Original Agreement - Complete Paperless Solutions — Redondo Beach City Council, August 2, 2022

Complete Paperless Cp5 Solutions
DIAMOND Software Maintenance and Support Agreement
Complete Paperless Solutions Maintenance and Support Agreement This Agreement entered into between Complete Paperless Solutions, a California Limited Liability Company, (" CPS" or " Consultant") at 4025 E. La Palma Avenue, Suite 204 Anaheim, California, 92807, and the City of Redondo Beach (" City") at 415 Diamond Street, Redondo Beach, CA 90277 is for the Period of September 4, 2019 to September 3, 2022.

CPS shall provide maintenance and support services (" Services") to the City as defined in this Agreement for the following Software and Hardware described as follows:

No. Description Qty

1. Laserfiche Enterprise Server Diamond LSAP 1

2. Laserfiche Full User Diamond LSAP 25

3. Laserfiche Read Only User Diamond LSAP 50

4. Laserfiche Snapshot Diamond LSAP 25

5. Laserfiche Email Plug- In Diamond LSAP 25

6. Laserfiche WebLink Enterprise Diamond LSAP 1

7. Weblink Customization 1

8. Laserfiche Advanced Audit Trail-Advanced Diamond LSAP 1

9. Laserfiche Workflow Diamond LSAP 1

10. Laserfiche Workflow add. User Diamond LSAP 15

11. Laserfiche Plus Plug In User Diamond LSAP 2

12. Diamond Support for Bates Stamping 1

13. Laserfiche LSAP Import Agent 1

14. CPS Diamond On-Site Support 1
Refer to Exhibit" A" for Project Description of Services

1. Annual Fee. City agrees to pay CPS in accordance with Exhibit" C" Compensation and Attachment 1 ( Software Items, Details and Costs).

2. Period of Performance. CPS shall provide maintenance and support services to City, upon payment by City of the annual fee, for a period of one( 1) year, starting with the date of this Agreement. This annual term may be extended each year, upon. payment by City for the subsequent year as provided in Exhibit " B" Contract Term and Exhibit " C" Compensation.

3. Maintenance. CPS shall use commercially reasonable best efforts to identify and resolve bugs, errors and other problems with the Product, whether discovered by CPS or reported by customers or from anyother credible source. CPS may also elect to provide enhancements, updates or other changes to the Product at CPS' sole discretion. CPS shall publish maintenance updates for Product at least annually to City, along with release notes, itemization of known problems or system errors, updates to product documentation and other data necessary for City to implement the update.

4. Support. CPS shall provide phone support to City from 8: 00 AM to 5: 30 PM PST on normal business days, excluding normal and customary:.holidays. CPS shall respond to Complete Paperless Solutions— 4025 E. La Palma Avenue, Suite 204 Anaheim, California, 92807—www.cps247. com oFP DOrypoeF
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City within 4 hours for Diamond support or next business for Bronze support. CPS shall use commercial reasonable best efforts to answer questions, identify and resolve problems with the Product, and assist with operational procedures or work-arounds. CPS may provide patches or other fixes outside the normal Laserfiche Product Maintenance updates provided by Laserfiche such as the scanning engine, barcode, bates stamping and WebLink customization. It will be to the sole discretion of CPS to provide these updates and patches.

5. Service Limitations. CPS shall be under no obligation to provide Services as a result of( a) the operation of Product outside normal configurations described in Product documentation; ( b) City's material failure to maintain Product according to industry standards and conventions or as required by Product documentation; ( c) customization of Product by anyone other than CPS.

6. Brokers. CPS acknowledges, represents and warrants that CPS has not hired, retained or agreed to pay any entity or person any fee, commission, percentage, gift, or any other consideration, contingent upon or resulting from the award or making of this Agreement.

7. Termination. Any discretionary or vested right of renewal notwithstanding, this Agreement may be terminated upon ninety ( 90) days written notice by the City.

However, CPS shall be compensated for all authorized work satisfactorily performed prior to the effective date of termination. CPS shall remit a prorated refund of the annual payment within thirty (30) days of the date of termination.

8. Conflict of Interest. CPS acknowledges, represents and warrants that CPS shall avoid all conflicts of interest( as defined under any federal, state or local statute, rule or regulation, or at common law) with respect to this Agreement. CPS further acknowledges, represents and warrants that CPS has no business relationship or arrangement of any kind with any City official or employee with respect to this Agreement. CPS acknowledges that in the event that CPS shall be found by any judicial or administrative body to have any conflict of interest( as defined above) with respect to this Agreement, all consideration received under this Agreement shall be forfeited and returned to City forthwith. This provision shall survive the termination of this Agreement for one ( 1) year.

9. Non Liability of Officials and' Employees of the City. No official or employee of the City shall be personally liable for any default or liability under this Agreement.

10. Compliance with Laws. CPS shall comply with all federal, state and local laws, statutes, ordinances, rules and regulations, and the orders and decrees of any courts or administrative bodies or tribunals, with respect to this Agreement.

11. Subcontracting and Assignment. Neither party shall assign its rights without the written consent of the other party. The sale, assignment, transfer or other disposition, on a cumulative basis, of twenty five percent( 25%) or more of the ownership interest in CPS or twenty five percent (25%) or more the voting control of CPS shall constitute an assignment for purposes of this Agreement.

12. Amendment. This Agreement may be amended or modified only by a subsequent written amendment executed by both parties.

13. Confidentiality. To the extent permissible under law, CPS shall keep confidential its obligations hereunderand the information acquired during the performance of the project or services hereunder.

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DIAMOND Software Maintenance and Support Agreement

14. Governing Law and Venue. This Agreement shall be construed in accordance with the laws of the State of California without regard to principles of conflicts of law. Venue for any litigation or other action arising hereunder shall reside exclusively in the Superior Court of the County of Los Angeles, Southwest Judicial District.

15. Attorneys' Fees. In the event either party to this Agreement brings any action to enforce or interpret this Agreement, the prevailing party in such action shall be entitled to reasonable attorneys' fees ( including expert witness-fees) and costs. This provision shall survive the termination of this Agreement.

16. Claims. Any claim by CPS against City hereunder shall be subject to Government Code 800 et seq. The claims presentation provisions of said Act are hereby modified such that the presentation of all claims hereunder to the City shall be waived if not made within six ( 6) months after accrual of the cause of action.

17. Severance. Any provision of this Agreement that is found invalid or unenforceable shall be deemed severed, and all remaining provisions of this Agreement shall remain enforceable to the fullest extent permitted by law.

18. Limitation of Liability. CPS' sole liability under this Agreement shall be limited to direct, objectively measured damages. In no event shall either party have any liability to the other for any-indirect, consequential, special, incidental or speculative damages whether arising under contract, tort or statute, including without limitation, loss of use, business interruptions, loss or corruption of data, claims of infringement, loss of good will and loss of profits.

19. License. The support and maintenance services provided under this Agreement are subject to the software license agreement for Product.

20. Exhibits. All exhibits hereto are made a part hereof and incorporated herein by reference.

21. Insurance. CPS shall maintain Insurance in accordance with the requirements set forth in Exhibit" D".

22. Certificate of Insurance. See Exhibit" E".

23. Invoice. See Exhibit" F".

24. Authority. City warrants and represents that upon City Council approval, the Mayor of the City of Redondo Beach is duly authorized to enter into and execute this Agreement on behalf of City. The party signing on behalf of CPS warrants and represents that he or she is duly authorized to enter into and execute this Agreement on behalf of CPS, and shall be personally liable to City if he or she is not duly authorized to enter into and execute this Agreement on behalf of CPS.

SIGNATURES ON NEXT PAGE
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IN WITNESS WHEREOF, the parties have executed this Agreement in Redondo Beach, California, as of this 6th day of August, 2019.

AUTHORIZED SIGNATURES
Complete Paperless Solutions: City of Redondo Beach
owl ,
Signature ( J Signature
Thomas Ziencina, CEO William C. Brand
Name Name
Chief Executive Officer Mayor
Title Title
APPROVED:

Jill Buc olz, sk Manager
ATTEST:

E2I4Lfto1
Eleanor Manzano, City
APPROVED AS TO FORM:

Michael W. Webb, City Attorney
ATTEST:

Phie,-(1
ELEANOR MANZANO, C to. CLERK
eooaa
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Exhibit" A"
Project Description of Services
CPS agrees to provide the maintenance and support services described below with respect to the following items
No. Description Qty

1. Laserfiche Enterprise Server Diamond LSAP 1

2. Laserfiche Full User Diamond LSAP 25

3. Laserfiche Read Only User Diamond LSAP 50

4. Laserfiche Snapshot Diamond LSAP 25

5. Laserfiche Email Plug- In Diamond LSAP 25

6. Laserfiche WebLink Enterprise Diamond LSAP 1

7. Weblink Customization 1

8. Laserfiche Advanced Audit Trail-Advanced Diamond LSAP 1

9. Laserfiche Workflow Diamond LSAP 1.

10. Laserfiche Workflow add. User Diamond LSAP 15

11. Laserfiche Plus Plug In User Diamond LSAP. 2 ..

12. Diamond Support for Bates Stamping 1

13. Laserfiche LSAP Import Agent 1

14. CPS Diamond On- Site Support 1
CPS shall promptly notify City of any material defects or malfunctions in the Software or documentation which it learns from any source.

