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Insurance Certificates 2022/23 GovInvest, Inc/ ACCORD® � D® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/08/2022 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 MBISI, Inc. - Meridian Brokerage 18980 Ventura Blvd., Suite 330 Tarzana CA 91356 CONTACT Serge Sinanian NAME: (HCCONE , EXt): (818) 225-7025 FAX No): (818) 225-7026 E-MAIL serge@mbisi.com ADDRESS: g INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Sentinel Insurance Company, Ltd INSURED Govinvest Inc. 1230 Rosecrans Ave., St 300 PMB 754 Manhattan Beach CA 90266 INSURER B : Allstate Insurance Company INSURER C : Hiscox Insurance Company Inc. INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CL2263009418 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 72 SBM BB5518 06/25/2022 06/25/2023 EACH OCCURRENCE 000 $ 2,000,DAMAGE CLAIMS -MADE X OCCUR TO PREMISES (Ea occE ence) $ 1'000'000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PRO PER: LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OPAGG $ 4,000,000 $ B AUTOMOBILE X _ LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY N N 648847300 04/17/2022 04/17/2023 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y N 72 SBM BB5518 06/25/2022 06/25/2023 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N /A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C Cyber Liability & Professional Liability Claims Made Y N MPL2075241.22 09/28/2022 09/28/2023 Aggregate Each Claim Retention 2,000,000 2,000,000 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Application Service Provider. City of La Quinta, its elected or appointed officers, officials, employees, agents and volunteers are named as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the consultant or any subcontractors including materials, parts or equipment furnished in connection with such work or operations, including completed operations. Coverage under the policy is Primary and Non -Contributory. Refer to attached policy form IH 12 00 11 85 T for scope of additional insured status. Waiver of Subrogation endorsement form IH 12 00 11 85 T is attached. Regarding Commercial Auto policy, please refer to attached policy form CA 20 01 10 13 for scope of additional insured status. 30 Days Notice of Cancellation Or Reduction of Coverage. 10 Days Notice of Cancellation for Non -Payment of Premium. CERTIFICATE HOLDER CANCELLATION City of La Quinta 78495 Calle Tampico La Quinta 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GOVINVE-01 LLAPSANSKY ,4comb CERTIFICATE OF LIABILITY INSURANCE �------ DATE(MMIDDIYYYY) 9/16/2022 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 Total Resources Ins Agy 39 Public Square Wilkes-Barre, PA 18702 CONTACT Ed Collins NAME: PHONE (A/C, No, Ext): (800) 969-5454 (A/C, No):(570) 825-2990 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:AmGUARD Insurance Company 42390 INSURED Govinvest, Inc. 8605 Santa Monica Blvd PMB 52465 West Hollywood, CA 90069 INSURER B : 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. 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR W VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES JECOT PER: LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILECOMBINED LIABILITY SCHEDULED AUTOS NON-OWNEDUUO SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY a E accident) DAMAGE $ $ U UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y /N , N / A X GOWC324305 8/27/2022 8/27/2023 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Excluded: Jasmine Nachtigall-Fournie A waiver of subrogation in favor of the certificate holder has been included in the workers compensation policy. (see attached endorsement). CERTIFICATE HOLDER CANCELLATION CityOf La Quinta 74895 Calle Tampico La Quinta, 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. AUTHORIZED REPRESENTATIVE� ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) 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 1.02 % of the California workers' compensation premium otherwise due on such remuneration. Person or Organization Blanket Waiver - Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Schedule Job Description All CA Operations 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. GOWC324305 Endorsement No. Insured Insurance Company Countersigned By rd-1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS AUTOSAUTOS NON-OWNEDHIRED AUTOS SCHEDULEDALL OWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD MTTU Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor New York, New York 10022 (888) 202-3007 contact@hiscox.com Hiscox Insurance Company Inc 10200 GovInvest Inc. 1230 Rosecrans Ave Ste 300 Pmb 754 Manhattan Beach, CA 90266 City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 Each Claim: $ 1,000,000 Aggregate: $ 2,000,000 Professional LiabilityA 02/10/202302/10/2022P100.094.137.8 02/10/2022 ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 6/10/2022 (570) 825-9900 (570) 825-2990 42390 GovInvest, Inc. 1230 Rosecrans Ave. Suite 300 Manhattan Beach, CA 90266 A GOWC292584 8/27/2021 8/27/2022 1,000,000Y1,000,000 1,000,000 Excluded: Jasmine Nachtigall-Fournier Excluded: Ted Price City Of La Quinta 74895 Calle Tampico La Quinta, CA 92253 GOVINVE-01 BBUCCI Total Resources Ins Agy39 Public SquareWilkes-Barre, PA 18702 Ed Collins servicecenter@guard.com AmGUARD Insurance Company X ACORV CERTIFICATE OF LIABILITY INSURANCE Y) DATE(M/2022 06/30/2022 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 NAME: ONTACT Serge Sinanian MBISI, Inc. - Meridian Brokerage PHONE (818) 225-7025 FAX (818) 225-7026 (A/C- No Ext : (AIC, No): 18980 Ventura Blvd., Suite 330 E-MAIL serge@mbisi.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p Tarzana CA 91356 INSURER A: Sentinel Insurance Company, Ltd INSURED INSURER 8 : Allstate Insurance Company Govinvest Inc. INSURER C : Hiscox Insurance Company Inc. 1230 Rosecrans Ave., St 300 PMB 754 INSURER D : INSURER E : Manhattan Beach CA 90266 INSURER F : COVERAGES CERTIFICATE NUMBER: CL2263009418 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 CONTRACTOR OTHER DOCUMENT WITH 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 A Y Y 72 SBM BB5518 06/25/2022 06/25/2023 GEN'LAGGREGATE LIMITAPPLIES PER: X POLICY PRO- JECT LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS-COMP/OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident)$ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N 648847300 04/17/2022 04/17/2023 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE Y N 72 SBM BB5518 06/25/2022 06/25/2023 DED RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y I N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) El If yes, describe under DESCRIPTION OF OPERATIONS below NIA I PER OTH- LITETATSER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C Cyber Liability S Professional Liability Claims Made Y N MPL2075241.21 09128/2021 09/28/2022 Aggregate Each Claim 2.000,000 2,000,000 Retention 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Application Service Provider. City of La Quinta, its elected or appointed officers, officials, employees, agents and volunteers are named as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the consultant or any subcontractors including materials, parts or equipment furnished in connection with such work or operations, including completed operations. Coverage under the policy is Primary and Non -Contributory. Refer to attached policy form IH 12 00 11 85 T for scope of additional insured status. Waiver of Subrogation endorsement form IH 12 00 11 85 T is attached. Regarding Commercial Auto policy, please refer to attached policy form CA 20 01 10 13 for scope of additional insured status. 30 Days Notice of Cancellation Or Reduction of Coverage. 10 Days Notice of Cancellation for Non -Payment of Premium. vcr%Ilrl%&MIc nyLucr% I.ANI:tLLAIIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico AUTHORIZED REPRESENTATIVE La Quinta CA 92253 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your "employees", "volunteer workers", any partner or member (d you are a partnership or joint venture), or any member (if you are a limited liability company). b. Real Estate Manager Any person (other than your "employee" or "volunteer worker`), or any organization while acting as your real estate manager. c. Temporary Custodians Of Your Property Any person or organization having proper temporary custody of your property if you die, but only: (1) Wth respect to 1100ty arising out of the maintenance or use of OW property; and (2) Until your legal representative has been appointed. d. Legal Representative If You Die Your legal representative If you die, but only with respect to duties as such. That representative will have all your rights aril duties under this insurance. e. Unnamed Subsidiary Any subsidiary and subsidiary thereof, of yours which Is a legally Inc otporated entity of which you own a financial interest of awre than 50% of the voting stock on the effective date of this Coverage Part. The Insurance afforded herein for any subsidiary not shown In the Declarations as a named .Insured does not apply to Injury or damage with respect to which an Insured under this insurance Is also an Insured under another policy or would be an Insured under such policy but fbr its termination or upon the exhaustion of Us Iimits of insurance. 3. Newly Acquired Or Formed Organization Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain financial interest of more than 50°% of the voting stock, will quarrry as a Named Insured if there Is no other similar Insurance available to that organization. However. a. Coverage under this provision Is afforded only until the 180th day after you acquire or fart the organization or the and of the policy period, whichever Is eartler; and BUSINESS LIABILITY COVERAGE FORM b. Coverage under this provision does not apply to: (1) "Bodily injury" or "property damage" that occurred; or 12) "Personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. 