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PROOF OF INSURANCE (2024) CLOSEDpage 2 of 17 Client#: 1266412 305FLEMIENV ACORDI LIABILITY I INSURANCE DATE (MM/DD/YYYY) M 4/25/2023 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. 'IiMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(i es) 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Sonia Morris A8C 714 941-2 McGriff Insurance Services LLC � Hor�� ' A 1101 800.........,.. , .,. �..I�rc. Nil 877 297" .-........ 130 Theo Ste 200 Theory Sonia. Morris@Mcri.coltl Irvine CA 92617_ AFFORDING COVERAGE NAIC k .._ .z.m IN'SURERdSI 714 941-2800 INSURER A : Crum and Forster Specialty Insurance Co 44520 Insurance Company of the West 27 m _ 847 INSURED INSURERB: P Y FlemingEnvironmental Inc.' Travelers Property Casualty Co of Amer 25674 INSURER C P Y Y m, - - a... ._ PO Box 6130 INSURER D.National Specialty Insurance Company 2268 Fullerton, CA 92834 INSURER E: � INSURER F u 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 CONTRACTOR 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 �ADDLSUBR .. ..... ,, ,_. POLICY EFF P(7LIC TYPE OF INSURANCE POLICY NUMBER MWDD/YYY M .. LTR _ e,,,,� IiNSR 4",NVD _ (.. M/DD/YYYY�.._ LIMITS A X� uneluTY . __ m IS --- �,) 1 $50,00 000 COMCLAIMS-MADEERAX OCCUR "" 0- EPK143622 5/01/2023 05/01/2024 EACH OCCURRENCE $1 0 PERSONAL 5�000 X Professional Llai) mmITITmmm mmmmm L&ADVINJURY _ Pollution ME EXP (Any one person) _$ 1,000�000 GE L AGGREGATE ........... ... REGATE LIMIT APPLIES PER: � GENERAL AGGREGATE $2,000,000 PRO' i PRODUCTS COMP/OP AGG $2000,000 w POLICY JECT ,.I LOG - --- f - _ ......._ $ AUTOMOBILE LwBlLrrr GMI023902 5/01/ D DIkNGA L BMbI' $1 000,000 2023 05/01/2024 ) �,.. X. ANY AUTO person) BODILY INJURY (Per 11 1$ OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS ONLY AUTOS HIRED NON -OWNED PR60-MYDAM'AGE $ X X AUTOS ONLY (Pnx + uCP raMl, AUTOS ONLY I A m..m. .- _. r UMBRELLA LIALI X OCCUR EFX122740 5/01/2023 05/01/2024 AGGRpGcuRRENCE $5,000,000 X � ......,ATE e®mm $5,r000,000.. A UMBRELLA LIAR ,CLAIMS MADE _ .. ..J X C RETENTION $O m._ $ B WORKERSCOMPENSATION WSD507095100 5/01/2023 05/01/2024 X JPER ��rH ANY PROPRIETOR/PARTNER/EXECUTIVE .. F L FA T�J7, EH AND EMPLOYERS' LIABILITY Y 1 N OFFICERIMEMBEREXCLUDED? N ( N/A E.L. DISEASE EMPLOYEE $1,QOO�,000 CH ACCIDENT $1 O Mandate In NH) A t 00,000 (Mandatory If yes. describe under � OPERATIONSDESCRIPTION OF below .. ,,..., ,. _ ...A_..,.. ...,-,_ ..... , . ,. ... _...... ........... E.L. DISEASE POLICY LIMIT $1,000,000 C .LRented/Leased .,..IT Equipment .......... 000 Limit ant � QT6603L337320TIL23 5/01/2023 05/01/2024�' $1,00�0 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: EM 22-02: Annual Compliance Testing and Repairs Services The City of El Segundo, its officers, officials, employees, agents and volunteers are named as additional insured as respects general liability, this insurance is primary and noncontributory with any other insurance of the additional insured as required by written contract, per endorsements attached. 30 Days Notice of Cancellation, Except for 10 Days for Non-payment of Premium. Azil Iliil 1:1:1014114W; City Of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 150 Illinois Street El Segundo, CA 90245-0000 AUTHORIZED REPRESENTATIVE ®1988-2015 ACUHU CUHFUHA I IUN. All rignis reservea. ACORD 25 (2016/03) 1 off The ACORD name and logo are registered marks of ACORD 2943 #S32031797/M32031781 SOMOR page 3 of 17 This page has been left blank intentionally, 2944 page 4 of 17 Fleming Environmental Inc. EPK143622 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) or Organization(s) Where Required By Written Contract SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but only with respect to liability caused, in whole or in part, by "your work" for that insured which is performed by you or by those acting on your behalf. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0111-0211 1 Page 1 of 1 W. page 5 of 17 This page has been left blank intentionally. m page 6 of 17 Fleming Environmental Inc. EPK143622 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) or Organization(s) Where Required By Written Contract SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but solely with respect to "claims" caused in whole or in part, by "your work" for that person or organization performed by you, or by those acting on your behalf. This insurance shall be primary and non-contributory, but only in the event of a named insured's sole negligence. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, ENO 119-0211 931 Page 1 of 1 page 7 of 17 This page has been left blank intentionally. on page 8 of 17 Client#: 1266412 305FLEMIENV ACORRANCE DATE (MM/DD/YYYY) TM CERTI'TY 4/25/2023 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 AD �. ... vi io .. ..... 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NONTACT AME: Sonia Morris McGriff Insurance Services LLC PHHCN€ ........... yo Est 14 941 2800 Nab 877 297-1101 130 TheorySte 200 EMAIL I 7 ADDREsSorna M,orri,slMcGCIff com Irvine, CA 92617 sINSURER(S) AFFORDING COVERAGE _ NAIC = a ...__ ., .._.­_. ...... ..... .. _..................... ...- , ..,,- 1INSURERB. Insurance C Crum and Fompany of the West 27520 14 941-2800 INSURER A: rster Specialty Insurance Co 44 Fleming Environmental Inc. INSU R c Travelers Property Casuatt Co of Amer 25674 �.2 PO Box 6130 a Y INSURER D: National Specialty Insurance Company m.. anY 22608 Fullerton, CA 92834 a -r�„ , 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 CONTRACTOR 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. LTA ...... .... ..... Ous-UBo- - ----- ... POP 4CYEPE" PLLflCY EKP i -- --- .... A X , .....TYPE OF INSURANCEY NUMBER „ ., IiN � fl �..I� EPK143622 ., MMWDi?f" yy LIMITS �PNVIIVCy?.d'J.71"dKyy)......� COMMERCIAL GENERAL LIABILITY5/01/2023 05/01/2024 EACH OCCURRENCE $1 r000,000 ---_..�AuRonepnre) $50,000 DAMAGE TO CLAIMS -MADE X OCCUR '' PREwdISE„ X Pollution Liab MED EXP ( y rsonl $5a000 X Professional Llab a a r PERSONAL � ADV INJURY $1,000,000 „w.. ., ... _ . GEN L AGGREGATE LIM IT APPLIES PER, �� GENERAL AGGREGATE $2,0�00,000 .,. .,.. POLICY .... PRO- JECT ,. LOC PRODUCTS COMP/OP AGG s2,000 OOO .� _ _._._ ... ( $ D AUTOMOBILE LIABILITY ......._ e._......,.. GMI023902 5/01/2023 05/01/2024D"gy�"EDgNfl.Ew fl"J�U 1+ + 000 000 X ANY AUTO .. _ ,.......,,... ..A„ _�.mm.. IE a� idrri�i61. :� ,..,.,...,. , . BODILY INJURY (Per person) $ OWNED _! SCHEDULED IN accident) $ AUTOS JURY (Per E S AUTOS ONLY X.. AUTOS ONLDV (.'."OP uRD Y DdihJAr AUTOS ONLY BODILY I UMBRE LLA ELLA LIAB �( OCCUR EFX122740 5/01/2023 05/01/2024 EACH OCCURRENCE 15 q OOO X [CLAIMS-MADESS LIAB AGGREGATE $5,000,000 ppp � $.0 ,.._` ........---._ ..—__ ------ WORKERS WPER THB EHAND EMPLOYERS' E.L. EACH ACCIDENT 5. 0,0ANYPROPRIETOCDXECUTIVEI� OFFICER/MEMBEREXUN/A (Mandatory In NH) .........-....,-.., E L DISEASE EA EMPLOYEE $1,000,P00 If yes describe under '....DESCRIPTION OF OPERATIONS below 000 DISEASE -POSo000 ................ ... .......... ,... .......... ,.,... „ ........... ........__ E L LICY LIMIT I �p C IRented/Leased OT6603L337320TIL23 5/01/2023 05/01/2024 $160,000Limit Equipment $1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) RE: Maintenance Agreement No. 5331 The City of El Segundo, its officers, officials, employees, agents and volunteers are named as additional insured as respects general liability, this insurance is primary and noncontributory with any other insurance of the additional insured; and waiver of subrogation applies as respects workers compensation as required by written contract, per endorsements attached. 30 Days Notice of Cancellation, Except for 10 Days for Non-payment of Premium. CERTIFICATE HOLDER CANCELLATION CI of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department of Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 150 Illinois Street El Segundo, CA 90245-0000 AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD 2949 #S32031798/M32031781 SOMOR AGITTA 25.3 (201 Gf03) 2 of 2 #S32031798/M32031781 ME page 9 of 17 page 10 of 17 Fleming Environmental Inc. EPK143622 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL .,: CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) or Organization(s) Where Required By Written Contract SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but only with respect to liability caused, in whole or in part, by "your work" for that insured which is performed by you or by those acting on your behalf. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.: EN0111-0211 Page 1 of 1 page 11 of 17 This page has been left blank- intentionally. IN al page 12 of 17 Crum'i,' 1� Fairster Fleming Environmental Inc. pars of the�� � r��t group EPK143622 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Additional Person(s) or Organizations) Where Required by Written Contract SCHEDULE Location And Description Of Completed Where Required by Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section III — Who Is An Insured within the Common Provisions is amended to include as an 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". EN0320-0211 Page 1 of 1 ME page 13 of 17 This ,page has been left blank intentionally. ME 0 page 14 of 17 Fleming Environmental Inc. EPK143622 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NOWCONTR BUTORY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART SCHEDULE NameOfAdditional Insured Person(s) or Organization(s): Where Required By Written Contract SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but solely with respect to "claims" caused in whole or in part, by "your work" for that person or organization performed by you, or by those acting on your behalf. This insurance shall be primary and non-contributory, but only in the event of a named insured's sole negligence. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. ENO119-0211 i Page 1 of 1 page 15 of 17 This ,page has been left blank intentionally. NMI page 16 of 17 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET WC 99 06 34 (Ed. 8-00) 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). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON/ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER. 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS 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 05/01/2023 Policy No. WSD507095100 Endorsement No. Insured Fleming Environmental Inc. Premium $ Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED 2957 a-, page 17 of 17 This ,page has been left blank intentionally.