE r""""' EL SEGUNDO CA 90245-3823 I INSURERC: INSURER D: INSURER E; 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. NOTVVITHSTAN DING 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, INSR ADDL IISUBR TYPE OF INSURANCELTR I POLICY' EFP........ POLICY NUMBER POLICY' EXP LIMITS I R 4YIV� a (MWQ_gNYYY�,,, _ IMWOD/Y YYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS4ADEJ,X (OCCUR DAMAGETORENT'ED $1,000,000( L. -.u..! PRM,,S,affa occurrence) X General Liability MED EXP (Any one person) $10,000 A _. ._._._._. 65 SBA TA6820 05/02/2019 05/02/2020 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE _ $2.000,000 POLICY 0 PRO- X p LOC IPRODUCTS- COMP/OPAGG $2,000,000 JECT 1„M,,,,,,,,,J OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED I BODILY INJURY (Peraccident) AUTOS _AUTOS HIRED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) _..-............. ................._ NN UMBRELLA LIAR p OCCUR EACH OCCURRENCE EXCESS LIAB ryu CLAIMS- AGGREGATE MADE '.._WORKERS COMPENSATION ...... JTH- AND EMPLOYERS'I LIABILITY STATUTE ANY YIN E L EACH ACCIDENT '.. PROPRIETOR/PARTNER/EXECUTIVE I NIA OFFICER/MEMBER EXCLUDED? E:(Mandatory E L DISEASE -EA EMPLOYEE in NH) If yes describe under E L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below I DATA BREACH - DEFENSE & $50,000 A LIAB COVG 65 SBA TA6820 05/02/2019 05/02/2020 _ L......_........ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACOnD 101, Additional Rema_...r..ks Schedule, may be attached it more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION �_ ...._ ................ _._... City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245-3813 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ........................ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY FACE SHEET 20 68 INSURER: TA SENTINEL INSURANCE COMPANY, LIMITED SBA POLICY NO. 65 SBA TA6820 DX RECORDS RETENTION -- PERMANENT DECLARATIONS ITEMS 1. NAMED INSURED AND a REDDOOR CREATIVE, LLC. MAILING ADDRESS: 208 E FRANKLIN AVE EL SEGUNDO, LOS ANGELES CA. 90245 2. POLICY PERIOD: 05/02/19 05/02/20 1 INCEPTION EXPIRATION YEAR AGENT'S CODE: 812846 AGENT'S NAME: USAA INSURANCE AGENCY INC/PHS PREVIOUS POLICY NO. 65 SBA TA6820 3. THE NAMED INSURED IS: LIMITED LIAB CORP POLICY STATUS: ACTIVE LOB LEVEL OF SUPPORT: SP—S MARKET SEGMENTATION: 830 AGENCY CUSTOMER ID: 116808751 SELECT CUSTOMER COMPANY/AGENT SALES AGREEMENT (COMMISSION STATUS ) DIRECT ACCOUNT BILL NUMBER — 13344167 DEDUCTIBLE ADDITIONAL INSURED (S) AUTOMATICALLY BOOKED ABBREVIATED POLICY ISSUED AUTOMATICALLY RENEWED TRANS TYPE: RENL CNTL#: 001 POLICY FACE SHEET TERMINAL ID: UODCV7UA PAGE 2 02/14/19 65 SBA TA6820 DX (05/02/20) POLICY NUMBER: 65 SSA TA6820 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON -ORGANIZATION CITY OF EL SEGUNDO 350 MAIN ST EL SEGUNDO, CA 90245 Form IH 12 00 1185 T SEQ. NO. 002 Printed in U.S.A. Page 001 Process Date: 02/14/19 Expiration Date: 05/02/20 20 This Spectrum Policy consists of the Declarations, Coverage Forms, Common Policy Conditions and any 68 other Forms and Endorsements issued to be a part of the Policy. This insurance is provided by the stock TA insurance company of The Hartford Insurance Group shown below. SBA INSURER: SENTINEL INSURANCE COMPANY, LIMITED ONE HARTFORD PLAZA, HARTFORD, CT 06155 COMPANY CODE: A THElf Policy Number: 65 SBA TA6820 DX HARTFORD TFORD SPECTRUM POLICY DECLARATIONS Named Insured and Mailing Address: REDDOOR CREATIVE, LLC. (No., Street, Town, State, Zip Code) 208 E FRANKLIN AVE EL SEGUNDO CA 90245 USAA #: 116808751 Policy Period: From 05/02/19 To 05/02/20 1 YEAR 12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New Hampshire. Name of Agent/Broker: USAA INSURANCE AGENCY INC/PHS Code: 812846 Previous Policy Number: 65 SBA TA6820 Named Insured is: LIMITED LIAB CORP Audit Period: NON -AUDITABLE Type of Property Coverage: SPECIAL Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree with you to provide