CPS shall provide City with copies of the software and documentation revised to reflect any and all updates and enhancements if any to the software made by CPS during the maintenance and support period. Such enhancements shall include all modifications to the Software which increase the speed efficiency or ease of operation of the Software or add capabilities to or otherwise improve the functions of the Software.

Support shall include the correction of material errors within a reasonable time and with reasonable effort. Support does not include correction of errors caused by unauthorized modification made to the Software. CPS is not obligated by this Agreement to undertake any such updates or infringements.

Software and documentation for updates and enhancements shall- be provided to the City for installation in diskette form, CD - ROM or DVD for installation by City and shall be installed by CPS only if necessary and requested in writing by City.

CPS shall provide telephone support on a reasonable and necessary basis between the hours of 8: 00AM and 5: 30PM Monday through Friday excluding bank holidays, or through written correspondence unless otherwise specified.

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CPS shall use best efforts to respond to City's requests and problems within a time frame that reasonably reflects the urgency of the resolution of the request. CPS shall use reasonable efforts to give the most appropriate advice but the responsibility for acting on or implementing such advice shall remain with City.

CPS shall provide on - site support within 24 hours or within a mutually agreed time frame. ostOoNDc;
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DIAMOND Software Maintenance and Support Agreement
Exhibit" B"
Contract Term
The term of this Agreement shall commence on September 4, 2019 and continue through to September 3, 2022 (" Term") unless otherwise terminated as herein provided. The Agreement may be renewed for a subsequent annual term by a written mutual amendment executed by both the City and CPS, and approved by City Council.

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Exhibit" C"
Compensation
Provided CPS is not in default under this Agreement, CPS shall be compensated as provided below.

1. Payment:
a. Annual Payment: CPS shall be paid in the amount of$ 34, 709. 00 annually in accordance with Exhibit" F" and subject to Section 2 of this Exhibit" C" within fortyfive days ( 45) after the commencement date of the Agreement and the annual anniversary date thereafter. In no event shall the total compensation exceed 104, 127. 00 during the term of the Agreement.
b. Subsequent Years: In the event this Agreement is renewed in accordance with Exhibit" B", CPS may request reasonable price adjustments to the annual fee for the renewed term. However, no price adjustments shall be effective unless a written amendment to this Agreement is executed by both parties, and approved by the City Council.
c. Additional Fees: The City shall receive eight days ( or 64 hours) of on- site support at no additional cost
Hourly Rate: The hourly rate for on- site support beyond nine days of service shall be $ 150 per hour.
ii. Daily Rate: The daily rate beyond sixteen days shall be $ 1, 000 per day. iii. All charges shall be executed by a subsequent amendment prior to commencement of any additional on- site support..

2. Schedule for Payment: CPS shall invoice City for the annual maintenance and support fee each following year no later than 30 days before the annual anniversary of the commencement date for the subsequent term. City may accept or decline the payment.

If City elects not to pay the annual fee, CPS shall have no obligation under this Agreement for the subsequent year.

3. Method of Payment: CPS shall provide invoices to City for approval and payment.

Invoices must be itemized, adequately detailed, based on accurate records, an in a form reasonably satisfactory to City. CPS may be required to provide back- up material upon request.

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Exhibit" D"

INSURANCE REQUIREMENTS FOR CONSULTANTS
Without limiting Consultant's indemnification obligations under this Agreement, Consultant shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representatives, or employees.

Minimum Scope of Insurance
Coverage shall be at least as broad as:

Insurance Services Office Commercial General Liability coverage ( occurrence form CG 0001).

Insurance Services Office form number CA 0001 ( Ed. 1/ 87) covering Automobile Liability, code 1 any auto).

Workers' Compensation insurance as required by the State of California.

Employer's Liability Insurance.

Minimum Limits of Insurance
Consultant shall maintain limits no less than:

General Liability: $ 1, 000,000 per occurrence for bodily injury, personal injury and property damage. The general aggregate limit shall apply separately to this project.

Automobile Liability: $ 1, 000, 000 per accident for bodily injury and property damage.

Employer's Liability: $ 1, 000, 000 per accident for bodily injury or disease.

Deductibles and Self-Insured Retentions
Any deductibles or self-insured retentions must be declared to and approved by the City. At the option of the City, either: ( 1) the insurer shall reduce or eliminate such deductibles or selfinsured retentions as respects the City, its officers, officials, employees and volunteers or( 2) the Consultant shall provide a financial guarantee satisfactory to the City guaranteeing payment of losses and related investigations, claim administration and defense expenses.

Other Insurance Provisions
The general liability and automobile liability policies are to contain, or be endorsed to contain, the following provisions:

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Additional Insured Endorsement:

General Liability: The City, its officers, elected and appointed officials, employees, and volunteers shall be covered as insureds with respect to liability arising out of work performed by or on behalf of the Consultant. General liability coverage can be provided in the form of an endorsement to the Consultant's insurance, or as a separate owner's policy.

Automobile Liability: The City, its officers, elected and appointed officials, employees, and volunteers shall be covered as insureds with respect to liability arising out of automobiles owned, leased, hired or borrowed by or on behalf of the Consultant.

For any claims related to this project, the Consultant's insurance coverage shall be primary insurance as respects the City, its officers, elected and appointedofficials, employees, and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Consultant's insurance and shall not contribute with it.

Each insurance policy required by this clause shall be endorsed to state that coverage shall not be canceled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City.

Each insurance policy shall be endorsed to state that the inclusion of more than one insured shall not operate to impair the rights of one insured against another insured, and the coverages afforded shall apply as though separate policies had been issued to each insured.

Each insurance policy shall be in effect prior to awarding the contract and each insurance policy or a successor policy shall be in effect for the duration of the project. The maintenance of proper insurance coverage is a material element of the contract and failure to maintain or renew coverage or to provide evidence of renewal may be treated by the City as a material breach of contract on the Consultant' s part.

Acceptability of Insurers
Insurance shall be placed with insurers with a current A. M. Best's rating of no less than A:VII and which are authorized to transact insurance business in the State of California by the Department of Insurance.

Verification of Coverage
Consultant shall furnish the City with original certificates and amendatory endorsements effecting coverage required by this clause. The endorsements should be on the City authorized forms provided with the contract specifications. Standard ISO forms which shall be subject to City approval and amended to conform to the City's requirements may be acceptable in lieu of City authorized forms. All certificates and endorsements shall be received and approved by the City before the contract is awarded. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements effecting the coverage required by these specifications at any time.

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Subcontractors
Consultant shall include all subcontractors as insured under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the requirements stated herein.

Risk Management
Consultant acknowledges that insurance underwriting standards and practices are subject to change, and the City reserves the right to make changes to these provisions in the reasonable discretion of its Risk Manager.

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Exhibit" E"
Certificate of Insurance
See attached.

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Exhibit" F"
Invoice
Complete Paperless Complete Paperless Solutions
ps Solutions 4025 E. La Palma Ave:.Ste.:204
Anaheim, CA 92807
866)661- 2425
[email protected]
Invoice.

BILL TO SHIP TO INVOICE# 2919-
City Clerk City Clerk •
City ofRedondo Beach City of Redondo Beach

41.5 Diamond Street 415 Diamond Street
Redondo Beach, CA 90277 Redondo Beach, CA 90277

USA USA

DATE DESCRIPTION QTY RATE AMOUNT
S4D 1 6,300.00 6,300.00
Laserfiche Enterprise Server Diamond.

LSAP
FD 25 195.00 4,875.00
Laserfiche Full User Diamond LSAP
RD 50 75.00 3,750.00
Laserfiche Read Only-User Diamond LSAP
PSD 25 30.00 750:00
Laserfiche Snapshot Diamond LSAP
PMD 25 24.00 600.00
Laserfiche Email Plug- In Diamond LSAP
97831 UD 1 4,790:00 • 4,790.00
Laserfiche WebLink Enterprise Diamond
LSAP
CPS-WLD 1 1-, 000.00 1, 000.00
Weblink Customization
97871 UD 1 2,399.00• 2,399:00
Laserfiche-Advanced Audit Trail Diamond
LSAPWFSD 1 4,500.00 4, 500.00
Laserfiche Workflow Diamond LSAP
WFAD 15 90.00 1, 350.00
Laserfiche Workflow add. User Diamond
LSAP
97840UD. 2 1, 898.00 3, 796:00
Laserfiche:Plus Plug: In User Diamond
LSAP
BSD 1 150.00 150.00
Diamond support for Bates Stamping
PIP 1 449.00 449.00
Laserfiche LSAP Import Agent
Tax ID: 27-0926551 I Please Make Checks Payable to: Complete Paperless Solutions I Please Make Checks-Payable to: Complete Paperless Solutions
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DATE DESCRIPTION` QTY RATE AMOUNT
07/15/2019 On-Site Support 1 0.00 0.00
CPS Diamond On-Site Support
Guaranteed Next Business Day if unable
to fix remotely
No tangible software item will be delivered- electronic download BALANCE DUE 34,.709.00 only.

