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PROOF OF INSURANCE (2020 - 2021) CLOSEDA� ® CERTIFICATE OF LIABILITY INSURANCE I DAT1/7/20120YYY) 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). CONTACT PRODUCER Patriot Risk & Insurance Services NAME: 2415 Campus Drive, Suite #200 wCC, No. Ext): (949) 486-7900 FVC, No): (949) 486 7950 Irvine, CA 92612 I E-MAIL ADDRESS: DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of EI Segundo is named as Additional Insured, includes Primary and Non-contributory as their interest may appear Waiver of subrogation applies to GL and WC and in favor of the additional insured per endorsement attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF EL SEGUNDO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo CA 90245 AUTHORIZED REPRESENTATIVE ^ Dave Jacobson © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 53452972 1 19/20 GL/AU/XS/WC/PROF I Annette Romero 1 1/9/2020 6:19:32 AM (PST) I Page 1 of 6 INSURER(S) AFFORDING COVERAGE NAIC # www.patrisk.com OK07568 I INSURER A: Steadfast Insurance Company 26387 INSURED INSURER B: Zurich American Insurance Company 16535 Environmental Contractors Transportation, Inc. I DBA: ECTI INSURER C: Allied World National Assurance Company 10690 957 Reece Street I INSURER D: San Bernardino CA 92411-2356 I INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 53452972 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. INSR TYPE OF INSURANCE ADDL SUBR LTR INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS IMM/DD/YYYYI (MM/DD/YYYYI A �/ COMMERCIAL GENERAL LIABILITY `/ v/ GPL-2578283-00 12/31/2019 12/31/2020 EACH OCCURRENCE $1,000,000 CLAIMS -MADE 1/ OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 ,/ Mold Abatement MED EXP (Any one person) $ 10,000 ,/ Pollution Liability $1,000,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑PRO ❑LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: Employee Benefits $1,000,000 B AUTOMOBILE LIABILITY BAP -2499006-00 12/31/2019 12/31/2020 EaaacccidentSINGLELIMIT) $1,000,000 ✓ ANY AUTO BODILY INJURY (Per person) $ OWNEDSCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTYDAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY (Per accident) C UMBRELLALIAB OCCUR Q20451945-01 12/31/2019 12/31/2020 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED I ✓ I RETENTION $0 $ B WORKERS COMPENSATION WC2513620-00 1/1/2020 1/1/2021�/ �/ AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N SPER TATUTE EORH E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in 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 A Professional Liability GPL-2578283-00 12/31/2019 12/31/2020 Per Occurrence: $1,000, )00 Deductible: $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of EI Segundo is named as Additional Insured, includes Primary and Non-contributory as their interest may appear Waiver of subrogation applies to GL and WC and in favor of the additional insured per endorsement attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF EL SEGUNDO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo CA 90245 AUTHORIZED REPRESENTATIVE ^ Dave Jacobson © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 53452972 1 19/20 GL/AU/XS/WC/PROF I Annette Romero 1 1/9/2020 6:19:32 AM (PST) I Page 1 of 6 Additional Insured -Automatic -Owners, Lessees Or 9 Contractors ZURICH Coverage Part One -Commercial General Liability Coverage Part Two -Contractor's Pollution Liability GP L2578 83-00 I olicy No. Eff. Date of I Exp2Date 20O20Pol. I Eff� Date of 31/20 9nd. Producer I 67186000 I Add'I Prem. I Return Prem. Named Insured and Mailing Address: Producer: ENVIRONMENTAL CONTRACTORS TRANSPORTATION, INC. PATRIOT RISK AND INSURANCE SERVICES, INC. DBA: ECTI 2415 CAMPUS DR STE 200 957 REECE ST IRVINE, CA 92612-8530 SAN BERNARDINO, CA 92411-2356 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy [x] COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY [x] COVERAGE PART TWO -CONTRACTOR'S POLLUTION LIABILITY 1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an additional insured any person(s) or organization(s) whom you are required to add as an additional insured on this policy under a written contract or written agreement. 