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Insurance Certificates 2020/21 Acorn Technology ServicesA� oe CERTIFICATE OF LIABILITY INSURANCE DATE IMxloorcrrr) 3/16/2020 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 INSURI IS),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER IMPORTANT: If the certl0cate holder is an ADDITIONAL INSURED, ere policylies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endomement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endomement(s). PRODUCER CONTACT ,Tulia Aybak RARE %ellogg A Moreland Agency, Inc. DID, PHONE 19091792-8950 F^% Po. - a .xo: Arroyo Insurance services nooAREss: juliar@arroyoine. com 1654 Plus Lane INSURER 3 AFFOROINO COVFFAGE NAIL Y INSURERA:Bederal Ins Cc 20Z81 Redlands CA 92374-4532 INSURED INSURERS: AllseriCe Financial Rene£1t Ina CO 41840 INSURER C: Mighty Oak Technology, DBA: Acorn Technology Services INSURERD: 1960 Chicago Ave 4E9 INSURE0.E: INSURER F: Riverside CA 92507 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO GERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ILM TYPE OF INSURANCE Fp1CY NUMBER POLICVEFF MMNMYVYY POLICY ESP POLICY ESP LIMITS % COMME0.CMLOENERALWBILITY EACH OCCURRENCE E 1,000,000 A CIAIMSMAOE ❑R OCCUR OMM ET o Eattr+rtmce PREMISES I. E 1,000,000 MED EXP Rvy one Smon) E 10,000 % 3539-95-6B F¢ 3/20/2020 3/20/2021 INJURY 6 1, 000, 000 GEH'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 6 2,000,000 POLICY PEa LOO PRODUCTS-COMPIOPAGG S 2r000,000 „ E 2,000,000 OTHER' AUTOMOINE LIABILITY IH Mllld � $ 1,000,000 REPLY INJURY IPa,'mm) s A ANY AUTO BOOT LV INIURY (Per eviEerm S ALL OWNED SPUR DIED AUTOS UTOS 1312-68-66 3/20/2020 3/2012MI PROPERTY DAMAGE ersne v i % XWEOAUTOS X NON.&.PD AUTOS a A LmsBJn HASX LCLUR EACH OCCURRENCE 9 2,000,000 AGGREGATE 6 2, 000, 000 A EXCESS UAB CIAIMSMADE OEO gETENTION i E T963-H-01 3/20/2020 9/20/2021 WORHERS COMPENSATION AND EMPLOYERS LIABILITY .TIN OFVPRCPRIETORPARNERUXIIII % PEP OTX- STATUTE ER EL EACH ACCIDENT E 1,000,000 B FICERMEM RES EXCLUDEW UKPdAbry In HI NIA 1@3-O96II38-00 T/1/2019 ]/1/2020 ELDISEASE-EAEMPLOYEE 3 11000,000 R Ves, covert¢ ur., DESCRIPTION OF OPERALONS b&wr ELOISEASE-POIICVOMIT 6 1,000,000 A Cybei Liffiility 9583-35-60 ACE 3/20/2020 3/20/2021 ImMUWO Anomens UPI CESCNPTION OF OFERATONS I LOCATIONS I VEHICLES MR ORD 101, AEcsoml Rem,mm S USI mry M nom ec IT mom sWu Is Ipu1M) "City of La Quints is hereby recognized as additional insured including primary wording per attached form Mg002236T" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City OF La Quints THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 78495 Call. Tampico ACCORDANCE WITH THE POLICY PROVISIONS. La Quinta, CUR, 92253 ROUNDERS. gEPREswTANVE Julie Rybak/JULIE P 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 DVADp C H U B B, Liability Insurance Endorsement Policy Period MARCH 20, 2020 TO MARCH 20, 2021 E//eclim Date MARCH 20, 2020 Policy Number 3583-35-68 WCE Insured MIGHTY OAK TECHNOLOGY DBA ACORN TECHNOLOGY SERVICES Name of Company FEDERAL INSURANCE COMPANY Date Issued 3ANUARY 2, 2020 This Endorsement applies m the following forms: GENERAL LIABILITY Under Who Is An Insured, the following provision is added Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds: but they are Insureds only if you are Scheduled Person ohligatedpmsuaut to a contractor agreement to provide them with such insurance as is afforded by Or Organization this policy. However. the person or organization is an insured only: • if and then only to the extent the person or organization Is described in the Schedule; • to the extent such contractor agreement requires the person or organization an be afforded slams a an Insured: • for activities that did not occur, in whole or in part, before the execution of the contract or agreement: and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under my other provision of the Who Is An Insured section (regardless of my Bmimtion applicable