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PROOF OF INSURANCE (2023) CLOSED�W�'+ R", CERTIFICATE OF LIABILITY INSURANCE DATE(M/n 08/30/20222022 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 'N' Nicole Gonzalez NAME: KesslerAlair Insurance Services, Inc PHONE (909) 931-1500 (909) 932-2133 A1C No ANC. No: License # OA 91387 E-MAIL n onzalez kessleralair.com ADDRESS: g 12487 N, Mainstreet, Ste, 240 INSURER(S) AFFORDING COVERAGE NAIC # Rancho Cucamonga CA 91739 INSURERA: Axis Surplus 26620 INSURED INSURER B: Infinity Insurance ( ) Iit 15778 22268 Titan Environmental Solutions, Inc, INSURERC: State Compensation Ins Fund (#00815068) 35076 1521 E 0rang ethorpe Ave, Ste B INSURER D I INSURER E : Fullerton CA 92831 INSURER F : COVERAGES CERTIFICATE NUMBER: 22/23 GL, Auto, WC REVISION NUMBFR- 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. LTR TYPE OF INSURANCE INSD '.. POLICY NUMBER /D MMD/YYYY MM/DD% YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 19 OCCUR EACH OCCURRENCE $ 2,000.000 b_i7 Ea occurrence 300,000 $ Pollution Liability MED EXP (Any one person) $ 5,000 X Contractual Liability PERSONAL& ADV INJURY $ 2.000,000 A Y Y SP002760-06-2022 08/27/2022 08/27/2023 'LAGGW�CEGATE LIMIT APPLIES PER', d"aEtd POLICY PRO � JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPPOPAGG $ 2,000,000 Per Project Aggregate $ 2,000,000 OTP­IER: AUTOMOBILE LIABILITY COMBWP'7ED SINGLE. LIMIT Ea ar.:r.adaet9. $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO B OWNED war SCHEDULED AUTOS ONLY AUTOS 504610069411001 08/27/2022 08/27/2023 BODILY INJURY (Per accident) $ HIRED �., NON -OWNED ONLY AUTOS ONLY 9' ROIDER'PY D WA—GEAUTOS Pcr,accidvob Uninsured motorist $ 1.000,000 UMBRELLA LIAB OCCUR � EACH 4,D a �. C( d.PRRFNCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DID RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Y 9282285-22 08/27/2022 08/27/2023 XSTATUTE F0TH E L. EACH ACCIDENT $ 1,000,000 E,L:. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 1.000.000 A Professional Liability Retro Date: 10/20/2006 SP002760-06-2022 08/27/2022 08/27/2023 Each Claim $2,000.000 Aggregate $2, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo, it's City Council, officers, officials, employees, agents, and volunteers are named as additional insured when required by written contract per the attached blanket additional insured endorsement, Waiver of subrogation applies to the General Liability and Workers Compensaion per the attached forms. City of El Segundo 350 Main Street ElSegundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 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 Endorsement No. 4 Effective Date: qg�,Z712022 @12:01 a.m. Standard Time at the address of the Named Insured Policy Number: SP0027-0 2022. Insured Name: Titan EnvironmentalSolutions Inc: Issuing Company: AXIS Surplus Insurance CoMpa Additional (Return) Premium: If the Endorsement Effective Date is blank, then the effective date of this Endorsement is the Inception Date of the Policy. ADDITIONAL INSURED/PRIMARY COVERAGE INCLUDING COMPLETED OPERATIONS (CGL & CONTRACTORS POLLUTION COVERAGE) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies the Specialty Package Policy. In consideration of the premium charged, it is agreed that;. SECTION III — WHO IS AN INSURED is amended to include as an Additional Insured the person or organization shown in the schedule below as respects Coverages A, B and D, but only for liability arising out of Your Work or Covered Operations performed by you or on your behalf for that Additional Insured and not due to any actual or alleged independent liability of said Additional Insured. This endorsement does not apply to Bodily Injury. Property Damage or Loss arising out of the sole negligence or willful conduct of, or for defects in design furnished by the Additional Insured. As respects the coverage afforded the Additional Insured, this insurance is primary and non-contributory where a written contract or written agreement in effect prior to any related Claim requires you to provide such coverage. When this insurance is primary and non-contributory, our obligations are not affected by any other insurance carried directly by such additional insured whether it is primary or excess coverage. However, regardless of the provisions above: We will not extend any insurance coverage to the additional Insured person or organization: (1) That is not provided to you in this Policy; or (2) That is broader coverage than you are required to provide to the additional Insured person or organization in the written contract or written agreement. This endorsement does not increase the Company's Limits of Insurance as specified in the Declarations of the Policy. SCHEDULE OF ADDITIONAL INSUREDS As required by written contract prior to any related Claim SPP 0024 (Ed. 06 12) Page 1 of 1 Endorsement No. 1 1 Effective Date: 08/27/2022 @12:01 a.m. Standard Time at the address of the Named Insured Policy Number: mW402,Q.06.2022. Insured Name. Titan Environnientaf Solutions, Inc. Issuing Compa�W,�Mt '.1u ° ' isurarace.0 Daly Additional (Return)-ErWetxliu, �',0 If the Endorsement Effective Date is blank, then the effective date of this Endorsement is the Inception Date of the Policy. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: SPECIALTY PACKAGE POLICY SCHEDULE Name Of Person Or Organization: As required by written contract in effect prior to any related Claim Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 12. Subrogation of Section VI — Common Conditions: 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. Includes copyrighted material of Insurance Services Office, Inc with its permission CG 24 04 05 09 SPP 2404 09 (04 14) Page 1 of 1