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-MAIL ADDRESS:
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. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR WVDADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$ PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person) COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED
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 EMPLOYEEE.L. EACH ACCIDENT EROTH- STATUTE PER
(MM/DD/YYYY) LIMITS POLICY EXP(MM/DD/YYYY) POLICY EFFLTR TYPE OF INSURANCE POLICY NUMBER INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $
$
OCCUR
CLAIMS-MADE DED RETENTION $
PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $
EACH OCCURRENCE $ DAMAGE TO RENTED
PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
5/31/2022
IAG Insurance Services
12 Mauchly, Building I
Irvine CA 92618
Jill Eide 949-387-2323 x204 949-387-2324 [email protected] License#: 0D78344 Scottsdale Insurance Company 41297 PARKCON-01 Safety National Casualty Corporation 15105 Parking Concepts, Inc.
dba Transportation Concepts
12 Mauchly
Building I
Irvine CA 92618 Lexington Insurance Company 19437 Texas Insurance Company 16543 775390174 A X 1,000,000 X 100,000 X $5,000 GL SIR 0
X $5,000 GKLL SIR 1,000,000 2,000,000 X
X $5M per loc Agg Y Y BCS0039993 6/1/2022 6/1/2023
2,000,000 GKLL Occ/Agg limit $1M Occ/$5M Agg
D
D
1,000,000 X
X X
Y Y BRPCLLTCA011200_080604_01
BRPCLLTCA011200_080605_01
6/1/2022
6/1/2022
6/1/2023
6/1/2023
A X 5,000,000 X
XLS0125208 6/1/2022 6/1/2023
5,000,000 X
0 B X
Y
Y SP4066603 6/1/2022 6/1/2023
1,000,000 1,000,000 1,000,000
C Excess Liability
Occurrence Form
Retention: 0
080877781 6/1/2022 6/1/2023 Aggregate
Each Occurrence
5,000,000
5,000,000
Named Insured:
-Parking Concepts, Inc. dba Transportation Concepts
-PCI Municipal Services, LLC
-
LOC #516 - 1521 Kingsdale Avenue, Redondo Beach, CA 90278 - Redondo Beach/Beach Cities Transit The Cities of Redondo Beach, Hermosa Beach, Manhattan Beach and El Segundo, their officers elected and appointed officials, employees and volunteers are included as additional insureds in respects to the general liability coverage as per written contract #CG 20 10 04 13 and #CG 20 37 04 13. Coverage shall be primary & non-contributory in respects to the general liability coverage as per written contract #CG 20 01 12 19. Waiver of subrogation shall apply in respects See Attached...
The Cities of Redondo Beach
1922 Artesia Blvd
Redondo Beach CA 90278
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
PARKCON-01 1 1
IAG Insurance Services
Parking Concepts, Inc.
dba Transportation Concepts
12 Mauchly
Building I
Irvine CA 92618
25 CERTIFICATE OF LIABILITY INSURANCE
to the general liability coverage as per written contract #CG 24 04 12-19.
Blanket Auto Liability Additional Insured is included as required by written contract per the attached endorsement #RPCA008 and RPCA016. Blanket Waiver of Subrogation shall apply per the attached endorsement with regards to the auto liability #RPCA018.
Blanket Waiver of Subrogation for Workers' Compensation shall apply as required by written contract per the attached endorsement #0456 00 0113 (XWC).
Excess Liability policy is follow form to the General Liability, Garage Keepers Liability, Automobile Liability and Workers' Compensation ONLY. The Excess Liability coverage does not extend to the Professional Liability, Crime or Cyber Liability coverages.
TEXAS INSARANCE AUTO POLICY
FORM RPCA008
NAME INSURED:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement identifies person(s) or organization(s) who are added as “insureds” under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provider in the Coverage Form.
Unless otherwise specified below this endorsement is effective from the inception date of the Coverage.
SCHEDULE
Name of Person(s) or Organization(s)
Each person or organization indicated above is an “insured” for Liability Coverage on a primary basis, but only in respect to the Named Insured’s shuttle operations.
The inclusion of any additional person(s) or organization(s) shall not operate to increase the limits of the Company’s liability.
be signed prior to the date of the "accident".
