PROOF OF INSURANCE (2025)page 2 of 16
Client#: 1266412
305FLEMIENV
DATE (MM/DD/YYYY)
CERTIFICATE F LIABILITY 4/29/2024
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 ADD
ITIONAL 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 CONNAMkmr!�C. Sonia Morris
McGriff Insurance Services LLC
PtrONG 800
714 941 2
130 TheorySte 200
A/c„ N,b Cxt .......... ............
� r
EMAIL
AprmEss:: Son.1a Morris@,McGriff.com
...._........-..
Irvine, CA 92617
m__� ..�. _. n..,.. _
INSURER(S) AFFORDING COVERAGE
NAIC #
714 941 2800
_
Specialty Insurance Co
Crum and Forster S P
44520
__............ .. ......................................... .,,........... ....:,�....,,,,,,,,,.
INSURED
.. .............._
.INSURERA: _. S .... ...................._. .....
INSURER B Insurance Company of the West
Fleming Environmental Inc.
_...
Travelers Prop-ert Casuatt Co of Amer
INSURER C y Y
�25674
PO Box 6130
National S eclafty Insurance Company
INSURER D : P
22608
Fullerton, CA 92834-6138
_--
INSURER E:
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.
IN
LTR
.
F INSURANCE
TYPE OF
�ADOLI$UBR ..... ,: ... ..,_....
INSR WVD POLICY NUMBER
POLICY EFF POLMCY
(MMIY�DlYYYY Mfd7�LADPh"YNY LIMITS
,.... ..
A
Xi ENE RAIL LIABILITY
COMMERCIAL
..
EPK147650
.: ,, ,
5/01/2024 05/01/2025�DArHOCCURRNi E [51,0 ,610CW .....
CED
pp.. OCCUR
II CLAIMS -MADE I X„�
(( PR(d L^ooccui,r n�e�v I$5O OOO
V.f
,._.._ ....
X Pollution Liab
MED E) P any one Pe on) $5,00
X� Professional Liab
PERSONA LaADVINJURv $1 OOOOOO
GEN-L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 2,000,000
}SRO
� PR; F� LOC
PRODUCTS COMP/OP AG_ l{ S 2 000 OOO
+
$
p
GMI023903
COMBINE
COMBINED 1 000,000
5/01/2024�05/01/2025'BODILYINJURY(P�rpM17
XTANOYAUTo�BILITv
OWNED +' -- :SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) S
.mm
...
HIRED NON -OWNED
X AUTOS ONLY X AUTOS ONLY
P61C1PERTw" C�AOtidIAGE,...
I_� em arcadatitlp .. .. ......... __. _
$
A
........ . ... . .
UMBRELLA LIAR X 1 OCCUR
. .................
EFX125207
. .... . .........
5/01/2024 05/01/2025, EACH occuRRENCE $5�000,000
X EXCESS LIAB CLAIMS MADE
AGGREGATE s5,000,000
,
„
$O
QED X RETENTIONITY
.... mm::k. ..PER.:.:... 5
B
........ ....,,,
WORKERS COMPENSATION
.. .........................._
WSD507095101
5/01/2024 05/01/2025,X TE IorH
EMPLOYERS'LAAITILER
OFFICER/MEMCOR Xt114 �RL��ECUTIVE
ANY Pd
EACH ACCIDENT $,1,000�,,000
EL EACH � .,
I or END I
M m N
N/A
E L SE EAEM PLOYEE� $1,000,000
If yes, describe under
E
DESCRIPTION OF OPERATIONS below
-..,W ....
.. w.. E L. DISEASE -POLICY LIMIT„,$1 rOOO,OOO
_.
C
. ....... ......... _ . ,
Rented/Leased
OT6603L337320TIL24
5/0112024,05/01/2025? $500,000 Limit
Equipment
$1,000 Deductible
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It 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.
BEFO
City of El Segundo THE SHOULD
XANY OFPIRATIIONH DATE VT THEREOF, NOTICEDESCRIBEDIEELLED WILL BE CDELIVERED W
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 (201 03) 1 of 1 The ACORD name and logo are registered marks of ACORD
925 #S34281362/M:34281290 SOMOR
page 3 of 16
Fleming Environmental Inc.
EPK147650
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
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
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Fleming Environmental Inc. dart of the FAIRPAX
EPK147650
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
i
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
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
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929
NO
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Fleming Environmental Inc.
EPK147650
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY 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
mName 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.