4. Operator Of Mobile Equipment With respect to "mobile equipmenf' registered to your name under any motor vehicle registration law, any person is an Insured while dd&g such equipment along a public highway with your pemtission. Any other person or organization responsible for the conduct of such person is also an insured, but only with respect to Its Qty arising out of the operation of the equipment: and only if no other insurance of any kind is aysYable to that person or organization for this liability. Howmrer, no person or organkdon is an Insured with respeetto: a. "Bodily Injury" to a co -"employee" of the person driving the equipment; or b. "Property damage" to property owned by, rented to, In the charge of or occupied by you or the employer of any person who is an Insured under this provision. S. Operator of Nonowrted Watercraft With respect to watercraft you do not own that is less than 51 feet long and is not being used to carry persons for a charge, any person is an Insured while operating such watercraft with your permission. Any other person or organization responsible for the conduct of such person is also an Insured, but only with respect to liability arising out of the operation of the watercraft and only If no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an Insured with respect to: a. "Bodily Injury" to a Wemployee" of the person operating the watercraft; or b. "Property damage" to property owned by. rented to, in the charge of or occ:upled by you or the employer of any person who is an insured under this provision. 6. Additional Insureds When .Required By Written Contrack Written Agreement Or Permit The person(s) or organization(s) idwMed In Paragraphs a. through 1. below are additional Insureds when you have agreed, In a written Form 88 00 08 04 05 Paige 11 of 24 BUSINESS UABUM COVERAGE FORM! 1W 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 insured under this provision only for that products; (fl 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 N such product person or organiwdon 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 by you, have been labeled Including all persons or organizations added or relabeled or used as a as additional insureds under the specific container, part or ingredient of 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 damage" arising out of the sole Any perso(s) or orgardzation(s} (mitred to negligence of the vendor for its below as vendor), but on with respect to �► own acts or omissions or those of "bodily Injury" or "property damago" arising its employees or anyone else out of `yam' Prods" which are distributed aging 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 "bor�'ly (I). The exceptions contained in provides coverage for injury" or "property damage" Included within the Subparagraphs (d) or (fl; or "producteomnpleted operations t=Wd'. (ih Such tn�tans, aerpAbimnIM• (1) The Insurance afforded to the vendor tests or servicing as the vendor is subject to the falk wing additional has agreed to make or norrnally exclusions: undertakes to melee in the usual course of business, in This insurance does not apply to: connection with the distribution (a) "Bodily injury" or "property or sate 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, liWrdy in a contact 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 Pam, vendor would have in the absence b. lessors Of Equipment of the contract or agreement; (b) Any express warranty (1) Any person or organization from whom you tease equipment; but only unauthorized by you; 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) RepacksgiM except when maintenance, operation or use of unpacked solely for the purpose of equipment teased to you by such hspecdon, demonsbaff 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 88 00 08 04 06 BUSINESS LIABILITY COVERAGE FORM (2) With respect to the Insurance afforded e. Permits issued By State Or Poiiticai to these additional Insureds, this Subdivisions insurance doss 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 equipmenL permed by you or on your behalf fbr 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, nvaurtenance 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) "may InW or "PmPedy fie" place after you cease to lease that included within the "products. - land or be a tenant in that completE d operations hazard". premises; or E 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 thjury-, orgardzation. "property damage" or "personal and d. Architects, Engineers Or Surveyors advertising injury" caused, In whole or (1) Any atchltect, 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 damW or "personal on your behalf: and advertising bluryf caused, In whole (a) in the perfbmnanoe 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 beha>f 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 (11) 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 completeed operations hazard". services by or for you, including: (2) VM ,respect to the Insurance aflbrded (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. Fonn SS 00 08 04 05 Page 13 of 24 BUSINESS LIABILITY COVERAGE FORM (a) The preparing, approving, or This General Aggregate limit does not failure to prepare or approve, apply to "property damage" to premises maps, shop drawings, opinions, white rented to you or temporarily reports, surveys, field orders, occupied by you with permission of the change orders, designs or owner, arising out of fire, lightning or drawings and