Loading...
PROOF OF INSURANCE (2021 - 2021) CLOSEDDATE (MMIDDM'YY) CERTIFICATE 06/15/2021 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 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 Brad Bell Insurance Agency 4802 Peonia Rd. Woodland Hills, CA 91364 INSURED EcoTierra Consulting, Inc. 555 W. Fifth St, 26th Floor Los Angeles, CA 90017 Brad Bell (818) 456-4546 INSURERA: Westchester INSURER B : INSURER C : INSURER D : INSURER E: Lines Insurance ...... ......... VERAGFS r"-PPTI'PH 'A'M NI IMRPQ• oa for or%so 1woa iane,orn. . .. ` irkA 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. .. -- ADDL.SUIIR P i13DMOFF POLICY '1 ILTRTtr TYPE..... W.. OF INSURANCE ��INSR�� POLICY NUMBER 'N0 DT7 IJMITS GENERAL LIABILITY EACH OCCURRENCE s 2,000,000 COMMERCIAL GENERAL LIA8111TY $...-.. 50,000 FXJ CLAINISNADS OCCUR MEDEXF`jpaon_ $ 5,000 Ai x G24305296 009 08/04/2020 (38/04/2021 PERSONAL8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE S 4,000,000 GEN'LAGGREGATE LIMIT APPLIES PER. _ PRODUCTS-COMP/OPAGG S 4,000,000 PRO- .. LOC P01JCY - S AUTOMOBILE LIABILITY C MBINEU ".w't1uriGV.E LtlM9T' _ a a 1,600.000. ANY AUTO BODILY INJURY (Per person) S AAUTOS ALLOWNED SCHEDULED _ AUTOS x G24305296 009 08/04/2020 08/0412021 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS ._..,, AUTOS PFIC7iSRTM fi7ATt/VaE Par en4 S S UMBRELLALIAB OCCUR EACH OCCURRENCE s 1,000,000 OCCURRENCE_-- �'� EXCESS LIAR CLnIMs.MADE G72520961001 04/28/ 2021 08/04/2021 AGGREGATE 0 S 1,000,000 DEO RETENTION$ 3 WORKERS COMPENSATION WC STATU» OTH AND EMPLOYERS LIABILITY Y / N TOSS ANY PROPRIETOR/PARTNER/EXECUTIVEE tm E.L.CH ACCIDENT $ OFFICER/MEMBER EXCLUDED? :NIAI y .- ..-- �... (Mandatory In NH) pI E.L OISFJISE - EA EM1; S It yyeese, dasc %a under DESCRIP` iON OF OPERATIONS below EL DISEASE -POLICY UMIT S A Professional Liability; x G24305296 009 08/04/2020 08104/2021 $2,000,000. (per incident/per aggregate) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 9D1, Additional Remarks Schedule, S more space is required) Certificate Holder is Named Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORED REPRESENTATIVE ACORD 25 (2010105) C ' 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, RS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE .......................................... Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations As required by written contract, prior to a loss to which this insurance applies. 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 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: 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. 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 However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted other than another contractor or by law; and subcontractor engaged in performing 2. If coverage provided to the additional insured operations for a principal as a part of the is required by a contract or agreement, the same project. 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. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 Named Insured Endorsement Number Ecotierra Consulting Inc ECP G24305296 009 08/04/2020 to 08/04/2021 08/04/2020 Endorsement PolicySy mbol Policy Number Polic Period Effective Date of End Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY„ WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organ zatlon As required by written contract, prior to a loss to which this insurance applies. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products -completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. All other terms and conditions remain the same. ENV-3143 (03-05) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 AC E 05/11 CERTIFICATE OF LIABILITY INSURANCE /M/DDmYY) 5/1/2021 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). PRODUCER CONTACT NAME: PAYCHEX INS AGENCY INC PRONE AX 150 SAWGRASS DR WC„ No, Ewt) (877) 362-6785 r A1C, No)! (888) 872-8921 ROCHESTER, NY 14620 ADDR�. DtTE'SS° Payctuax@traweterscom INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA INSURED INSURER B : ECOTIERRA CONSULTING INC INSURER C 633 W 5TH ST, 26TH FL NSURER D : LOS ANGELES, CA 90071 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. .................................................... ........................ _....................... _................. ............................................................ __........................................................................... INSTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) ...................... ..m......... .__....... .-.._ .......-......_._......-........ _...m.._..................... ........�,..._.. EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS -MADE OCCUR ..... MED EXP (Any one person) _......................... .�.. ATE LI:MIT�I.IES PER: PERSONAL & ADV INJURY PRO- PO LILY 0 JECT LOC GENERALAGGGREGATE OTHER: .- ...... . ............. PRODUCTS -COMP/OP AGG ............ _..._._ $ AUTOMOBILE LIABILITY ..................................... .................................... _.............................. COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY (Per laorsen)........ � .._..• OWNED SCHEDULED B'-dtff.Y'_NNuk'YlF"e'ai'&iU.. ......... erog) AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON -OWNED (Per accident) ----.,_... .... _,_,..........ITITmm AUTOS ONLY AUTOS ONLY UM�B�RELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAO CLAIMS -MADE AGGREGATE ......�M,�,.�. I DED RETE tl $ $ WORKERS COMPENSATION NSA UB-2N997689-20-42 08/02/2020 08/02/2021 PER ORTH_ X ND EMPLOYERS' LIABILITY STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE YIN x E.L. EACH ACCIDENT ',, $1,000,000 A PFFICER/MEMBER EXCLUDED? - (Mandatory in NH) ❑ E1, DISEASE- EA EMPLOYEE $1,000,000 of yes, describe under �•-•--- --•�• bESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT '... $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AS RESPECTS TO WORKERS COMPENSATION COVERAGE, WC 99 03 76 (A) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA HAS BEEN ATTACHED TO THE POLICY. CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN STREET BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EL SEGUNDO, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 11"04*-ta 1983-2015 ACORD CORPORATION. AI) r)ghtS reserved.. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ����A�'� WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: UB-2N997689-20-42-G 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. Person or organization ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. Schedule Job Description DATA PROCESSING OR BUSINESS PROCESS OUTSOURCING 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 Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 06-18-20 ST ASSIGN: Page 1 of 1