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PROOF OF INSURANCE (2022) CLOSEDHCERTIFICATE OF LIABILITY INSURANCE DATEYYY1/) 11/1212112120021 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 CONTACT Brad Bell Brad Bell Insurance Agency PHONE 818-456-4546 _Nph_.- 4802 Peonia Woodland HIISa CA 91364 CIE INSURER(S) AFFORDING OVERAGE 44 NAIC #_ AOO w _ bdbel12120 _ _ INSURED EcoTierra Consulting, Inc. 555 W. Fifth St., 26th Floor Los Angeles, CA 90017 COVERAGES CERTIFICATE NUMBER-. Westchester Surplus Lines Insurance Company � 10172 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. INS ,-......... ._. TM POLICYNUMBER�mmIT _..--.,m..,-..w M...�..: .., iDwym D..._........_...........-...-.�..�.., ._..,�._��..... TYPE OF INSURANCE AFL WOW,` m' POlJ01 FI F POLICY E74P LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2.000,000 z i+MACETCFti"ED"� .�, _ __ w ._ �,. S_ 50 000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR SE ce Eit Mls. §JEa 0 rEE9 � MED EJCPJAny one person) I $ 5,000 A[ Y Y G24305296 010 08/0412021 08/04/2022 PERSONAL a ADV INJURY $ 2,000,000 Additional Primary Insured GENERAL AGGREGATE AGGREGATE LIMIT APPLIES PER: Y PRODUCTS D CTS COMPlOP AGG w $- m4,0 0000ll S "9EN'L POLICY PRd LOC' $ AUTOMOBILE LIABILITY COMzr SIRED S . LE I�:IT 1, 000,00. ANY AUTO BODILY INJURY (Per person) $ A ALL O NED EDULED Y Y G24305296 010 08/04/2021 08/0412022 Y (P went) _ N H OWNED HIRED AUTOS AUTOS PROPERTY RTY DAMAGE n I difi4i[t... $ UMBRELLA LIAR OCCUR EACR OCCURRENCE $ 1,000,000 � A � ExcEss uAB -_. CLAIMS -MADE Y Y G72536708 001 08/04/2021 08/04/2022 ' AGGREGATE ....,�.�.�.. $ 1,000,000�' _.._.�...m DED RETENTION S $ WORKERS COMPENSATIONAND WC STATC7- OTH• EMPLOYERS'LIABILITY Y/N .... -. _. — ANY PROPRIETOR/PART ER/EXECUTIVE r.. E.L. EACH ACCIDENT _.....,._,,, OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA E L DISEASE - EA EMPLOYE .._ .,. $� ,. ._, ...._.......-. „-,..... w.,�-..,. If yyS6 desonbe under DCSCRIPTiON, OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ A Professional Liability: Y Y G24305296 010 08/04/2021 08/04/2022 r� $2,000,000. (per incidentlper aggregate) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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 AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD J CERTIFICATE OF LIABILITY INSURANCE 01/03202 S.M/DD/YYYY) 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 CONSTITUE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. .W._....... � � . � .._........ .......... 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 an endorsement(s). PRODUCER CONTACT NAME: PAYCHEX INS AGENCY INC PHONE FAX 150 SAWGRASS DR (A/C. No. Ext.): (877) 362-6785 (A/C. No. Ext.): (888) 872-8921 ROCHESTER, NY 14620 E-MAIL ADDRESS: paychex@travelers.com INSURED INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA ECOTIERRA CONSULTING INC --.......... •••. —'— —° 633 W 5TH ST, 26TH FL INSURER B LOS ANGELES, CA 90071 INSURER C 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. INSR ADDL SUBR POLICY EFF POLICYEXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/pD/YYW MMIDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREM 111..��� ISES Ea Occurrence .....�� MED EXP Anemone.Person $ PERSONAL &ADV INJURY- $ GEN'L AGGREGATE LIMIT APPLIES PER: mGENERAL AGGREGATE $ POLICY F� PROJECT FLOC PRODUCTS—COMPIOP AGG $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO(5.. ecldanl $ BODILY IRWURY,•(Per ersan $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) $ '.. HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) $ ............� $ ............ EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEED RETEN'T"TON $ WORKERS COMPENSATION X/ PER OTH =. •••••---•-• AND EMPLOYERS' LIABILITY YpN N/A UB-2N997689-21-42 08/02/2021 08/02/2022 X STATUTE -ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? x E.L. EACH ACCIDENT $1 000.000 A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS BELOW k.t� DISEASE— EA EMPLOYEE $1000 0 .00 E.L. DISEASE —POLICY LIMIT $1000. 000 $ $ DESCRIPTION OF OPERATIONS / LOCATIONS I 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 ELSEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 S MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EL SEGUNDO, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE �A ww © 1993-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (201613) The Acord name and logo are registered marks of ACORD �,��,��,��"�, WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: UB-2N997689-21-42-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: 06-18-21 ST ASSIGN: Page 1 of 1