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PROOF OF INSURANCE (2022 - 2023) CLOSED
CERTIFICATE (CAT O LIABILITY INSURANCEDATEF/22/DD/YYYY} 04122/2022 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(I_e) 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&S/NEW CENTURY INS SERVICES INC. (PHONE FAX A/C, No, Ex*c• PO BOX 958489 �W W EMAIL ...,....... ADDRESS: Lake Mary, FL 32746-8989 INSURER(S) AFFORDING COVERAGE NAIC # 1-877-724-2669 Continental CasualtyCompany p Y 20443 INSURER A: INSURED INSURER B: INSURER C ....................................._._.....................WW......................................I_.......... ................ _. GEOSPATIAL TECHNOLOGIES, INC. 1432 EDINGER AVE STE 220 INSURER D: TUSTIN, CA 92780 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. 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. LTR - ..� _._.... TYPE OF INSURANCE ADDL peso .......... 'suBn wvD POLICY NUMBER _ ...................................(MMIDD/YY) POLICY EFF POLICY EXP ...LMM/DDT.............._.. LIMITS A ✓�, COMMERCIAL GENERAL LIABILITY Y 4029432517 06/01/22 06/01/23 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE � OCCUR DAMAGE TO PREMISES (F.aEc a RENTED $ 11000,000 MED EXP (Any one person) ..................._..._................___..__.. $ 10,000 PERSONAL & ADV INJURY I$ 2,0004000 GENERAL AGGREGATE $ 4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PR6 LOC POLICYJF.tmT PRODUCTS -COMP/OP AGG 4000000 OTHER: A AUTOMOBILELIABILITY4029432517 06/01/22 06/01/23 COMBINED SINGLE LIMIT (Ea accident) !$ 1,000,000 ANY AUTO BODILY INJURY(Per person} $ OWNEDAUTOS SCHEDULED BODILY I NJURY(Per accident) 'i$ ONLY AUTOS PROPERTY DAMAGE ,, HIRED AUTOS NON -OWNED ONLY AUTOS ONLY (Per accident) $ _._.._..__ ...... . _ .. ......._...._.._.._.._....... .._..__..._. ................_......_._.._._._._._...._._.._._..... ._.._.._.._.._.._.._. ..........._................ - -._..._.._.._.._---- I ...._.._._._._._.._.._...... . I$ ._._. A '�/ X UMBRELLA LIAB X I OCCUR 4029432498 06/01/22 06/01/23 EACH OCCURRENCE I$ 1,000,000 AGGREGATE I$ 1 OOO,OOO EXCESS LIAB CLAIMS -MADE DED X I RETENTION $ 10,000 _ _ ........ _ j AND EMPLO ERSELIABILITY YIN k ERH ANY PROPRIETOR/PARTNER/EXECUTIVE ^STATUTE EL, EACH ACCIDENT I;$ OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE I$ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT$ OTHER PER OTH- STATUTE ER E L EACH ACCIDENT _EL,.EACH ........... $ .................................... E.L. DISEASE- EA EMPLOYEE '$ E.L. DISEASE - POLICY LIMIT $ �01, DESCRIPTION OF OPERATIONS I LOCATIONS I HI L (Acord Additional Remarks Schedule, may be attached it more space is regdred) City of El Segundo is Named as Additional Insured Owners, Lessees or Contractors. CERTIFICATE HOLDER CANCELLATION ........ .......m. ............................................. ................................................................................................................................................. ................................... City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main St ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245AUTHORIZED REPRESENTAT ' ................................ ©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) / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/23/2021 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 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 Alex Alamo NAME: RDS INSURANCE BROKERS INC HCNE. (909) 305-1200 a/c, (909) 305-1205 Ext: No: Lic# 0606461 E-MAIL alex@rdsins.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # P.O. Box 159 INSURERA: Hiscox 102000 San Dimas CA 91773 INSURED INSURER B GeoSpatial Technologies, Inc. INSURER C : 1432 Edinger Ave., Ste. 220 INSURER D : INSURER E : Tustin CA 92780 INSURER F : COVERAGES CERTIFICATE NUMBER: E&O 21-22 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO TED CLAIMS -MADE OCCUR Ea occurrence) $ -PREMISES MED EXP (Any one person) $ &ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: -PERSONAL GENERAL AGGREGATE $ POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY CEaMBINED SINGLE LIMIT Oaccident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accide nt) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN OFFICER/MEMBER EXCLUDED? /A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Each Claim : $2,000,000 A Professional Liability UDC-4887449-EO-21 07/19/2021 07/19/2022 Agrregate : $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance Only. Operations are those usual to the insureds operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE r El Sel undo CA 90245-3813 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 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 INSUiRER 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 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 If lhts to the certificate holdor in lieu of such endorsements . PRODUCER CONTACT NAME: KCAL INSURANCE AGENCY PHONE (626) 333-1111 FAX (626) 369-7539 72255864 iAIC, No, E%0(AIC, No)„ 2048 SOUTH HACIENDA BLVD E-MAIL ADDRESS: HACIENDA HEIGHTS CA91745 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Propedy and Casualty Insurance Company of Hartford Jgcsu INSURED INSURER B : GEOSPATIAL TECHNOLOGIES INC INSURER C : 1432 EDINGER AVE STE 220 TUSTIN CA92780-6293 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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. T I tNSR ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER LIMITS un,n ntalon COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISEQ IF. 1 MED EXP (Any one person) PERSONAL & ADV INJURY GEN'IL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE -m_ '..POLICY ❑ PRO- ❑ LOC PRODUCTS - COMPIOPAGG JECT JEC 'OTHER;. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Par person) ALLOWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS HIRED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS- MADE EIS RETENTION $ WORKERS COMPENSATION X--- PER OTH- AND EMPLOYERS' LIABILITY STATUTE FR E.L. EACH ACCIDENT $1,000,000' ANY YIN A PROPRIETORIPARTNERIEXECUTIVE N/A 72 WEC EV7186 01/22/2021 01/22/2022 OFFICER/MEMBER EXCLUDED? I E.L. DISEASE -EA EMPLOYEE $1,000,00O1 (Mandatory in NH) If yes, describe under E.L. DISEASE- POLICY LIMIT $1,000,000 RIPTI N OF OPERATIONS-b IoW - ..... .. 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. City of El Segundo I 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD