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PROOF OF INSURANCE (2026)
Jk =3/272025 YYY) 4C "" V CERTIFICATE OF LIABILITY INSURANCE ��. 4/l/2026 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 Companies, CONTACT .. Lockton Com a>es, LLC NaME 444 W. 47th St., Ste. 900 PHONEMkJF,x.Ih . ...... WNo), , Kansas City MO 64112-1906 EMAIL (816)960-9000 pDpREs. ., _ ICC3SU@lOC1CtoR.COn1 INSURERIS) AFFORDING COVERAGE NAIC q INSUREo Pitts. PA.. 19445 aA National Union Fire Ins C _ INSURED INSURER B Allied World Assurance Company (U S Inc. 1 19489 1552000 GEOSYNTEC CONSULTANTS, INC. „ --_- 777 YAMATO ROAD, SUITE 600 INSURER c New HamFshIre Insurance Company 23841 BOCA RATON, FL 33431 INsuRER CHRISTOPHER WESSEL INSURER E : INSURER F 1171n—IT uN IRA —In. n I An 41110 AFVIClnrd rw iRARPP. N"'Y'4° S(""i'""k' Y 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. MFCA INSR ;t40.'90CWI R , .....,...... ,...,. .. ®®, ........POLICYF I _ LIMITS ` LTR TYPE OF INSURANCE /O POLICY NUMBER MMDIXYYY M YYY A + COMMERCIAL GENERAL LIABILITY Y € Y 5268179 4/1/2025 1 4/1/2®26 EACH OCCURRENCE 1 $ 2 000 000 ,,., ' }�Fi+ll TIC 1 s 500,000 I CLAIMS -MADE ]{ OCCUR � PRE ,F-S� (�4�rcrurr�rvr.�r� MED EXP (Any one person) $ 25,000 ERSONAL & ADV INJURY s 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: $ 4 000,00 0 GGREGATEAGG i POLICY 'JE"C"T LOC P RODUCTS,,,-„ COMP/OP I $ 4a000,00,0 .. f , . � e . $ 1 OTHER, A cDM111NE¢.a s INQi I 1 AUTOMOBILE LIABILITY y f y 1 4489673 4/1/2025 4/1/2026 (( a aycrdeculJ, $ 2 000,000�, A �� 4489674 4/1/2025 4/1/2026 g�ypILYINJURY(Perpelson} 1 $ r X ANY AUTO XXXXXXX t OWNED SCHEDULED BODILY INJURY (Per accident) $ �(�(X'X'�(�(X _ AUTOS ONLY AUTOS X $XXXXXXX 1 AURTOS ONLY�X,f A�TOS ONLY-fmrOPLRTY ai7AMAC _ �..ee,.- ..wm I .. , . - . ( $ XXXXXXX A X UMBRELLA LIAB X OCCUR N N 031373714 4/1/2025 1 4/1/2026 EACH O $ 10,000,0000 A ERRENCE EXCESS LIAB, 00 MADE 0000 ; -. DED '...... X RETENTION $ 1 0,000 $ XXXXXXX I WORKERS COMPENSATION PER OTH C Y WC 072-11-3264 ; 4/1/2025 4/1/2026 ER 5TCH AND EMPLOYERS' LIABILITY p YIN WC 072-I1-3263 4/I/2025 4/1/2026 E.L� ACCIDENT ANY PROPRIETOR/PARTNERIEXECUTIVE """"""""" CCIDENT $ 2 00O 000 OFFICER/MEMBER EXCLUDED? �� N I A E.L. DISEASE EA EMPLOYEE $ Z000 00O (Mandatory in NH) a, If yes, describe under E.L.j—- ! DISEASE POLICY LIMIT $ 2.000 000 DESCRIPTION OF OPERATIONS below B , PROFESSIONAL LIAB. N N 0312-2723 4/I/2025 j 4/I/2026 $8,000,000 EACH ACT; CONTRACTORS $10,000,000 AGGREGATE POLLUTION LIAB DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: STORMWATER PERMIT IMPLEMENTATION ASSISTANCE PER AGREEMENT NO, 6979, DATED JUNE 11, 2024. THE CITY OF EL SEGUNDO, ITS OFFICERS & EMPLOYEES ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AND THESE COVERAGES ARE PRIMARY AND NON-CONTRIBUTORY, AS REQUIRED BY WRITTEN CONTRACT, WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY, AUTO LIABILITY AND WORKERS COMPENSATION/EMPLOYER'S LIABILITY WHERE ALLOWED BY STATE LAW AND AS REQUIRED BY WRITTEN CONTRACT. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 21434238 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF EL SEGUNDO PUBLIC WORKS 350 MAIN STREET EL SEGUNDO CA 90245-3813 AUTHORIZED REPRESENTATIVE1 ©1 gag,' 115 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code: D658701 Certificate ID: 21434238 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 526-81-79 CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERICAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organization(s) 1 Location and Description of Completed Operations ANY PERSON OR ORGANIZATION WHOM YOU BECOME PER THE CONTRACT OR AGREEMENT OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. Information required 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. CG 20 37 12 19 Page 1 Attachment Code: D658681 Certificate ID: 21434238 Policy Number: 526-81-79 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLCIY. 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 Organization(s) Location(s) of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU BECOME PER THE CONTRACT OR AGREEMENT OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTEREDINTO Information re wired to complete this schedule, if not shown above, will be shows 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. 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 not increase the applicable limits of insurance. CG 20 10 12 19 Page 1 Attachment Code: D658678 Certificate ID: 21434238 Policy Number: 526-81-79 Commercial General Liability CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This Endorsement modifies insurance provided under the following:, COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILTY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or agreement that Condition and supersedes any provision to the this insurance would be primary and would not seek Contra contribution from any other insurance available to the �'• additional insured. Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance: and CG 20 01 12 19 PAGE 1 OF 1 Attachment Code: D660057 Certificate ID: 21434238 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause' need to be completed only when this endorsement is issued subsequent to preparation of the policy) forms a part of Policy No. WC 072-11-3263 Issued to GEOSYNTEC CONULTANTS, INC. BY NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. WC 04 03 61 Page 1 of 1