PROOF OF INSURANCE (2023 - 2024) CLOSEDACCORD® CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
1 /10/2023
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: Christine Smiley
Patriot Growth Insurance Services, LLC
PHONE FAX
10805 Holder St
A/C No Ext : 714-733-6200 A/C, No):
E-MSte
ADDRESS: csmiley@bowermaster.com
350
INSURER(S) AFFORDING COVERAGE
NAIC#
Cypress CA 90630
INSURERA: Nautilus Insurance Company
17370
INSURED BRICCON-01
INSURERB: Key Risk Insurance Company
10885
Environmental Contractors Transportation, Inc.
DBA: ECTI
INSURERC: Great Divide Insurance Company
25224
INSURER D
953 Reece Street
San Bernardino CA 92411
INSURERE:
INSURER F :
COVERAGES CERTIFICATE NUMBER:360478033 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
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICYNUMBER
POLICY EFF
MM/DD
POLICY EXP
MM/DD
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
ECP2036500-11
12/31/2022
12/31/2023
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRO -
POLICY � ECT1:1 LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
Employee Benefits
$ 1,000,000
OTHER:
B
AUTOMOBILE
LIABILITY
BAP2036493-11
12/31/2022
12/31/2023
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
A
UMBRELLALIAB
X
OCCUR
FFX2036501-12
12/31/2022
12/31/2023
EACH OCCURRENCE
$5,000,000
X
AGGREGATE
$
EXCESS LAB
CLAIMS -MADE
DED RETENTION $
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
Y
WCA2036491-11
1/1/2023
1/1/2024
X PER OTH-
STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBER EXCLUDED? FY]
N/A
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A
ProfessionalLiability
ECP2036500-11
12/31/2022
12/31/2023
Per Occur/Ded
1,000,000/25,000
A
Pollution Liability
ECP2036500-11
12/31/2022
12/31/2023
Per Occur/Ded
1,000,000/10,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
City of El Segundo is named as Additional Insured, includes Primary and Non-contributory as their interest may appear
Waiver of subrogation applies to General Liability and Workers' Compensation and in favor of the additional insured per endorsement attached.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
CITY OF EL SEGUNDO
350 Main Street
AUTHORIZED REPRESENT
El Segundo CA 90245
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Environmental Contractors Transportation, Inc.
Dba: ECTI
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS
AUTOMATIC STATUS — ONGOING OPERATIONS — COVERAGE A, B, D.1 & DA
Endorsement Effective
Policy Number
Policy Effective Date
Policy Expiration Date
Date
ECP2036500-11
12/31 /2022
12/31 /2023
12/31 /2022
This endorsement modifies insurance provided under the following:
ENVIRONMENTAL COMBINED POLICY
I. SECTION III —WHO IS AN INSURED is amended to include as an additional insured:
1. Any person or organization for whom you are performing operations when you and such person or organization
have agreed in writing in a contract or agreement, in effect during this policy period, that such person or
organization be added as an additional insured on this policy; and
2. Any other person or organization you are explicitly required to add as an additional insured under the contract or
agreement described in Paragraph 1. above.
Such contract or agreement must be executed and in effect prior to the performance of your work which is the
subject of such contract or agreement.
Such person(s) or organization(s) is an additional insured only with respect to liability for bodily injury or property
damage under SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY,
Coverage D.1 — Contractors Pollution Legal Liability and Coverage DA — Microbial Substance Contractors
Pollution Liability, or personal injury or advertising injury under SECTION I - COVERAGE B — PERSONAL AND
ADVERTISING INJURY LIABILITY directly caused by:
a. Your acts or omissions; or
b. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2. above.
However, the insurance afforded to such additional insured described above:
a. Only applies to the extent permitted by law; and
b. Will not be broader than that which you are required by the contract or agreement to provide for such additional
insured, and
c. Will not extend beyond that which is provided to you in this policy.
A person's or organization's status as an additional insured under this endorsement ends when your operations
for the person or organization described in Paragraph 1. above are completed.
II. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply to:
a. Bodily injury, property damage or personal and advertising injury arising out of the rendering of, or the failure
to render, any professional architectural, engineering or surveying services, including:
(1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; or
(2) Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the
supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused
the bodily injury or property damage, or the offense which caused the personal and advertising injury, involved
the rendering of, or the failure to render any professional architectural, engineering or surveying services.
b. 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
ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 2
(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.
III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V — LIMITS
OF INSURANCE:
The most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement described in Paragraph 1.1.; or
2. Available under the applicable limits of insurance;
whichever is less.
This endorsement shall not increase the applicable limits of insurance.
IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI —
REPORTING, DEFENSE, SETTLEMENT & COOPERATION:
1. Duties --Additional Insured
An additional insured must see to it that:
a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or
suit;
b. We receive written notice of a claim or suit as soon as practicable; and
c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by
another insurer under which the additional insured may be an insured in any capacity. This provision does not
apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires
that this coverage be primary and noncontributory.
V. SECTION VII —CONDITION 10. —Other Insurance is amended by the addition of the following which 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 a person(s) or
organization(s) included as an additional insured under this endorsement provided that:
1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would
be primary and would not seek contribution from any other insurance available to the additional insured person(s)
or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your
work which is the subject of such contract or agreement.
However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as
an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project -
specific, primary insurance.
VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement
showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that
designated additional insured.
ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.
ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 2 of 2
Environmental Contractors Transportation, Inc.
Dba: ECTI
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF SUBROGATION
(TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US)
AUTOMATIC STATUS — COVERAGE A, B & D
Endorsement Effective
Policy Number
Policy Effective Date
Policy Expiration Date
Date
ECP2036500-11
12/31 /2022
12/31 /2023
12/31 /2022
This endorsement modifies insurance provided under the following:
ENVIRONMENTAL COMBINED POLICY
The following is added to Paragraph 17. Subrogation of SECTION VII — CONDITIONS:
We waive any right of recovery against any person(s) or organization(s) because of payments we make under
COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B — PERSONAL AND
ADVERTISING INJURY LIABILITY, and COVERAGE D — CONTRACTORS POLLUTION LIABILITY under this policy.
Such waiver by us applies only if:
1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s) to waive its
right of recovery; and
2. The insured has waived its right of recovery against such person(s) or organization(s) prior to loss.
This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any
situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely
negligent.
This endorsement does not apply to any person(s) or organization(s) designated in a SCHEDULE of person(s) or
organization(s) against whom rights of recovery have been waived.
ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.
ECP 1260 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 1
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 04 03 06 04 84
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 engaged in
the work described in the Schedule.
The additional premium for this endorsement shall be 0.00% of the California workers' compensation premium
otherwise due on such remuneration.
Schedule
Person or Organization
Any person or organization as required in writing by contract or agreement prior to loss.
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
01 /01 /2023
Insured
Environmental Contractors
Transportation, Inc. Dba: ECTI
Insurance Company:
Great Divide Insurance Company
Policy No.
WCA203649111
Countersigned
by
Endorsement No.
Premium
WC 04 03 06 04 84 1998 by the Workers' Compensation Insurance Rating Bureau of California. Page 1 of 1
All rights reserved. From the WCIRB's California Workers' Compensation
Insurance Forms Manual 2001.