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PROOF OF INSURANCE (2024) CLOSEDAC<> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD"'Y") 03/21/2023 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 certifiicate 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 PRODUCER CO#NTAT I'.asla.erSrgdlca Ct�•11ins Ed elrood Partners Insurance Center fI ) 4 F 4675 Lic#OB290 MacArthur Court Suite 750 r�JL 949 99 8047 N PHONE Newport Beach CA 92660 ADDSSURER 6FPOFI I'NOOdahNE1LR rokea a —.,..,. ¢.. i NA#t, 0 a.� ___ .......,, INSURED #NSUr$b$LLR�A. 40 NATIONAL XNSURANC2 co ..r 4167 Robert's Liquid Disposal, Inc. INsuRE,,eW.- R INBLIRER C : '. 14018 Cantlenita Road INSURERD: Santa Fe Springs CA 90670 INSURERE: INSURER P r COVERAGES CERTIFICATE NUMBER: Cert ID 15588 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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. INBFC 0 T I TYPE OF INSURANCE POLICY NUMBER - .......POC(0" T #�1NAXWVYYY &�"YI�i CYEJ4P _.,, .,, mO.. I , . L##dgITS ....__.., ,...._ .. A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1 000 000 1 �j" CLAIMS44ADE OCCUR '7t ESTv56200933201 �03/05/2023 a 03/05/2024f 50,, 000 PgIT NtfS dE'a �. J X_ P 1l. Ded, ; )2� 00 ... �,. B �� M ED alS1 6 ...,_........... 5, 000 PER' ONAL&ADVINJURY S I .. 1 000, 000 GEhrL AGGREGATE LIMIT APPLIES PER: I FNPReL hGGREOATE S 2� OOCI, OQO POLICY E JE o- LOC PRODUCTS COMPIOPWAGO S,. .. .r DOD, 000 t O"rHER is AUTOMOBILE LIABILITY '.�41.70k4'1....N L V.EM9T S ANY AUTO OWNED I SCHEDVLEO BODILY INJURY (Par person) S ""' BODILY INJURY S _.( AUTOS ONLY I AUTOS I f (Per aocidenl) HIRED NON -OWNED r AUTOSONLY I AUTOS ONLY7 EL a 9 A g UMBRELLALIAS X OCCUR YNV56200005405 03/05/2023103/06/20241 EACH OCCURRENCE 4,000 000 EXCESS LlAB 0 AIMS -MADE j AGGREGATE S OOO, OOOmmm �.X RE"1"E't+#TION10' 000 COMPENSATION AIIDEMPL YERS"LIABHITY P "74 TAJT E '- ......... ANYPROPMETOR/PARTNERlE7(ECUTIVE OFFICERIMEMBEREXCLUDED? ##rA EL EACH ACCIDENT I ... .. ..., ..._...............,.--... (Mandatory In NH) F-L, DiSEA5E - EA EMPLOYEE $ ..:..:�..�._.. If�desedba «mdcr DS6PJPWtON OF OPERTiCiS below E,L DISEA56 POLICY �WIT,_ "1 __. A pollution Liab„ IEW56200933201 03/05/2023�03/05/2024Z,&oh Pollution , ICond.i titan 5,000,000 lAr regate S 5,ODO,000 �i...._w .r...... �................................. ... __.... ...._ DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Pumping i Disposal per Rate Sheet-2012 Certificate holder is named as additional insured as respects the general liability, but only if required by written contract with the named insured, prior to an occurrence, per form CG 2010 07/04 6 CG2037 07/04 subject to all policy terms and conditions. City of E1 Segundo, its officials, and employee as "additional insureds" with respect& to general liability. SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo Department of ACCORDANCE WITH THE POLICY PROVISIONS. Public Works 350 Kain Street AUTHORUEO REPRESENTATIVE El Segundo CA 90245-0000 (01986-2DI S ACORD CORPORATION All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 POLICY NUMBER: ENVS62009332-01 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OIL CONTRACTORS - SCHEDULED PERSON OIL ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations ...mOr Orgmanization s : � Any person or organization for whom you are performing In respect to any location where the named insured is operations when you and such person or organization performing "yourwork"- have agreed in writing in a contract or agreement, effected prior to the date your operations for that person or organization commenced, that such person or organization be added as an additional insured on your policy. �m Information re uirq to prra letp this Schedule if not shown above, will be shown in the Declarations, A. Section R - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to 'bodily injury" or "property damage" occurring after: 1 2. All work, including materials, parts or equip- ment 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 That portion of "your work" out of which the injury or damage arises has been put to its in- tended 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. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: ccpolnumn COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, S, LESSEES O CONTRACTORS - COMPLETED OPERATIONS S This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Or anization s : Operations Any person or organization for whom you are performing In respect to any location where the named insured is operations when you and such person or organization have performing "your world'. agreed in writing in a contract or agreement, effected prior to the date your operations for that person or organization commenced, that such person or organization be added as an additional insured on your policy. I Info ation re aired to cam let this Schedule, if not shown above, will be shown in the i eoiaretion . Section II — Who Is An Insured is amended to include as an additional 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". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1