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HomeMy Public PortalAboutC-17-033 - Alliant Insurance Services, Inc. Amendment No. 1, Insurance Broker Fee^M AMENDMENT NO. 1 1 " TO AGREEMENT FOR CONTRACT SERVICES A THIS AMENDMENT TO THE AGREEMENT FOR CONTRACT SERVICES ("Amendment") by and between the CITY OF CARSON, a California municipal corporation l ("City"), and ALLIANT INSURANCE SERVICES, INC., a California corporation U ("Consultant"), is entered into effective as of the Pt day of July, 2020. RECITALS A. City and Consultant entered into that certain Agreement for Contractual Services dated July 1, 2017 ("Agreement") whereby Consultant agreed to provide City services related to the City's insurance programs, needs, and related options. B. City and Consultant now desire to amend the Agreement to reflect City's exercise of the first of its two options to extend the term of the Agreement. C. Such exercise of City's option to extend will result in increase of the Contract Sum, as such term is defined in the Agreement. TERMS 1. Contract Changes. The Agreement is amended as provided herein. a. Section 2. 1, "Contract Sum," of the Agreement is hereby amended to read as follows: Subject to any limitations set forth in this Agreement, City agrees to pay Consultant the amounts specified in the "Schedule of Compensation" attached hereto as Exhibit "C" and incorporated herein by this reference. The total compensation, including reimbursement for actual expenses, shall not exceed Two Hundred Five Thousand Five Hundred Fifty Dollars ($205,550)($152,244) (the "Contract Sum"), unless additional compensation is approved pursuant to Section 1.8. b. Section I of Exhibit `B" of the Agreement, "Special Requirements," is hereby amended to read as follows: Section 3.4, "Term," is hereby amended to read as follows: "3.4 Term. Unless earlier terminated in accordance with Article 7 of this Agreement, the term of this Agreement shall be for four (4) thfee-(3) years commencing July 1, 2017 and terminating June 30, 20218 ("Term"), it being understood that the City has exercised the first of its two one-year options to extend the term of this Agreement for an amount not exceeding Fifty Three Thousand Three Hundred Six Dollars ($53,306) for the one-year term commencing on July 1, 2020, and terminating on June 30, 2021. The City may, at its sole discretion, elect to extend the Term of this Agreement by ate one (1) additional yeaa (2) years, in one (t ` < Rt-, by providing Consultant -1- 01007.0001/633726.2 I. II. a written notice of such election thirty (30) days prior to the Term expiration, for an amount not exceeding FiRy Th fee Thetisand Th fee 14und fed Si.i ,-,,-,llafs ($53,306) f eptienal one year -ter -fn c on july 1, 2020, andZer-minating an2024-,- aad T Fifty Four Thousand Six Hundred Thirty Nine Dollars ($54,639) for the optional one-year term commencing July 1, 2021, and terminating on June 30, 2022." C. Exhibit "C" of the Agreement, "Schedule of Compensation," is hereby amended to read as follows: Consultant shall perform all Services described in Exhibit "A" at the following rates: REW A. Fiscal Year commencing on July 1, 2017 and $49,500 terminating on June 30, 2018 B. Fiscal Year commencing on July 1, 2018 and $50,738 terminating on June 30, 2019 C. Fiscal Year commencing on July 1, 2019 and $52,006 terminating on June 30, 2020 TOTAL.! $152,244 D. 019tiEffal at Q' ;s eleetiell cal Year $53,306 commencing on July 1, 2020 and terminating on June 30. 2021 TOTAL: $205,550 E. Optional at City's election — Fiscal Year $54,639 commencing on July 1, 2021 and terminating on June 30, 2022 The City will compensate Consultant for the Services performed upon submission of a valid invoice. Each invoice is to include: A. B. C. Line items for all personnel describing the work performed, the number of hours worked, and the hourly rate. Line items for all materials and equipment properly charged to the Services. Line items for all other approved reimbursable expenses claimed, with supporting documentation. -2- 01007.0001/633726.2 D. Line items for all approved subcontractor labor, supplies, equipment, materials, and travel properly charged to the Services. The total compensation for the Services shall not exceed $205,SS111�?—'_ ;-^�, as provided in Section 2.1 of this Agreement. d. Section I of Exhibit "D" of the Agreement, "Schedule of Performance," is hereby amended to reflect an "Ending Date" of June 30, 2021. 2. Continuing Effect of Agreement. Except as amended by this'Amendment, all provisions of the Agreement shall remain unchanged and in full force and effect. From and after the date of this Amendment, whenever the term "Agreement" appears in the Agreement, it shall mean the Agreement, as amended by this Amendment to the Agreement. 3. Affirmation of Agreement; Warranty Re Absence of Defaults. City and Consultant each ratify and reaffirm each and every one of the respective rights and obligations arising under the Agreement. Each party represents and warrants to the other that there have been no written or oral modifications to the Agreement other than as provided herein. Each party represents and warrants to the other that the Agreement is currently an effective, valid, and binding obligation. Consultant represents and warrants to City that, as of the date of this Amendment, City is not in default of any material term of the Agreement and that there have been no events that, with the passing of time or the giving of notice, or both, would constitute a material default under the Agreement. City represents and warrants to Consultant that, as of the date of this Amendment, Consultant is not in default of any material term of the Agreement and that there have been no events that, with the passing of time or the giving of notice, or both, would constitute a material default under the Agreement. 4. Adequate Consideration, The parties hereto irrevocably stipulate and agree that they have each received adequate and independent consideration for the performance of the obligations they have undertaken pursuant to this Amendment. 5. Authority. The persons executing this Amendment on behalf of the parties hereto warrant that (i) such party is duly organized and existing, (ii) they are duly authorized to execute and deliver this Amendment on behalf of said party, (iii) by so executing this Amendment, such party is formally bound to the provisions of this Amendment, and (iv) the entering into this Amendment does not violate any provision of any other agreement to which said party is bound. [SIGNATURES ON FOLLOWING PAGE] r3- 01007 00011633726 2 IN V TICNESS WEE OF, the pales hm w have executed this Amendment on the slate and year first -above vaittem OF r Siutny YL Soitam, City Attmey W'D cri-CARS x� Robles, Mayor CONSULTANT: ,ALLLAN ` INSURANCE SERVICES, INC., a t artfor is anporation By. �� �.t�t �►ia:+�:�i. Name:.tohn mdmughiin Titie: FVP Operadom By.49tVlt—�� Name. --17E b Ff to&Y Tztle:-`~SU/teA Address: Two corporate oNkxr signatures required when Coundtant is a corporsdou, witb one ire required from each of the folbming greupc 1) Chairman of the Board, President or say Yke P eddent; and 2) Secretary, any Astistnut Se av", [lief Find" Maw or any Assistant Treasurm CONSULTANTS SIGNATURES SHALL BE DULY NOTARYTED, AND APPROPRIATE ATTESTATIONS SHALL BE INCLUDED AS MAY BE REQUIRF,D BY THE BYLAWS, AR'T'ICLES OF INCORPORATION, OR OTHER RULES OR REGULATIONS APPLICABLE TO CONSULTANTS BUSYNESS ENTITY. ,4„ 01107 aOtA93MU CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. STATE OF CALIFORNIA COUNTY OF LOS ANGELES On , 2020 before me, , personally appeared , proved to me on the basis of satisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER 01007.0001/633726.2 DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT [GNER(S) OTHER THAN NAMED ABOVE TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)) 01007.0001/633726.2 DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT [GNER(S) OTHER THAN NAMED ABOVE CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. STATE OF CALIFORNIA COUNTY OF LOS ANGELES On , 2020 before me, , personally appeared , proved to me on the basis of satisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER FOR TITLE(S) PARTNER(S) ❑ LIMITED ❑ GENERAL ATTORNEY-IN-FACT TRUSTEE(S) GUARDIAN/CONSERVATOR OTHER SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)) 01007.0001/633726.2 TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT [GNER(S) OTHER THAN NAMED ABOVE AC 40R& CERTIFICATE OF LIABILITY INSURANCE4/29 °"► /2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the ( If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies mayy requi eSan • dorsement. A Statemenntt ED provisions or be on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER Alliant Insurance Services Inc. Karen Adcock 1301 Dove St. Suite 200 PhONE 909 474 8768 Fax Newport Beach CA 92660-2436 2013 INSURED ALLIHOL-M Aliiant Holdings, L.P. 1301 Dove Street, Suite 200 Newport Beach CA 92660 THIS IS TO CERTIFYVIZION NUMBER: THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED tNAMED ABOVE OR 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 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, IR B IWORKERSCOMPENSATION Y (21} 7175 67-12 3!1!2020 3/112021 AND EMPLOYERS' WBILITY Y I N ANYPROPRIETORIPART NERIEXECUTI VE jOFFICERIMEMSEREXCLUDED? NIA (MarWetory In NMI DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarisa Schedule, may be albeMd If mon Waoa is rsquirsd) See Attached Schedule of Named Insureds. Workers Compensation: Covered States- All States except monopolistic states of OH, WA, WY- Stop Gap/Employers Liability coverage only. City of Carson, its elected and appointed officers, employees, volunteers and agents are named as Additional Insureds as respects to General Liability and Auto Liability in which coverage afforded by these policies to the Additional Insureds Is primary and non-contributory as required by written contract, per the attached carrier endorsements. Waiver of subrogation applies to General Liability and Workers Compensation in favor of City of Carson, its elected and appointed officers, employees, volunteers and agents where allowable by law. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE >`r`'f� {}j THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carson ACCORDANCE WITH THE POLICY PROVISIONS. G r"� 701 E Carson Street � k-,�'L` -C , D Carson CA 90745 AUTHORIZED REPRESENTATIVE , 01888-2015 ACORD CORPORATION. All riahts r•servad Aq.;UKU "10 (ZUIWU3) The ACORD name and logo are registered marks of ACORD OF INSURANCE POLICY -NUMBER 7tt: 3/1/2020 I 3/1/2020 3H12021 3/1/2021 IMITS3605-39.43 CURRENCE $1,0 00,{301 A A TCOMMERCIALGENERAL LUIBILrTY F% -f7 OCCUR Y iMADE Y Y Y r 17818.67-70 NBO (20)7360-17-27 - a $1,000,OOG one $10,000L POLICY ❑ JERCT u LOC OTHER. AUTOMOBILE LIABILITY X ANY AUTO OWNED r-7 SCHEDULED AUTOi X HIRED$ ONLY X 'AUTOS AUTOS ONLY AUTOS ONLY X UMBRELLA LIAO X OCCUR EXCESS LIAR ,..� ... & ADV INJURY $1,000 00CGENLAGGREGATELIMRAPPLIESPER: AGGREGATE $2000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 Deducible S 0 MB -NGL IT $1,000,000 _ BODILY INJURY (Per person) $ BODILY INJURY (Per accidenQ $ PROPERTY DAMAGE $ S EACH OCCURRENCE $25,000001 B IWORKERSCOMPENSATION Y (21} 7175 67-12 3!1!2020 3/112021 AND EMPLOYERS' WBILITY Y I N ANYPROPRIETORIPART NERIEXECUTI VE jOFFICERIMEMSEREXCLUDED? NIA (MarWetory In NMI DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarisa Schedule, may be albeMd If mon Waoa is rsquirsd) See Attached Schedule of Named Insureds. Workers Compensation: Covered States- All States except monopolistic states of OH, WA, WY- Stop Gap/Employers Liability coverage only. City of Carson, its elected and appointed officers, employees, volunteers and agents are named as Additional Insureds as respects to General Liability and Auto Liability in which coverage afforded by these policies to the Additional Insureds Is primary and non-contributory as required by written contract, per the attached carrier endorsements. Waiver of subrogation applies to General Liability and Workers Compensation in favor of City of Carson, its elected and appointed officers, employees, volunteers and agents where allowable by law. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE >`r`'f� {}j THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carson ACCORDANCE WITH THE POLICY PROVISIONS. G r"� 701 E Carson Street � k-,�'L` -C , D Carson CA 90745 AUTHORIZED REPRESENTATIVE , 01888-2015 ACORD CORPORATION. All riahts r•servad Aq.;UKU "10 (ZUIWU3) The ACORD name and logo are registered marks of ACORD LWANG2 ACORO' CERTIFICATE OF PROPERTY INSURANCE PA0412912020 TE(MM/DD/YYYY) 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. CONTACT PRODUCER License # OC36861 NAME: Karen M Adcock Newport Beach-Alliant Insurance Services, Inc. _(A/ANN EX�(909) 886-9861 �X, No): (909) 886-2013 1301 Dove a Ste A E-MAIL SS: KAdcock@alliant.com Newport Beach, CA 92660 --------------- - -- — --- --I INSURED Alliant Holdings, LP c/o Alliant Insurance Services, Inc. 1301 Dove St Ste 200 Newport Beach, CA 92660 COVERAGES CERTIFICATE NLIMBER- REVISION NUMBER - LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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. INSRPOLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER COVERED PROPERTY LIMITS LTR DATE (MM/DD/YYYY) DATE (MM/DD/YYYY) -._.._, PROPERTY I BUILDING _$ CAUSES OF_LO_ SS I DEDUCTIB_L_ES PERSONAL PROPERTY -', $ BASIC I BUILDING BUSINESS INCOME $ BROAD ----- CONTENTS EXTRA EXPENSE $ SPECIAL J - - - _ ., RENTAL VALUE BLANKET BUILDING i-- — $ $ EARTHQUAKE __ WIND BLANKET PERS PROP BLANKET BLDG & PP $ $ $ FLOOD -- INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS $ NAMED PERILS POLICY NUMBER $ $ A X Employee Theft 10,000,000 X CRIME $ TYPE OF POLICY X Forgery/Alteration $ 10 000,000 Commercial Crime SAA E487803 00 00 07115/2019 07/15/2020 X Computer Fraud 1 $ 10,000,000 BOILER & MACHINERY/ ----- EQUIPMENT BREAKDOWN - - -- ---- �I$ $ IS SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of Insurance. CERTIFICATE HOLDER CANCELLATION City of Carson 701 E Carson Street Carson, CA 90745 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 24 (2016/03) ©1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Insured: Alliant Holdings, LP Policy Term: 07/15/19 to 07/15/20 Crime Coverage: Policy Number: SAA E487803 00 00 Carrier: Great American Insurance Company Insuring Clauses: Limits: Retentions: Employee Dishonesty $10,000,000 $150,000 Forgery or Alteration $10,000,000 $150,000 Inside the Premises: $10,000,000 $150,000 Outside the Premises $10,000,000 $150,000 Computer Fraud $10,000,000 $150,000 Money Orders and Counterfeit Paper Currency $10,000,000 $150,000 Loss of Client's Property Resulting from Employee Dishonesty $10,000,000 $150,000 Funds Transfer Fraud $10,000,000 $150,000 Fraudulently Induced Transfers (Social Engineering) $1,000,000 $150,000 ERISA Dishonesty Coverage $500,000 $0 Insured: Alliant Holdings, LP Policy Term: 07/15/2019 to 07/15/2020 Policy Number: SAA E487803 00 00 Schedule Of Named Insured(s) Crime Coverage: Insured Entity Alliant Holdings, L.P. 32-0469270 Alliant Holdings, Inc. 47-4298060 Alliant Holdings Intermediate, LLC 46-1419725 Alliant Holdings Intermediate, Inc. 47-2951662 Alliant Holdings Co -Issuer, Inc. 32-0469705 Alliant Insurance Services, Inc. 33-0785439 Alliant Retirement Services, LLC 46-2408502 FHI Benefit Plans, Inc. 33-0417819 Alliant Specialty Insurance Services, Inc. 95-2678392 Alliant Insurance Services Houston, LLC 22-3723955 Alliant Services Houston, Inc. 13-2629399 Moore -McNeil, LLC 51-0529414 Benefit Advisors Services Group, LLC 45-3028619 SureCanada Surety Services, Inc. 835305848 WCP Consulting, Inc. 13-3033200 American Benefits and Compensation Systems, Inc. 13-3556882 American Benefits Consulting LLC 20-2220858 Community Association Underwriters of America, Inc. 23-2574033 DSCM Inc. 47-1992220 S.I.U., LLC 77-0518610 Deep EQ Insurance Agency, Inc. 56-2678062 EQ One Insurance Services, LLC 77-0518610 Preferred Concepts Holdings, LLC 71-0875925 Preferred Concepts, LLC 71-0875939 IRF Administrators, LLC 71-0875925 Astrus Insurance Solutions LLC 47-5095116 Mesirow Insurance Services Inc. 36-3429604 Mesirow Financial Structured Settlements, LLC 36-4192153 Hecht & Hecht Life & Health Insurance Agency, Inc. 20-2198349 Hecht & Hecht Insurance Agency, Inc. 93-073-7824 SES Insurance Brokerage Services, Inc. 33-0305416 Whitboy, Inc. t/a Boynton & Boynton 22-3186181 Crystal IBC, LLC 47-2002720 Crystal IM LLC 47-1997493 Frank Crystal & Co. of Bermuda Ltd. Trident HGC Holdings, LLC 81-3702334 Alliant HGC, Inc. 83-1685004 Harbor Group Consulting Holdings, LLC 81-3654464 Harbor Group Consulting, LLC 45-1502124 High Street Valuations, LLC 37-1878660 FEIN # Imperium Consulting Group LLC 83-2086085 ASQ Insurance Services LLC 83-2097349 AFN Insurance Brokers Inc. / AFN Courtiers d'Assurance Inc. 865443782 sACORp ALLIHOLM MRODRIGUI �...r CERTIFICATE OF LIABILITY INSURANCE DATE("" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO ODERB/TH sa 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: M the certificate holder is an ADDITIONAL INSURED, the Policy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the terns 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 andamsmanti.i. PRODUCER CONTACT New York- E.46th-Alliant ins Svc Inc w►M miahele.rodri j aillant.com 140 East 45th St Ste 68 PHONE New York, NY 10017 „ FwC. No): INSURED Alliant Holdings, LP c/o Alliant Insurance Services, Inc. 1301 Dove St Ste 200 Newport Beach, CA 92660 26883 KEVIS1oN NUMBER: HIS 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 THE DOCUMENT WITH RESPECT TO WHICH THIS OTHE 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, R TYPE OF INSURANCE ��PO�UCYNUMB�ER�MM(DD1YY MMS Y �COMMERC7tAl. GENERAL LIABILITY LIMITS EACH OCCURRENCE $ MADE C OCCUR IS aEN r �_ $ _ I I , MED EXP (Anv one --i c GEN'! AGGREGATE LIMIT APPLIES PER: POLICY PRO- � JECT � LOC V INJURY % EGATE S MP/OP AGG $ OTHER: =RAYG LIABILITY AUTOALL OWNED ' SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS SAUTOMOBILE LE LIMITSANY (Per person) $ BODILY INJURY (Per socident) S ' PPReOPE DAMA S $ UMBRELLA LIAR EXCESS U! OCCUR CLAIMS -MADE EACH OCCURRENCE $AB DED RETENTION S AGGREGATE $ YORKERS COMPENSATIONS MV EMPLOYERS' LIABILITY AY PROPRIETORfPARTNERIEXECUTIVE Y_ / N IFFICER(MEMBEREXCLUDED) N/A PER0TH_ STAER jT ER E.L EACH ACCIDENT s A Prof. LIabiiity ( 03-878.66-16 U,uCAOC -YVUUY UMI I i 12/1612018 12!1612020 Each Claim/Aggregate 1 I I I DESCRIPTION OF OPERATIONS 1 LOCATIONS ( VEHICLES (ACORD 101, Additional Ramos Schedule. may be coached if mon space is required) phis is a Claims Made Policy. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City at Carson }� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN r ACCORDANCE WITH THE POLICY PROVISIONS. 701 E Carson Street Carson, CA 80746 AUTHORIZED REPRESENTATIVE vv rano-tura r %0vr%IJ %4vKYVKATIONI. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AC^ �® SVR CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/29/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Alllant Insurance Services Inc. 1301 Dove St. Suite 200(AIC,No Newport Beach CA 92660-2436 CONTACT NAME: Karen Adcock PHONE FAX A/c No): 909 886 2013 Ext: 909 474 8768 (,C, ADDRESS: kadcock@alliant.com INSURER(S) AFFORDING COVERAGE NAIC # Y INSURERA: Federal Insurance Company 20281 3605-39-43NBO INSURED ALLIHOL-01 Alliant Holdings, L.P. 1301 Dove Street, INSURER B: Federal Insurance Company 20281 INSURER C: INSURER D: Suite 200 1 INSURER E: Newport Beach CA 92660 INSURER F : COVERAGES CERTIFICATE NUMBER: 1540430916 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICEFF LTR TYPE OF INSURANCE IVSD SUBR POLICY NUMBER MMIDDY/Yl'YY POLICY EXP MM DDIIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y 3605-39-43NBO 3/1/2020 3/1/2021 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE -TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY FI JECT PRO LOC PRODUCTS - COMP/OPAGG $2,000,000 Deductible $ 0 OTHER: A AUTOMOBILE LIABILITY Y Y 207360-17-27 ( ) 3/1/2020 3/1/2021 COM BINED SINGLE LIMIT $1,000,000 Ea accident BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident X HIRED LX NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB X OCCUR 7818-67-70 3/1/2020 3/1/2021 EACH OCCURRENCE $25,000,000 AGGREGATE $25,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVEE.L. Y (21)7175-67-12 3/1/2020 3/1/2021 X PER STATUTE �RH EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? � NIA (Mandatoryin NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) See Attached Schedule of Named Insureds. Workers Compensation: Covered States- All States except monopolistic states of OH, WA, WY- Stop Gap/Employers Liability coverage only. City of Carson, its elected and appointed officers, employees, volunteers and agents are named as Additional Insureds as respects to General Liability and Auto Liability in which coverage afforded by these policies to the Additional Insureds is primary and non-contributory as required by written contract, per the attached carrier endorsements. Waiver of subrogation applies to General Liability and Workers Compensation in favor of City of Carson, its elected and appointed officers, employees, volunteers and agents where allowable by law. L,tK I It-IL;A I t City of Carson 701 E Carson Street Carson CA 90745 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _� aw_ *AV-, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Insured: Alliant Holdings, LP Policy Number(s): 3605-39-43 NBO, (20) 7360-17-27, 7818-6770, (21) 7175-67-12 Policy Term: 03/01/2020 - 03/01/2021 Schedule Of Named Insured(s) Insured Entity Alliant Holdings, L.P. Alliant Holdings, Inc. Alliant Holdings Intermediate, LLC Alliant Holdings Intermediate, Inc. Alliant Holdings Co -Issuer, Inc. Alliant Insurance Services, Inc. Alliant Retirement Services, LLC FHI Benefit Plans, Inc. Alliant Specialty Insurance Services, Inc. Alliant Insurance Services Houston, LLC Alliant Services Houston, Inc. Moore -McNeil, LLC Benefit Advisors Services Group, LLC WCP Consulting, Inc. American Benefits and Compensation Systems, Inc. American Benefits Consulting LLC Community Association Underwriters of America, Inc. DSCM Inc. Deep EQ Insurance Agency, Inc. EQ One Insurance Services, LLC Preferred Concepts Holdings, LLC Preferred Concepts, LLC IRF Administrators, LLC Astrus Insurance Solutions LLC Mesirow Insurance Services Inc. Mesirow Financial Structured Settlements, LLC SES Insurance Brokerage Services, Inc. Whitboy, Inc. t/a Boynton & Boynton Crystal IBC, LLC Frank Crystal & Co. of Bermuda Ltd. Trident HGC Holdings, LLC Harbor Group Consulting Holdings, LLC Harbor Group Consulting, LLC Insured: Alliant Holdings, LP Policy Number(s): 3605-39-43 NBO, (20) 7360-17-27, 7818-6770, (21) 7175-67-12 Policy Term: 03/01/2020 - 03/01/2021 Schedule Of Named Insured(s) - continued Insured Entity - continued High Street Valuations, LLC Imperium Consulting Group LLC ASQ Insurance Services LLC AFN Insurance Brokers Inc. / AFN Courtiers d'Assurance Inc. Alliant Holdings Canada, Inc. Alliant Degginger Asset Rollover, Inc. BBDSN, LLC Buck STA 2019, Inc. Last update 1.7.2020 CH U 8 B' Liability Insurance Endorsement Policy Pedod MARCH 1,2020 TO MARCH 1, 2021 EffecdVe Oats MARCH 1, 2020 Policy Number 3605-39-43 NBO Insured ALLIANT HOLDINGS LP Name ofCompany FEDERAL INSURANCE COMPANY Date Issued MARCH 1, 2020 This Endorsement applies to the following fo=: GENERAL LIABILITY Under Who Is An Insured. the following provision Is added. Who Is An Insured Owners, Lessees Or A. Persons or organizations shown in the Schedule below ars insureds; but they are Insure& Contractors - Ongoing only with respect to their liability for bodily injury, property dw=ge, adverdsing Injury Operations or personal 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 pWornrance of your ongoing operations for the person or organization shown in the Schedule at the applicable location described in the Schedule. However, • the insurance afforded to such person or organization only applies to the extent permitted by law. and • if coverage provided to the. person or organization is required by a contract or agreement, the insurance afforded to the person or organizadou will not be broader than that which you are required by such contract or agreement to provide for the person or organization. L"ity lnsw ame Adc4Yansf fnswad - owwnr, Lssesas Or Coitbuctare - OWkV Opereftm, sdwdufsd condnusd Form 80-02-2305 (ROV. 9-17) Erwo"nwnt Fwao r Liability Endoraamant {condnuad) B. However, no person or organization is an insured for bodily injury or property, damage occurring after: 1. all work, including materials, parts or equipment tnrinished in connection with such work, on the project (other than service. maintenance or repairs) to be performed by or on behalf of the person or organization shown In the Schedule at the applicable location described in tht Schedule has been completed; or that portion of your wort[ 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 pan of the same project. Schedule Designated Owner. Lessee Or Contractor PERSONS OR ORGANIZATIONS THAT YOU ARE OBLIGATED, PURSUANT TO A CONTRACT OR AGREEMENT, TO PROVIDE WITH SUCH INSURANCE AS IS AFFORDED BY THIS POLICY. All other terms and conditions remain unchanged. Autltprfred Reprowntaft Q'A"-Oa last pego WNW►nauranoo Additlwie► Mewed - Ornrora, L""" Or tontactom - A�rgoing t�paratlaa, SAhadularl Farm tit)-cr -ZXZ (Roo. 317) Endbr"m*ff Pogo 2 C H U B B' Liability Insurance Endorsement Polky Pedod MARCH 1, 2020 TO MARCH 1, 2021 EftectiveDate MARCH 1, 2020 Polley Number 3605-39-43 NBO Insured ALLIANT HOLDINGS LP Name of Company FEDERAL INSURANCE COMPANY Date Issued MARCH 1, 2020 This Endorsement applies to the following forms: GENERAL LIABILITY EMPLOYEE BENEFITS ERRORS OR OMISSIONS Candldons Under Conditions, the following provision is added to the condition titled Other insurance. Other Insurance - - If you ane obligated, pursuant to a written contract or agreement, to provide the person or Primary, Noncontributory organization described In the Schedule (that is also included in the Who Is An insured section of this Insurance - Scheduled contract) with primary insurance such as is afforded by this policy, then this insurance is primary and Person or Organization we will not seek contribution from insurance available to such person or organization. Schedule PERSONS OR ORGANIZATIONS THAT YOU ARE OBLIGATED PURSUANT TO A CONTRACT OR AGREEMENT, TO PROVIDE WITH SUCH INSURANCE AS IS AFFORDED BY THIS POLICY. All other terms and conditions retrain unchanged. UsbW tneuranoa ConrW*w - Odwr Inna mm - PAmwy, Nvnacr+trib bT Ineuranm - scho*Wd pgNm Or orBwnlratlon IaatW90 Form 80 -IV -W59 (RSV. 7-09) EmWwnw a Page r C H U B B' Liability Insurance Endorsement Policy Pedod MARCH 01, 2020 TO MARCH 01, 2021 EffecdveDato MARCH 01, 2020 Policy Number 3605-39-43 NBO Insured ALLIANT HOLDINGS, LP Name of Company FEDERAL INSURANCE COMPANY Da to Issued MARCH 01, 2020 This Endorsement applies to the following forms: GENERAL LIABILITY Under Conditions, Transfer Or Waiver Of Rights Of Recovery Against Others, the following provision is added Conditions Transfer Or Waiver Of However, we waive any right of recovery we may have against the designated person or organization Rights Of Recovery shown below because of payments we make for injury or damage arising out of your ongoing Against Others operations or done under a contract witb that person or organization and included in the products -completed operations hazard, THs waiver applies to the designated person or organization, Designated Person Or Organization ANY PERSON OR ORGANIZATION WHERE REQUIRED BY WRITTEN CONTRACT. Ueblkty Insurance Condtlon - Welver Of Transfer Of Rights Of Recovery Farm 8042-23M (Rev. 4-01) Endarsement conffrmd Page 1 Llebllity Endorsement (continued) All other terms and conditions remain unchanged AuMa zed Representadve Dablilly (nsuranae condldan - Waiver Of iranslar of wts Of Recovery last page Form 80-02-0W (Rev. 4-0 1 ) Endcrsernent page 2 POLICY NUMBER: (20) 7360-17-27 COMMERCIAL. AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: ALUANT HOLDINGS, LP Endorsement Effective Date: 0310112020 SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION AS REQUIRED BY WRITTEN CONTRACT OR WHERE A CERTIFICATE OF INSURANCE SHOWING THAT PERSON OR ORGANIZATION AS AN ADDITIONAL INSURED HAS BEEN ISSUED. Information required to complete this Schedule if not shown above will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 4810 13 ©insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: (20) 7360-17-27 COMMERCIAL AUTO CA 04 44 10 13 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: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER 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: ALLIANT HOLDINGS, LP Endorsement Effective Date: 03/01/2020 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any Person(s) or Organization(s) where required by written contract. 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. CA 04 4410 13 Copyright, Insurance Services Office, Inc., 2011 Page 1 of 1 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POUCY WC 124 WC 0003 113 (4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which It Is attached effective on the inception date of the policy unless a different date is Indicated below. (The io"In;i'attacift clause' need be 0MV10ted only when ft endoroement is issued subse"M to preparation of fhe pony) This endorsement, effective on 03/01/20 at 12:01 A. M. standard time, forms a part of NAIL) Policy No. (21)7175-67-12 of the CHUBB INDEMNITY INSURANCE COMPANY QJAME OF INSURANCE OOMPANY) issued to ALLIANT HOLDINGS LP Endorsement No. Auttla kW Reprowntawe We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us' This agreement shall not operate directly or indirectly to benefit any one not named In the Schedule. Schedule Wi IS EXCLUDED FROM THIS ENDORSEMENT AS REQUIRED PER WRITTEN CONTRACT WC 124 (4.94) W0 00 0313 C opyrV t 1983 National Camel on Corr pamation hnuuanoe. Pago 1 of 1 ACORO LWANG2 �.,,... CERTIFICATE OF PROPERTY INSURANCE DATE(MM/D0/Y" aa/29"zo 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. PRODUCER License # OC36861 CONTaCT NAME: KarenEMA*E"k301 D ve St Ste 2d t Insurance Services, lnc. o Ext : 909 EEEEF iewport Beach, CA 82660 E6ICeA..AAI.ao,_n:_ .. _ ___ No : 949 E88-2013 INSURED Alllant Holdings, LP cto Alliant insurance Services, Inc. 1301 Dove St Ste 200 Newport Beach, CA 82660 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORn 4e4 AAAA . _, . - - - -- -- •, .._-...-..-..•••.•..... o.: ., n more space to required) _..._ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY INDICATED, NOTWATHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE IS SUBJECT TO ALL THE TERMS, BEEN REDUCED BY PAID CLAIMS. R LTTYPE OF INSURANCE LTR POLICY NUMBER YY EFF Off) DOUG EXPIRATIONYYYY) DAA COVERED PROPERTY LIMITS PROPERTY CAUSES OF LOSS DEDUCTIBLES BUILDING $ BASIC BUILDING PERSONAL PROPERTY S BROAD BUSINESS INCOME S CONTENTS EXTRA EXPENSE 3 SPECIAL EARTHQUAKE RENTAL VALUE S WIND BLANKET BUILDING $ fL00D BLANKET PERS PROP $ BLANKET SLOG & PP $ S INLAND MARINE TYPE OF POLICY $ S CAUSES OF LOSS $ NAMED PERILS I s POLICY NUMBER S $ A X CRIMEI X ea 00 $ 10,000,0 TYPE OF POLICY X gar ' Fo Aaaration $ 10,000,000 Commercial Crime SAA E487803 04 00 07/16/2019 0711512020 X Computer Fraud 10000 OQO $ , BOILER S MACHINERY! EQUIPMENT BREAKDOWN $ $ -7-7 S $ SPECIAL CONDITIONS I OTHER COVERAGES (ACORD 101, Addkioml Remarks Schedule, may be attsehad if more space is required) Proof of Insurance. SHOULD ANY OF THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Iffy Of Carson 7016 Carson Street ACCORDANCE WITH THE POLICY PROVISIONS. Carson, CA 80746 AUTHORIZED REPRESENTATIVE AfTAOr% A• 1aA4&1Aet - -- W 1VV0-ZU1b ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ALLIHOL-01 MRODRIGUEZ 14� Raw CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/ CERTIFICATE MAY BE ISSUED OR MAY 04129/202202 0 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: mlchelexodrlgueZ@alllant.COm New York- E.45th-Alliant Ins Svc Inc - PHONE -- — — FAX - - 140 East 45th St Ste 6B _Wc N_o, Exp: -_—_ —__ _ — _ (A/C, No)_ New York, NY 10017 E-MAIL ADDRESS: PERSONAL & ADV INJURY INSURER(S) AFFORDING COVERAGE NAIC # _ INSURERA:AIG Specialty Insurance Company 26883 INSURED INSURER B Alliant Holdings, LP INSURERC: c/o Alliant Insurance Services, Inc. -- — - 1301 Dove St Ste 200 INSURER D Newport Beach, CA 92660 INSURER E BODILY INJURY (Per person) '.$ INSURER F: COVERAGES CERTIFICATE NUMBER: RFVISInN NUMRFP- 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. INSR ___-- __-- _-- LTR TYPE OF INSURANCE -ADDL SUBR ___-- -- POLICY EFFPOLICY EXP- _-- -- _--- _-_-- INSD WVD POLICY NUMBER MM/DD/YYW MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR _ --DAMAGE TO RENTED- _--- __--- -__-- - -- PREMISES, (Ea occurrence) $__ _ MED EXP (Any one person) $ PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- :POLICY JECT _-_ _ LOC PRODUCTS - COMP/OP AGG $ i OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ----. -(Ea accident) _ ANY AUTO BODILY INJURY (Per person) '.