PROOF OF INSURANCE (2021 - 2022) CLOSED (2).� mmDATE OF LIABILITY INSURANCE A CE
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 endorsements„„„„„
..... ........
PRODUCER 'CONTACT
NAME:
CS&SINEW CENTURY INS SERVICES INC. PHONE FAx
A/C. No. ExQ: (A/C, No);
PO BOX 958489 EMAIL
ADDRESS:
Lake Mary, FL 32746-8989 INSURER(S) AFFORDING COVERAGE NAIC #
1-877-724-2669 INSURER A: Continental Casualty Company 20443
...............................
INSURED INSURER B:
GEOSPATIAL TECHNOLOGIES, INC. INSURERC:
1432 EDINGER AVE STE 220 INsuRER D:
TUSTIN, CA 92780 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
._......... ._............... m._.�..........._.....M.... .....
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDINGANY 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 ADDL SUBR POLICY EFF POLICY EXP
LTR F INSURANCE INSD WVD POLICY NUMBER LIMITS
TYPE O
(MMIDD� MM/DD/YY
_V�....._.
A XCOMMERCIAL L GENERAL LIABILITY Y 4029432517 06/01 /21 06/01 /22 EACH OCCURRENCE $ 2,000 000
�.... _ .....
CLAIMS -MADE DAMAGE TO RENTED
�, OCCUR ..PREMISES (Ea occurenae) 1.000.000
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 2,1000000
GEN`L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4000,000
POI ICY JRo- L c PRODucrs-coMP/OPAGG $ 4,000,000
OTHER:
A AU TOMOBILE LIABILITY 4029432517 06/01/21 06/01/22 COMBINED SINGLE LIMIT
(Ea accident) $ 1,000,000
ANY AUTO BODILY INJURY(Per person) $
...„..,.....,.,.
OWNED AUTOSH
SCHEDULED BODILY
ONLY AUTOS INJURY(Per accident) $
XHIRED AUTOSNON-OWNED PROPERTY DAMAGE
ONLY AUTOS ONLY (Per accident) ��$
$
......._ ....�. ..........................
A X.. UMBRELLA LIAB X I OCCUR 4029432498 06/01/21 06/01/22 EACH OCCURRENCE $ 1,000,000
EXCESS LIAB CLAIMS -MADE AGGREGATE $ 1 000 000
DED X I RETENTION $ 10,000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY YIN STATUTE ER
ANY PROPRIETOR/PARTNERJEXECUTIVE
OFFICER/MEMBER EXCLUDED? N/A E.L., EACH ACCIDENT $
(Mandatory in NH) E„L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E,L. DISEASE - POLICY LIMIT $
PER OTH-
OTHER STATUTE ER
E.L EACH ACCIDENT $
E.,L„ DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION Or OPERAY10149 I LOCATIONS I VEHICLES (Acord 101, Additional Remarks Schedule, may be attached if more space is requred)
City of El Segundo is Named as Additional Insured Owners, Lessees or Contractors.
CERTIFICATE HOLDER CANCELLATION
City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main St
El Segundo, CA 90245 ESENTATIVE ...,.
... m.......... .d......... ... ....... �......... ........
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
SB-300120-C
(Ed. 06/11)
ate►
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 El Segundo
required to complete this Schedule„ if not shown on this endorsement, will be shown in the
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 world' 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.
BB-300120-C Page 1 of 1
(Ed. 06/11)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
02/23/2021
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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATIONIS 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 NAME:
KCAL INSURANCE AGENCY PHONE (626) 333-1111 IFAX (626) 369 7539
72255864 LAIC, No, Ex1): (AC, No)"
2048 SOUTH HACIENDA BLVD E-MAIL ADDRESS:
HACIENDA HEIGHTS CA 91745
INSURER(S) AFFORDING COVERAGE NAIC#
'.. INSURER A: Property and Casualty Insurance Company of Hartford`IObU
INSURED
INSURER B :
GEOSPATIAL TECHNOLOGIES INC
INSURER C :
1432 EDINGER AVE STE 220
TUSTIN CA 92780-6293
INSURER D
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.
INg ADDL SUeR
TYPE OF INSURANCE
POLICY EFF POLICY
POLICY NUMBER EXP LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
CLAIMS -MADE ❑ OCCUR
1
MED EXP (Anyone person)
PERSONAL & AOV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
-m_
POLICY ❑ PRO" ❑ LOC
PRODUCTS - COMP/OPAGG
JECT
OTHER;.
COMBINED SINGLE LIMIT
AUTOMOBILE
A
LIABILITY
ANY AUTO
BODILY INJURY (Par person)
BODILY INJURY (Per accident)
-
ALLOWNED SCHEDULED
AUTOS AUTOS
HIRED NON -OWNED
PROPERTY DAMAGE
AUTOS AUTOS
(Per accident)
OCCUR
EACH OCCURRENCE
UMBRELLA LIAB
-
AGGREGATE
EXCESS LIAB CLAIMS-
MADE
ED RETENTION $
WORKERS COMPENSATION
X--- PER OTH-
AND EMPLOYERS' LIABILITY
T T
ANY YIN
E.L. EACH ACCIDENT $1,000,000'
A PROPRIETORIPARTNER/EXECUTIVE NIA
72 WEC EV7186 01/22/2021 01/22/2022
E.L.DISEgSE -EA EMPLOYEE $1,000,000:
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
E.L. DISEASE- POLICY LIMIT $1,000,000
7rRIPTI N F OPERATIONSbelow z"
= I- -
............
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Those usual to the Insured's Operations.
CR CA HOLDER (;SA I'-' I� 'V
ity of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
EL SEGUNDO CA 90245 IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Vr- 1VV0-ZUT.7 AGVKU 1.VRrWM IVIY. FUI IIcV11L5 I93CI VCu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
u z5'�
A6c Ze CERTIFICATE OF LIABILITY INSURANCE
L /2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTSUPON 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 CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT", If the certificate holder Is an ADDITIONAL ll SURED, the policy(los) must be endorsed. If S BROGATION IS WAIVED, sutlr)ect ter
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
;gafCarrie ]Boggs
PHONE - t909) 305-1200 . (909)305-1205
RDS Insurance Brokers
Lic# 0606461
Amass, carrieWsins.com
P.O. Box 159
GNs s AFFORDING COVERAGE NArC l
IwuRERA:AXXS Insurance n
37273
San Dimas CA 91773
INSURED
IN3'UR6R,a
INSURER C
GeoSpatial Technologies, Inc.
1432 Edinger Ave., Ste. 220
INSURERO:
INSURER 5,
INSL ER'F.
Tustin CA 92780
COVERAGES CERTIFICATE NI.IMBER:20-21 E&O
KICviol JT'Y FIVIVICM1a
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA I DABO'VE FOR THE POLICY FERIOD'
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 LTR
TYPE OF INSURANCE
POLGCYNUMBER
Policy7hMIYFF
POLICY F,
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCIE
COIMERCIAL GENERAL LIABILITY '
re
CLAIMS MADE E' OCCUR
N41ED E*'r (kc y ale par%ft)
a
PERSONAL R ADV 4NJURY
GENERAL AGGREGArE
$
GE.MLAGORE..OX(L
LIMIT APPUrSPER;
E OWCTS-COMHOPAGG
$
POLICY LOC
I
I
$
Ma^,ctdmn... L I.
AUTOMOBILE
LIABILITY
..
BODILY INJURY (Per person)
$
ANY AUTO
...,.,.�
ALL OWNED SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS AUTOS
®NOVJNED'���'�
HIREDAUTOS AUTOS
102410
$
UMBRELLA LIAB OCCUR
EACH OCCURRENCE'
EXCESSUAB CXMMISMADE
H
AGGREGATE
$
ICED RETENnON S
$
'WVORIMR'St COMPENSATION
AND EMPLOYERS UABILrIY
ANY PROPRIEORIPARTNER/EXECUTIVE YIN
EL EACFI C,CWDE,N7
$
OFFICERlMEM 1IER EYr-Wr E09
(MandatM In NH)
NIA
IE L. DISEASE • EA EMPLOYEE
'$
IY0 d'x5'Tnttaa under
D"cSf_RWPT'C'N'R7FOPERAT19('��S'k�a)dw+.a
EL DISEASE..( }L-0CYLJNN'C'
A sohnology Professional-ooi-g000aoo9e-os
I242d /19/2021 EachClalm $3,000,000
!ServioesLiability
Aggregate $3,000,000
'..... DESCRIPTION OF OPERATIONSI LOCATIONS/ VEHCLES (Attach ACORD 101, Additional Remarks Schedule, IF 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, N0710E WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of El Segundo
350 Main Street AUTHORIZEDREPRESENrATIVE
El Seigundo, CA 90245-3813
Carrie Boggs/CARRIE
1
ACORD 25 (2010105) 0 1518.2010 AC(
INS025 (201005)01 The ACORD name and logo are registered marks of ACORD