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PROOF OF INSURANCE (2024 - 2025) CLOSEDDATE (MM/DDIYYYY) C CERTIFICATE OF LIABILITY INSURANCE 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 PHONE 6201CCaIcmCanS, Risk aongSuite 100 ement & lnsurance ServicesA) (4)5 67cAc,Ne) (94s� 5 60-„ Irvine, CA926Y8 ........ INSURERISI AFFORDING COVERAGE NAIC # www.gmgs.com OB84519 fINSURERA INSURED INSURER B : EEC Environmental da: Environmental) Engineering & Contracting, Inc. INSURER,C: One City Boulevard West, Suite 1800 INSURERD g Cran e CA 9288 INSURER E : ...................... e'nLr=M w rtro f'CDTICIf'ATC NII IRAI MD 77 ni g&q of the West REVISION NUMBER: 7 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. ....... .._,._--,.... ............. .......TYPE OF INSURANCE .......... ,._ ........... --..... ......... ........ .. ,.O ,,.r ._- .. , ... ......,: ....,... .. .... I TR r ADI,'YL,i'S' ' R'( POLICYEFF POLICY EXP I LIMITS 1 ( POLICY NUMBER MM/DDIYYYY MM IDDIYYYY I A COMMERCIALGENERAL GLP2006942-21 10/31/2023 5/24/2025 EACH OCCURRENCE 00p�p0p i LIABILITY _ ..... CLAIMS -MADE OCCUR .Or1,1.1A.C.�tu'fu�l�R"N'r"1...... RRERuOY'SF lri 4'x,Gwrr7rl, P 1 $300,000 �/ ..... EXP ..... ,.,_.........._ - ...�..................... MED (Any ... .. ,.. C PERSONAL &ADV INJURY $.5 000 000 �.. ......- .........-----.-., ENLAGGREGATELIMITAPPLIESPER: . $5 000 0 GRODUCTS PREN- LOC F ..._, POLICY w'r JFI T nENERALAGGREGATE P 000 000 COMP/OP,AGG $5,, ...... ... .. ..... --- OT'FRE'Rt $ B AUTO MOBILE LIABILITY BAA (24) 58 33 34 58 J 10/31/2023 5/24/2024 C.ThMD'9N@EGJS1h9CsL'L,RtvglT [ .P,. _ $ 1 000 000 ✓ � ANY AUTO B- INJURY (Per person) e BODILY ..m_____ $ P ..., OWNED SCHEDULED INJURY (Per accident) J $ ,. ...-.. AUTOS ONLY AUTOS HIRED -O BODILY OP!ER1"Y Ch1MPtiikAfaE $ UT ,/ AO ONLY AOS ONLY-_ UMBRELLA LIAR OCCUR OCCURRENCE $ �.....,.. ...I EXCESS LIAR........ CLAIMS -MADE, AGGREGATE 1 FINED! ED 4 � RETENTION $ D WORKERSCOMPENSATION WSD 5065761 01 5/24/2023 IPER OTH R sIABI Y I EL EACH $1 000,000ANYPROPRIE1CRPA1TNEr+L XECUT#VEd� TNIA .... . . . ........ .01110ERIMFMBEREXCIUDED ` (Mandatory irNH) E.LDISEASE EAEMP ._.....'„I7 rC $ ..M.9�),", ------.. H descrltm uncle+ $1000.000SCDRlPTIONOFOPERATIONSbelow Ees, r5/24/2024 EL DISEASE-POLICYLIMBT C Pollution Liability CCP2006941-21 10/31/2022 5/24/2025 Each Poll Occurrence $5,000,000 Professional Liability Each Prof Liab Claim $5,000,000 $10,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Sewer System Management Plan This Oertif"te may be relied upon only if the certificate addendum referred to herein is attached hereto. GtKIIhIGAIt HVLUtK Sewer System Management Plan Cityy of El Segundo Public Works 350 Main Street El Segundo CA 90245 rtA'r^l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Griff Griffith (9 1Ut$t$-LUI0 A6UKU L UKrVKAI lUFM. Mil rlgn>s rrserVeu. CO (201610) The ACORD name and logo are registered marks of ACORD 77008562 1 23-24 A/G/U/W/Poll/E&O I Tani Rembleski 1 10/30/2023 10:03:31 AM (PST) I Page 1 of 8 AGENCY CUSTOMER ID: . ................ ACCORE) AnnITInNA1 RFMARKS -qr-HFnul-F Page of AGENCY NAMED INSURED GIVIGS Risk Manaqejmen!,&,!nsurance Services EEC Environmental dbw Environmental Engineering & Contracting, Inc. POLICY NUMBER One City Boulevard West, Suite 1800 Orange CA 92868 ........ . . . ................ ... . . CARRIER NAIC CODE . ......... . ........... LEFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate oLL!a��_. .. . . . . . . ................ HOLDER: City of El Segundo Public Works ADDRESS: 350 Main Street El Segundo CA 90245 RE: Sewer System Management Plan As respects General Liability coverage, City of El Segundo, its officials and employees are added as Additional Insureds per CG20100413 and CG20101219 and CG20371219 attached, and this insurance is primary per CG20011219 attached. As respects General Liability coverage, 30-day written notice of cancellation (10 days for non-payment of premium) applies per IL00171198 attached. As respects Automobile Coverage, Business Auto Coverage Form CA00011001 applies. As respects Workers' Compensation coverage, a Waiver of Subrogation is hereby included per WC990634 attached. ACORD 101 (2008/01) CO 2008 ACORU V-UKPUKA I 1UN. All rignts reservea. The ACORD name and logo are registered marks of ACORD ADDENDUM 700Wi62 1 23 2.4 A/G/U/w/Po 1, 1 ^,, I, i 1 10/.M/2023 10 : 03:: 3 I. AM (PS'M tl 2 'If 9 EEC Environmental POLICY NUMBER: GLP2006942-21 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or_qani7nfinn1Q1 Locations Of Covered O erations Any person, organization, or project with whom the named insured executes a written contract prior to the start of the project and is shown on a certificate of insurance issued by our authorized representative prior to the start date of the project Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. 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", "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. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "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 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. CG 20 10 12 19 © Insurance Services Office, Inc., 2010 Page 1 of 2 77008562 1 23-26 A/G/U/W/Po11/Ek0 I Tani R..bl—ki 1 10/30/2023 10:03:31 AM (PST) I Page 3 oL 8 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall applicable limits of insurance. not increase the CG 20 10 12 19 Page 2 of 2 @ Insurance Services Office, Inc., 2010 77008562 1 23-24 A(G/U(W(Po11(H&O I Dani 3embleski 1 10/30/2023 10:03:31 AM (PST) I Page 4 of 8 POLICY NUMBER: GLP2006942-21 COMMERCIAL GENERAL LIABILITY CG20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Descri tion Of Com leted O erations Any person, organization, or project with whom the named insured executes a written contract prior to the start of the project and is shown on a certificate of insurance issued by our authorized representative prior to the start date of the project Information re uired to com lete this Schedule, if not shown above~ will be shown in the Declarations. A. 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". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. U Insurance Services Office, Inc., 2018 77008562 1 23-21 A/G!0/W/Po11/EG0 I Tani 3embleski 1 10/30/2023 10:03:31 AM (PST) I Page 5 oL 8 Page 1 of 1 EEC Environmental dba: Environmental Engineering & Contracting, Inc. GLP2006942-21 CG MMERMI GENERALI...I I I@Il,.,.rry 9 91 12 1 THIS Iw;;;;o 11 &E M E P I C1,,,,1 A N GE THE P IllICY. P1,,,,,EASE READ IT T II- L, III ° 11) NONCONTIRIBu raiii:zy- III, INSURANCE IT This elndoirse mernt irnod'ities iinSauronoe provided under the toHoid0ing: OMMERCAl.... i.::::NERAL II....I1ABH...IITY OVEFRAGE i:)A ...i... I....IQUOR I JAB1121 FY COVERAGE PAi:Z r IFhe toNloMnag is added to the Other Insurance Condition and supersedes any prove lion to ffie contrary: Pnirmairy Arid NoncontirUbutory M sureruoe i his insurance is pr'kmary to and will mot seek corotriibUfliorn tiroinn ainy other iiIrISUronce avaUaUe to ain additional i°in&ured under your pollioy pirovr ded that: (1) The additional insured is o Named Ilnsuured under such other lin u_ ira~airnce; and (2) You have agreed i'i n wrurirMg in a contract or agireenneirut that this insurance wa' Wd be priirrnary and would not seek contlriibUflon thorn any otPner insurance avaHaNe to the edditioinall insured, 91 12 19 @ IIn u.ureinoe Services Office, IInc,, 2018 Page 1 of 1 23-21 A/G/CJ/W/P.11/E&0 I Tani 'te..:mlola•. 16 1 10/30/2023 1.0:03::31 AM (PST) I Pagr 6 of 8 EEC Environmental dba: Environmental Engineering & Contracting, Inc. COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declara- tions may cancel this policy by mailing or de- livering to us advance written notice of cancel- lation. 2. We may cancel this policy by mailing or deliv- ering to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of cancel- lation if we cancel for nonpayment of pre- mium; or b. 30 days before the effective date of cancel- lation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to US. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. IL 00 17 11 98 b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in- surability and the premiums to be charged. We do not make safety inspections. We do not un- dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. 5. If this policy is cancelled, we will send the first 4. Paragraph 2. of this condition does not apply Named Insured any premium refund due. If we ell or elevators. cancel, the refund will be pro rata. If the first to any inspections, surveys, reports or recom- mendations we may make relative to certifica- Named Insured cancels, the refund may be tion, under state or municipal statutes, ordi- less than pro rats. The cancellation will be ef- fective even if we have not made or offered a sregulations, of boilers, pressure ves- refund. els or 6. If notice is mailed, proof of mailing will be suf- ficient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declara- tions is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and re- cords as they relate to this policy at any time dur- ing the policy period and up to three years after- ward. D. Inspections And Surveys 1. We have the right to: a. Make inspections and surveys at any time; E. Premiums The first Named Insured shown in the Declara- tions: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named in- sured. If you die, your rights and duties will be trans- ferred to your legal representative but only while acting within the scope of duties as your legal rep- resentative. Until your legal representative is ap- pointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL 00 7 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ 77008562 1 23-24 A/G/U/W/Po11/ESO I Tani 3embleski 1 10/30/2023 10:03:31 AM (PST) I Page 7 of 8 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET 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 2% of the total California Workers' Compensation premium otherwise due. Schedule Person or 0[ganiization Job Descriptio ANY PERSON / ORG ALL CA OPERATIONS WHEN REQUIRED BY WRITTEN CONTRACT Policy Number: WSD 5065761 01 Insured: EEC Environmental Endorsement Effective: 5/24/2023 Coverage Provided by: Insurance Co of the West Issue Date: Countersigned by: C 99 06 34 (Ed... & 00) 770138562 1 23-29 ./63(CJ/T7l C?n 7.:1./F::&6:Y 7-i. :i-,ble.ki 1 7.@/30/2023 7.0.63r 31 AM (PST) I Page 8 C. B