insurance as stated in this policy. TOTAL ANNUAL PREMIUM IS: Countersigned by $763 1�feA.l f Canat-zl� Authorized Representative 02/14/19 Date Form SS 00 02 12 06 Page 001 (CONTINUED ON NEXT PAGE) Process Date: 02/14/19 Policy Expiration Date: 05/02/20 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 65 SBA TA6820 BUSINESS LIABILITY LIABILITY AND MEDICAL EXPENSES MEDICAL EXPENSES - ANY ONE PERSON PERSONAL AND ADVERTISING INJURY DAMAGES TO PREMISES RENTED TO YOU ANY ONE PREMISES AGGREGATE LIMITS PRODUCTS -COMPLETED OPERATIONS GENERAL AGGREGATE BUSINESS LIABILITY OPTIONAL COVERAGES CYBERFLEX COVERAGE FORM SS 40 26 UNMANNED AIRCRAFT LIABILITY FORM: SS 42 06 Form SS 00 02 12 06 Process Date: 02/14/19 LIMITS OF INSURANCE $1,000,000 $ 10,000 $1,000,000 $1,000,000 $2,000,000 $2,000,000 Page005 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 05/02/20 Insurer: SENTINEL INSURANCE COMPANY, LIMITED ONE HARTFORD PLAZA, HARTFORD, CT 06155 F� This Declarations Page, with Common Policy Conditions, Data Breach Coverage Form and Endorsements, if any, issued to form a part thereof, shall together constitute this Data Breach Coverage Part, which in turn forms a part of the Policy Number shown below. The Common Policy Conditions and Nuclear Energy Liability Exclusion of the policy to which this Coverage Part is attached also apply to this Coverage Part. But if there is any conflict between the policy and this Coverage Part, then this Coverage Part will govern. "Coverage part" means this Declarations page and all Data Breach forms listed herein and attached hereto. POLICY NUMBER: 65 SSA TA6820 DATA BREACH COVERAGE DECLARATIONS PLEASE READ YOUR POLICY. IF YOU HAVE PURCHASED DATA BREACH - DEFENSE AND LIABILITY, NOTE THAT CLAIM EXPENSES ARE PAYABLE WITHIN THE LIMITS OF LIABILITY. Named Insured and Mailing Address: REDDooR CREATIVE, LLC. 208 E FRANKLIN AVE EL SEGUNDO CA 90245 Policy Period Effective Date: 05/02/19 Expiration Date: 05/02/20 12:01 A.M., Standard time at the address of the named insured as stated herein. Premium: Minimum Premium: Data Breach - Response Expenses Limit Of Insurance: Retroactive Date: If no date is entered, the Retroactive Date is the same as the effective date of this Coverage Part. Business Income And Extra Expense Sub -limit: Extortion Threats Sub -limit: Data Breach - Defense and Liability (THIS IS CLAIMS FIRST MADE AND REPORTED IN WRITING INSURANCE) Limit Of Insurance: Retroactive Date: If no date is entered, the Retroactive Date is the same as the effective date of this Coverage Part. $103 NONE Data Breach - Response Expenses 10,000 Deductible: 1,000 05/02/15 Business Income And Extra Expense NOT INCLD Waiting Period Deductible: NA Hours NOT INCLD Data Breach - Response Expenses deductible shown above also applies to Extortion Threats coverage. 50, 000 Data Breach - Defense and Liability Deductible: 0 05/02/15 Form Numbers Of Forms and Endorsements that apply: Common Policy Conditions: Form SS 00 05, Exclusion — Nuclear Energy Liability: SS 05 47 SS00470316 SS00480316 Countersigned by (where required by law) Form SS 00 46 03 16 Process Date: 02/14/19 02/14/19 Authorized Representative Date Page 1 of 1 Policy Expiration Date: 05/02/20 Auto Paticy Detaits send to printer Policy No: Current Term 02/16/2019 - 02/16/2020 Manage Your Policy Change Coverages Add/Replace Vehicle Change Loan/Lease Companies close window Remove Vehicles DRIVERS Name Date of Birth Driver Status Timothy Holmes Regular Driver Details Gender Marital Status Year First licensed 1993 Accidents & Traffic Convictions Accidents 0 Total Traffic Convictions 0 Nw Regular Driver Details Gender Marital Status Year First licensed 1997 Accidents & Traffic Convictions Accidents 0 Total Traffic Convictions 0 VEHICLES Vehicle No, Year Make 2 2009 Vehicle Details Identification Number Garage Zip Code I Annual Miles 7,501 - 10,000 Special Equipment None Sound Equipment None 3 2018 Vehicle Details