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DocuSign Envelope ID:38427522-A9AA-41C8-927D-729D2EA76C3E
<br /> SUBMHOL-01 ELAM
<br /> ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY)
<br /> 3/19/2021
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER License#0757776 CONTACT
<br /> NAME:
<br /> HUB International Insurance Services Inc. PHONE,
<br /> 415 257-2100 FAX 415 455-1516
<br /> 1752 Lincoln Avenue ) ( ) (A/C,No):( )
<br /> San Rafael,CA 94901 ADDRESS:
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Sentinel Insurance Company, Ltd. 11000
<br /> INSURED INSURER B:Hartford Insurance Group 914
<br /> Submittable Holdings Inc.DBA Submittable INSURER C:Underwriters at Lloyd's London 15792
<br /> 111 N.Higgins Ave.,Suite 200 INSURER D:Travelers Casualty&Surety Company of America 31194
<br /> Missoula,MT 59802-4401
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR IN SD WVD MM DD MM DD
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE �OCCUR 57SBABK2680 2/19/2021 2/19/2022 DAMAGE TO RENTED 1,000,000
<br /> PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY JPROO-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER:
<br /> COMBINED
<br /> AUTOMOBILE LIABILITY SINGLE LIMIT
<br /> Ea accident $
<br /> ANY AUTO BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY cctlentDAMAGE $
<br /> AUTOS ONLY AUTOS ONLY
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE 57SBABK2680 2/19/2021 2/19/2022 AGGREGATE $ 5,000,000
<br /> DED I X I RETENTION$ 10,000
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> YIN 57WECZU5850 2/19/2021 2/19I2022 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
<br /> C Tech E&O/Cyber MPL219481621 2/19/2021 2/19/2022 Limits 5,000,000
<br /> D Crime 107312056 2/19/2021 2/19/2022 Limits: 3,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Excess Errors&Omissions Policy
<br /> Carrier:Lloyd's of London
<br /> Policy Number:TRICE01399
<br /> Limits:$2,000,000
<br /> Effective Dates:9/1/2020-9/1/2021
<br /> Directors&Officers Liability
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Proof of Coverage THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> g ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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