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ARD. CERTIFICATE OF LIABILITY INSURANCE

DATE( MMIDDIYYYY)
6/ 3/ 2019
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 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 NAME: Van Dang an
Robert Harris Insurance Agency, Inc. ONE
Ext): (
714) 619- 4493 FAX
NO): (
714) 619- 4491
Lic. # 0216736 E-MAIL
van@reharris. com ADDRESS:
3150 Bristol St. , Suite 200 INSURER(S) AFFORDING COVERAGE NAIC# Costa Mesa CA 92626 INSURER A: Travelers Cas Ins Co of America 19046 INSURED INSURER B: Hartford Casualty Ins. Co. 29424
Complete Paperless Solutions LLC INSURER C: Lloyds of London 4025 E. La Palma Ave # 204 INSURERD:

INSURER E: _ __
Anaheim CA 92807 INSURER F:

COVERAGES CERTIFICATE NUMBER: 19/ 20 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 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 OF INSURANCE

ADDL SUBR
WM/

POLICY EFF POLICY EXP
LIMITS LTR, INSD, VD POLICY NUMBER MDD/YYYY) ( MM/ DDIYYYY) .

X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2, 000, 000

A CLAIMS- MADE X OCCUR
DAMAGE TO RENTED 300, 000 PREMISES( Ea occurrence) $
X 68088847614- 19 6/ 23/ 2019 6/ 23/ 2020 MED EXP( Any one person) $ 5, 000 PERSONAL & ADV INJURY $ 2, 000, 000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4, 000, 000

X POLICY
PRO
JECT LOC PRODUCTS- COMP/ OPAGG $ 4, 000, 000
OTHER:

AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1, 000, 000 Ea accident) ANY AUTO BODILY INJURY( Per person) $
A

ALL OWNED SCHEDULED
AUTOS AUTOS68088847614-19 6/ 23/ 2019 6/ 23/ 2020 BODILY INJURY( Per accident) $

NON- OWNED PROPERTY DAMAGE X HIRED AUTOS X
AUTOS Per accident)

UMBRELLA LIAB OCCUR EACH OCCURRENCE

EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTION$

WORKERS COMPENSATION X
PER OTHAND EMPLOYERS' LIABILITY Y/ N

STATUTE ER

ANY PROPRIETOR/PARTNER/EXECUTIVE
N! A
E. L. EACH ACCIDENT 1, 000, 000
OFFICER/MEMBER EXCLUDED?
Mandatory in NH) 72WEC1X9262 6/ 23/ 2019 6/ 23/ 2020 E. L. DISEASE- EA EMPLOYEE $ 1, 000, 000 If yes, describe under
DESCRIPTION OF OPERATIONS below E. L. DISEASE- POLICY LIMIT $ 1, 000, 000 C Professonial Liability ESH051163944 6/ 23/ 2019 6/ 23/ 2020 , Each Claim: 1, 000, 000 Claims- Made Policy Each Claim DED: $ 10, 000 Aggregate 2, 000, 000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES ( ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Redondo Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department of Engineering and Building
ACCORDANCE WITH THE POLICY PROVISIONS.

Services
415 Diamond Street AUTHORIZED REPRESENTATIVE
Redondo Beach, CA 90277
Steve Harris/
1988-
V
2014 ACORD CORPORATION. All rights reserved.

ACORD 25( 2014/01) The ACORD name and logo are registered marks of ACORD INS025( 201401)
A` ORO CERTIFICATE OF LIABILITY INSURANCE DA6/ 3/ 2019 ) 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 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 Van' Deng
Robert Harris Insurance Agency, Inc. plcNo. Ext): (
714) 619- 4493 lc, No): ( 14) 619- 4481
Lic. #0216736 E- MAIL
van@reharris. com ADDRESS:
3150 Bristol St., Suite 200 INSURER(S) AFFORDING COVERAGE NAIC 6 Costa Mesa CA 92626 INSURER A: Travelers Cas Ins Co of America 19046

INSURED
INSURER B: Hartford Casualty Ins. Co. 29424
Complete Paperless Solutions LLC INSURER C: Lloyds of London 4025 E. La Palma Ave .#204 INSURER D:

INSURER E:

Anaheim CA 92807 INSURER F:

COVERAGES CERTIFICATE NUMBER: 19/ 20 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. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE- ISSUED OR MAY PERTAIN, THE-INSURANCEAFFORDED 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 OF INSURANCE

ADDL SUBR POLICY EFF POLICY EXP

LTR INDSUDW POLICY NUMBER IMMIDD/YYYY) ( MMIDD/ YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2, 000, 000

A CLAIMS-MADE X OCCUR

DAMAGESORENTED
300, 000 PREMISES( Ea occurrence) '$
X 6808B847614- 19 6/ 23/ 2019 6/ 23/ 2020 MED EXP( Any one person) 5 5, 000_
PERSONAL& ADV INJURY $ 2, 000, 000
GENLAGGREGATE LIMIT-APPLIES PER: GENERALAGGREGATE $ 4, 000, 000 X - POLICY JET LOC PRODUCTS- COMP/OP AGG $ 4, 000, 000
OTHER:

AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -- $ 1, 000, 000 Ea accident) ANY AUTO BODILY INJURY. ( Per person) $
A

ALL OWNED SCHEDULED
AUTOS AUTOS. 68086847614- 19 6/ 23/ 2019 - 6/ 23/ 2020 BODILY INJURY( Per accident) $ X

NON-OWNED PROPERTY DAMAGE
HIRED AUTOS _ X
AUTOS Peraccident)

UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB _ CLAIMS-MADE AGGREGATE _
DED RETENTION.$

WORKERS COMPENSATION X

PER - OTH

AND EMPLOYERS' LIABILITY YIN

STATUTE ER

ANY PROPRIETOR/ PARTNER/ EXECUTIVE
NIA
B
E.L. EACH- ACCIDENT _ • $ 1, 000, 000
OFFICER/ MEMBER EXCLUDED?
Mandatory in NH) 72WECZX9262 6/ 23/ 2019 6/ 23/ 2020 E.L. DISEASE- EA EMPLOYEE :$ 1, 000, 000 If yes, describe under
DESCRIPTION OF OPERATIONS below E. L. DISEASE- POLICY LIMIT $ 1, 000, 000 C Professonial Liability ESH051163944 6/ 23/ 2019 11/ 23/ 2020 Each Claim: 1, 000, 000 Claims- Made Policy Each Claim DED: $ 10, 000 p Aggregate 2, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES( ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF-THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Redondo Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department of Engineering and Building
ACCORDANCE WITH THE POLICY PROVISIONS.

Services
415 Diamond Street
AUTHORIZED.REPRESENTATIVE
Redondo Beach, CA 90277 r
Steve Harris/ VAND
1988- 2014 ACORD CORPORATION. All rights reserved.

ACORD 25( 2014/01) The ACORD- name and- logo are registered marks of ACORD INS025( 201401)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF.OUR RIGHT TO RECOVER FROM

OTHERS ENDORSEMENT - CALIFORNIA
Policy Number: 72 WEC ZX9262 Endorsement Number:

Effective Date: 06/23/ 19 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: COMPLETE PAPERLESS SOLUTIONS LLC 4025 E LA PALMA AVE STE 201
ANAHEIM CA 92807
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 2 % of the California workers' compensation premium otherwise due on such remuneration.

SCHEDULE. -
Person or Organization Job-Description
Any person or organization from whom you are required by-written contract or agreement to obtain this waiver of rights from us
Countersigned: by
Authorized Representative
Form WC 04 03.06 1). Printed in U.S.A.

Process Date: 05/ 14/ 19 Policy Expiration Date: 06/23/20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S)
Policy Number: 72 WEC ZX9262 Endorsement Number:

Effective Date: 06/23/ 19 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: COMPLETE PAPERLESS SOLUTIONS LLC 4025 E LA PALMA AVE STE 201
ANAHEIM CA.92807
This policy is subject to the following additional If notice is mailed, proof of mailing to the last known Conditions: mailing address of thecertificate holder(s) on file with A. If this policy is cancelled by the Company, other than the agent of record or the Company will be sufficient for non- payment of premium, notice of suchproof of notice. cancellation will be provided at least thirty ( 30) days Any notification rights provided by this endorsement in advance of the- cancellation effective date to: the apply only to active certificate holder(s) who were issued certificate holder(s) with mailing addresses on file a certificate of insurance applicable to this policy's term. with the agent of record or the Company. Failure to provide such notice to the certificate holder(s) B. If this policy is cancelled- by the Company for will not amend or extend the date the cancellation non- payment of premium, or by the insured, notice becomes effective, nor willit negate cancellation of the of such cancellationwillbe provided within ten ( 10) policy. Failure-to send notice shall impose no liabilityof days of the cancellation effective date to the. any. .kind upon the Company or its agents or certificate holder(s) with mailing addresses on file representatives. with the agent of record or the Company.

Form WC 99 03 94 Printed. in U. S.A.

Process Date: 05/ 14/ 19. Policy.Expiration:Date: 106/ 23/20 2011, The Hartford

COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

XTEND ENDORSEMENT FOR TECHNOLOGY
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE— This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.

