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Insurance Certificates 2023/24 Convergint Technologies, LLCACCORD CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 DATE (MMJDD/YYYY) 02/27/2023 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 If SUBROGATION IS WAIVED, this certificate does not confer holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Towers Watson Midwest, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA INSURED Convergint Technologies LLC #601 Location #601 One Commerce Drive Schaumburg, IL 60173 CONTACT Willis Towers Watson Certificate Center NAME: PH PHONE .Ext1: 1-877-945-7378 (WC,NO): 1-888-467-2378 rAJ E-MAIL ADDRESS: certificates@willi.e.com INSURERLS) AFFORDING COVERAGE INSURERA: XL Insurance America Inc NAIC /! 24554 INSURER B: Federal Insurance Company 20281 INSURERC: XL Specialty Insurance Company 37885 INSURER Indian Harbor Insurance Company INSURER E : INSURER F 36940 COVERAGES CERTIFICATE NUMBER: W2815szo0 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 CERT FICATE 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 TYPE OFINSURANCE ADDL SUER POLICY EFp POLICY EXp LTRp p WVD POLICY NUMBER IMIu1+DO1VYYY]�MM1/13- Y ]Y IY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 i I CLAIMS -MADE l X] OCCUR . Alv( E$ ExnxrOence) $ 300,000 MED EXP (Any one person) $ 10, 000 Y CGD 7422095 01 03/01/2023 03/01/2024 PERSONAL 8 ADV INJURY $ 1,000,000 GEjjjNj'L AGGREGAM LIMITAPP��LII;E��S PER: II LOC POLICY 1 X JECOT- L. OTHER I GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X — LIABILITY ANY AUTO OWNED II SCHEDULED AUTOS NON -OWNED AUTOS ONLY CAD 7459994 02 03/01/2023 COMBINED SINGLE LIMIT (Ea accleen!) $ 1,000,000 BODILY INJURY (Per person) $ 03/01/2024 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Lera�tident}__ . , �_ _ , _, $ B X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LOB CLAIMS -MADE 9365-2578 03/01/2023 03/01/2024 AGGREGATE $ 10,000,000 am RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X I STATUS ERH ANYPROPRIETOR'PARTNER/EXECUTIVE Y N n N CND 7459993 02 03/01/2023 03/01/2024 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 and Employers Liability Per Statute CWR 7459998 02 03/01/2023 03/01/2024 EL Each Accident $1,000,000 EL Disease -Each Ernpl. $1,000,000 EL D-Policy Lmt.$1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached it more space is required) SEE ATTACHED CERTIFICATE HOLDER CANCELLATION City of La Quinta 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. AUTHORIZED REPRESENTATIVE tiei.-z..t_.fr ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 23794612 BATCH: 2870229 2 of 5 6658 AGENCY CUSTOMER ID: LOC #: ACCoRD- ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Willis Towers Watson Midwest, Inc. POLICY NUMBER See Page 1 CARRIER See Page 1 NAIL CODE See Page 1 NAMED INSURED Convergint Technologies LLC 4601 Location 4401 One Commerce Drive Schaumburg, IL 60173 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Job Project Location: Public Safety Camera System (PSCS) 6015NJ8045 - City of La Quinta Citywide Surveillance. City of La Quinta 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 written 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 Inaurai.r:5n Coiapaizy NAIC#: 35540 POLICY NUMBER: MTP9030905 09 EFF DATE: 03/01/2023 EXP DATE: 03/01/2024 TYPE OF INSURANCE: Cyber LIMIT DESCRIPTION: LIMIT AMOUNT: Aggregate $5,000,000 Occurrence $5,000,000 Retention $1,500,000 INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 POLICY NUMBER: CE0744682207 EFF DATE: 03/01/2023 EXP DATE: 03/01/2024 TYPE OF INSURANCE: Professional Liability LIMIT DESCRIPTION: LIMIT AMOUNT: Each Claim $5,000,000 Aggregate $5,000,000 Retention $1,500,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:23794612 BATCH: 2870229 CERT: W28155200 POLICY NUMBER: CGD 7422095 01 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 REQUIRED IN A WRITTEN CONTRACT OR 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. VARIOUS AS REQUIRED PER WRITTEN CONTRACT. 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 work, 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 20101219 © Insurance Services Office, Inc., 2018 Page 1 3of5 6658 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. CG20101219 © Insurance Services Office, Inc., 2018 Page 2 POLICY NUMBER: CGD 7422095 01 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 REQUIRED IN A WRITTEN CONTRACT OR 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. VARIOUS AS REQUIRED PER WRITTEN CONTRACT. 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 6858 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT (Ed. 4-84) 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, 2023 Policy No. CWD 7459993 02 Countersigned by WC000313 (Ed. 4-84) ® 1983 National Council on Compensation Insurance. ENDORSEMENT This endorsement, effective 12:01 a.m., March 1, 2023, forms a part of Policy No. CGD 7422095 01 by XL Insurance America, Inc. issued to CONVERGINT TECHNOLOGIES LLC 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 PRODUCTS/COMPLETED 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 ors 6658