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Insurance Certificates 2022/23 Convergint Technologies, LLC_ Page 1 of 2 ACaRD�' CERTIFICATE OF LIABILITY INSURANCE DATE 02/241/2022Y) 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 CONTACT Willie Towers Watson Certificate Center NAME: _ Willis Towers Watson [4idweet, Inc. BONE 1-877-945-7378 F No. 1-886-467-2378 c/o 26 Century Blvd E MRIL P.O. Box 305191 ADDRESS: certificatea@willis.com Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAICN INSURERA: X' Insurance America Inc 24554 INSURED INSURERB: Sederal Insurance Company 20281 Com ergint Technologies LLC 0601 XI, specialty Insurance Company 37885 Location 0601 INSURER C : pe Y P y One Commerce Drive INSURERD: Indian Harbor Insurance Company f 36940 Schaumburg, IL 60173 INSURER E : INSURER F : COVERAGES CERTIFICATE Ni1MRFR- W23993462 REVISION NI.IMRER- 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. ILTR TYPEOFINSURANCEADDLSUBR POLICY EFF POLICY-EXP POLICY NUMBER MMlDD7YYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY FACHOCCURRENCE $ 1,000,000 - CLAIMS -MADE F-K OCCUR PREMISES (Ea mcurro%ft_ ;. S - 300,000 A MED EXP (Any oneperson) S 10,000 Y CGD 7422095 03/01/2022 03/01/2023 PERSONAL&ADVINJURY 1,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 P0LICYX JECOT- . X LOG PRODUCTS - COMPIOPAGG $ 2,000,000 $ OTHER: I AUTOMOBILE LIABILITY C EDS NG MI $ 1,000, 000 BODILY INJURY (Per person) $ X ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS CAD 7459994 01 03/01/2022 03/01/2023 BODILY INJURY (Per accident) $ LROf Ef�Y DAMAGE $ HIRED I NON -OWNED AUTOS ONLY AUTOS ONLY Par aCCi eat] _. $ B UMBRELLA LIAB X OCCUR EACHOCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE 9365-2578 03/01/2022 03/01/2023 $ DED RETENTIONS WORKERS COMPENSATION X STATUE EAH AND EMPLOYERS' LIABILITY Y I W E.L. EACH ACCIDENT $ 1,000,000 C ANYPROPRMTORIPARTNER/EXECUTIVE OFFICERYMEMBEREXCLUDED? FIN7ibo NIA Y CWD 7459993 01 03/01/2022 03/01/2023 T - (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 II yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE •POLICY LIMIT . $ 1,000,000 C Workers Compensation - WI CWR 7459998 01 03/01/2022 03/01/2023:6L Each Accident $1,000,000 and Employers Liability EL Diaease-Each Empl.;$1,000,000 Per Statute 6L Disease -Policy Lmt $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SEE ATTACHED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Le Quanta AUTHORIZED REPRESENTATIVE 78495 Calls Tampico La Quints, CA 92253 L(r- ®1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sit ID: 22237792 HATcH: 2425350 2 of 5 7295 AGENCY CUSTOMER ID: LOG #: AGENCY Willis Towers Watson Midwest, Inc. POLICY NUMBER See Page 1 CARRIER See Page 1 ADDITIONAL REMARKS SCHEDULE NAMED INSURED Convergint Technologies LLC #601 Location #601 One Commerce Drive Schaumburg, IL 60173 NAIC CODE See Page 1 EFFECTIVE DATE: See Page 1 AULJI I IV14AL I LFOA 9RZ) THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Page 2 of 2 Job Project Location: Public Safety Camera System (PSCS) 601SNJ8045 - City of La Quints. Citywide Surveillance City of La Quints. and its officers and its employees are included as Additional Insureds as respects to General Liability, as required by written contract. It is further agreed that such insurance as is afforded shall be Primary and Non -Contributory as respects to General Liability with any other insurance in force for or which may be purchased by Additional Insureds as required by writt contract. A Waiver of Subrogation in favor of Additional Insureds applies to the Workers Compensation where required by written contract as permitted by law. INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company POLICY NUMBER: CE0744682206 EFF DATE: 03/01/2022 EXP DATE: 03/01/2023 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Professional Liability Each Claim $5,000,000 Aggregate $5,000,000 Retention $100,000 INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company POLICY NUMBER: MTP9030905 08 EFF DATE: 03/01/2022 EXP DATE: 03/01/2023 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Cyber Aggregate $5,000,000 Occurrence $5,000,000 Retention $1,500,000 NAIC#: 36940 NAIC#: 36940 ACORD 101 (2008/01) © 2008 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 22237792 BATCH:2425350 CERT: W23993462 POLICY NUMBER: CGD 7422095 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 ANY PERSON OR ORGANIZATION THAT YOU ARE VARIOUS AS REQUIRED PER WRITTEN REQUIRED IN A WRITTEN CONTRACT OR WRITTEN CONTRACT. AGREEMENT TO INCLUDE AS AN ADDITIONAL INSURED PROVIDED THE "BODILY INJURY' OR "PROPERTY DAMAGE" OCCURS SUBSEQUENT TO THE EXECUTION OF THE WRITTEN CONTRACT OR WRITTEN AGREEMENT. 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However; 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All worts, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 3 of 5 7295 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of Insurance. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 2 POLICY NUMBER: CGD 7422095 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION THAT YOU ARE VARIOUS AS REQUIRED PER WRITTEN REQUIRED IN A WRITTEN CONTRACT OR CONTRACT. WRITTEN AGREEMENT TO INCLUDE AS AN ADDITIONAL INSURED PROVIDED THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS SUBSEQUENT TO THE EXECUTION OF THE WRITTEN CONTRACT OR WRITTEN AGREEMENT. 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is 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. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG20371219 © Insurance Services Office, Inc., 2018 Page 1 4 of 5 7295 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (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 WHERE REQUIRED BY WRITTEN AGREEMENT SIGNED PRIOR TO LOSS. 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 March 1, 2022 Policy No. CWD 7459993 01 Countersigned by WC 00 0313 (Ed. 4-84) 0 1983 National Council on Compensation Insurance. ENDORSEMENT This endorsement, effective 12:01 a.m., March 1, 2022, forms a part of Policy. No. CGD 7422095 issued to CONVERGINT TECHNOLOGIES, LLC by XL Insurance America, Inc., THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS COVERAGE PART It is agreed that to the extent that insurance is afforded to any Additional Insured under this policy, this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured, as required by written contract. All other terms and conditions of this policy remain unchanged. XIL 424 0605 ©, 2005, XL America, Inc. 5 of 5 7295