A. Non-Owned Watercraft— 75 Feet Long Or Less I. Blanket Additional Insured — Mortgagees, B. Who Is An Insured— Unnamed Subsidiaries Assignees, Successors Or Receivers C. Who Is An Insured — Employees — Supervisory J. Blanket Additional Insured — Governmental Positions Entities — Permits Or Authorizations Relating To D. Who Is An Insured — Newly Acquired Or Formed
Premises
Limited Liability Companies K. Blanket Additional Insured —. Governmental E. Who Is An Insured — Liability For Conduct Of Entities — Permits Or Authorizations Relating To Unnamed Partnerships Or Joint Ventures Operations
F. Blanket Additional Insured — Persons Or L.. Medical Payments— Increased Limit Organizations For Your Ongoing Operations As M. Blanket Waiver Of Subrogation Required By Written Contract Or Agreement
N. Contractual Liability— Railroads
G. Blanket Additional Insured— Broad Form Vendors
H. Blanket Additional Insured— Controlling Interest O. Damage To Premises Rented To You

PROVISIONS
A. NON-OWNED WATER CRAFT— 75 FEET LONG is responsible for the use of a watercraft OR LESS that you do not own that is:

1. The following replaces Paragraph ( 2) of 1) 75 feet long or less; and Exclusion g., Aircraft, Auto Or Watercraft, 2) Not being used to carry any person or in Paragraph 2. of SECTION I — property for a charge.

COVERAGES — COVERAGE A — BODILY B. WHO IS AN INSURED — UNNAMED

INJURY AND PROPERTY DAMAGE SUBSIDIARIES
LIABILITY:

The following is added to SECTION II — WHO IS
2) A watercraft you do not own that is: AN INSURED:
a) 75 feet long or less; and Any of your subsidiaries, other than a partnership or joint venture, that is not shown as a Named
b) Not being used to carry any person or Insured in the Declarations is a Named Insured if:
property for a charge;
a. You are the sole owner of, or maintain an

2. The following replaces Paragraph 2.e. of ownership interest of more than 50% in, such SECTION II— WHO IS AN INSURED: subsidiary on the first day of the policy period; and
e. Any person or organization that, with your
express or implied consent, either uses or b. Such subsidiary is not an insured under similar other insurance.

COMMERCIAL GENERAL LIABILITY
No such subsidiary is an insured for" bodily injury" organization in writing to us within or "property damage" that occurred, or " personal 180 days after you acquire or form it; and advertising injury" caused by an offense
committed: b. Coverage A does not apply to " bodily
injury" or" property damage" that occurred
a. Before you maintained an ownership interest before you acquired or formed the of more than 50% in such subsidiary; or organization; and b. After the date, if any, during the policy period c. Coverage B does not apply to " personal that you no longer maintain an ownership and advertising injury" arising out of an interest of more than 50% in such subsidiary. offense committed before you acquired or For purposes of Paragraph 1. of Section II— Who formed the organization.

Is An Insured, each such subsidiary will be For the purposes of Paragraph 1. of Section II deemed to be designated in the Declarations as: Who Is An Insured, each such organization a. A limited liability company;
will be deemed to be designated in the
Declarations as:
b. An organization other than a partnership, joint
venture or limited liability company; or
a. A limited liability company;
c. A trust;
b. An organization, other than a partnership,
joint venture or limited liability company;
as indicated in its name or the documents that
or
govern its structure.
c. A trust;
C. WHO IS AN INSURED — EMPLOYEES —
as indicated in its name or the documents SUPERVISORY POSITIONS that govern its structure.

The following is added to Paragraph 2. a.( 1) of
SECTIO N II— WHO IS AN INSURED: E. WHO IS AN INSURED — LAIBILTY FOR

CONDUCT OF UNNAMED PARTNERSHIP SO R
Paragraphs ( 1)( a). ( b) and ( c) above do not apply JOINT VENTURES to " bodily injury" to a co-" employee" while in the
course of the co-"employee's" employment The following replaces the last paragraph of by you SECTION II— WHO IS AN INSURED:
g p
arising out of work by any of your " employees"
who hold a
supervisory position. No person or organization is an insured with respect to the conduct of any current or past D. WHO IS AN INSURED — NEWLY ACQUIRED partnership or joint venture that is not shown as a OR FOR MED LIMITED LAIBILITY COMPANIES Named Insured in the Declarations. This The following replaces Paragraph 3. of SECTION paragraph does not apply to any such partnership II— WHO IS AN INSURED: or joint venture that otherwise qualifies as an

3. Any organization you newly acquire or form, insured under Section II— Who Is An Insured. other than a partnership or joint venture, and F. BLANKET ADDITIONAL INSURED— PERSONS of which you are the sole owner or in which OR ORGANIZATIONS FOR YOUR ONGOING you maintain an ownership interest of more OPERATIONS AS REQUIRED BY WRITTEN than 50%, will qualify as a Named Insured if CONTRACT OR AGREEMENT there is no other similar insurance available to that organization. However: The following is added to SECTION II — WHO IS AN INSURED:
a. Coverage under this provision is afforded
Any person or organization that is not otherwise
only. an insured under this Coverage Part and that you
1) Until the 180th day after you acquire have agreed in a written contract or agreement to or form the organization or the end of include as an additional insured on this Coverage the policy period, whichever is earlier. Part is an insured, but only with respect to liability if you do not report such organization for" bodily injury" or" property damage" that:
in writing to us within 180 days after
a. Occurs subsequent to the signing of that you acquire or form it; or contract or agreement; and
2) Until the end of the policy period,
b.
when Is caused, in whole or in part, by your acts or that date is later than 180 days after you acquire or form such omissions in the performance of your ongoing operations to which that contract or
organization, if you report such

Page 2 of 5 ends

Includes copyrighted material of Insurance Services Office, Inc. with its permission.

COMMERCIAL GENERAL LIABILITY
agreement applies or the acts or omissions of performed at such vendor's premises in any person or organization performing such connection with the sale of " your operations on your behalf. products"; or
The limits of insurance provided to such insured 6) " Your products" that, after distribution or will be the minimum limits that you agreed to sale by you, have been labeled or provide in the written contract or agreement, or relabeled or used as a container, part or the limits shown in the Declarations, whichever ingredient of any other thing or substance are less. by or on behalf of such vendor.

G. BLANKET ADDITIONAL INSURED — BROAD Coverage under this provision does not apply to: FORM VENDORS The following is added to SECTION II — WHO IS a. Any person or organization from whom you AN INSURED: have acquired " your products", or any
ingredient, part or container entering into, Any person or organization that is a vendor and accompanying or containing such products; that you have agreed in a written contract or or
agreement to include as an additional insured on
this Coverage Part is an insured, but only with b. Any vendor for which coverage as an respect to liability for " bodily injury" or " property additional insured specifically is scheduled by damage" that: endorsement.
a. Occurs subsequent to the signing of that H. BLANKET ADDITIONAL INSURED — contract or agreement; and CONTROLLING INTEREST
b. Arises out of " your products" that are 1. The following is added to SECTION II— WHO distributed or sold in the regular course of IS AN INSURED:
such vendor's business. Any person or organization that has financial The insurance provided to such vendor is subject control of you is an insured with respect to to the following provisions: liability for " bodily injury", " property damage" or" personal and advertising injury" that arises
a. The limits of insurance provided to such out of:
vendor will be the minimum limits that you
agreed to provide in the written contract or a. Such financial control; or agreement, or the limits shown in the b. Such person' s or organization's Declarations, whichever are less. ownership, maintenance or use of b. The insurance provided to such vendor does premises leased to or occupied by you. not apply to: The insurance provided to such person or
organization does not apply to structural 1) Any express warranty not authorized by alterations, new construction or demolition you or any distribution or sale for a
operations performed by or on behalf of such
purpose not authorized by you;
person or organization.
2) Any change in " your products" made by 2. The following is added to Paragraph 4. of such vendor; SECTION II— WHO IS AN INSURED:
3) Repackaging, unless unpacked solely for This paragraph does not apply to any the purpose of inspection, demonstration, premises owner, manager or lessor that has testing, or the substitution of parts under financial control of you. instructions from the manufacturer, and I. BLANKET ADDITIONAL INSURED — then repackaged in the original container; MORTGAGEES, ASSIGNEES, SUCCESSORS 4) Any failure to make such inspections, OR RECEIVERS
adjustments, tests or servicing as The following is added to SECTION II — WHO IS vendors agree to perform or normally AN INSURED:
undertake to perform in the regular Any person or organization that is a mortgagee, course of business, in connection with the
assignee, successor or receiver and that you
distribution or sale of" your products"; have agreed in a written contract or agreement to 5) Demonstration, installation, servicing or include as an additional insured on this Coverage repair operations, except such operations Part is an insured, but only with respect to its CG D4 17 02 19 2017 The Travelers Indemnity Company. All rights reserved. Page 3 of 5 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

COMMERCIAL GENERAL LIABILITY
liability as mortgagee, assignee, successor or construction, erection or removal of any of the receiver for " bodily injury", " property damage" or following for which that governmental entity has personal and advertising injury" that: issued such permit or authorization: advertising a. Is " bodily injury" or " property damage" that signs, awnings, canopies, cellar entrances, coal occurs, or is " personal and advertising
injuryholes, driveways, manholes, marquees, hoist
caused by an offense that is committed, away openings, sidewalk vaults, elevators, street subsequent to the signing of that contract or
banners or decorations.
agreement; and K. BLANKET ADDITIONAL INSURED —
b. Arises out of the ownership, maintenance or
GOVERNMENTAL ENTITIES — PERMITS OR
use of the premises for which that mortgagee, AUTHORIZATIONS RELATING TO OPERassignee, successor or receiver. is required ATIONS under that contract or agreement to be The following is added to SECTION II — WHO IS included as an additional insured on this AN INSURED:

