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Insurance Certificates 2021/22 Acorn Technology ServicesA� d CERTIFICATE OF LIABILITY INSURANCE °"-'M °°" "' 3/29/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 INSURERS),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holtler is an ADDITIONAL INSURED, the policy(ies) 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 center rights to the certificate holder in lieu of such .ndwin ment(s), vaooOCEn Kellogg 6 Moreland Agency, Inc. DBA Arroyo Insurance Service. 1654 Plum Lane Redlanls CA 92374-4532 CORT NANE.GT Julie Rybak WI (909) 792-8950 uc Xe: Iron nz-xmxm NOORRE6s: jolierilarroyoine.com INSURER(S) AFFORDING COVERAGE NAIL Y INSURERA: Federal Ina Co 20281 INSURED Mighty Oak Technology, DBA: Acorn Technology Be,!.. 1960 Chicago Ave aE9 River.ide CA 92507 INSURENB:Allmeri°a Financial Benefit Insurance C 41840 INSURER C: INSUREfl O: MSURER E: INSURER I. 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 CRANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE HAD RANCE 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 LTN LIFE OF INSURANCE ADDL SUBR ppLICYXUMBER MW°ICY EFF MNJ° ErP LIMBS X CWLNBI OMMERCLGENERALIITY EACH OCCURRENCE S 1,000,000 A CLAIMS -MADE X� OCCUR PREMISES Eac S Excluded MEU E%P(A ne p,—n) S 30,0°0 X 3593-35-68 arm 3/,I/ 0O 1 3/20/2022 PERSONAL BADV INJURY $ 1,000,000 GENLAGGREGATELIMRAPIRUESPER: GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY PECL RO- ElLOO J $ OTHER' AUTOMOBILE LIABILITY CO .N0E01 IN L LI IT § 11000,000 SOOTY INJURY (Pe, perew) S A ANYAUTO ALL OWNED SCHEDULED AUTOS Amos X X NONAWNE° HIRE°AIROS AUTOS '1352-68-66 3/2D/ROR1 9/20/2022 ROCILV INJURY (Pa,ewtlenX $ peOREP YT1AMAGE $ S X UMBRELIAWB X OCCUR EACH OCLURRENCE S 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LAB CLAIMSMADE RED RE _ 'I983-21-bY- _ 3/RO/20R1 $ 3/20/202 WORRER6 at,no. X PER R AN°EM R3'LABIIITY YINMBR gXVP OFWETOIUPARTNFAIEXELUTIVE EL EACH ACCIDENT $ 1 000 000 EL DISEASE-ESEMPLOYEE 1000000 B (Ma mm,1nNXP E%CLVOEn2 ❑ NIA y .3-p111236-02 l/I/R021 'I/1/2@2 EL DISEASE -POLICY LIMIT 1,000,000 Iry deemce "over CE RIPTION OF OPENAnONS ONmv L]2a 'eDility 3583-35-68 FTc 3/20/2021 3120/2022 W.ci m0rmrepab G,M A DESCRIPTIONOFWEM NSIWCAONSIVEHICLES(ACORD101,MdoonalR—Um ScMEulc, may Ym aWchedXmmIapace bmelind) "City of Is Quints is hereby recognized as additional insured including primary wording per attached form #8002236711 1FmTIF.I.TF uOU nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calla Tampico La Quinta, CA 92253 AUTHORIZED REPRE6ENTATVE // Julie Rybak/JULIE 0 T' Ill AGO DCORr VRMI A/R. nX ,.,Iu I eav,vm,u. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS02512D1Nm) ` TM Hanover Insurance Croup_ W23 D961238 1001674 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA 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 IN TA, CA 92253 This endorsement changes the policy to which it is allached 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. W23-0961238-02 Endorsement No. Insured Insurance CompanyALLMERICA FINANCIAL BENEFIT INSURANCE Countersigned By WC 04 03 06 (Ed 04-94) ACC)R oe CERTIFICATE OF LIABILITY INSURANCE 3/29i21 THIS CERTIFICATE IS ISSUED ASA 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 Me certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 