specifications; or explosion. (b) Supervisory, inspection, 3. Each Occurrence Limit architectural or engineering Subject to 2.a. or 2.1b above, whichever activities. appfees, the most we will pay for the sum of all The limits of insurance that apply to additional damages because of all "bodily injury", Insureds are described in Section D. — Limits "property damage" and medical expenses Of Insurance. arising out of any one "occurrence" is the How this Insurance applies when other Liability and Medical Expenses Limit shown in Insurance Is available to an additional insured the Declarations• is described in the Other Insurance Condition The most we will pay for all medical expenses In Seddon E. — Liability And Medical Expenses because of "bodily injury" sustained by any General Conditions. one person Is the Medical Expenses Limit No person or organization is an insured with shown In the Declarations. respect to the conduct of any current or past 4. Personal And Advertising Injury Limit partnership, joint venture or limited tiablitty Subject to 2.b. above, the most we will pay for company that Is not shown as a Named Insured In the sum of all damages because of all the Declarations. "personal and advertising injury" sustained by D. LIABILITY AND MEDICAL EXPENSES any one person or organization is the Personal L1MffS OF INSURANCE and Advertising Injury Limit shown In the eons. 1. The Most We Wltl Pay 6. Damage To Premises Rented To You Ur it The Limits of Insurance shown in the The Damage To Premises Rented To You Declarations and the rules below fix the most Limit is the most we will pay under Business we will pay regardless of the number of. Liability Coverage for damages because of a. Insureds; "property damage" to any one premises, white b. Claims made or "suits" brought; or rented to you, or in the case of damage by fire, c. Persons or organizations malting claims or lightning or explosion, while rented to you or bringing "suits". temporarily occupied by you with permission of 2. Aggregate Limits the owner. In the case of damage by fire, Ughtntng or The most we will pay for. explosion, the Damage to Premises Rented To a. Damages because of "bodily Injury" and You Limit applies to all damage proximately "property damage" Included in the caused by the same event, whether such "products -completed operations hazard" Is damage results from fire, lightning or explosion the Products -Completed Operations or any combination of these. Aggregate Limit shown In the 6. How Limits Apply To Additional Insureds Declarations. The most we will pay on behalf of a person or b. Damages because of all other "bodily "personal organization who is an additional Insured injury", "properly damage" or under this Coverage Part Is the lesser of. and advertising injury", Including medical expenses, is the General Aggregate Limit a. The limits of Insurance specified in a shown in the Declarations. contract, written agreement or This General Aggregate Limit applies permitissued by a state or political permit subdivision; or separately to each of your "tocatiand" owned by or rented to you. b. The Limits of Insurance shown In the means premises involving the Declarations."Location" same or connecting fats, or premises Such amount shag be a part of and not in whose connection Is interrupted only by a addition to the Limits of Insurance shown in street, roadway or right-of-way of a the Declarations and described in this Section. railroad. Page 14 of 24 Form SS 00 08 04 06 If more than one limit of insurance under this policy and any endorsements attached thereto applies to any claim or "suit', the most we will pay under this policy and the endorsements is the single highest limit of liability of all coverages applicable to such claim or "suit". However, this paragraph does not apply to the Medical Expenses Iimit set forth In Paragraph 3. above. The Limits of Insurance of this Coverage Part apply separately to each consecutive arms) period and to any remaining period of less than 12 months, starling with the beginning of the policy period shown In the Declarations, unless the policy period Is exuded after issuance for an additional period of less then 12 months. In that case, the additional period will be deemed part ofthe last preceding period for purposes of ddeff thtg the Unit of Insurance. E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS 1. Bankruptcy Bankruptcy or Insolvency of the Insured or of the Insured's estate will not relieve us of our obligations under this Coverage Part. 2. Dudes In The Event Of Occurrence, bffense, Claim Or Suit a. Notice Of Occurrence Or Offense You or any additional insured must see to 0 that we are notified as soon as praccable of an "occurrence" or an offense which may result In a claim. To the extent possible, notice should Include: (1) How, when and where the "occurrenwe" oroffense took place,; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any Injury or damage arising out of the "occurrence" or offense. b. Notice Of Claim If a claim is made or "suit" is brought against any Insured, you or any additional insured must: (1) Immediately record the specifics of the claim or %We and the date