Coverage Part. Any governmental entity that has issued a permit The insurance provided to such mortgagee, or authorization with respect to operations assignee, successor or receiver is subject to the performed by you or on your behalf and that you following provisions: are required by any ordinance, law, building code a. The limits of insurance provided to such
or written contract or agreement to include as an
additional insured on this Coverage Part is an
mortgagee, assignee, successor or receiver
will insured, but only with respect to liability for" bodily be the minimum limits that you agreed to injury", " property damage" or " personal and provide in the written contract or agreement, advertising injury" arising out of such operations. or the limits shown in the Declarations, whichever are less. The insurance provided to such governmental entity does not apply to: b. The insurance provided to such person or organization does not apply to: a. Any " bodily injury", " property damage" or personal and advertising injury" arising out of 1) Any " bodily injury" or " property damage" operations performed for the governmental that occurs, or any " personal and
entity; or advertising injury" caused by an offense
that is committed, after such contract or b. Any " bodily injury" or " property damage" agreement is no longer in effect; or included in the " products-completed operations hazard".
2) Any " bodily injury", " property damage" or
personal and advertising injury" arising L. MEDICAL PAYMENTS— INCREASED LIMIT out of any structural alterations, new The following replaces Paragraph 7. of SECTION construction or demolition operations III— LIMITS OF INSURANCE:
performed by or on behalf of such
mortgagee, assignee, successor or

7. Subject to Paragraph 5. above, the Medical
receiver. Expense Limit is the most we will pay under
Coverage C for all medical expenses because
J. BLANKET ADDITIONAL INSURED — of " bodily injury" sustained by any one GOVERNMENTAL ENTITIES — PERMITS OR person, and will be the higher of:

AUTHORIZATIONS RELATING TO PREMISES
a. $ 10,000; or
The following is added to SECTION II — WHO IS
AN INSURED: b. The amount shown in the Declarations of
Any governmental entity that has issued a permit
this Coverage Part for Medical Expense
or authorization with respect to premises owned
Limit.
or occupied by, or rented or loaned to, you and M. BLANKET WAIVER OF SUBROGATION that you are required by any ordinance, law, The following is added to Paragraph 8., Transfer building code or written contract or agreement to Of Rights Of Recovery Against Others To Us, include as an additional insured on this Coverage of SECTION IV — COMMERCIAL GENERAL
Part is an insured, but only with respect to liability LIABILITY CONDITIONS: for" bodily injury", " property damage" or" personal and advertising injury" arising out of the If the insured has agreed in a contract or existence, ownership, use, maintenance, repair, agreement to waive that insured' s right of recovery against any person or organization, we

Page 4 of 5 ends

Includes copyrighted material of Insurance Services Office, Inc. with its permission.

COMMERCIAL GENERAL LIABILITY
waive our right of recovery against such person or 2. Paragraph f.(1) of the definition of " insured organization, but only for payments we make contract" in the DEFINITIONS Section is because of: deleted. a. • "Bodily injury" or " property damage" that O. DAMAGE TO PREMISES RENTED TO YOU occurs; or
The followingreplaces p the definition of" premises
b. " Personal and advertising injury" caused by damage" in the DEFINITIONS Section:
an offense that is committed;
Premises damage" means" property damage" to:
subsequent to the execution of the contract or
agreement. a, Anypremises while rented to you or
teporrily occupied by you with permission N. CONTRACTUAL LIABILITY— RAILROADS of the owner; or

1. The following replaces Paragraph c. of the b. The contents of any premises while such definition of " insured contract" in the premises is rented to you, if you rent such DEFINITIONS Section: premises for a period of seven or fewer c. Any easement or license agreement; consecutive days.

CG D4 17 0219 2017 The Travelers Indemnity Company. All rights reserved. Page 5 of 5 Includes copyrighted material of Insurance Services Office, Inc, with its permission. 06/17/2021
Robert Harris Insurance Agency, Inc.

Lic. #0216736
3150 Bristol St., Suite 200
Costa Mesa CA 92626
Carla Garcia
714) 619-4480 ( 714) 619-4481
[email protected]
Complete Paperless Solutions
5130 E La Palma Ave
Ste 206
Anaheim CA 92807-2078
Travelers Casualty Insurance Co ofAmerica 19046
Hartford Casualty Ins. Co. 29424
Lloyds of London
21-22 GL Auto WC E&O
A Y 6808B847614-21 06/23/2021 06/23/2022
2,000,000
300,000
5,000
2,000,000
4,000,000
4,000,000
A 6808B847614-20 06/23/2021 06/23/2022
1,000,000
B 72WECZX9262 06/23/2021 06/23/2022
1,000,000
1,000,000
1,000,000
C
Professional Liability
Claims Made Policy ESJ0731989025 06/23/2021 06/23/2022
Each Claim $ 2,000,000
Aggregate $ 2,000,000
Each Claim Ded.$ 10,000
Coverage Afforded by Carrier C: Lloyds of London -
Cyber Liability Limit $2,000,000, subject to a $10,000 deductible.

City of Redondo Beach Department of Engineering and Building 415 Diamond Street
Redondo Beach CA 90277

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
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

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. Astatement 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

OTHER:

Per accident)
Ea accident)
N / A
SUBR
WVD
ADDL
INSD

PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

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
STATUTEPER EROTHMM/DD/YYYY) LIMITS(

POLICY EXP(

MM/DD/YYYY) NUMBERTYPE EFFPOLICY POLICY INSURANCELTRINSR OF 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'LAGGREGATE LIMITAPPLIES PER:

POLICY
PROJECT 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
HIRED

AUTOS ONLY
LLC Other, Insured Multiple Names
Additional Named Insureds
Other Named Insureds
OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC

CNTSC CNTSC
Non-owned NOWND
2,000,000
Hired/borrowed HRDBD
2,000,000

OSHF OSHF

3.00 LECF LECF

2.00 SIBT SIBT

6.00 Waiver of Subrogation WVSUB
250.00
New Small Employer Credit NSEC
197.00
Territory Differential Prem 1 TDP01

7.00 Expense constant EXCNT
200.00
Assessment Fund ASMNT

22.00 ADDITIONAL COVERAGES
Ref # Description Coverage Code DateForm No. Edition
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc.

UEBTF UEBTF

1.00 ADDITIONAL COVERAGES
Ref # Description Coverage Code DateForm No. Edition
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc.
26 CFC Underwriting Limited is Authorized and Regulated by the Financial Conduct Authority 1999-2019 CFC Underwriting Ltd, All Rights Reserved Technology (US) v3.1 c. any other law, regulation or statute relating to unsolicited communication, distribution, sending or transmitting of any communication via telephone or any other electronic or telecommunications device.

However, this Exclusion will not apply to INSURING CLAUSE 1 (SECTION F only).

62. Vacant premises
in respect of INSURING CLAUSES 4 and 5, resulting from premises left vacant for more than 60 consecutive days.

63. War
arising directly or indirectly out of:
a. war, invasion, acts of foreign enemies, hostilities or warlike operations (whether war is declared or not), civil war, rebellion, insurrection, civil commotion assuming the proportions of or mounting to an uprising, military or usurped power; or
b. any action taken in controlling, preventing, suppressing or in any way relating to a. above.

64. Website content accessibility
arising directly or indirectly out of the actual or alleged violation of any laws, regulations or guidelines relating to the accessibility of your website content.

65. Willful or dishonest acts of senior executive officers arising directly or indirectly out of any willful, criminal, malicious or dishonest act, error or omission by a senior executive officer as determined by final adjudication, arbitral tribunal or written admission.

CCONDITIONS

1. What you must do in the event of a claim or cyber incident If any senior executive officer becomes aware of any incident which may reasonably be expected to give rise to a claim under this Policy you must:
a. notify the claims managers (in respect of cyber incidents, a telephone call to our cyber incident response line will constitute notification) as soon as is reasonably practicable and follow their directions. However, in respect of INSURING CLAUSES 1 ( SECTIONS A, B, C, D, E, G and H only) and 3 (SECTION G only) this notification must be made no later than the end of any applicable extended reporting period; and b. not admit liability for or settle or make or promise any payment or incur any costs and expenses without our prior written agreement (which will not be unreasonably withheld).

If you discover a cyber event you may only incur costs without our prior written consent within the first 72 hours following the discovery and any third party costs incurred must be with a company forming part of the approved claims panel providers. All other costs may only be incurred with the prior written consent of the claims managers which will not be unreasonably withheld).
27 CFC Underwriting Limited is Authorized and Regulated by the Financial Conduct Authority 1999-2019 CFC Underwriting Ltd, All Rights Reserved Technology (US) v3.1

2. Additional insureds
We will indemnify any third party as an additional insured under this Policy, but only in respect of sums which they become legally obliged to pay (including liability for claimants' costs and expenses) as a result of a claim arising solely out of an act committed by you, provided that:
a. you contracted in writing to indemnify the third party for the claim prior to it first being made against them; and
b. had the claim been made against you, then you would be entitled to indemnity under this Policy.

Before we indemnify any additional insured they must:
a. prove to us that the claim arose solely out of an act committed by you; and b. fully comply with CONDITION 1 as if they were you.

Where we indemnify a third party as an additional insured under this Policy, this Policy will be primary and noncontributory to the third party's own insurance, but only if you and the third party have entered into a contract that contains a provision requiring this.