Identification Number Garage Zip Code Annual Miles 5,501 - 7,500 Special Equipment None Sound Equipment None Lien holder/ other Interests Name Type COVERAGE LIMITS Vehicle No. Year Make Premium 2 2009 $1,102 Coverage Details Coverages Limits of Liability Premium Liability Bodily Injury Property Damage Physical Damage Comprehensive Deductible Collision Deductible Uninsured Motorist $1,000,000 Each Person $336 $1,000,000 Each Occurrence $50,000 Each Occurrence $201 $500 $54 $500 $242 Uninsured & Underinsured Motorist(s) $1,000,000 Each Person $269 Bodily Injury $1,000,000 Each Occurrence Uninsured Deductible Waiver No Total Premiun? $1,102 3 2018 $1,364 Coverage Details Coverages Limits of Liability Premium Liability Bodily Injury $1,000,000 Each Person $332 $1,000,000 Each Occurrence Property Damage $50,000 Each Occurrence $198 Physical Damage Comprehensive Deductible $500 86 Collision Deductible $500 $523 Uninsured Motorist Uninsured & Underinsured Motorist(s) $1,000,000 Each Person $225 Bodily Injury $1,000,000 Each Occurrence Uninsured Deductible Waiver No Total Premium $1,364 Total Premium $2,466 You received a Policy Holder Savings Dividend last year in the amount of: $140 DISCOUNTS Policy Discounts Multi -Policy. Other Discounts Driver Discounts Timothy Holmes Good Driver Good Driver Vehicle Discounts Vehicle 2:2009 � 9. Verified Mileage . Vehicle 3: 2018 Mileage Verified ENDORSEMENTS AND CERTIFICATES Number Title 2011 MEMBER'S AUTOMOBILE POLICY - POLICY NUMBER CHANGE 2052 LOSS PAYABLE - NOTICE TO LIENHOLDER 2367 AMENDATORY ENDORSEMENT The information displayed on this website is for informational purposes only and is not intended to replace your policy (including any endorsements) and declarations that are mailed to you, Insurance Is in effect only for the coverages and limits of liability shown on the declarations and as set forth in the insurance policy and endorsements. This information is a helpful summary only and is not a comprehensive definition of all coverages, qualifications, limitations, etc, Please consuitthe policy and one of our insurance agents for more information. Also, the Information displayed on this website may not reflect recent policy changes or payments and/or transactions on your account. Please allow up to three business days For your new Information to be reflected in these records. The information displayed on this website Is for informational purposes only and is not intended to replace Your Policy (including any endorsements) and declarations that are mailed to you, Insurance is In effect only for the coverages and limits of liability shown on the declarations and as set forth in the insurance policy and endorsements. This information is a helpful summary only and is not a comprehensive definition of all coverages, qualifications, limitations, etc. Please consult the policy and one of our insurance agents for more information. Also, the information displayed on this website may not reflect recent policy changes or payments and/or transactions on your account. Please allow up to three business days for your new information to be reflected in these records. The required payment must be postmarked, paid over the phone, paid online or paid In-person at one of our AAA office locations during normal business hours prior to the cancellation date/time or the policy will be cancelled for nonpayment of premium and all coverage will cease as of that time, If payment is not made or is made for less than the required amount, the amount due must be paid before the cancellation date/time to ensure that the insurance coverage does not lapse. Whenever a premium payment is returned unpaid by your Financial institution, we may, at our option, notify you in writing that the entire outstanding premium balance is immediately due and payable in cash or by cashier's check or money order at one Of Our AAA office locations, All returned payments, whether by