2. The insurance provided to the additional insured person(s) or organization(s) applies only to: a. "Bodily injury", "property damage" or "personal and advertising injury" under COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; and resulting directly from: (a) Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or (b) "Your work" completed as included in the "products -completed operations hazard", performed for the additional insured, which is the subject of the written contract or written agreement; and/or b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO - CONTRACTOR'S POLLUTION LIABILITY, caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, and resulting directly from: (a) "Covered operations" performed for the additional insured, which is the subject of the written contract or written agreement; or Confidential \ Personal Data 53452972 1 19/20 GL/AU/XS/WC/PROF I Annette Romero 1 1/7/2020 6:17:32 AM (PST) I Page 2 of 6 STF-ESP-101-F CW (04/13) Page 1 of 3 (b) "Completed operations" of the "covered operations" performed for the additional insured, which is the subject of the written contract or written agreement. 3. However, regardless of the provisions of paragraphs 1. and 2. above, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the written contract or written agreement to provide to such additional insured. 4. With respect to the insurance afforded to the additional insured under this endorsement, the following is added to Section III — Limits Of Insurance and Deductible: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. 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 5. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: (1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the 'occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any architectural, engineering or surveying services. 6. The additional insured must see to it that: a. We are notified as soon as practicable of an 'occurrence", offense or "pollution event', as applicable, that may result in a claim; b. We receive written notice of a claim or "suit' as soon as practicable; and c. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. 7. For the coverage provided by this endorsement: a. The following paragraph is added to Paragraph 8.a. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: Primary and Noncontributory Insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. b. The following paragraph is added to Paragraph 8.b. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: This insurance is excess over: STF-ESP-101-F CW (04/13) Confidential \ Personal Data Page 2 of 3 53452972 1 19/20 GL/AU/XS/WC/PROF I Annette Romero 1 1/9/2020 6:19:32 AM (PST) I Page 3 of 6 Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. 8. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. Confidential \ Personal Data 53452972 1 19/20 GL/AU/XS/WC/PROF I Annette Romero 1 1/9/2020 6:19:32 AM (PST) I Page 4 of 6 STF-ESP-101-F CW (04/13) Page 3 of 3 Waiver of Transfer of Rights of Recovery Against Others — Blanket as Required by Contract Policy No. GPL-2578283-00 Eff. Date of Pol 12/31/2019 Exp. Date of Pol 12/31/2020 Named Insured and Mailing Address: Eff. Date of End. I Producer 12/31/2019 1 67186000 Producer: Add'I Prem. I Return Prem. ENVIRONMENTAL CONTRACTORS TRANSPORTATION, INC. PATRIOT RISK AND INSURANCE SERVICES, INC. DBA: ECTI 2415 CAMPUS DR STE 200 957 REECE ST IRVINE, CA 92612-8530 SAN BERNARDINO, CA 92411-2356 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy [x]COVERAGE PART ONE — COMMERCIAL GENERAL LIABILITY [x] COVERAGE PART TWO — CONTRACTOR'S POLLUTION LIABILITY [x] COVERAGE PART THREE - PROFESSIONAL LIABILITY In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14. Subrogation is amended by the addition of the following: We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. Confidential \ Personal Data 53452972 1 19/20 GL/AU/XS/WC/PROF I Annette Romero 1 1/7/2020 6:17:32 AM (PST) I Page 5 of 6 STF-ESP-248-A CW (04/10) Page 1 of 1 Environmental Contractors Transportation, Inc. DBA: ECTI WC2513620-00 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA NDORSEMENT- CALIFORNIA 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 % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION. WC 252 (4-84) WC 04 03 08 (Ed. 4-84) 53452972 119/20 GL/AU/XS/WC/PROF I Annette Romero 1 1/7/2020 6:17:32 AM (PST) I Page 6 of 6 Page 1 of 1