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PROOF OF INSURANCE (2026)OCEABLU-06 , tt" " A CERTIFICATE OF LIABILITY INSURANCE DATE (M11202DDffYYY) L .�.-� 6/25/2025 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. AL If SUBROGATION IS WAIVEDORTANT: If the , subject to thholder is an e ADDITIONAL ndlco conditions of D, the thelpolicy) certain policies may must have require equire an endorsement. ns or statement endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement 9855 Scranton ,� ,� , . _ 2572 a�a Exallshalay1526hub�nfernS(io ac raa 351 231 HUB International al Insurance Services Inc._._4:.. �m(,i� PR na1.corn Suite 100 �PAVC p�SS ...... _,... ._._.. San Diego, CA 92121 6 INSURER(S) AFFORDING COVERAGE .L... NA'c INSURED INSURE fa ACE Iorgpelr�y dual Insurance Ocean Blue Environmental Services, Inc. YR�SUR�e c_ a lnn^a] C�aaUa���•- o--m�a �y 925 West Esther Street w �a�s�Rs�R..a�,w:................. ��._.,._.—._.............�.�.� �..._ Long Beach, CA 90813 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBERr 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 D CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA ID CLAIMS. MWM AX._,.. .-._ _-r......--. .....,,�,_ w..,...., .,..,, .-.,I. ..�. INSR TYPE OF INSURANCE AUDL SU D POLICY NUMBER POLICY Fy COMMERCIAL POLICY EiIP LIMITS IAL GENERAL LIABILITY fn 8AC'H UC-C'LNRI t�AG! 1_,000,000 CLAIMS -MADE X OCCUR 7/1/2025 7/112026 mDAMAGE TO RENTED � P 100,000 X XCCEXP5,000 wn ,000,000 _ EFlStOh dhL S eaav I UIiY ..... 2,000, X 000 PO MIT APPLIES PER: .mm6"ENLML An�'Iw REt`dtiTE 2,000,000 CDN L AGGREGATE LIMIT LICY E] I�qO� Cr' LOC PRO YLIz;'T��„ C"OMIVP/0 AGG. X OTHER: DED: $5,000 COMBINED ySINGLE UANIT 1,000,000 B AUTOMOBILE LIABILITY .APk.d4.,1SIS)_.- ..,.,.. .,,,..S m. X ANY AUTO CAL H08886301 002 7/1/2025 7/1/2026 goJ� Yy,NgLURY4I?ftr�r�Psacrl_,,,s _ OWNED SCHEDULED mm AUTOS ONLY A�U;'yTO�Sy �ry ......PRORT4"U AIMAGE� �deml� S A'�i S ONLY AN,a'�O` " %NY ..,Par pccitiarl8 ,,.... 5 XUMBRELLA OCCUR .E.AC ,AURRENOF s 8y000,000 A EXCEss LIAB B X CLAIMS -MADE G47475855 002 7/1/2025 711/2026 EACHE AGGREGATE ._ s 9,000,000 .....,,-,,,-. DED .... RETENTION ,$......................... C WORKERS COMPENSA'nON X � A1UTF DE PH .. r m _ AND EMPLOYERS° LiABII,ITY WCC340082A 7/112025 7/1/2026 j WL�r 1,000,000 0 ANY PROPRIEMPLOYERS'PA BILIT d'ExEC'UTi'VE jYYII Np X E L EACH ACCI NI �I 000 00' yJMgIW led srepMCLIDED7 a Y u NSA L, DISEASt=-PrIICLIr,IT s 1,000,000 A Pollution I nl 1 onmpONS G47475843 002 711120 711I2'020 Each Occ/Aggre,gate 1,000,000 A Professional Liab G47475043 002 7/1/2025 7/1/2026 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES IACORO 1e1, Additional Remarks Sabodule, may he attached If more space is reguiredl The County of Los Angeles and public entity or Special District for Which the Los Angeles County Board of Supervisors Is the Governing Body, and their Agents, Officers and Employees, City of El Segundo, and Its respective elected officials, officers, employees, agents, and representatives are Additional Insured's With regards to the General Liability policy When required by a Written contract, per the attached endorsement forms CG2010 04113 and CG2037 04/1 . Waiver of Subrogation applies With regards to the General Liability policy when requiredby a Written contract, per the attached endorsement farm ENV3143 03105. Waiver of Subrogation applies with regards to the Workers Compensation policy When required by a Written contract, per the attached endorsement form WC040306 04/84. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. its officials, and employees City Clerk 350 Main Street, Room 5 AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: G47475843 002 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES O CONTRACTORS - SCHEDULED PERSON O ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s Locations Of Covered Operations As required by written contract, prior to a loss to which As required by written contract, prior to a loss to which this insurance applies this insurance applies 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", "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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: G47475843 002 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- OWNERS, LESSEES O CONTRACTORS - COMPLETED OPERATIONS S 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 Or anlzation s Location And Description Of Completed Operations As required by written contract, prior to a loss to which this insurance applies As required by written contract, prior to a loss to which this insurance applies 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 will not be broader than that which you are include as an additional insured the person(s) or required by the contract or agreement to provide organization(s) shown in the Schedule, but only for such additional insured. with respect to liability for bodily injiiury or B. With respect to the insurance afforded to these "properly damage" caused, in whole or in part,by additional insureds, the fallowing is added to ""your work" at the location designated and Section III — Limits Of Insurance: described in the Schedule of this endorsement If coverage provided to the additional insured is performed for that additional insured and required by a contract or agreement, the most we included in the "products -completed operations will pay on behalf of the additional insured is the hazard". amount of insurance: However: 1. Required by the contract or agreement; or 1. The insurance afforded to such additional 2. Available under the applicable Limits of insured only applies to the extent permitted Insurance shown in the Declarations; by law; and whichever is less. 2. If coverage provided to the additional insured is required by a contract or agreement, the This endorsement shall not increase the applicable insurance afforded to such additional insured Limits of Insurance shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Pgrson or or ani atidn; As required by written contract, prior to a loss to which this insurance applies kii no ernry appears aoove, information required to complete tnis endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products -completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. All other terms and conditions remain the same. ENV-3143 (03-05) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 B 06 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA 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 % of the California workers' compensation premium otherwise due on such remuneration. Person or Organization Schedule Job Description ANY PERSON(S) OR ORGANIZATION(S) WITH WHOM YOU HAVE AGREED TO SUCH WAIVER, IN A VALID WRITTEN CONTRACT OR WRITTEN AGREEMENT THAT HAS BEEN EXECUTED PRIOR TO LOSS. 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: 07/01/2025 Policy No.: WCC340082A Endorsement No. Insured: Ocean Blue Environmental Services, Inc. Insurance Company: National Casualty Company Countersigned By