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PROOF OF INSURANCE (2021 - 2021) CLOSED
DATE (MM/DD/YYYY) C V CERTIFICATE OF LIABILITY INSURANCE 2/10/2021 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). CNOAOTEACTPRODUCER Lady19 2 3-800 „ t N 619 864 710 .. 6 C3 Risk &Insurance Service PHONE �' 404 Camino Del Rio S. STE 410 We NQ�ExU olio c31nsuo ._. _ EMAIL ranee cam San Diego CA 92108 AppR —--....... ,t. - ....AIC # _--INSURER(S, AFFORDLM..G... COVERAGE `�G.E.__._.-.....—..m.................N.....�__ __ INSURER Ace American Insurance Company 22667 E - INSURER ...North American Calpatcity Insurance Comps 25038 INSURED DCODIS-01 EDCO Disposal Corporatoin 6670 Federal Blvd �y y . �................_�� 67 Lemon Grove CA 91945 .... 4 _ f America INSURER D�Travelers Property Casualty ....Co...O............. _..__ �.��.�������,�..... nw�ewnoc� e%r0'1C11%ATc KIIIRADCD• 1ROCZA7170d 92FVI5:Ir1N NIIMRPR- 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. ...... _........ rvry ... ._... _ YNSR .-.... m...APr9LS7 POLDICDY EFF ICY EXP NUMBER..._ TYPE OF INSURANCE POLICY MPI� LIMITS LTR DD YY"Y' A X CO MMERCIALGENER LLIABILITY Y Y XSLG7145275A 10115/2020 10/15/2021 EACH OCCURRENCE $ 1 C bRi�A il'SRENrE $ 00 000 CLAIMS -MADE OCCUR PR EMI ES„a orr„rurr nca _3,000000 MED EXP A n one arson) .._. 5.... Y person) $ . PERSONAL & ADV INJ URY $ 1,.000 000 ................. ......... ...... LIIMIIT APPLIES PER: GEN'L AGGREGATEPRO- GENERAL AGGREGATE .....,,,...._—..� $ 2,000 000 POLICY [KJ JECT LOC RODUCTS-COMP/OP AGG P.....— ....,.,... _ $ 2.000 000 .. ......__.. $ OTHER:: A AUTOMOBILE LIABILITY Y Y ISAH25309595 10/15/2020 10/15/2021 COMBINED SINGLE LIMP $ 2,000 000 X ANY AUTO BODILY INJURY (Per person) $ OWNED 'mm SCHEDULED-- BODILY INJURY (Per accident)', $ AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTYDAMAGE � aI w,X„wm AUTOS ONLY . X,.,.,. AUTOS ONLY ..,,.,);hair accldenkS .............. +..$........ _._ .......,. C UMBRELLA LIAB X I OL41MS-MADE DOX000214303 10/15J2020 I 10/15I2021 $ 6.,000 000 X EXCES IAB AEACH GGREGATE E __ $ 5,000 000 . _ X OED RETENTION$ $ D WORKERS COMPENSATION Y UB2R35237A2051K 9/19/2020 9/19/2021 X PER p OTH 1 ..... AND EMPLOYERS' LIABILITY Y F N � ,,.... , .STIATUTE .1..,��?... ...�.,,.,,..___ ANYPROPRIETOR/PARTNER/EXECUTIVE {g' N OFFICER/MEMBER EXCLUDED? N / A L EACH ACCIDENT E ,,, $ 1,000 000 0,0 m l _� (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 B Pollution Liability PPK2160854 7/31/2020 7/31/2022 Aggregate 5,000,000 Offsite Cleanup 5,000,000 Onsite Cleanup 5,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS) VEHICLES (ACORD 101, Additional Remarks Uhod'ulo, may W attached if errors space is required) Additional 'insureds are listed With primaryinon-contributory Warding, as/where required by written contract as respects General Liability, Auto Liability and Pollution Liability„ General Liabilit „ Auto Liability and Pollution Liability waiver f subrogation applies, but limited to the operations of t Ie Insured Lender saidcontract, and always subject to alt Bhe policy terms, conditions and exclusions per endorsements attached. Waiver of subrogation applies to Workers Compensation, wtlen reqquired by written contract or agreement, per attached form. City of El Segundo is included. City of El Segundo 350 Main Street El Segundo CA 90245 ACORD 25 (2016/03) k1I 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 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION Named Insured _ Endorsement Number EDCO Disposal Corporation 3 Policy Symbol�G�7145275;A� NumbePolicy Period Effective Date of Endorsement XSL 10/15/2020 to 10/15/2021 Issued By (Name of InsuranceCompany) ACE American Insurance Company Insert olicv number. The remapnder of the inform alion is to be completed only when this endorsernenf is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. 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. Authorized Representative XS-6W25b (04/13) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS Named Insured EDCO Disposal Corporation Endorsement 6 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G7145275A 10/15/2020 to 10/15/2021 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when tPvis endorsement is issued subsequent to the preparation of the polcy, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY HEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Des,.ri tion Of Com leted O erations Any person or organization whom you have agreed to All locations where you perform work for such additional include as an additional insured under a written insured pursuant to any such written contract. contract, provided such contract was executed prior to the date of loss. uired to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tions) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorse- ment performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. 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. Authorized Representative XS-21164a (04/13) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 1 ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION EDCO Disposal Corporation Endorsement 7 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G7145275A 10/15/2020 to 10/15/2021 Issued By (Name of Insurance Company) - ACE American Insurance Company remainder of the information is to be endorsement is issued subsequent to the preparation THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name Of Additional Insured Person(s) I Or Oraanization(s): Location(s) Of Covered Operations f Any Owner, Lessee or Contractor whom you have agreed All locations where you are performing ongoing to include as an additional insured under a written contract, operations for such additional insured pursuant to provided such contract was executed prior to the date of any such written contract. loss. f Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tion(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising 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 performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or XS-21168a (04/13) Copyright, Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" 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 a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. 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. rv, Authorized Representative XS-21168a (04/13) Copyright, Insurance Services Office, Inc., 2012 Page 2 of 2 CHE3B0 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Named Insured Endorsement Number EDCO Disposal Corporation 32 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G7145275A 10/15/2020 to 10/15/2021 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be. completed gaily when this endorsement is issued suhsequent to the preparation of the: policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this policy. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. All Other Terms And Conditions Remain Unchanged. Authorized Representative XS-6W34a (02/20) Page i of 1 Ar E� WORKERS COMPENSATION TRAVRAND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A)- 001 POLICY NUMBER: UB-2R35237A-20-51-K WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 2.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 9/19/2020 Policy No. UB-2R35237A-20-51-K Endorsement No. Insured Premium Insurance Company Countersigned by, DATE OF ISSUE: 10-07-19 ST ASSIGN: Page i of 1