check, electronic transaction, or other form of payment may be presented again electronically for payment. Each returned payment and each late payment is subject to a fee that may also be debited electronically. Fees are subject to change without notice, Payments are accepted from U.S. Financial Institutions only. Automatic debits from your checking account for insurance policies will begin with the first automatic payment billed after the Authorization Agreement is received and processed. (Please allow 15 days for processing.) Until then, your insurance premium payment is still due on the date shown on your most recent billing statement. If you enroll in automatic payments for more than one insurance policy, the processing bank will determine the order of processing debits (i.e., the order of payment) for each policy. Automatic payments are subject to all applicable finance charges, installment and other fees. We gave you notice of the amount of all applicable finance charges and/or fees at the time you applied for the insurance policy(s) above and upon renewals of your policy(s). Installment payment plans and all fees are subject to change without notice. Policyholders who have payments returned unpaid from their Financial institution may have automatic payments authorization revoked as to all insurance policies by the Exchange. In the event that this occurs, you will be notified by mail and a return payment fee and late fee may be added to your bill (or to a second attempted debit to your account). if automatic payments are revoked, installments remaining for the current insurance policy period will be billed on your regular payment plan with statements nrialted to you. If an error is made the Exchange can correct it by Initiating debits or credits. You may revoke enrollment In automatic payments, as to any one or more Insurance policies, at any time by signing and dating a written request and mailing it to: AAA/Interinsurance Exchange of the Automobile Club, P.O. Box 25006, Santa Ana, CA 92799-5006. While not required, a revocation form Is available for your use upon request by contacting us at (600) 924-6141 or your local office. Insurance is provided to qualified Auto Club members by the Interinsurancelychange of the Automobile Club ("Exchange"). CA Dept of Insurance Lic. #0003259 CTIR# 1016202-80 Copyright (P 2013 Automobile Club of Southern California. All Rights Reserved, The Automobile Club of Southern California is a member club affiliated with the American Automobile Association (AAA) national federation and serves members in the following California counties: Inyo, Imperial, Kern, Los Angeles, Mono, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, Tulare, and Ventura. Find a different AAA club. CITY OF EL SEGUNDO WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECTS AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LABOR CODE § 3706, INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury under the laws of California one of the following declarations: U I have and will maintain a certificate of consent of self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Labor Code § 3700 for the performance of the work set forth the agreement with the City of EI Segundo. Policy No. (_) I have and will maintain workers' compensation insurance as required by Labor Code § 3700 for the performance of the work for which the agreement with the City of EI Segundo is executed. My workers' compensation insurance carrier and policy number are: Carrier Name of Agent Policy Number Expiration Date Phone # (� I certify that, in the performance of the work set forth in the agreement with the City of EI Segundo, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Labor Code § 3700 1 must immediately comply with those provbsiory or the agreement will automatically become void. Signature of Applicant I W Date 02/26/2019 Agreerrentfor. �;°�- �n"�° .-. ,..;� Dated: Reviewed by: