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PROOF OF INSURANCE (2020 - 2021) CLOSED
•�' 0 � DATE (MM/DD/YYYY) + " � CERTIFICATE OF LIABILITY INSURANCE 08/22/2019 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 cerl3iiCate 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(sL_ PRODUCER CONTACT CS&SINEW CENTURY INS SERVICES INC. NAME: PO BOX 958489 PHOE FAX (A/CNNo, Ext): (AIC, No): ................. LAKE MARY, FL 32746-8989 E-MAIL Phone - 888-520-7887 ADDRESS: Fax o - 877-763-5122 _,,,,,_,,,(NSURER(S) AFFORDING COVERAGENAIC # INSURER A: Continental Casualty Company 20443 INSURED I INSURER B: GEOSPATIAL TECHNOLOGIES, INC. 1432 EDINGER AVE STE 220 INSURER g..: TUSTIN, CA 92780 INSURER D: Continental Casualty Company 20443 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER* 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, INal1ADDL SUER POLICY EFF POLICY EXP LTR COMMERC YPE OFI SURANCEITY --- INSD WVD POLICY NUMBER (MMIDDIYYYYI (MMIDDIYYYYI LIMITS EACH OCCURRENCE $ 2,000,0001 CLAIMS-MADE ® OCCUR DAMAGE TO RENTED 300,0001 PREMISES (Ea occurrence) A --- Y N 4029432517 06/01/2019 06101/2020 Iu MED EXP (Any one person) 2010,000 PERSONAL & ADV INJURY $ ,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4:00100.- "001 ,00000 000POLICY�PRO- LOC 4,JECT PRODUCTS - COMP/OP AGG W B OTHERW..... COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY I (Ea accident) ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED (Per accident) $ A AUTOS ONLY AUTOS N N 4029432517 06/01/2019 06/01/2020 BODILY INJURY (P HIRED NON-OWNED AUTOS ONLY AUTOS ONLY (Peer accident) DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 D EXCESS LIAB � CLAIMS-MADE N N 4029432498 06/01/2019 06/01/2020 AGGREGATE $ 1,000,000 DED A RETENTION $ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY n STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN y E.L. EACHACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) EL DISEASE - EA EMPLOYEE $ If yes, describe under ........ " ... " DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ 4 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLE (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of EI Segundo is Named as Additional Insured Owners, Lessees or Contractors. CERTIFICATE HOLDER CANCELLATION City Of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EI Segundo, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE J ©1988-22U�01B1A00055 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CNA SB -300120-C (Ed. 06/11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION - WITH PRODUCTS COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM POLICY #4029432517 SCHEDULE" Name Of Person Or Organization: City of EI Segundo Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. A. The following is added to Paragraph C. Who Is An Insured: 4. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury," caused, in whole or in part, by: a. Your acts or omissions; or 2. b. 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; or c. "Your work" that is included in the "products -completed operations hazard" and performed for the additional insured, but only if this Policy provides such coverage, and only if the written contract or written agreement requires you to provide the additional insured such coverage. B. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," or "personal and advertising injury" arising out of: 1. The rendering of, or the failure to render any professional architectural, engineering, or surveying services, including: (a) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. "Bodily Injury," "property damage," or "personal and advertising injury" arising out of any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Policy. C. The following is added to Paragraph H. of the Businessowners Common Policy Conditions: H. Other Insurance This insurance is excess over any other insurance naming the additional insured as an insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance be either primary or primary and noncontributing. SB -300120-C Page 1 of 1 (Ed. 06/11) y�--�r^ry� " DATE(MM/DD/YYYY) LC'l..✓,r�i..J' CERTIFICATE OF LIABILITY INSURANCE I 05/19/2020 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 CONTACT EmeryLee KCAL Insurance Agency PHONE FAX 2048 S. Hacienda Blvd., I rat&- No. 626-333-1111 (AIC. Nor 626-369-7539 HACIENDA HEIGHTS, CA 91745 I ADD"RESS: emery@kcal.net License #: OB07015 I INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: HARTFORD INSURANCE 34690 INSURED INSURER B: GEOSPATIAL TECHNOLOGIES INC. I INSURERC: 1432 EDINGER AVE STE 220 I INSURERD: TUSTIN, CA 92780-6293 I INSURER E I INSURER F COVERAGES CERTIFICATE NUMBER: 00079940-604329 REVISION NUMBER: 1 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP I LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYYI (MM/DD/YYYY1 COMMERCIAL GENERAL LIABILITY = CLAIMS -MADE FIOCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO ❑ LOC JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EXCESS LAB HCLAIMS-MADE DED I I RETENTION $ A WORKERS COMPENSATION 72WECEV7186 01/22/2020 AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ EACH OCCURRENCE AGGREGATE 01/22/2021 %� STATUTE PER EERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) PROOF OF INSURANCE CERTIFICATE HOLDER CANCELLATION 1,000,000 1,000,000 1,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of EI Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EL SEGUNDO, CA 90245-3813 AUTHORIZED REPRESENTATIVE (EME) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by EME on May 19, 2020 at 01:13PM ACRO CERTIFICATE OF LIABILITY INSURANCE 7�15MMIDDIYYYY) /2019 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND 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(les) 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(sI. PRODER N N4WCI RDS UC assurance Brokers PHONE ) (Tse Boggs AX ar909) 305-1200 IAC qty. (9o9)aos-i2os Lic# 0606461 ADDRESS earriel1rdsins.com P.O. BOX 159 INSURER(S) AFFORDING COVERAGE NAIC 0 San Dimas CA 91773 INSURERA:AXIS Insurance Company :37273 INSURED INSURER B: GeoSpatial Technologies, Inc. INSURERC: 1432 Edinger Ave., Ste. 220 INSURER D: INSURER E: Tustin CA 92780 INSURER F: COVERAGES CERTIFICATE NUMBER:19-20 Es0 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUSR POLICY EFI= POLICY E'XP LTR TYPE OF INSURANCE tNSR_M= POLICY NUMBER /MMIDDIYYYY) iMMl=YYYY) LIMITS GENERALLIABILITY EACH OCCURRENCE $ "`" DAMAGE t0 RENTFD $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �I OCCUR PREMISES rrrincer.,1 MED EXP (MV one person)„ $ - PERSONAL & ADV INJURY $ _ V GENERAL AGGREGATE $ t"::”Ef1LAG(,;RF,,,ATE,LIMITAPPLIESPER. I PRODUC(S_COMROPAGG $ I.Or; IF.�,.,.f AUTOMOBILE LIABILITY Mc111vh1.i s,,rilYraLt I.Nav7R dE:1 dya°.ti�A:ntY $ ANY AUTO G BODILY INJURY (Per person) $ ALL OWNED SCHEDULED U BODLY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED ' ' "r)PE:PTY (;OMAGE $ HIREDAUTOSAUTOS IIPre, raccionll $ UMBRELLA LIARC.yCkZIR ..... EXCESS UAB CLAIMS MADE H .. .EACH OCCURRENCE I $ AGGREGATE $ DED RETENTION $$ E COMP SAT)ON„ Wt:S'YATiI g.u'iHw6RK- N { A EMPLOYERS' UABILrrY Y❑ T� FR ( $ ANY PROPRIETORIPARTNER/EY.ECUTIVE OFFICERIMEM®ER EXCLUDE D? NIA EL EACH ACCIDENT (MandatMIn K4 E L DISEASE_ EA EMPLOYEE I $ If yes, describe under p DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT II $ A Technology Professional P-001-000030098-02 7/19/2019 7/19/2020 Each Claim $3,000,000 Services Liability Aggregate $3,000,000 DESCRIPTION OF OPERATIONS! LOCATIONSI VEHCLES (Attach ACORD 707, Additional Remarks Schedule, W more space Is required) Those usual to the insureds operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of E1 Segundo 350 Main Street El Selgundo, CA 90245-3813 AUrFIORIZEDREPRESENTATIVE Carrie Boggs/CARRIE atu: h ACORD '25 (2010105) iso '1'988-2010 ACORD CORPORATION. All rights r'ese'rved. INS025 (207005) 01 The ACORD name and logo are registered marks of ACORD