$ - - ALL OWNED __- - SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ ( ) NON -OWNED HIREDAUTOS AUTOS _ -- '- _ - --_-- PROPERTYDAMAGE _ _. _ (Per accident) L_$_ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMSMADE _. _._.. _ _ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE- E L ACCIDENT $ OFFICER/MEMBER EXCLUDED? C] N /A EACH __ (Mandatory in NH) E L DISEASE - EA EMPLOYEE, $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT'. $ A Prof. Liability 03-979-56-15 12/15/2019 12/15/2020 Each Claim/Aggregate 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This is a Claims Made Policy. -rt i Irl .. I c L ANN I=LLA I IL)N City of Carson 701 E Carson Street Carson, CA 90745 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - — r U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD KADCOCK CERTIFICATE OF PROPERTY INSURANCEff0711012020 MfDDn'YYYj �� 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. PRODUCER License # OC36861 Vewport Beach-Alliant Insurance Services, Inc. 1301 Dove St Ste 200 Vewport Beach, CA 92660 INSURED Alliant Holdings, LP do Alliant Insurance Services, Inc. 1301 Dove St Ste 200 Newport Beach, CA 92660 {:t]NNRMF•TAGT Karen M Adcock r,U8,%E., Ertf, (909) 886-9861 {krc, No)' (909) 886-2013 ADDRESS; KAdcock@alllant.com PRODUCER ALLIHOL-01 CUSTOMER ID: 1NSURERIS) AFFORDING COVERAGE N_AIC_01 INSURER A: Great American Insurance Company 16691 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES 1 DESCRIPTION OF PROPERTY (Attach ACORD 1131, Additional Remarks Schedule, If more space Is required) THIS 1S 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM1DDrYYYY) DATE (MMODIYYYY) COVERED PROPERTY LIMITS PROPERTY BUILDING S CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY S BASIC BUILDING BUSINESS INCOME S BROAD CONTENTS EXTRA EXPENSE S SPECIAL RENTAL VALUE S EARTHQUAKE BLANKET BUILDING 5 NAND BLANKET PERS PROP S FLOOD BLANKET BLDG 8 PP S S S INLAND MARINE TYPE OF POLICY S CAUSES OF LOSS $ NAMED PERILS POLICY NUMBER S a A X CRIME X Employee Theft 5 10,000,000 TYPE OF POLICY X ForgerylAlteration 5 10,000,000 Commercial Crime SAA E487803 0100 07115/2020 0711512021 X Computer Fraud S 10,000,000 BOILER & MACHINERY 1 S EQUIPMENT BREAKDOWN S S SPECIAL CONDITIONS 1 OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may he attached If more space Is required) Proof of Insurance. City of Carson 701 E Carson Street Carson, CA 90745 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 24 (2016103) 01995-2015 ACORD CORPORATION_ All rights reserved. The ACORD name and logo are registered marks of ACORD INSURED: Alliant Holdings, LP POLICY TERM: 7/15/2020 to 7/15/2021 POLICY NUMBER: SAA E 487803 0100 Named Insured(s): Alliant Holdings, L.P. Alliant Services, Inc. Alliant Holdings Intermediate, LLC Alliant Holdings Intermediate, Inc. Alliant Holdings Co -Issuer, Inc. Alliant Insurance Services, Inc. Alliant Retirement Services, LLC FHI Benefit Pians, Inc. Alliant Specialty Insurance Services, Inc. Alliant Insurance Services Houston, LLC Alliant Services Houston, Inc. Moore -McNeil, LLC Benefit Advisors Services Group, LLC WCP Consulting, Inc. American Benefits and Compensation Systems, Inc. American Benefits Consulting LLC Community Association Underwriters of America, Inc. Advantis Claims, Inc. Deep EQ Insurance Agency, Inc. EQ One Insurance Services, LLC Preferred Concepts Holdings, LLC Preferred Concepts, LLC IRF Administrators, LLC Astrus Insurance Solutions LLC Mesirow Insurance Services Inc. Mesirow Financial Structured Settlements, LLC SES Insurance Brokerage Services, Inc. Whitboy, Inc. Crystal IBC, LLC Frank Crystal & Co. of Bermuda Ltd. Harbor Group Consulting, LLC High Street Valuations, LLC Imperium Consulting Group LLC ASQ Insurance Services LLC AFN Insurance Brokers Inc. Alliant Holdings Canada, Inc. Alliant Degginger Asset Rollover, Inc. BBDSN, LLC Buck STA 2019, Inc. Alliant Bonding Sub, Inc. Last update 4.3.2020 Insured: Alliant Holdings, LP Policy Term: 07/15/2020 to 07/15/2020 Crime Coverage: Policy Number: SAA E487803 0100 Carrier: Great American Insurance Company Insuring Clauses: Limits: Retentions: Employee Dishonesty $10,000,000 $150,000 Forgery or Alteration $10,000,000 $150,000 Inside the Premises: $10,000,000 $150,000 Outside the Premises $10,000,000 $150,000 Computer Fraud $10,000,000 $150,000 Money Orders and Counterfeit Paper Currency $10,000,000 $150,000 Loss of Client's Property Resulting from Employee Dishonesty $10,000,000 $150,000 Funds Transfer Fraud $10,000,000 $150,000 Fraudulently Induced Transfers (Social Engineering) $1,000,000 $150,000 ERISA Dishonesty Coverage $500,000 $0