Where a third party is treated as an additional insured as a result of this Condition, any claim made by that third party against you will be treated by us as if they were a third party and not as an insured.

3. Agreement to pay claims (duty to defend)
We have the right and duty to take control of and conduct in your name the investigation, settlement or defense of any claim. We will not have any duty to pay costs and expenses for any part of a claim that is not covered by this Policy.

You may ask the claims managers to consider appointing your own lawyer to defend the claim on your behalf and the claims managers may grant your request if they consider your lawyer is suitably qualified by experience, taking into account the subject matter of the claim, and the cost to provide a defense.

We will endeavor to settle any claim through negotiation, mediation or some other form of alternative dispute resolution and will pay on your behalf the amount we agree with the claimant. If we cannot settle using these means, we will pay the amount which you are found liable to pay either in court or through arbitration proceedings, subject to the limit of liability.

We will not settle any claim without your consent. If you refuse to provide your consent to a settlement recommended by us and elect to continue legal proceedings in connection with the claim, any further costs and expenses incurred will be paid by you and us on a proportional basis, with 50% payable by us and 50% payable by you. As a consequence of your refusal, our liability for the claim, excluding costs and expenses, will not be more than the amount for which the claim could have been settled.

4. Calculation of business interruption losses
In respect of INSURING CLAUSES 2 (SECTION G only) and 5, in the event of a claim for any financial loss sustained by you, you must provide the claims managers with your calculation of the financial loss including. a. how the loss has been calculated and what assumptions have been made; and 28 CFC Underwriting Limited is Authorized and Regulated by the Financial Conduct Authority 1999-2019 CFC Underwriting Ltd, All Rights Reserved Technology (US) v3.1 b. supporting documents including account statements, sales projections and invoices.

If we are unable to agree with your calculation of the financial loss, we will appoint an independent expert agreed between you and us which will be paid for by us. If an independent expert cannot be agreed upon, one will be appointed by an arbitrator mutually agreed between you and us whose decision will be final and binding.

Once an independent expert has been appointed, their calculation of any financial loss sustained by you will be final and binding.

5. Cancellation
This Policy may be canceled with 30 days written notice by either you or us.

If you give us notice of cancellation, the return premium will be in proportion to the number of days that the Policy is in effect. However, if you have made a claim under this Policy there will be no return premium.

If we give you notice of cancellation, the return premium will be in proportion to the number of days that the Policy is in effect.

We also reserve the right of cancellation in the event that any amount due to us by you remains unpaid more than 60 days beyond the inception date. If we exercise this right of cancellation it will take effect from 14 days after the date the written notice of cancellation is issued.

The Policy Administration Fee will be deemed fully earned upon inception of the Policy.

6. Continuous cover
If you have neglected, through error or oversight only, to report an incident discovered by you that might give rise to a claim under this Policy during the period of a previous renewal of this Policy issued to you by us, then provided that you have maintained uninterrupted insurance of the same type with us since the expiry of that earlier Policy, we will permit the matter to be reported under this Policy and we will indemnify you, provided that:
a. the indemnity will be subject to the applicable limit of liability of the earlier Policy under which the matter should have been reported or the limit of liability, whichever is the lower; b. we may reduce the indemnity entitlement by the monetary equivalent of any prejudice which has been suffered as a result of the delayed notification; and
c. the indemnity will be subject to all of the terms and conditions of this Policy, other than a. above.

7. Cross liability and severability
In respect of INSURING CLAUSE 3 only, where there is more than one entity insured under this Policy, and subject to the limit of liability, any claim made by one insured entity against another insured entity will be treated as if they are a third party and knowledge possessed by one insured entity will not be imputed to any other insured entity.

8. Establishing loss of contents
If you make a claim under this Policy for loss of contents, you must reasonably establish how and when the incident took place. This may include confirmation that the incident was reported to the appropriate law enforcement authorities and details of any investigation they undertook. 29 CFC Underwriting Limited is Authorized and Regulated by the Financial Conduct Authority 1999-2019 CFC Underwriting Ltd, All Rights Reserved Technology (US) v3.1

9. Extended reporting period
In respect of INSURING CLAUSES 1 ( SECTIONS A, B, C, D, E, G and H only) and 3 (SECTION G only), an extended reporting period of 60 days following the expiry date will be automatically granted at no additional premium. This extended reporting period will cover, subject to all other terms, conditions and exclusions of this Policy, claims first made against you during the period of the policy and reported to us during this extended reporting period.

No claim will be accepted by us in this 60 day extended reporting period if you are entitled to indemnity under any other insurance, or would be entitled to indemnity under such insurance if its limit of liability was not exhausted.

10. Optional extended reporting period
In respect of INSURING CLAUSES 1 (SECTIONS A, B, C, D, E, G and H only) and 3 (SECTION G only), if we or you decline to renew or cancel this Policy then you will have the right to have issued an endorsement providing an optional extended reporting period for the duration stated in the Declarations page which will be effective from the cancellation or non-renewal date. This optional extended reporting period will cover claims first made against you and reported to us during this optional extended reporting period but only in respect of any claim arising out of any act, error or omission committed prior to the date of cancellation or non-renewal and subject to all others terms, conditions and exclusions of this Policy.

If you would like to purchase the optional extended reporting period you must notify us and pay us the optional extended reporting period premium stated in the Declarations page within 30 days of cancellation or non-renewal.

The right to the optional extended reporting period will not be available to you where cancellation or non-renewal by us is due to non-payment of the premium or your failure to pay any amounts in excess of the applicable limit of liability or within the amount of the applicable deductible as is required by this Policy in the payment of claims.

At the renewal of this Policy, our quotation of different premium, deductible, limits of liability or changes in policy language will not constitute non-renewal by us.

11. Fraudulent claims
If it is determined by final adjudication, arbitral tribunal or written admission by you, that you notified us of any claim knowing it to be false or fraudulent in any way, we will have no responsibility to pay that claim, we may recover from you any sums paid in respect of that claim and we reserve the right to terminate this Policy from the date of the fraudulent act. If we exercise this right we will not be liable to return any premium to you. However, this will not affect any claim under this Policy which has been previously notified to us.

12. Innocent non-disclosure
We will not seek to avoid the Policy or reject any claim on the grounds of non-disclosure or misrepresentation except where the non-disclosure or misrepresentation was reckless or deliberate.

13. Maintenance of employee automobile liability insurance It is a condition precedent to indemnity under INSURING CLAUSE 3 (SECTIONS H and I only) that all employees who operate an automobile in the course of your business activities will maintain in full force and effect for the period of the policy primary automobile liability insurance in an amount equal to, or greater than, the minimum primary automobile liability limits required in the state of registration of the automobile. If you make a claim under INSURING CLAUSE 3 (SECTIONS H and I only) and the employee has failed to meet these requirements then this Policy will only 30 CFC Underwriting Limited is Authorized and Regulated by the Financial Conduct Authority 1999-2019 CFC Underwriting Ltd, All Rights Reserved Technology (US) v3.1 respond to provide excess coverage as though the requirements had been met, whereby you agree to pay all sums within and up to the required minimum limit.

14. Mergers and acquisitions
If you acquire an entity during the period of the policy whose annual revenue does not exceed 20% of the company's annual revenue, as stated in its most recent financial statements, cover is automatically extended under this Policy to include the acquired entity as a subsidiary.

If you acquire an entity during the period of the policy whose annual revenue exceeds 20% of the company's annual revenue, as stated in its most recent financial statements, cover is automatically extended under this Policy to include the acquired entity as a subsidiary for a period of 45 days.

We will consider providing cover for the acquired entity after the period of 45 days if:
a. you give us full details of the entity within 45 days of its acquisition; and b. you accept any amendment to the terms and conditions of this Policy or agree to pay any additional premium required by us.

In the event you do not comply with a. or b. above, cover will automatically terminate for the entity 45 days after the date of its acquisition.

Cover for any acquired entity is only provided under this Policy for any act, error or omission committed on or after the date of its acquisition.

No cover will be automatically provided under this Policy for any acquired entity:
a. whose business activities are materially different from your business activities; b. that has been the subject of any lawsuit, disciplinary action or regulatory investigation in the 3 year period prior to its acquisition; or
c. that has experienced a cyber event in the 3 year period prior to its acquisition, if the cyber event cost more than the highest deductible of this Policy.

If during the period of the policy you consolidate, merge with or are acquired by another entity then all coverage under this Policy will terminate at the date of the consolidation, merger or acquisition unless we have issued an endorsement extending coverage, and you have agreed to any additional premium and terms of coverage required by us.

15. Our rights of recovery
If we make any payment under this Policy then you must maintain all of your rights of recovery in respect of this payment against any third party and make these available to us where possible.

We will not exercise any rights of recovery against employees or the estates, heirs, legal representatives or assigns of any employee in the event of their death, incapacity, insolvency or bankruptcy unless this is in respect of any fraudulent or dishonest acts or omissions as proven by final adjudication, arbitral tribunal or written admission by you.
31 CFC Underwriting Limited is Authorized and Regulated by the Financial Conduct Authority 1999-2019 CFC Underwriting Ltd, All Rights Reserved Technology (US) v3.1 Any recoveries will be applied in proportion to the amounts paid by you and us in relation to the claim under this Policy.

