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PROOF OF INSURANCE (2026)
A "R "- CERTIFICATE OF LIABILITY INSURANCE ,rc ' is DATE (MMIDD c 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 ACAMIW. Shegy„Young Rsk Strategies CerTlp nY PHDa�E FA?I 2040 Bain Street, Suite 450 EMAIL 1, s49 4 9 .! .. �.IAc ,N l Dss s oun Iisk strata ies.c. Irvine, CA 92614 .. �.. � .y .. ..�� .. g o.m.. ....., r INSURER(S) AFFORDING COVERAGE NAIC # www.risk-strategies.com CA DOI License No. OF06675 INSURED MNS Engineers, Inc. 201 N. Calle Cesar Chavez, Suite 300 Santa Barbara CA 93103 INSURER--: ar Or na_er_wnters it INSURER B : Hartford Fi re Insurance Company, Ltd and Suretv Co of r^%100Ar-r_e t I=0_rICIrATC NIIMFlGR• Q9:7AA'1Aq REVISION NUMBER: 19682 11000 31194 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. n ..........._. INS ,. ._ ®,,.. ........wiADOL'SU FM """"'06 TYPE OF INSURANCE f i POLICY NUMBER ICY"EFF ) PpLkC .m. ............. LIMITS MMIDMYYY MMf tYYYY� LIMITS COMMERCIAL GENERAL LIABILITY �/ 172SBWBM2X4V A co I 6/14/2025 {6/14/2026 EACHOCCURRENCE+J I $1 000,000 �✓ I 1 CLAIMS MADE ✓ OCCUR A DA_MAGt t4Tr P MIS 00 OQQ MED,Ey $ 10 000 ., Y pERSONALA8PADV INJUR) �$1 t , ..... .. ........ ......... ®.... I - GEN L AGGREGATE LIMIT APPLIES PER: '= - f ...., r GENERALAGGREGATE $2 00q,000 000 OOO .. I.,... PRO LOC POLICY JECT „ P A 'PRODUCT ..,... -., $ 2 O1-11- ,,� 1 „ 1 $ OTHER B AUTOMOBILE LIABILITY I 72UEGCK5894 6/14/2025 6/14/2026 i COMBINED cpN LE LIMIT df ntD $1,000,000 ANY AUTO BODILY person) $ OWNED BODILYINJURY(Per accident), ( $ AUTOS ONLY j e AUTOS HIRED NON -OWNED AUTOS ONLY � AUTOS ONLY .. tf.pe acr�.ist�5rti;' AMAGF 4, --- ,...�. ,...�. $ „✓,,,,, ...-+✓,J I$ A UMBRELLA LIAB OCCUR 6/14/2025 6/14/2026 i EACH OCCURRENCE $1Q 000 Q00 �/ �/ �72SBWBM2X4V 1 EXCESS LIAB CLAIMS MADE I AGGREGATE „� $'I O, l)OOy�I)I) ..... ............. ..... .... . . DED ✓ - RETENTION$10,000 ? J i $ C WORKERS COMPENSATION 72WEGAX1RMA 6/14/2025 6/14/2026 ✓ PER Ti,E F'EF -- AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ,..... CEA 1 000 �000 NIA (Mandatory IMEn NH) EXCLUDED? ❑ E �L D SEASE EMPLOYEE $ 1, ��*��� __ If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 1 000 000 D iiProfessional Liability `107272696 1 6/14/2025 i 6/14/2026 Per Claim: $5,000,000 i Aggregate: $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Projects as ort file with the insured including but not limited to On -Call Construction Inspection Services, ENG 24-36.. City of EI Segundo, its officials and employees are named as additional insurers and prima ryJnon-contributory clause applies to the general liability policy -see attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cltx Df El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 35U M'Iain St, ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo CA 90245 AUTHORIZED REPRESENTATIVE,, ,,� ✓""" p,{ RSC Insurance Brokerage © 19BB-2015 AGURD GUKF'UKA I IUN. AU rignis reserves. ACORD 25 (2 161 3) The ACORD name and logo are registered marks of ACORD B5744343 125-26 GL-AL-UL-WC-PL I Sherry Young 16/12/2025 9:29:43 AM (PDT) I Page 1 of 6 761'12/2025 E (MMIDDNYYY) "�"+�'"�'`" 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 CONTANAME CT Sherry„Young Risk Strati: ies Company PHONE FAX Irvine, 0 Maim Street, Suite 450 E-MAIL)., s oung, 9237 ( NUJ 204 94 ne, CA 92614-MAIL a , y g.nsk-stfateglesM17�1 INSURER(S) AFFORDING COVERAGE NAIc # INSURED -risk-strategies com CA DOI License No OF06675 INSURERA: Hartford _ INsuR1=Re, Hartford Fire Insulranpeters nCompany surance Company a 19604 82 MNS Engineers, Inc. wsuRER„C: Sentinel Insurance Company, Ltd. 1 11000 201 N. Ca Cesar Chavez, Suite 300 ... Santa Barbara CA 93103 D : Travelers Casualty and Surer Co of America INSURER 31194 INSURER E: �nveonr_�c r`C0TICI1 ATC AUIIIA92C0• rrr�AA�Al RFVI.glnN 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �.� . ® � , POLICY(MMEFF — ®. AgDL�` lY Y EXP I LIMITS MPOE URANC-�- yY�.ryyyy TR TYPE OF INSURANCE POLICY NUMBER M/O A r'" COMMERCIAL GENERAL LIABILITY i / ,72$BWBM2X4V 6/14/2025 �6/14/2026 EACH OCCURRENCE $1,000000 'DACLAIMS-MADE E AII, ESGa Dar) ,/ s OCCUR $1 000 000 f i MED EXP (Any one person) $ 10 000 e,. ,... _ Y $1,000,000 PERSONAL & ADV INJURm,,,,,., LIMIT APPLIES PER: GEN L AGGREGATEPROM. I GENERAL AGGREGATE $ 2 000 000, POLICY 1 ✓ LOC i PRODUCTS COMPIOP AGG $ 2„0 000 JE.:T $0O B rAUTOMOBILE LIABILITY i72UEGCK5894 6/14/2025=6/14/2026 $ COMBINED LIMN � �1 000 000.