enciorsement(s). PRODUCES Kellogg 6 Moreland Agency, Inc. DDA Arroyo Insurance Services 1654 Plum Lane Redlands CA 92374-4532 NONE: Julie Eybak Pxoxe (909)792-8950 FAK xo I.oevavmP RWRESs: julier@arroyoins. com INSURERS AFFORDING COVERAGE MUSIC O INSURERA: Federal Ina Co 20281 INSURED Mighty Oak Technology, DENA: Acorn Technology Services 1960 Chicago Ave kE9 Eiverside CA 92507 INSURERS: Allmerica Financial Benefit Insurance C 41840 INSURER C: IxwREa o: INSURERS: 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN3R NEI PIPE OF INSUMNOE AUOL VBR POLICY NUMBER IOMOOVYYFF MMIXIICDY�y LIMITS X COMMERCNLGENERALURSHURY EACH OCCURRENCE S 1,000,000 A CLAIMS -MADE Fx-1OCWR PREMISES Ee oITED ___ $ Excluded MED EXP (Pny 01D Pnnon) $ 1D,000 X 3503-35-68 w6 3/2012021 3/20/2022 PERSONAL aADV INJURY $ 1, 000, D00 GEN'LAGGREGNTE LIMITAPPLIES PER GENERALAGGREGATE S 2,0001000 PRODUCTS-COMPA)PAGG $ 2,000,000 POLICY PIER El LCC JECi a OTNER. AOTOMODILELWEIpTY COMBINED SINGLE LIMIT i,000,000 $R$2 BODILY INJURY (Per pamon) ANY AUTO A BODILY INJURY (Per aaJOml) ALL OWNED SCNEDULED T352-60-66 3/20/2021 3/20@@2 AUTOS AUTOG X X NONOWNEO pBOPERIV 04MAGE IREOAUTOS AUTOS UMRREUALMB X -CUR EACH OCCURRENCE 00 OODAEVIESS AGGREGATE 00 000ION UAM CLAIMS -MADE S 1003-2l-01 3/20/2021 31N/2022 WORNESS COMPENSAnIXIANDEMPLOYERe'LABWPI Y CUTNE EACH ACCIDENT 00 000 EL DISEASE-EAEMPLOVEE f 1000000 H OFFICER,MEMBERRANTINEXCLUDFD9 IManOtlory Ln XM) xlAEL y R2311623.-.i 7/1/2020 1/1/2031 EL. DISEASE - POLICY LIMIT $ 1,000,000 Nye., d... It. .,dw DESCRIPTIONOFOPERATIONG W& Cybec Liability 3EES-35-la VICE 3/20/2021 3/20/2022 WJSoGMAgeW-Lmn A DESORIPnIXIOFOPEIGTMNSILOCATIONS/VEHICLESIACORD101,AddftlanalWme a6tR.durgmey MaW.MdOmanapnle"ulndl "City of La Quints, is hereby recognised as additional insured including primary wording per attached form #80022367" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quints THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Call. Tampico La Quints, CA 92253 AUnI(XLIZED REPRFFExrAnvE Julie Rybak/JULIE 49 ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 DOWN) 4fk.� o® CERTIFICATE OF LIABILITY INSURANCE °A3/z92002 THIS CERTIFICATE IS ISSUED AS 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). Pa00ucER Kellogg a Moreland Agency, Inc. DBA ALIOYO Insurance 8eN1Ce9 1654 Pl= Lane Redlands CA 92374-4532 N ME: Julia Aybak PxONE (909)792-8950 FA Nn. ...... ADDRESS: Julier@arrOoins.000 INSURERB AFFORDING COVERAGE NAICO INSURERA: Federal Ina Co 20281 INSURED Mighty Oak Technology, DBI; Acorn TechnolOgy ServiceS 1960 Chicago Ave NE9 RiVar9ide CA 92507 INSBRERB: A110eriCa Financial BeRe£it Insurance ( 41840 INSURER C: INSURER D: INSURER E: INSURER F: 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, NOIVATHETANDINGANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT MALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN9R R rypE 61NSURANCE ME pOLICYHUMBER es.. EFT ^OLJCYERP nM113 % COMMERCIAL GENEMLLABILItt EACH OCCURRENCE E 11000,000 A CLAIMS -MADE OCCUR _° PREMI f Excluded MEO EXP IAnyOrc PonOn) f 10,000 X 3583-35-68 NCE 3/20/3021 3/20/3022 PERSONAL SAW INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER'. GENERALAGGIREGATE $ 2,000,000 PRODUCTS-COMPNPAGG $ 2,000,000 PoLICY PRO ❑ LCC JECT E OTXEL AVTOMO&LE LIABILIry COMBINED SINGLE IN ELIMIT E 1,000,000 