930
EN0119-0211
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Client#: 1266412 305FLEMIENV
DATE (MM/DD/YYYY)
ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 4/29/2024
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.
IMPDRTANT: if the certificate holder is an ADDITION AL INSURED, the polic I ...... �� provisions or
�......... .
y('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
NAME:
McGriff Insurance Services LLC PwQrr 00
( Arc NO.,
Arc Nro, Emr . 714 941 28. ........ i . }
130 TheorySte 200 Sonia.Morris@McGriff.com
EMAIL
apD��ss ,Soma Morriss c
Irvine CA 92617 INSURER A Crum and ForsterNAIc a
� , 8 0..... _ .....20
INSURSpecialty Insurance Co
P COVERAGE
2484
-
INSURED Insurance Company of the West �... � . w. ... _.
714 941-2800
RED '...INSURERB: P Y V' 7 7
Fleming Environmental Inc. INSURE Travelers P.roperty Ca ,u" � r . "" m
R c suatty Co o.. Amer �25674
PO Box 6130 Natlonal S eciaR11 �
INsuRER D : p y Insurance Company �22608
Fullerton, CA 92834-6138 .
SURER
y� .... .., ....__. .... _.
I' 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.
L ....,INISR ......
LIABILITY �INSji RI POLICY NUMBER. POLICY EFF . TPO DDf ERP LIMITS--�
.' ..... .. IADDLaU
TYPE OF INSURANCE EPK1 (MMIDD/YYYY MINV4Dr'M'YY
COMMERCIAL GENEIAL,� DAMAGET s1y000�,000
47650 5/01 /2024 05 0
URRENCE
...� CLAIMS -MADE X.. OCCUR ce) SSO,OOO
X Pollution Liab
person) s5,000
----- .............._.. MED EXP (,Anyone pe. ,.. .... .,.,,, ..,....
X� Professional Liab PERSONAL&ADV INJURY S1,000,000
.. e. ...... _ ..._.. --- .
GENLPAGGREGATELIMITAPPLIESPER: GENERALS COMPA PRODUCTAGGREGATpAGG 527000,0 0
PRC1 � _
-_.. NE(' q �� I OC �.. 7 ,
X O++IER:
D _ ..... 023903 5/01 /2.. ,.. P ....
AUTOMOBILE LIABILITY GMI .e.m. �� � � �� 024 05/01/2025 'c�rM'BIf�IrI� Iff�LL Llf�llr 1 000,000
XANY AUTO BODILY INJURY (Per person) S....
.X OWNED �X- SCHEDULED BODILY JURY (Per accident) $
AUTOS ONLY ., „AUTOS
AUTOS ONLY AUTOS ONLY FiriPI:R"PY r.1P«W1AC E $
.,., �, ,....... I .' .... ......._..... .m
5
AUMBRELAAB �I OCCUR
m �EmF®X12� 5207 -
5/01/2024 05/01/2025EACH O $
5,000,000
X BCLAIMS MADE ATE $5,000,000 D RETENTION $0 STAT.0
NO EMPLOYE AS' LfAB
� B ( WORKERS KERB oMPENSA �IUON WSD507095101 5/01/2024 05/01/2025 X R OTH
TG
Y/N S1,OOO,000
�FFrCdtI WMBERr XCLIUl-FPoJE7 ECUTIVE�NIA EL EACH ACCIDENT
�.,n NH)LOYEE $1 000 000 y
�IW�ICI�R/MI�M(JERCR:�=LI.pI"JED1 N
.. DISEASE-
EA EMP , r
It yes, describe underP,E§CRtPTION OF E L DISE E POLICY
...... _ ,. ,...,..,.,. _ _.. E L DISE
_LIMIT $1,000,000
C Rented/Lesed RATIONS below OT6603L337320TIL24 5/01/20 24 05/01/2025 $500,000 Limit
Equipment $1,000 Deductible
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It 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.
City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
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
G 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
934 #S34281361/M34281290 SOMOR
a
r=M'
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935
mi
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Fleming Environmental Inc.
EPK147650
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNE,RSi, 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.
936
EN0111-0211
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VIM
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Fleming Environmental Inc..
EPK147650
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY..
PRIMARY AND NONCONTRIBUTORY 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.
EN0119-0211
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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 05/01/2024 Policy No. WSD507095101 Endorsement No.
Insured Fleming Environmental Inc. Premium $
Insurance Company INSURANCE COMPANY OF THE WEST
WC 99 06 34
(Ed. 8-00)
Countersigned By
INWRED
932
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MI