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PROOF OF INSURANCE (2025)0 F DATE (MM/DD/YYYY) ►""" CERTIFICATE OF LIABILITY INSURANCE 611212024 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 N,cwCONTACT Risk trote, IeS COm aan Risk Strat ies Company PHONE mm FAX 2040 Main�treet, Suite 450II..I _m 949 42 9. " MAIL Irvine, CA 92614 A24 .."__ITIT syounq„a@risk-strategies.Com CA DOI License No. OF06675 INSURED MNS Engineers, Inc. 201 N. Calle Cesar Chavez, Suite 300 Santa Barbara CA 93103 n Ce'M'"M"'GC_'1s^A"T'='. 6.1'.1111110=M n. INSURER(S).AFFORDINGCOVERAGE................... _ NAIC# A: Sentinel Insurance Company Ltd. 11000 sHartford Fire Insurance Come 19682 c:Travelers Casualty and Surety Co of America ......._.• 31194 D: F: RFVICInN NIIMRFR• 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, CLUSIONS AND... POOF SUCH POLICIES.. LIMITS SHOWN MAY HAVE BEEN REDDUCED BY PAIia'EFFD CLAIMS. _ ILICYEXP LTRX TYPE OF INSURANCE POLICY NUMBER RIf,1FDDlYYYY fr+1' IDO YY LIMITS A COMMERCIAL GENERAL LIABILITY ,/ 72SBWBG3262 6/14/2024 6/14/2025 EACH OCCURRENCE $1 rOOO'000 CLAIMS -MADE OCCUR LAMA 'OLEO I REMISE',§,, ,(Ea ocr.Iarreou..op $1,000.000 -$ mmmm _. MED EXP (Any one person) ... 10 0,00 ",....... . w..................",_..,._,.,...�. PERSONAL,& ADV INJURY... $ 1,000000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 000 POIJCY [Z JERg T LOC PRODUCTS - COMP/OP AGG wR?,000 000 $ OTHER: B AUTOMOBILE LIABILITY 72UEGCK5894 6/14/2024 6/14/2025 Lgsuokdgnl SINGLE LIMIT $W1000,000 .. ANY AUTO BODILY INJURY (Per person) $ .._.. OWNED _- SCHEDULED BODILY INJURY ( Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED ---••••• • PROr*)<RTY DAI�+IAGE •- $ AUTOS ONLY AUTOS ONLY {Per a'c0±! - „„„„„„ A */ UMBRELLA LIAB [A OCCUR 72SBWBG3262 6/14/2024 6/14/2025 ,EACH OCCURRENCE $10000,000 EXCESS LIAB CLAIMS -MADE .._..... .............-. - .... AGGREGATE . _ m .. . $10�000.,000 OED ✓ RETENTION $10.000 $ A WORKERS COMPENSATION 72WEGAXlRMA 6/14/2024 6/14/2025 S ERH TATUTE ..." AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUI El N / A """•""""'"" E.LwwEACH ACCIDENT $ 1�000 000 (Mandatory In NH) E L DISEASE - EA EMPLOYEE - $1_,..QQ WW If yes, describe under-. DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability 107272696 6/14/2024 6/14/2025 Per Claim: $5,000,000 Aggregate: $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Projects as on file with the insured Including but not limited to P SA for Design Services. City of El Segundo, its officials and employees are named as additional insureds and primary/non-contributory clause applies to the general liability policy and a waiver of subrogation applies to the work comp policy -see attactred endorsements. CERTIFICATE HOLUEFt ".Ar4"1t- aIWIN City of El Segundo Attn: Lifan Xu 350 Main St. El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE RSC Insurance Brokerage V lut$t1-AUTO A1.VKU LVKrVrCAI IVIM. wu r19nrs 1ebelvCu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 80455341 1 24-25 GL-AL-UL-WC-PL I Sherry Young 1 6/12/2024 8:00:36 AM (PDT) I Page 1 of 5 MNS Engineers, Inc. POLICY NUMBER: 72SBWBG3262 DESIGN PROFESSIONAL BLANKET ADDITIONAL ITIONAL INSURED NOTICE - BUSINESS LIABILITY COVERAGE PORT Thank you for being a customer of The Hartford. This Notice is being provided to highlight the following important provisions included in your Business Liability Coverage Form, SS 00 08 04 05. ADDITIONAL INSUREDS WHEN REQUIRED BY WRITTEN CONTRACT, WRITTEN AGREEMENT OR PERMIT Please be advised that your Business Liability Coverage Form, SS 00 08 04 05 contains the following provisions in Section C. WHO IS AN INSURED: 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. However, no such person or organization is an additional insured under this provision if such person or organization is included as an additional insured by an endorsement issued by us and made a part of this Coverage Part, including all persons or organizations added as additional insureds under the specific additional insured coverage grants in Section F. - Optional Additional Insured Coverages. d. Architects, Engineers Or Surveyors (1) Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In connection with your premises; or (b) In the performance of your ongoing operations performed by you or on your behalf. (2) With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; Form SS 90 40 09 19 Page 1 of 3 © 2019, The Hartford 60455341 1 24-25 GL-AL-UL-WC-PL I Sherry Young 1 6/12/2024 8:00:36 AM (PDT) I Page 2 of 5 (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products -completed operations hazard", but only if: (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products -completed operations hazard". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "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: (a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. Please be advised that if SS 51 13 Exclusion - Engineers, Architects Or Surveyors Professional Liability - California and SS 51 14 Additional Insured Provisions - California are on the Policy, the above -referenced Subparagraph (2) of Paragraph d. Architects, Engineers Or Surveyors and Subparagraph (2) of Paragraph f. Any Other Party which contains professional liability exclusionary language has been amended. Please see SS 51 13 and SS 51 14 for details. II. OTHER INSURANCE - PRIMARY AND NON-CONTRIBUTORY TO OTHER INSURANCE WHEN REQUIRED BY CONTRACT Please be advised that your Business Liability Coverage Form, SS 00 08 04 05 contains the following condition in Section E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS: 7. Other Insurance If other valid and collectible insurance is available for a loss we cover under this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when b. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Insurance This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (6) When You Are Added As An Additional Insured To Other Insurance That is other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that insurance; or (7) When You Add Others As An Additional Insured To This Insurance That is other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this Coverage Part: (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract, written agreement or permit that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. (b) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured. Page 2 of 3 Form SS 90 40 09 19 80455341 1 24-25 cL-AL-uL-WC-PL I Sherry Young 1 6/12/2024 e:00:36 AM (PDT) I Page 3 of 5 III. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Please be advised that your Business Liability Coverage Form, SS 00 08 04 05 contains the following condition in Section E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS: 8. Transfer Of Rights Of Recovery Against Others To Us a. Transfer Of Rights Of Recovery If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit' or transfer those rights to us and help us enforce them. This condition does not apply to Medical Expenses Coverage. b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Please be advised that this Notice is not a Policy form and does not grant or alter coverage, or change any terms or conditions of the Policy. Please be sure to read your Policy carefully including all endorsements attached to your Policy. If there is any conflict between this Notice and the Policy, the provisions of the Policy will apply. Should you have any questions, please contact your insurance agent, broker or you may contact us directly. We appreciate your business and look forward to being of continued service to you. Form SS 90 40 09 1 80455341 1 24-25 GL-AL-UL-WC-PL I Sherry Young 16/12/2024 6:00:36 AM (PDT) I Page 4 of 5 Page 3 of 3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 72 WEG AX1 RMA Endorsement Number: Effective Date: 06/14/24 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: MNS Engineers, Inc. 201 N CALLE CESAR CHAVEZ SANTA BARBARA CA 93103 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 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 06/12/24 Policy Expiration Date: 06/14/25 80455341 1 24-25 GL-AL-UL-WC-PL I Sherry Young 1 6/12/2024 8:00:36 AM (PDT) I Page 5 of 5