__ ;.r ANY AUTO ....I BODILY INJURY (Per person) 1 $ --- m ... OWNED SCHEDULED ! ` BODILY INJURY (Per accident) AUTOS ONLY AUTOS HIRED NON -OWNED 1 IT'onkTYCrAMA..G �i a ✓ AUTOS ONLY AUTOS ONLY 2per 04�600,0), , , ,.._._._ - .�.. _.. ,„ ........ $ A I AB OCCUR72SBWBM2X4V 6/14/2025 1 6/14/2026 1—✓ EACH OCCURRENCE 000 000 �. EXCESS L ABMADE GATE $100 000 000. I - DED RETENTION$10,000 $ C !WORKERS COMPENSATION ✓ 72WEGAXIRMA 6/14/2025 ; 6/14/2026 / STarur� ,. PER i HRH AND EMPLOYERS' LIABILITY IN Y❑ ,,,,, E.L EACH ACCIDENT $ 1, 000 000 ANYPROPRIETOR/PARTNER/EXECUTIVE N I A (Mend t IMEn NH) EXCLUDED? I EL DISEASE EA EMPLOYEE $ 1 ��q 00Q..�„ ( If yes, describe under 1 J yy $ 1 1 000„000 , DESCRIPTION OF OPERATIONS below E,LDPOLICY LIMIT . ISEASE - PCY p D iProfessional Liability 6/14/2025 6/14/2026 Per Claim: $5,000,000 �107272696 1 Aggregate: $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Projects as on rile with the insured including but not limited to PSA for Design Services. City of Ell 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 attached endorsements. G RI I',FICA It HULU[EK t /ANi,.I=LLJA l IVIV 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 ©1988-2015 ACORD CORPORATION. All rlgnts reservea. ACORD 25 (016/03) The ACORD name and logo are registered marks of ACORD 85744341 1 25-26 GL-AL-UL-WC-PL I Sherry Young 1 6/12/2025 9:29:43 AM (PDT) I Page 1 of 7 CB DATE (MMIDDIYYYY) AC "Rf> CERTIFICATE OF LIABILITY INSURANCE 6/12P2025 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 NAME. Sherry'Yggl g RiS Stra eglMALL es Company PHONE FAX 2040 Main Street, Suite 450 ADDRESS. syoup2 92i tAlct.l Irvine, CA 92614 arlsk-stratgl warn ®..., INSURERS) AFFORDING COVERAGE NAIC # www.risk strategies com CA DOI License No OF06675 ....... ,,,,,_ ..... _ INSURED MNS Engineers, Inc. 201 N. Ca Ile Cesar Chavez, Suite 300 Santa Barbara CA 93103 INSURERA Hartford Underwriters Insurance „Company ...... 30104,,,, INSURER, B Hartford Fire Insurance Company _ 19682 INSURER D T avtelerlsl Casualty and Sur tvCo of America 311194 INSURER E :. ...._................... —.-Y`COTICV`ATC 6n IRAOCD. .mn na RFVISION NIAMRFR: 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. e ..�ADDL�SUa� .. ... N 1 POLICY w. p .Ri Y EXP ,,....,AtliE .....YPE 'Y ILTR LIMITS OFINSURANC- r pbPYMF MM/DDIYYYY POLIC YNUMBER 1 7'COMMERCIAL GENERAL LIABILITY 72SBWBM2X4V 6/14/2025 6/14/2026, EACH ---- 000 0000 1 , CLAIMS -MADE OCCUR ACs�,� sYC�E���NTui=ECY enae) $1 OOO,OOO, , M O�O -� PERSONAL &ADV INJURY t $1"0 000 , ,. GE N 1. AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE , .. , ... .,. $2,000 000 OOO _. .. l ✓ PRO- LOC POLICY I�m,..1] JECT �. PRODUCTS COMP/OP AGG $ 2,000, 000 OTHE'RC B AUTOMOBILE LIABILITY 72UEGCK5894 6/14/2025 6/14/2026 c;MBINEe�INt I F L.wmwnT $1 OOO OOO ,...,� ANY AUTO BODILY URY INJURY (Per person.. ., OWNED SCHEDULED I BODILY INJURY (Per accident) $ AUTOS ONLY m! AUTOS i HIRED - NON -OWNED t l j F'ItOPEH1'"v"DAMAGE $ ,.m^...;. AUTOS ONLY �,. .'^, AUTOS ONLY A / UMBRELLA LIAR / OCCUR 72SBWBM2X4V 6/14/2025 6/14/2026 1 '', EACH OCCURRENCE $10,000,000 .,. EXCESS LIAB � � CLAIMS MADE i AGGREGATE $ 10.000�000 .... .............. 1 $,� DED l ✓ RETENTION $10,000 C I WORKERS COMPENSATION ✓ i72WEGAX1RMA 16/14/2025 =6/14/2026 ✓ � sEar)�rE ORH ;AND EMPLOYERS' LIABILITY y I N ANYPROPRIETOR/PARTNER/EXECUTIVE 1 E L EACH ACCIDENT .. $ 1,000 000 ' OFFICER/MEMBEREXCLUE SNIP` ii' in NH) L �1 1 E L DISEASE - EA EMPLOYEE $ Q����Q (Mandatory Dyes, describe under ''. DESCRIPTION OF OPERATIONS below ' I E L DISEASE -POLICY LIMIT $ 1„ OOO 000 D ;Professional Liability 107272696 6/14/2025 6/14/2026 'Per Claim: $5,000,000 i Aggregate: $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Projects as on file wilh the insured including but not limited to On -Call Land Surveying Services, PW 17-28, City of El Segundo, its officials and employees are named as additional insureds and primary/non-contributory clause applies to the general liability policy and a waiver of subrogation applies to the work comp policy --see attached endorsements. UtKI IHI1rAI t MUL.UCK %,Mille SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of del Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Orlando Rodriguez, Sr. Civil Engineer ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St. El Segundo CA 90245 AUTHORIZED REPRESENTATIVE,,,,,,,."'"',,,, RSC Insurance Brokerage U 1Vt5t$-ZU10 AVUKU L.UKI-UKAI IUIV. Au ngnis reserves. ACORD 25 (16/03) The ACO D name and logo are registered marks of ACORD 85744342 1 25-26 GL-AL-UL-WC-PL I Sherry Young 16/12/2025 