received; and (2) Notify us as soon as practicable. You or any additional insured must see to It that we receive a written notice of the claim or "surf' as soon as pracfcabto. c. Assistance And Cooperation Of The Insured You and any other involved Insured must BUSINESS UABIIJ7Y COVERAGE FORM (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or %ulY; (2) Authorize us to obtain records and other Information; (3) Cooperate with us in the investigation, settlement of the Balm or defense against the "suit; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization that may be liable to the insured because of injury or damage to which this insurance may also -apply. d. Obligations At The Insured's Own Cost No Insured vA except at that bouneft own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, wiihoutour consent e. Additional Insured's Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other Insurance available to an additional insured, such additional insured must submit such claim or "suit=' to the other Insurer for defense and Indemnity. However, this provision does not apply to the extent that you have agreed in a . written contract written agreement or permit that this insurance is primary and non-contributory with the additional insured's own insurance. f. Knowledge Of An Occurrence, Offense, Claim Or Suit Paragraphs a. and b. apply to you or to any additional insured only when such "occurrence", offense, claim or "suit" is known to: (1) You or any additional insured that Is an Individual; (2) Any partner, if you or an additional Insured Is a partnership; (3) Any manager, If you or an additional Insured is a limited Iiabiltty company; (4) Any "executive oWwr or insurance manager, if you or an additional Insured Is a corporation; (s) Any trustee, if you or an additional Insured Is a trust; or (6) Any elected or appointed official. If you or an additional insured Is a political subdivision or public entity. Form SS 00 08 04 05 Page 15 of 24 BUSINESS LIABILITY COVERAGE FORM This Paragraph L applies separdtedl to you and any additional insured. 3. Financial Responsibility Laws a. When this policy is certified as proof of financial responsibility for the future under the provisions of any motor vehicle financial responsibility law, the Insurance provided by the policy for "bodily Injury'" liability and "property damage" liability will comply with the provisions of the law to the extent of the coverage and ilmits of Insurance required by that law. IL With respect to "mobile equipment" to which this Insurance applies, we will provide any Gablliry, uninsured motorists, underinsured motorists, no-fault or other coverage required by any motor vehicle law. We will provide the required limits for those coverages. 4. Legal Action Against Us No person or organization has a right under this Coverage Form: a. To join us as a party or otherwise bring us Into a "suit" asking for damages from an Insured; or b. To sue us on this Coverage Form unless all of its terns have been fully oomplred with. A person or organization may sue us to recover on an agreed settlement or on a final Judgment agahst an insured; but we wiil not be liable for dud are not payable underthe terns of this insurance or that are In excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liffiiity signed by us, the insured and the claimant or the c late 's legal representative. 5. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or dudes specifically assigned In this policy to the first Named Insured, this Insurance applies: a. As if each Named Insured were the only Named Insured; and Is. Separately to each insured against whom a claim is made or "suit'' is brought. 6. Representations a. When You Accept This Policy By accepting this policy, you agree: (1) The statements in the Declarations are accurate and complete; (2) Those statements are based upon representations you made th us; and (3) We have Issued this policy in reliance upon your representations. b. Unintentional Failure To Disclose Hazards If unintentionally you should fail to disclose all hazards relating to the conduct of your business at the Inception date of this Coverage Part, we shall not deny any coverage under this Coverage Part because of such failure. 7. Other Insurance If other valid and collectible Insurance Is available for a toss we cover under this Coverage Part our obligations are limited as follows: a. Primary Insurance This insurance is primary except when b: below apples. If other insurance Is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Insurance This Insurance Is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) Your Work That is Re, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work` (2) Premises Rented To You That is fire, lightning or explosion Insurance for premises rented to you or temporarily occupied by you with permission of the owner, (3) Tenant Liability That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner, (4) Aircra% Auto Or Watercraft If the loss arises out of the maintenance or use of a mr4'%utW orwatercrattto the exl ent not subject to Exclusion g. of Section A. — Coverages. (5) Property Damage To Borrowed