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PROOF OF INSURANCE (2021 - 2021) CLOSED"" CERTIFICATE OF LIABILITY INSURANCE °A 04/2112020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOEDER 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 Ct,)NTAI'f —-—®.m.. NA. CS&SINEW CENTURY INS SERVICES INC. PEON IONC FAX (iVC, No, E0(Atli. Nop PO BOX 958489 EMAIL AUUHE55: Lake Mary, FL 32746-8989 ____ INSURER(S) AFFORDING COVERAGE NAIC # 1-877-724-2669 _................._........._._..........__........._......._.._.._.._._..... INSURER A: Continental Casualty Corn'pany 20443 INSURED INSURER B GEOSPATIAL TECHNOLOGIES, INC. INSURER C 1432 EDINGER AVE STE 220 INSURER D: TUSTIN, CA 92780 NSURER 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. NOTW%STANDINGANY 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 CLAIMSINS. LTR TYPE OF INSURANCE IN DL yViVBDR POLICY EFF POLICY EXP LIMITS �,✓ POLICY NUMBER (MMIDDIYYI IMMIpD/YY) A ,X COMMERCIAL GENERAL LIABILITY Y 4029432517 06/01/20 06/01/21 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE IX -1 OCCUR GEML AGGREGATE LIMIT APPLIES PER: T'_ POLICY ca' p LOC t OTHER: A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOSSCHEDULED ONLY (AUTOS _._... HIRED AUTOS x�,NON-OWNED ONLY ./`*. AUTOS ONLY EXCESS L ABAB ,....m., OCCUR A �x x CLAIMS -MADE DED[X RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes, describe under DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 MED EXP (Any one person) ............................................... $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 4029432517 06/01/20 06/01/21 COMBINED SINGLE LIMIT (Eaaccidenp I $ 1,000,000 j BODILY INJURY(Per person) .I; BODILY INJURY(Per accident) '$ PROPERTY DAMAGE (Per accident) $ 4029432498 06/01/20 06/01/21 EACH OCCURRENCE $ 1,000,000 1 AGGREGATE $ 1,000,000 PER OlH- STATUTE ER E L EACH ACCIDENT II EL DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT PER OTH- OTHER (STATUTE � �ER E . EACH ACCIDENT E L DISEASE - EA EMPLOYEE ...................wwww. E L DISEASE -POLICY LIMIT dESCRIPTION OF OPERATIONS / LOCATIONS / V =HICLES Acord ' 01, Additional Remarks schedule, . i be attachec if more space is required) City of EI Segundo is Named as Additional Insured Owners, Lessees or Contractors. CERTIFICATE HOLDER CANCELLATION I City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN �. Main St ACCORDANCE WITH THE POLICY PROVISIONS. EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ....................................... ©1988-2015 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 (MMID AC 7/9/20CERTIFICATE OF LIABILITY INSURANCE DA9/20 20 DAY""' THIS CERTIFICATE IS ISSUED ASA 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(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(s). PRODUCERCLINIAL ° Carrie Boggs NAME. yt1, IAIC�FAX 09)305-1205 RDS Insurance Brokers PHONE (g09) 305 1200 (9 LiC# 0606461 fapil AOORESS; carr.i.e@rdsins.com P.O. BOX 159 INSURERS) AFFORDING COVERAGE NAIC M San Dimas CA 91773 INSURERA:AXIS Insurance Company 37273 INSURED INSURER B : Geo Spatial Technologies, Inc. INSURER C: 1432 Edinger Ave., Ste. 220 I INSURER D: INSURER E: Tustin CA 92780 INSURERF: COVERAGE$ CERTIFICATE NUMBER: 20-2i E&o 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 OFANY 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 TYPE OF INSURANCE ADDL SUSA POLICY EFF POLICY F_KP LIMITS LTR INSR WVD POLICY NUMBER dMM'7DDIYYYYI (MM/d:1DIYYYY) GENERAL LIABILITY ...I EACH OCCURRENCE $' DAMAGE. TIJ HErNYLU TaENERAI. LiAEA1„.I ,' PRFMISFS ocrurrauAl $ CLAIMS -MADE 1:1 OCCUR MEG EXP (Any one ge150n) $ PERSONAL & ADV INJURY $ IGENERAL AGGREGATE $ G; N1 l3(:01- r, ;rFLikAll APIY_IYm: 1='I -H I PRODUCTS - COMPIOPAGO '$ 'I:PiC P''DLU..Y F-1oFi'T F-] LOC AUTOMOBILE LIABILITY ANY AUTO ALL ONINE:D SCHEDULEDAUTOS AUTO. NON -OWNED II III FtI-(�'1.AI,uj1,"�' UMBRELLA LIAB I I o,}('('I IR EXCESS LIAB ! CLAIMS MiArir DED II RETENTION $ AND EMPLOYERS LIABILITY Y d N ANY PROPRIETOR/PARTNER0<ECUTIVE OFFICERIMEMBER EXCLUDED? El N/A (Mandatory in NH) If yes, describe under _DESCRIPTION OF OPERATIONS below A Technology Professional 0-001-000030098-03 7/19/2020 1/19/2021 Services Liability DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Those usual to the insureds operations. CERTIFICATE HOLDER CANCELLATION I Iranf,+vckemP7 BODILY NJURYsLE. Ludw1N'V tlR-a �$ (Per person) $ BODILY INJURY (Per accident) $ p PROPERTY DAMAGE- $ fpw ;a'orlentl $ I EACH OCCURRENCE $ AGGREGATE $ $ NC"TAT'U- 0.1H - r qv c EP 1 E L EACH ACCIDENT $ =. $ AUTOS ANY AUTO ALL ONINE:D SCHEDULEDAUTOS AUTO. NON -OWNED II III FtI-(�'1.AI,uj1,"�' UMBRELLA LIAB I I o,}('('I IR EXCESS LIAB ! CLAIMS MiArir DED II RETENTION $ AND EMPLOYERS LIABILITY Y d N ANY PROPRIETOR/PARTNER0<ECUTIVE OFFICERIMEMBER EXCLUDED? El N/A (Mandatory in NH) If yes, describe under _DESCRIPTION OF OPERATIONS below A Technology Professional 0-001-000030098-03 7/19/2020 1/19/2021 Services Liability DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Those usual to the insureds operations. CERTIFICATE HOLDER CANCELLATION I Iranf,+vckemP7 BODILY NJURYsLE. Ludw1N'V tlR-a �$ (Per person) $ BODILY INJURY (Per accident) $ p PROPERTY DAMAGE- $ fpw ;a'orlentl $ I EACH OCCURRENCE $ AGGREGATE $ $ NC"TAT'U- 0.1H - r qv c EP 1 E L EACH ACCIDENT $ E L DISEASE- EA EMPLOYEE $ E L DISEASE- POLICY LIMIT $ Each Claim $3,000,000 Aggregate $3,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE El Selgundo, CA 90245-3813 Carrie Boggs/CARRIE G•uT� V ACORD 25 (2010/05) @ 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005) 01 The ACORD name and logo are registered marks of ACORD