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PROOF OF INSURANCE (2022 - 2022) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 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 GMGS Risk Management &Insurance Services CO TA T 52 yyon, Suite 100 PHONE w+ oM EKI);.. (4) 55s s7oo — N �� (4a) 59 sr ... Irvine„ CA 92518 E-MAIL www gmgs com OB84519 .............. .. .. INSURED EEC Environmental dba Enviromental Engineering Contracting Inc., One City Boulevard West, Suite 1800 Orange CA 92808 INSURERts� AFFORDING COVERAGE _ M . NAIC A: Great Divide Insurance Company 25224 B : American Fire,a,nd Casualty Company 24066 c • Nautilus Insurance Company 17370, o: Ohio Securitv Insurance Comoanv 24082 F: rr%%1=7AP_=C ('FRTIGICATF NIIMRFR• rA7A7AAn, RFVISInN NIIMRFR- 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. �.. ... .................. ......... ,....... .....,A.. ... ,�, - __ INSR ADDL SUBRI LTR TYPE OF INSURANCE 1 1 POLICY NUMBERAPo ...-- — . _ ., m.. , ...� .. ....................... ...m...LIMITS ...... ........... ,....,,. P01.NCY EEF POLICY EXP 1 "YYYY MMIDD/YYYM A ✓ COMMERCIAL GENERAL LIABILITY IGLP2006942-19 10/31/2021 10/31/2022 EACHOCCURRENCE 1 $5,000 000 I CLAIMS MADE �/,; OCCUR CLAIMS -MADE d PREMI4ES $300 000 �� (naone ...... .. MED EXP (A�� persoe) y n) $25 000 YI 1 G ENLAGGREGATELIMITA_PP LIEI PE . ERSONAL&ADVINJURY $5,000000 I $51000 000 POLICY PT LOG EC P,ENERALAGGREGATE RODUCTS-COMP/OPAGG $5,,000,000 .... OTHERr. ! B uTOMOBILE LIABILITY ' BAA(22)58333458 10/31/2021 10/3112022l � BfNEDSINGLE LIMIT � $ I.1,,000,000„ ANY AUTO - BODILY INJURY (Per person) $ _ OWNED SCHEDULED J BODILY INJURY (Per accident) $ AUTOS ONLY _ AUTOS HIRED ,,,/1 NON -OWNED AUTOS ONLY AUTOS ONLY �..... t ROPERTY MADE' f $ I Paracaidant ,,..� s -- UMBRELLA LIAB OCCUR I EACH OCCURRENCE j $ i r-.... ............. ........-----..... 1 EXCESS LAB CLAIMS MADE AGGREGATE is DIED RETENTION $ ........... .. f $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IXWS(22)58333458 5/24/2021 15/24/2022 PER 01H ✓ -STATUTE ER ANYPROPRIETOR/PARTNE/EXECUTIVE YIN R EL EACH ACCIDENT $1 000 000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA E - EA EMPLOYEE $ 1 „,l�QQ„QQQ_.. ......OLIC,....L ----- If yes, describe under rDESCRIPTION OF OPERATIONS below L DIS AS IT E -POLICY LIMIT $ 1 000 000 C Pollution Liability CCP2006941-19 10/31/2021 10/31/2022 Each Poll Occurrence $5,000,000 Professional Liability [ Each Prof Liab Claim $5,000,000 General Aggregate: $10,000,000 t DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE. Sewer S stem Management Plan �eneral As respects Liability coverage, City of El Segundo, its officials and employees are added as Additional Insureds per CG201 0413 and CG20i01219 and CG20371219 attached, and this insurance is primary per CG20011219 attached. As respects Automobile Coverage, Business Auto Coverage Form CA00011001 applies. As respects Workers' Compensation coverage, a Waiver of Subrogation is hereby included per WC9 0679(B) attached. As respects General) Liability coverage, 30-day written notice of cancellation (10 mays for non-payment of premium) applies per IL00171198 attached. CFRTIFIr_ATF Mnl r1FR CANCFLLATIDN Sewer System Management Plan SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityy Of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PuDllc'w arks ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo CA 90245 AUTHORIZED REPRESENTATIVE I Griff Griffith C;�4� V 19tftl-ZU15 AGUKU GUKPUKA I IUN. All rigrlts reserve0. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 64747640 1 21-22 G/A/UME/POLL/E&O/WC I Phyllis Menashe 1 10/28/2021 9:11:31 AM (PDT) I Page 1 of 7 EEC Environmental POLICY NUMBER: GLP2006942-19 COMMERCIAL GENERAL LIABILITY CG20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ED - OWNERS, LESSEES OIL CONTRACTORS S - COMPLETED D OPERATIONS This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations Any person, organization, or project with whom the named insured executes a written contract prior to the start of the project and is shown on a certificate of insurance issued by our authorized representative prior to the start date of the project 