Equipment Or Use Of Elevators N the loss arises out of "property damage" to borrowed equipment or the use of elevatm to the extent not subject to Exclusion k. of Sectlon A. — Coverages. Page 16 of 24 Form SS 00 08 04 05 (6) When You Are Added Additional Insured To Other Insurance That is other insurance available; to YOU covering liability for damages arising out of the premises or operations, or products and completed operations, for which :you have :been added as an additional insured bythat insurance; or (7) When You Add Others As An Additional Insured To This Insurances That is other insurance available to an additional Insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this Coverage P rt: (a) rimary* Insurance when Required By Contract This insurance is primary if you have ,agreed In . a written rontrac t written agreement or permit that this Insurance be primary. if other Insurance Is also primary, we will shave with all that other Insurance by the method described in c. below. 3To, Primary And Non4ontributory0iher Insurance When Requir ed By Contract' If you have agreed In a written contract written agreement or permit that this Insurance is primary and non-contributory with the additional insured's own Insurance, this insurance Is primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional Insured has been added as an additional Insured. When this insurance is excess, we will have no duty under this Coverage Part to defend the insured against any "suit" if any other Insurer has a duty to defend the insured against that "suit". If no other Insurer defends, we will undertake to do so, but we will use entitled to the Insured's rights against all those other Insurers. BUSINESS UABIUTY COVERAGE FORM When this insurance Is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of (1) The total amount that all.such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - Insured amounts under all that other Insurance. We will share the remaining loss, if any, with any'.other '€nsurance #fat is not described In this Excess Insurance provision and was not bought specifically W apply In excess of the Umits of Insurance shown in the Declarations of this Coverage fart. c. Method Of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of Insurance or none of the loss remains, whichever comes fast. Ifany of the other insurance does not penhvt contribution by equal shares, we wfil contribute by limits. Under this method, each Insurer's shard is based on the ratio of its applicable limit of insurance to the •total applicable limits of insurance of all insurers. 8. Transf+er, Of Rights Of . Recovery. Against. 61hers To Us' a. Transfer Of Rights Of Recovery If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to Impair thews. At our request, the Insured will bang "suit' or transfer those rights to us and help us enforce them. This condition does not apply to Medical Expenses Coverage. b.. Waitigr Of Rl�hbs Of Recovery :(Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, Including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the Insured waived their rights of recovery against such person or organization Ina contract, agreement or permit that was executed prior to the Injury or damage. Form SS 00 08 04 05 Page 117 of 24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM We wavve any right of recovery we may have against: 1. Any person or organization shown in the Declarations, or 2. Any person or organization with whom you have a contract that requires such waiver. Form SS 1215 03 00 0 2000, The Hartford Page 1 of 1 AV H I SCOX PRa 520 Madison Avenue 32nd Floor, New York, NY 10022 (646) 4522353 NAMED INSURED: Govinvest Inc. _ ► 4 ► l _ .�.: ► j - is In consideration of the premium charged, and on the understanding this endorsement leaves all other terms. conditions, and exclusions unchanged, it is agreed the Cyber Coverage Part is amended as follows: 1. The following definition is added to the end of Section Ill. Who is an insured: Additional Insured means any person(s) or organization(s) the named Insured has agreed in a written contract or agreement to add as an additional Insured to a policy providing the type of coverage afforded by this Coverage Part, provided the contract or agreement: 1. is currently in effect or becomes effective during the policy period; and 2. was executed before the business operations from which the claim or event arises were performed. Coverage is available for additional Insureds solely for their liability arising out of the named Insured"s negligence or of those acting on the named Insureds behalf and not for any liability arising out of the sole negligence of the additional Insured. 11. In the preamble of Section Ill. Who is an insured, the words 'additional Insured,' are added after 'named Insured,". III. In Section VII. Definitions, the definition of "You, your, or Insured' is amended to add the words "additional Insured." after "named Insured,". Endorsement effective: 09/28/2020 Certificate No.: Endorsement No: 14 Processed Date: Hiscox Inc. Authorized Representative Kevin Kerridge MPL2075241.20 08/12/2020 CYSCI-CYS E2013 CW (04119) Page 1 of 1 HPAENAUREN103