16. Prior subsidiaries
Should an entity cease to be a subsidiary after the inception date, cover in respect of the entity will continue as if it was still a subsidiary during the period of the policy, but only in respect of an act, error, omission or event occurring prior to the date that it ceased to be a subsidiary.

17. Process for paying privacy breach notification costs Any privacy breach notification transmitted by you or on your behalf must be done with our prior written consent.

We will ensure that notification is compliant with any legal or regulatory requirements and contractual obligations.

No offer must be made for financial incentives, gifts, coupons, credits or services unless with our prior written consent which will only be provided if the offer is commensurate with the risk of harm.

We will not be liable for any portion of the costs you incur under INSURING CLAUSE 2 (SECTION B only) that exceed the costs that you would have incurred had you gained our prior written consent. In the absence of our prior written consent we will only be liable to pay you the equivalent cost of a notification made using the most cost effective means permissible under the governing law.

18. Waiver of subrogation
Notwithstanding CONDITION 15, we agree to waive our rights of recovery against any third party if, prior to the claim or incident which you reasonably expected to give rise to a claim, you entered into a contract that contains a provision requiring you to do this.

19. Choice of law and service of suit
In the event of a dispute between you and us regarding this Policy, the dispute will be governed by the laws of the State of the United States of America shown as the choice of law stated in the Declarations page. We agree, at your request, to submit to the jurisdiction of a court of competent jurisdiction within the United States of America.

Nothing in this Condition constitutes or should be understood to constitute a waiver of our rights to commence an action in any court of competent jurisdiction in the United States of America, to move an action to a United States District Court, or to seek a transfer of a case to another court as permitted by the laws of the United States of America or the laws of any State of the United States of America.

It is further agreed that service of process in such suit may be made upon the law firm stated in the Declarations page and that in any suit instituted against us, we will abide by the final decision of such court or of any appellate court in the event of an appeal. The law firm stated in the Declarations page is authorized and directed to accept service of process on our behalf in any such suit and, at your request, to give a written undertaking to you that they will enter a general appearance on our behalf in the event such suit is instituted.

Additionally, in accordance with the statute of any state, territory or district of the United States which makes such a provision, we hereby designate the Superintendent, Commissioner or Director of Insurance or other officer specified for that purpose in the statute, or his successor or successors in office, as our true and lawful attorney upon whom may be served any lawful process in any action, suit or proceeding instituted by you arising out of this Policy. The law 32 CFC Underwriting Limited is Authorized and Regulated by the Financial Conduct Authority 1999-2019 CFC Underwriting Ltd, All Rights Reserved Technology (US) v3.1 firm stated in the Declarations page is hereby designated as the firm to whom the above mentioned officer is authorized to mail such process or a copy thereof.

TABLE OF CONTENTS

COMMERCIAL GENERAL LIABILITY COVERAGE FORM
CG T100 0219
Bodily Injuryand Property
Damage Liability
Personal and Advertising
InjuryLiability
Medical Payments
CG TO 340219

COMMERCIAL GENERAL LIABILITY
c. Method Of Sharing
If all of the other insurance permits contributionby equal shares, we will follow this method also.

Under this approach each insurer contributes
equal amounts until it has paid its applicablelimit of insurance or none of the loss remains, whichever comes first.

If any of the other insurance does not permitcontribution by equal shares, we will contribute bysshare limits. Under this method, each insurer'
is based on the ratio of its applicable limitof insurance to the total applicable limits of insurance of all insurers.
d. Primary And Non-Contributory Insurance If
Required By WrittenContract
If you specifically agree in a written contract or
agreement that the insurance afforded to aninsured ona under this Coverage Partmust apply primary basis, or a primary and noncontributory basis, this insurance is primary toother insurance that is available to such insuredwhich covers such insured as a named insured, and we will not share with that other insurance,
provided that:
1) The "bodily injury" or " property damage" forwhich coverage is sought occurs; and 2) The " personal and advertising injury" for
which coverage is sought is caused by anoffense that is committed; subsequent to the signing of that contract or
agreement by you.

5. Premium Audit
a. We will compute all premiums for this CoveragePart in accordance with our rules and rates. b. Premium shown in this Coverage Part as
advance Atthe premium is a deposit premium only.
close of each audit period we will computethe earned premium for that period and datefor sendnotice to the first Named Insured. The due
audit and retrospective premiums is the dateshown ofthe as the due date on the bill. If the sum advance and audit premiums paid for the
policy period is greater than the earnedpremium, we will return the excess to the firstNamed Insured. c. The ofthe first Named Insured must keep records
information we need for premiumcomputation, and send us copies at such timesas we may request.

6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations areaccurate and complete; b. Those statements are based upon
representations you made to us; and
c. We have issued this policy in reliance uponyour representations.

The unintentional omission of, or unintentional error
in, any information provided by you which we relied
upon in issuing this policy will not prejudice your
rights under this insurance. However, this provision
does not affect our right to collect additional
premium or to exercise our rights of cancellation or
nonrenewal in accordance with applicable insurance
laws or regulations.

7. Separation Of Insureds
Except andany with respect to the Limits of Insurance.
rights or duties specifically assigned in thisCoverage Part to the first Named Insured, thisinsurance applies:
a. As if each Named Insured were the onlyNamed Insured; and b. Separately claimis to each insured against whom
made or "suit" is brought.

8. Transfer Of Rights Of RecoveryAgainst Others
To Us
If the insured has rights to recover all or partof anypayment we have made under this Coverage Part, those mustdo rights are transferred to us. The insured
nothing afterloss to impair them. At our request,
the insured will bring " suit" or transfer those rightsto us and help us enforce them.

9. When We Do Not Renew
Ifwillmail we decide not to renew this Coverage Part, we or deliver to the first Named Insured shown inthe Declarations written notice of the nonrenewal not less than 30 days before the expiration date.

If notice is mailed, proof of mailing will be sufficientproof of notice.

SECTION V - DEFINITIONS

1." Advertisement" means a notice that is broadcast orpublished to the general public or specific market segments about your goods. products or servicesfor the purpose of attracting customers or supporters. For the purposes of this definition:
a. materialplaced Notices that are published include
on the Internet or on similar electronicmeans of communication; and b. Regarding websitethat websites, only that part of a
is about your goods, products or servicesfor the purposes of attracting customers or supportersis considered an advertisement.

Page 16 of 21 ends

Includes copyrighted material of InsuranceServices Office, Inc. with its permission.

COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

XTENDENDORSEMENTFORTECHNOLOGY
This endorsement modifiesinsurance provided under the following:

COMMERCIAL GENERAL LIABILITYCOVERAGE PART
GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may beexcluded or limitedby another endorsement to this Coverage Part. andthese coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisionsof this endorsement and the rest of your policy carefully to determine rights. duties. and what is and is not covered.

A. Non-Owned Watercraft - 75 Feet Long Or Less
B. Who Is An Insured - Unnamed Subsidiaries
C. Who Is An Insured - Employees - SupervisoryPositions D. Who Is An Insured - Newly Acquired Or FormedLimited Liability Companies E. Who OfUnnamed Is An Insured - Liability For Conduct
Partnerships Or Joint Ventures
F. Blanket Additional Insured - Persons OrOrganizations For Your Ongoing Operations AsRequired By Written Contract Or Agreement G. Blanket Additional Insured - Broad Form Vendors
H. Blanket Additional Insured - ControllingInterest

PROVISIONS
A. NON-OWNED WATER CRAFT - 75 FEET LONG

OR LESS

1. The following replaces Paragraph ( 2) of
Exclusion 9 .. Aircraft, Auto Or Watercraft,
in Paragraph 2. of SECTION I -

COVERAGES - COVERAGE A - BODILY

INJURY AND PROPERTY DAMAGE
LIABILITY:
2) A watercraftyou do not own that is:
a) 75 feet long or less: and
b) Not being used to carryany person orproperty for a charge;

2. The following replaces Paragraph 2.e. of
SECTION II - WHO IS AN INSURED:
e. Any person or organization that. with yourexpress or implied consent, either uses or I. Blanket Additional Insured - Mortgagees,
Assignees, Successors Or Receivers
J. Blanket Additional Insured - GovernmentalEntities - Permits Or Authorizations Relating To Premises
K. Blanket Additional Insured - Governmental
Entities - Permits Or Authorizations Relating ToOperations L.. Medical Payments - Increased Limit
M. Blanket Waiver Of Subrogation
N. Contractual Liability - Railroads
O. Damage To Premises Rented To You
is responsiblefor the use of a watercraft
that you do not own that is:
1) 75 feet long or less; and
2) Not being used to carryany person or
propertyfor a charge.

B. WHO IS AN INSURED - UNNAMED

SUBSIDIARIES
The following is added to SECTION II - WHO IS
AN INSURED:

Any of your subsidiaries. other than a
partnershipor joint venture. that is not shown as a Named Insured in the Declarations is a Named Insured if:
a. You are the sole owner of, or maintain anownership interest of more than 50% in. suchsubsidiary on the first day of the policyperiod; and
b. Such subsidiary is not an insured undersimilar otherinsurance.

CG D417 0219 C2017The TravelersIndemnityCompany. Allrightsreserved. Page 1 of 5 IncludescopyrightedmaterialofInsuranceServicesOffice, Inc. wllhits permission.