All persons or organizations as required by written contract with the named insured. The written contract must POLICY NUMBER:
POLICY PERIOD:
BRPCLLTCA011200_080604_01
6/1/2022 - 6/1/2023
Parking Concepts, Inc. (Transportation Concepts)
Endorsement Effective: 6/1/2022
_________________________
Jeffrey A. Silver
(Secretary)
Date: 6/1/2022
TEXAS INSURANCE AUTO POLICY
FORM RPCA016
NAME INSURED:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
The following is added to the Other Insurance condition in the Business Auto Coverage Form and supersedes any provision to the contrary:
This Coverage Form’s Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an “insured” under your policy provided that:
1. Such “insured” is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such “insured”.
Provided, however, this endorsement only applies to:
ENTITY NAME AND ADDRESS
be signed prior to the date of the "accident".
All persons or organizations as required by written contract with the named insured. The written contract must POLICY NUMBER:
POLICY PERIOD:
BRPCLLTCA011200_080604_01
6/1/2022 - 6/1/2023
Parking Concepts, Inc. (Transportation Concepts)
_________________________
Jeffrey A. Silver
(Secretary)
Date: 6/1/2022
TEXAS INSURANCE AUTO POLICY
FORM RPCA018
NAME INSURED:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: Parking Concepts, Inc. (Transportation Concepts) Endorsement Effective Date:
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.
be signed prior to the date of the "accident".
All persons or organizations as required by written contract with the named insured. The written contract must POLICY NUMBER:
POLICY PERIOD:
BRPCLLTCA011200_080604_01
6/1/2022 - 6/1/2023
Parking Concepts, Inc. (Transportation Concepts)
9/1/2021
_________________________
Jeffrey A. Silver
(Secretary)
Date: 6/1/2022
POLICY NUMBER: BCS0039993 COMMERCIAL GENERAL LIABILITY
CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
ANY PERSON OR ORGANIZATION WHEN REQUIRED
BY WRITTEN CONTRACT OR AGREEMENT, EXECUTED
PRIOR TO THE OCCURRENCE TO WHICH THIS
INSURANCE APPLIES, THAT SUCH PERSON OR
ORGANIZATION BE ADDED AS AN ADDITIONAL
INSURED ON YOUR POLICY
ALL LOCATIONS
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s)
designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by or
on behalf of the additional insured(s) at the
location of the covered operations has been
completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
C. With respect to the insurance afforded to these
additional insureds, the following is added to Section
III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
POLICY NUMBER: BCS0039993 COMMERCIAL GENERAL LIABILITY
CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location And Description Of Completed Operations
ANY PERSON OR ORGANIZATION WHEN
REQUIRED BY WRITTEN CONTRACT OR
AGREEMENT, EXECUTED PRIOR TO THE
OCCURRENCE TO WHICH THIS INSURANCE
APPLIES, THAT SUCH PERSON OR
ORGANIZATION BE ADDED AS AN
ADDITIONAL INSURED ON YOUR POLICY
ALL LOCATIONS
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and
included in the "products-completed operations
hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.
COMMERCIAL GENERAL LIABILITY
CG 20 01 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available to
an additional insured under your policy provided
that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
EFFECTIVE DATE:
NAMED INSURED
POLICY NUMBER
AGENCY
LOC #:
AGENCY CUSTOMER ID:
ADDITIONAL REMARKS SCHEDULE Page of
ADDITIONAL REMARKS
FORM NUMBER: FORM TITLE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACORD 101 (2008/01)
1 1
IAG Insurance ServicesParking Concepts, Inc. dba Transportation Concepts 06/01/2022 25 Certificate of Liability Insurance
Fidelity/Crime Insurance Coverage:
Policy #: 5202PR017020-1
Effective: June 1, 2022 to June 1, 2023
Insurance Carrier: Markel American Insurance Company
Occurrence Form
$1,000,000 - Limit
$50,000 - Retention - Each Loss
Professional Liability Insurance Policy
Policy #: TBD
Effective: June 1, 2022 to June 1, 2023
Insurance Carrier: Gemini Insurance Company
Claims-Made
Full Prior Acts Coverage
$2,000,000 - Aggregate
$2,000,000 - Each Claim Limit
$25,000 - Per Claim Deductible
Cyber Liability Insurance Policy
Policy #: H21NGP211703-00
Effective November 18, 2021 to November 18, 2022
Insurance Carrier: Houston Casualty Insurance
Company Claims Made
Full Prior Acts Coverage
$5,000,000 - Limit
$150,000 - Aggregate Deductible