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement 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: 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. *' 1, I , 64747640 1 21-22 G/A/UMH/POLL/E&O/WC I Phyllis Menashe 1 10/28/2021 9:11:31 AM (PDT) I Page 2 of 7 Page 1 of 1 POLICY NUMBER: GLP2006942-19 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, 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) Locations Of Covered Operations Any person, organization, or project with whom the named insured executes a written contract prior to the start of the project and is shown on a certificate of insurance issued by our authorized representative prior to the start date of the project 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. 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 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. CG 20 10 12 19 CC Insurance Services Office, Inc., 2018 Page 1 of 2 64747640 1 21-22 G/A/UMH/POLL(E&O/WC I Phyllis Menashe 1 10/28/2021 9:11:31 AM (PD'I) I Page 3 of 7 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 ©insurance Services Office, Inc., 2018 CG 20 10 12 19 64747640 1 21-22 G/A/UME/POLL/ E&O/WC I Phyllis Menasha 1 10/28/2021 9 M1 31 AM (PDT) I Page 4 of 7 EEC Environmental dba EnviromentaI Engineering Contracting Inc., aenrryzRRmzr► t This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY CG20011219 COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. • 64747640 1 21-22 G/A/UMB/POLL/E&0/WC I Phyllis Menashe 1 10/28/2021 9:11:31 AM (PDT) I Page 5 of 7 Page 1 of 1 EEC Environmental dba Enviromental Engineering Contracting In COMMON POLICY CONDITION'S All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declara- tions may cancel this policy by mailing or de- livering to us advance written notice of cancel- lation. 2. We may cancel this policy by mailing or deliv- ering to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of cancel- lation if we cancel for nonpayment of pre- mium; or b. 30 days before the effective date of cancel- lation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be ef- fective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be suf- ficient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declara- tions is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and re- cords as they relate to this policy at any time dur- ing the policy period and up to three years after- ward. D. Inspections And Surveys 1. We have the right to: a. Make inspections and surveys at any time; IL 00 17 11 98 b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in- surability and the premiums to be charged. We do not make safety inspections. We do not un- dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recom- mendations we may make relative to certifica- tion, under state or municipal statutes, ordi- nances or regulations, of boilers, pressure ves- sels or elevators. E. Premiums The first Named Insured shown in the Declara- tions: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named in- sured. If you die, your rights and duties will be trans- ferred to your legal representative but only while acting within the scope of duties as your legal rep- resentative. Until your legal representative is ap- pointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ 64-147640 1 21-22 G/A/OMB/POLL/E&O/WC I Phyllis Menashe 1 10/28/2021 9:11:31 AM (PDT) I Page 6 of 7 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 79 (Ed. 02-14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - 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 en- gaged in the work described in the Schedule. The additional premium for this endorsement is $ Schedule Person or Organization As Required by Written Contract Job Description As Required by Written Contract 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 O5/24/2021 Endorsement No. Policy Effective State Policy NO. XWS(22)58333458 EEC Environmental Insured Insurance Company WC 99 06 79 (Ed. 02-14) Premium Countersigned by © 2014 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of WCIRB, with its permission. 64F47,r40 1 2.L-9/2 C,f.4/iSI NR/k;"CJS,7,/I'apCJ/Wt i IxJ,yl-Ii. M"I'aol, � [O/Z6/2021 9::I dI AM (PUT) I 6Pq,gC ! ',f /