COMMERCIAL GENERAL LIABILITY
No such subsidiaryis an insured for •bodily injury•
or " propertydamage• that occurred, or " personal
and advertising injury• caused by an offense
committed:
a. Before you maintained an ownership interestof more than 50% in such subsidiary; or b. Afterthe date, if any, during the policy periodthat you no longer maintain an ownership interest of more than 50% in such subsidiary.

For purposes of Paragraph 1. of Section II - Who
Is An Insured, each such subsidiary will be
deemed to be designated in the Declarations as:
a. A limited liability company;
b. An organization other than a partnership, jointventure or limited liability company: or c. A trust:
as indicated in its name or the documents thatgovern its structure.

C. WHO IS AN INSURED - EMPLOYEES -

SUPERVISORY POSITIONS
The following is added to Paragraph 2.a.(1) of
SECTIO N H - WHO IS AN INSURED:
applyto • Paragraphs (1)( a). (b) and (c) above do notbodily injury" to a co-"employee" while in thecourse of the co-"employee's" employment by youarising out of work by any of your " employees• who hold a supervisoryposition.

D. WHO IS AN INSURED - NEWLV ACQUIRED

OR FOR MED LIMITED LAIBILITVCOMPANIES
The following replaces Paragraph 3. of SECTION
11- WHO IS AN INSURED:

3. Any organization you newly acquire or form.
other andof than a partnershipor joint venture.
whichyou which you are the sole owner or in
morethan maintain an ownership interest of50%, will qua fyas a Named Insured ifthere is no other similar insurance available tothat organization. However:
a. Coverage under this provision is affordedonly:
1) Until the 180th day after you acquireor ofthe form the organization or the end policyperiod, whichever is earlier,
ifyou do not reportsuch organization
in writing to us within 180 days afteryou acquire or form it: or 2) Until the end of the policy period.
when that date is later than 180 daysafter you acquire or form suchorganization, if you report such organization in writing to us within
180 days afteryou acquire or formit:
b. Coverage A does not apply to " bodilyinjury" or "property damage• that occurred before you acquired or formed theorganization; and
c. Coverage B does not apply to " personal
and advertising injury'' arising out of anoffense committed beforeyou acquired orformed the organization.

For the purposes of Paragraph 1. of Section IIWhoIs An Insured, each such organizationwill be deemed to be designated in theDeclarations as:
a. A limited liability company;
b. An organization. other than a partnership,
joint venture or limited liability company;
or
c. A trust;
as indicated in its name or the documents
that govern its structure.

E. WHO IS AN INSURED - LAIBILTV FOR

CONDUCT OF UNNAMED PARTNERSHIP SO R

JOINT VENTURES
The following replaces the last paragraph of
SECTION II - WHO IS AN INSURED:
withrespect No person or organization is an insuredto the conduct of any current or pastpartnership aNamed or joint venture that is not shown as Insured in the Declarations. Thisparagraph does not apply to any such partnershipor joint venture that otherwise qualifies as an insured under Section II - Who Is An Insured.

F. BLANKETADDITIONAL INSURED - PERSONS

OR ORGANIZATIONS FOR YOUR ONGOING

OPERATIONS AS REQUIRED BV WRITTEN

CONTRACT OR AGREEMENT
The following is added to SECTION II - WHO IS
AN INSURED:

Any person or organization that is not otherwisean insured under this Coverage Part and that you have agreed in a written contract or agreement toinclude as an additional insured on this Coverage Partis an insured. but onlywith respect to liability
for "bodilyinjury• or "propertydamage" that:
a. Occurs subsequent to the signing of thatcontract or agreement; and b. Is caused, in whole or in part, by your acts or
omissions in the performanceof your ongoingoperations to which that contract or

Page 2 of 5 ends

IncludescopyrightedmaterialofInsuranceSefvicesOffice, Inc. with la pennlsslon.

COMMERCIAL GENERAL LIABILITY
liability as mortgagee, assignee. successor or
receiver for "bodily injury", " property damage" or "
personal and advertisinginjury" that:
a. Is " bodily injury" or " property damage" thatoccurs. or is "personal and advertising injury" caused by an offense that is committed.
subsequent to the signing of that contract oragreement; and b. Arises out of the ownership, maintenance or
use of the premises for which that mortgagee,
assignee, successor or receiver is required
under that contract or agreement to beincluded as an additional insured on thisCoverage Part.

The insurance provided to such mortgagee,
assignee. successor or receiver is subject to the
following provisions:
a. The limits of insurance provided to such
mortgagee, assignee, successor or receiverwill be the minimum limits that you agreed toprovide in the written contract or agreement, or the limits shown in the Declarations,
whichever are less.
b. The insurance provided to such person ororganization does not apply to:
1) Any "bodily injury" or " propertydamage"
that occurs, or any " personal andadvertising injury" caused by an offensethat is committed. after such contract or agreement is no longer in effect: or
2) Any " bodily injury'', "property damage" or"
personal and advertising injury" arisingout of any structural alterations. new construction or demolition operationsperformed by or on behalf of suchmortgagee, assignee, successor orreceiver.

J. BLANKET ADDITIONAL INSURED

GOVERNMENTAL ENTITIES - PERMITS OR

AUTHORIZATIONS RELATING TO PREMISES
The following is added to SECTfON U - WHO IS
AN INSURED:

Any permitor governmental entity that has issued a
ownedor authorization with respect topremisesoccupied by, or rented or loaned to, you and that you are required by any ordinance. law,
building code or written contract or agreement toinclude as an additional insured on this Coverage Partis an insured, but only with respect to liabilityfor " bodily injury", "propertydamage" or " personaland advertising injury" arising out of theexistence, ownership, use, maintenance, repair. construction, erection or removal of any of the
following for which that governmental entity has
issued such permit or authorization: advertising
signs, awnings, canopies, cellar entrances, coal
holes, driveways, manholes, marquees. hoist
away openings, sidewalk vaults, elevators, street
banners or decorations.

K. BLANKET ADDITIONAL INSURED

GOVERNMENTAL ENTITIES - PERMITS OR
AUTHORIZATIONS RELATING TO OPERATIONS
The following is added to SECTION II - WHO IS
AN INSURED:

Any governmental entity that has issued a permit
or authorization with respect to operations
performedby you or on your behalf and that you
are required by any ordinance, law. building code
or written contract or agreement to include as an
additional insured on this Coverage Part is an
insured, but only with respect to liability for "bodily injury". " property damage" or " personal and
advertising injury" arising out of such operations.

The insurance provided to such governmental
entity does not apply to:
a. Any " bodily injury". "property damage" or"
personal and advertising injury" arising out ofoperations performed for the gover nmentalentity; or b. Any " bodily injury" or " property damage"
included in the " products- completedoperations hazard".

L. MEDICAL PAYMENTS- INCREASED LIMIT
The followingreplaces Paragraph 7. of SECTION
Ill - LIMITS OF INSURANCE:

7. Subject to Paragraph 5. above, the MedicalExpense Limit is the most we will pay under Coverage C for all medical expenses becauseof " bodily injury" sustained by any oneperson, and will be the higher of:
a.$ 10,000; or
b. The ofthis amount shown in the Declarations
Coverage Part for Medical Expense
Limit.

M. BLANKETWAIVER OF SUBROGATION
The following is added to Paragraph 8., Transfer
Of RightsOfRecoveryAgainst Others To Us,
of SECTION IV - COMMERCIAL GENERAL
LIABILITYCONDITIONS:

If the insured has agreed in a contract oragreement arecovery to waive that insured's right against any person or organization, we

Page 4 of 5 ends

1nc1udes copyrightedmaterialof InsuranceServicesOffice, Inc. with its permission.

CG 0417 0219

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Countersigned by
Authorized Representative
Form WC 04 03 06 1) Printed in U.S.A.

Process Date: 05/14/21 Policy Expiration Date: 06/23/22

WAIVER OF OUR RIGHT TO RECOVER FROM

OTHERS ENDORSEMENT - CALIFORNIA
Policy Number: 72 WEC ZX9262 Endorsement Number:

Effective Date: 06/23/21 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: COMPLETE PAPERLESS SOLUTIONS LLC 4025 E LA PALMA AVE STE 201
ANAHEIM CA 92807
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 2 % of the California workers' compensation premium otherwise due on such remuneration.

SCHEDULE
Person or Organization Job Description
Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Form WC 99 03 94 Printed in U.S.A.

Process Date: 05/14/21 Policy Expiration Date: 06/23/22 2011, The Hartford

NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S)
Policy Number: 72 WEC ZX9262 Endorsement Number:

Effective Date: 06/23/21 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: COMPLETE PAPERLESS SOLUTIONS LLC 4025 E LA PALMA AVE STE 201
ANAHEIM CA 92807
This policy is subject to the following additional
Conditions:

A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such
cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the
certificate holder(s) with mailing addresses on file
with the agent of record or the Company.

B. If this policy is cancelled by the Company for
non-payment of premium, or by the insured, notice
of such cancellation will be provided within ten (10)
days of the cancellation effective date to the
certificate holder(s) with mailing addresses on file
with the agent of record or the Company.

If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient
proof of notice.

Any notification rights provided by this endorsement
apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy’s term.

Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation
becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or
representatives.

Redondo Beach City CouncilAugust 2, 2022

Redondo Beach City Council
August 2, 2022