BODILY INJURY RmOU $ A ANYAUTO ALL MANED SCHEDULED AUI05 ACTIONNON-0WNEO X HIREDAIROS 'Y AUTOS Y352-68-11 3/20/2021 3/20/2022 BODILY INJURY IPotlenR S PROPERTY DAMAGE Pe�ecc4enl g B X UMBRELLALMB X OCCUR EACX OCCURRENCE S 2 000 000 AGGREG4TE f 2 000 000 A E%CE9S LIAR CLAIMBBMADE CEO RETENTIONS g 7983-27-01 3/20/2021 3/20/2022 NORRERSCCMPENSATION ANOEMPLOYERS'LAIDURY ANY PROPRIEPGURARTNERi ECUTIVE Y❑NIA X PER X- BTAT ER EL EACH ACCIDENT 8 1,000,000 EL DISEASEEAEMPLOYEE IS 1,000,000 B Re r,uaroiylin NX E%CWOE09 y p2y_pg61238-01 1/1/2020 T/1/2021 EL DISEASE POLICY LIMIT S 1,000,000 T yee OO;Owe untlx OESCRIWIONOFOPERAPONSIM1. OESCRIP WOFOPE ONSILOCATDNS;VEHICLES(ACOROIBI,A Himal RemnlSLM4ule,mYMaWcMN m.n mlenqulmdI "City of Ie Quinta is hereby recognised as additional insured including primary wording per attached form X8002236T" City of La Quints 78495 Calle Tampico La Quints, CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Rybak/JULIE ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 DRJUR CH U BB' Liability Insurance Endorsement Policy Period MARCH 20, 2021 TO MARCH 20, 2022 Eflectow Date MARCH 20, 2021 Policy Number 3583-35-68 VICE Insured MIGHTY OAR TECHNOLOGY DBA ACORN TECHNOLOGY SERVICES Name of Company FEDERAL INSURANCE COMPANY Date Issued DECEMBER 21. 2020 This Endorsement applies to the following forms: GENERAL LIABHdIY Under Who Is An Insured, the following provision is added Who Is An Insured Additional Insured- Penance or organizations shown in the Schedule are Insureds; but they are insureds only if you are Scheduled Person obligated pursuant m a contract or agceraent to provide them with such insurance as is afforded by Or Organization sus pommy. However, the person or organization is an Insured only: • if and then only in the extrut the person or organization ie described in the Schedule; • to the extent such contractor agreement requires the person or organization to be afforded states as 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 a 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 any other provision of the Who is An Insured section (regardless of my limitation applicable thereto). • with respect to my assumption of 0ability (of mother person or orgattention) by them in contract or agreement Ibis Umberto dues not apply to the liability for damages, loss, cast or expense for injury or damage, to which this insurance applies, thm the person or ogmization would have in the absence of such contract or agreement. Usually Insurance Addddmrel8wura0- Sd"Wed Person 0`01901tembn cnnanued Form 80e2.28ar fRov. 5-07) Er Ma ffl Pao r CHUBB° UabAity Endorsement (continued) Under Conditions, the following prevision is added to the condition dried Other Insurance. Conditions Other Insurance- It you are obligated, pmsuaot to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then to such case Insurance -Scheduled this insurance is primary, and we will act seek contribution from insurance availahle to such person Person Or Organization or organization. Schedule CITY OF LA QUANTA 78495 CALLE TAMPICO LA QUATA, CA 92253 All other tams and conditions remain unchanged. AuMMzednePrmunua w Q-0s'", Washy Insurance Addi6'ww1 hwursd- SdwdWed Pwson Oi 019wn bbn awtp Porn e0—oa 57(aev. 5L7) EadorswrwM Pegs 2 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)