9:29:43 AM (PDT) I Page 1 of 7 72SBWBM2X4V THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE ol HARTFORD BLANKET ADDITIONAL INSURED BY CONTRACT This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. A. The following is added to Section C. WHO IS AN INSURED: 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 or written agreement, or when required by a written permit issued by a state or governmental agency or subdivision or political subdivision that such person or organization be added as an additional insured on your Coverage Part, 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 any other endorsement issued by us and made a part of this Coverage Part. The insurance afforded to such additional insured will not be broader than that which you are required by the contract, agreement, or permit to provide for such additional insured. The insurance afforded to such additional insured only applies to the extent permitted by law. The limits of insurance that apply to additional insureds are described in Section D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE. How this insurance applies when other insurance is available to an additional insured is described in the Other Insurance Condition in Section E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS. a. Vendors Any person(s) or organization(s) (referred to below as vendor), but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business and only if this Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products -completed operations hazard". (1) The insurance afforded to the vendor is subject to the following additional exclusions: This insurance does not apply to: (a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (b) Any express warranty unauthorized by you; (c) Any physical or chemical change in the product made intentionally by the vendor; (d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (e) Any failure to make such inspections, adjustments, tests or servicing 'as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; Form SL 30 32 06 21 Page 1 of 3 © 2021, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) B5744341 1 25-26 GL-AL-UL-WC-PL I Sherry Young 1 6/12/2025 9:29:43 AM (PDT) I Page 2 of 7 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE " HARTFORD (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or (h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (i) The exceptions contained in Paragraphs (d) or (f); or (ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organization from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. b. Lessors Of Equipment (1) Any person or organization from whom you lease equipment; but only with respect to their liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after you cease to lease that equipment. c. Lessors Of Land Or Premises (1) Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: (a) Any 'occurrence" which takes place after you cease to lease that land or be a tenant in that premises; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. 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; (b) In the performance of your ongoing operations performed by you or on your behalf; or (c) In connection with "your work" and included within the "products -completed operations hazard", but only if: (i) The written contract, written agreement or permit 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, 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, including: (i) 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 (ii) Supervisory, surveying, inspection, architectural or engineering activities. This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by an insured, if the "bodily injury", "property Form SL 30 32 06 21 © 2021, The Hartford Page 2 of 3 (May include copyrighted material of Insurance Services Office, Inc., with its permission) 85744341 1 25-26 GL-AL-UL-WC-PL I Sherry Young 1 6/12/2025 9:29:43 AM (PDT) I Page 3 of 7 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE HARTFORD damage", or "personal and advertising injury" arises out of the rendering of or the failure to render any professional service. e. State Or Governmental Agency Or Subdivision Or Political Subdivision Issuing Permit (1) Any state or governmental agency or subdivision or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: (a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or (b) "Bodily injury" or "property damage" included within the "products -completed operations hazard". f. Any Other Party (1) Any other person or organization who is not in one of the categories or classes listed above in 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 performed by you or on your behalf; (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, written agreement or permit 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, 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 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, surveying, inspection, architectural or engineering activities. This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by an insured, if the "bodily injury", "property damage", or "personal and advertising injury" arises out of the rendering of or the failure to render any professional service described in Paragraphs f.(2)(a) or f.(2)(b) above. Form SL 30 32 06 21 Page 3 of 3 © 2021, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) 85744341 1 25-26 GL-AL-UL-WC-PL I Sherry Young 16/12/2025 9:29:43 AM (PDT) I Page 4 of 7 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE HARTFORD ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS POLICY NUMBER: 72 SBW BM2X4V This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. The following is added to Section C. WHO IS AN INSURED: Additional Insured — Owners, Lessees Or Contractors — Completed Operations a. The person(s) or organization(s) shown in the Schedule on the Declarations is also an additional insured, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" and at the location designated and described in the Location And Description Of Completed Operations Schedule in the Declarations performed for that additional insured and included in the "products -completed operations hazard", b. 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: (1) The preparing, approving, editing of or failure to prepare or approve, shop drawings, maps, opinions, reports, surveys, change orders, field orders, designs, drawings, specifications, warnings, recommendations, permit applications, payment requests, manuals or instructions; (2) Supervisory, inspection, quality control, architectural, engineering or surveying activities or services; (3) Maintenance of job site safety, construction administration, construction contracting, construction management, computer consulting or design software development or programming service, or selection of a contractor or programming service; (4) Monitoring, sampling, or testing service necessary to perform any of the services included in (1), (2) or (3) above; (5) Supervision, hiring, employment, training or monitoring of others who are performing any of the services included in (1), (2) or (3) above; c. The insurance afforded to these additional insureds only applies to the extent permitted by law. d. If coverage provided to these additional insureds is required by a written contract, agreement or written permit issued by a state or governmental agency or subdivision or political subdivision, the insurance afforded to these additional insureds will not be broader than that which you are required by the contract, agreement or permit to provide for these additional insureds. Form SL 30 36 10 18 Page 1 of 1 Process Date: 06/09/2025 © 2018, The Hartford Policy Expiration Date: 06/14/2026 (May include copyrighted material of Insurance Services Office, Inc., with its permission) 1 1 , 26 m, w, ff, wc x,„, I Sh, . r y v,,,w,14 1 1/12/20. 5 9.29l 43 NSW 't71)' I Hof; r 72SBWBM2X4V TIFF HARTFORD (2) Premises Rented To You That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (3) Tenant Liability That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section B. Exclusions. (5) Property Damage To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion k. of Section B. Exclusions. (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. When this insurance is excess, we will have no duty under this Coverage Part to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self -insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. Form SL 00 00 10 18 Page 17 of 22 © 2018, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) 85744341 125-26 GL-AL-UL-WC-PL I Sherry Young 16/12/2025 9:29:43 AM (PDT) I Page 6 of 7 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: 06/14/25 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 .. p Countersigned by Authorized Representative Form WC 04 0 (1) Printed in U.S.A. Process ate: 06/09/25 Policy Expiration Date: 06/14/26 85744341 1 25-26 GL-AL-UL-WC-PL I Sherry Young 1 6/12/2025 9:29:43 AM (PDT) I Page 7 of 7