thereto). • with respect to my assumption of liability (of mother person or organization)by them in a contractor agreement.This limitation does act apply to the liability for damages, loss, cos[ m expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contractor agreement. Liability lnaurence Addlaonel Insured- SdwdWed Pazsan Or Oramlraaon omMured Form ap 367 fRev. fill]) Eadosernent Page I CHUBS, Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance — If you are obligated,pursuaul to a contractor agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by tuts policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available such person Person Or Organization or organization. Schedule CITY OF LA QUINfA 79495 CALLS TAMPICO LA QUINTA, CA 92253 All other terms and conditions remain unchanged. Aulhorized Represents We Q� Ilahllity lnsurerar, Additlonel Insured- Sdwdl&d Person Or OrgeMreNon lanpape Fvrm Bb�-238J (Ray.SWJ Erdmasarant Peas 2 ACb H CERTIFICATE OF LIABILITY INSURANCE I°°" "2020THIS MTHIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: Ifthe certificate holder is an ADDITIONAL INSURED, Me policy(ies) must tIo endorsed. If SUBROGATION IS WAIVEDthe terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confthecertificate holder In lieu of such endorsoment(9(. PRODUCER Kellogg 6 Mcreland Agency, Inc. DRA Arroyo Insurance service. 1654 PSUN Lane Redlands CA 92374-4532 FUNSIFUMEJulie Rybak PHONEOBNE (909)092-8950p A.R.E TPlier@arroyoina.com INSURERSAFFORDING C°VEMGE NAICA INSURERA:Federal Ina CO 20281 INSURED Mighty Oak Technology, DBA: Acorn Technology Services 1960 Chicago AVe kE9 R1V.rside CA 92507 INSURERS: A11IDeriCa Financial P.Ce£it Ina CO 41840 INSURER C: 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. NOTWITHSTANDINGANY REOUIREMENT TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTOALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT0. TYPE °F INSURANCE ADDL SUM POLICY NUMBER POIRY OFF .seen IYY POLICYEXP IMMUNN,TAO LIMITS MERCMLGENEMLLIABILEY EACH OCCURRENCE $ 1,000,000ACIAIMSMADE 10M F. OCCUR PREMISES Se P-- $ 1, 000I000 MD. EXP (Mryone ONaln) S 10,000 X 3533-33-63 F3 V20/2020 3/20/2021 PERSONAL SADV INJURY S 1,000,000 GEN'LAGGREGATE LIMITAPPLIESPER'. GENEMLAGGREGATE $ 2,000,000 POLICY PRO ❑ LEE JECT PRODUCTS- COMP/OPAGG b 2,000,000 6 2,000,000 OTHER'. AUMM°BILE LIABILSTY CEOMBwIN6E MSINGLE LIMIT 6 1,000,000 BODILY INJURY (Px P-) S ANYAUTO A BODILY INJURY IPx avdenO S ALL E. SCHEDULED IS52-60-66 3/20/2020 3/20/2021 AUTOS AUTOS P.I..OPORa aAMAGE $ 'Y XIREOAUTOS N 'URGE S X UMBRELLALMB X OCCUR EACH OCCURRENCE 6 2 000 COO AGGREGATE S 2 000 000 A EXCESS LIAO CIAIMS-MADE DEC RETENTION S $ T983-2T-01 3/20/2020 3/20/2021 YIORNERS COMPENSATION A- PER OTH STATVTE ER AND EMPLOYERS' LMBIUTY T,/ ANY RTNEEDXECUTIVE El, EACH ACCIDENT $ 1, COO, DOD OFFICERmFMNFx N/A .L. DISEASE-FAEMPLOYEE 8 1,001,000 E (Mmtlavgin NHS y W3ro961238-01 7/1/2020 7/1/2021 1 vse aeamM Mar E.L. DISEASE POLICY LIMn $ 1,000,000 DESCRIPTION OF OPERATIONS EeIaw A Cybet Liability 3m8 -M-66 RAN 3/20/2020 3120/2021 lo.000.oXID.S...I IACOM101,AEJi6malRemabSCM6ule,mayGa h. MmmespewIcnquimdI is hereby recognized as additional insured including primary wording per attached form 7LOCATIONIIVEHICLEIHICLES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 78495 Calla Tamp±co ACCORDANCE WITH THE POLICY PROVISIONS. La Quinta, CA 92253 AUTHOPUED REPRESENTATIVE Julie Rybak/SOLIE 4a ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) Hanvr`In, W23 D961238 1001674 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENTLAUFORNIA 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 5 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description CITY OF LA QUINTA 78495 CALLE TAMPICO LA QU I NTA, CA 92253 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 Effective Policy No. W23-D961238-01 Endorsement No. Insured Insurance CompanyALLMERICA FINANCIAL BENEFIT INSURANCE I/I/^^1111 Countersigned By i WC D4 03 06 (Ed 04-84)