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PROOF OF INSURANCE (2026 - 2026)
I— I DATE (MMIDDIYYYY) A►oC"R ► CERTIFICATE OF LIABILITY INSURANCE ° 2/27/2026 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 CONTACT NAME: RYAN KRUPKA VENTURE CASUALTY INSURANCE SERVICES P 805 303 3355 A/C C. No Ex1 : ...... (A9C, No). WAIL 100 - 190 RANCHO RD SUITE 224 ADDRESS: ryan@venturecasualty.com INSURER(S) AFFORDING COVERAGE NAIC # THOUSAND OAKS CA 91362 INSURER A : StarStone Specialty Insurance Company 44776 INSURED INSURER B:: Exodus Water Services LLC INSURER C : 3435 Thousand Oaks Blvd INSURER D : INSURER E : Thousand Oaks CA 91359 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 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. 1NLW LTR TYPE OF INSURANCE AUUL INSD MVYVD POLICY NUMBER MM/DD/YYYY.) (MMIDD/YYYY) _ LIMITS �( COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _71CLAIMS-MADE 7 OCCUR hDA PREMISES (Ea occurrence) ,$ 100,000 MED EXP (Any one person) $=2,000,000 PERSONAL s ADV INJURY $ A Y Y SSEP0244251AEM 09/04/2025 09/04/2026 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ LY PR JECr LOCR: PRODUCTS - COMP/OP AGG $ 2,000,000 J00THE $ ''- AUTOMOBILE LIABILITY ._ ....._ �")� (B"xs acclrAend) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS ONLY AUTOS __ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY er acr4danl) � $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ NORKERS COMPENSATION STATUTE ER o EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E,L" EACH ACCIDENT $ """""""' FFICER/MEMBER EXCLUDED? .Mandatory in NH) F E.L. DISEASE - EA EMPLOYEE $ E,L,. DISEASE - POLICY LIMIT $ f yes, describe under DESCRIPTION OF OPERATIONS below w..... Each Wrongful Act: $1,000,000 A Professional Liability =SSEP0244251AEM 09/04/2025 09/04/2026 Aggregate: S2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is listed as additional insured with Waiver of Subrogation as per attached endorsements. CERTIFICATE HOLDER CANCELLATION 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. 350 Main St AUTHORIZED REPRESENTATIVE Rya... Kr'"?ka El Segundo CA 90245 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ENDORSEMENT 02 This endorsement, effective 12:01 AM: 09/04/2025 Forms a part of Policy No.: SSEP0244251AEM Issued to: Exodus Water Services LLC Starstone Speciality• •. ,, 1, Ak 1' e,4' III °, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: X COMMERCIAL GENERAL LIABILITY COVERAGE PART X CONTRACTORS POLLUTION LIABILITY COVERAGE PART X PROFESSIONAL LIABILITY COVERAGE PART ENVIRONMENTAL IMPAIRMENT LIABILITY COVERAGE PART X TRANSPORTATION POLLUTION LIABILITY COVERAGE PART EXCESS LIABILITY COVERAGE FOLLOW FORM It is agreed that: In consideration of no change in premium due, the Named Insured is amended to read: Exodus Water Services It is further understood that Named Insured is amended on: SSS AREC IL 009-02/2021 Automatic Waiver of Subrogation Endorsement SSS AREC IL 010-02/2021 Automatic Additional Insured - Owners, Lessees or Contractors, per attached. All other terms and conditions of this policy remain unchanged. Page 1 I SSS AREC IL 005 02 21"°'; ENDORSEMENT 02 This endorsement, 19141 Formspart of Policy No.:'1 44 Issued to: Exodus Starstone Speciality• •. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Any person(s) or organization(s) to whom the Named Insured agrees, in a written contract, to provide waiver of subrogation. However, his status exists only for the project specified in that contract. The Company waives any right of recovery it may have against the person or organization shown in the above Schedule because of payments the Company makes for injury or damage arising out of the insured's work done under a contract with that person or organization. The waiver applies only to the person or organization in the above schedule. Under no circumstances shall this endorsement act to extend the policy period, change the scope of coverage or increase the Aggregate Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. Page 1 I SSS AREC IL 009 02 21 ENDORSEMENT 02 endorsement,This 1 09/04/2025 Formspart of Policy No.:'1 44 Issued to: Exodus Starstone Speciality• •. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART Any person(s) or organization(s) to whom the Named Insured agrees, in a written contract, to name as an additional insured is included as an additional insured, but only as respects the project specified in that contract and only with respect to that person's or organization's vicarious liability arising out of your ongoing operations performed for that insured. The limit of the additional insured coverage shall be the lesser of: 1. Those limits required by written contract; or 2. The applicable per claim limit per the Declarations. All other terms and conditions of this policy remain unchanged. Page 1 I SSS AREC IL 010 02 21 C DATE (MMIDDIYYYY) �-' CERTIFICATE OF LIABILITY INSURANCE mmm mm02,12712026 ................ ................... mTHISmMATTER OF INFORMATION CERTIFICATE IS ISSUED AS A.....__�._...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, wAND mTHE CERTIFICATE HOLDER. p _.. _, IMPORTANT- If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsementONTACT s� VENTURE CASUALTY INS C '. o ess�v_ CIIaTan�ercral Lrl..er ,Cu�ictnq r sm2F r fVt anm PHONE FAX 100 RANCHO RD #190 SUITE 224, THOUSAND OAKS, CA 91362 8LC No 2 _1 8Q0A44- 487 ADDRESS: ro Ire'S$ivecomtyltrcaai elllaal ny, re'S"sIWe com ADDRu~ss: P i� � _� ......... INSURER(S) AFFORDING COVERAGE II IMAIG X INSURER,: United Financial Casual Compan 7 /IU ...._.._._..,...._. uw.....,.,. .............. ...._ ............ ...... .._..._ .�.,....,.�._ ....... INSURED INSURER 8 : Exodus Water Services LLC 3435 Thousand Oaks Blvd 7532 INSURER C : ........•••• Thousand Oaks, CA 91359 INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 244173862649055841DO1232_6T201347 REVISION NUMBER: ....... ISSUED TO THE INSURED NAMED ABOVE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ....w. 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. _..- INSR ADDL SU'BR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS �� FM41SP E ..._._ ....._ ................ .. CO OCCURRENCE ,t � COMMERCIAL GENERAL LIABILITY EACH I� R N�l'—C CLAIMS -MADE 17 OCCURktrra+nc„g , -- - •••• •••••• MED EXP (Any one person) PERSONAL & ADV INJURY $ _""""" GEGATE NERAL AGGRE GENII.AGEREGrAl"ELIMIT APPLIESPER: ••••-- — """"..... POLICY I_, � JECT LOC PRODUCTS - CP/ OMOP AGG PRO- POLICYOTHER: $ .............._..-.-.. .................. AUTOMOBILE LIABILITY I'.iahacclaoant))INCiILELIMIT $1092000 ANY AUTO BODILY INJURY Per erson) � • • OWNED SOHE'pULED A AUTOS ONLY X AR„t'rOS Y Y 992790902 UZI !!N2026 081i t/2026 BODILY INJURY (Per accident . HIRED NON C V�rNE.D 3r�a.UPERfY" AM�AGE AUTOS ONLY AR�JTO ONLYa raraCcideirerok ._ . ......� _ ................. ..,. _ ... ......,.,..... ...�......._ UMBRELLA LIAR 'OCCUR EACH OCCURRENCE $ EXCESS LIAR '.CLAIMS -MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY '"" ANYPROPRgETOPdPARP'NEMEXECUTRVE. ❑ N/A E,L, EACH ACCIDENT w .. $..._. .,., OFFICERIMEMBEREXCI.,UDFDI -. ... (Mandalary in NH) E.L Da t,A§E - EA EMPLOYE $ II yes, describe underw_ C',RIP7"VON OF OPERATIONS below E,L DISEASE -POLICY LIMIT $ DES ..............�.............,... - ,..,..._. ...... ..�.... _.....,.,.,............. �., ..,.� .... ....,.,�.... ....,,..�..�.. See ,CORD 901 for additional coverage details A Y Y 992790902 0Z!09!2026 Q➢IRrll 1/247ry.Gs $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE ACORD 101, Additional Remarks Schedule, may be attached if more •�._....._._...._...,,, I S ( y e space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main St ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo CA 90245 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rightsgmm s.......... ............_ _..._.... _. reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY VENTURE CASUALTY INS POLICY NUMBER 992790902 CARRIER United Financial Casualty Company ADDITIONAL REMARKS AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE NAMED INSURED Exodus Water Services LLC 3435 Thousand Oaks Blvd 7532 Thousand Oaks, CA 91359 NAIC CODE 11770 EFFECTIVE DATE. 0811912029 Page 1 of 1 ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .4�"40 RO CERTIFICATE OF LIABILITY INSURANCE (MMIDDmYY) 02 27/2026 �^ 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 CON ..w. „BIBERK PHONE , PAX 654-3613 _......_� _ CWE 203 _.._ P.O. Box 113247 E-MAIL IbiBERK.com Stamford, CT 06911 ,aAQPR. S custDTnerservice . _ INSURER S AFFORDING 1 NAIC# INSURFR A _ Berkshire Hathaway Direct Insurance Company VERAG --- r,3 y 10391 INSURED INSURER B; Exodus Water Services LLC INSURER C 3435 E Thousand Oaks Blvd # 7532 INSURERD.,,, Thousand Oaks, CA 91359 IrJsuRERe ... ...._ INSURER F : l MM'MCWIAYC runneeco• RFVISION 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. .... ._..---- IAOD.m,,,,w .. ............. POLICY EFF..,,,,,m ..............._ ..... ,_... ........_ LSUBmmIFT��"- INSR ............ POLICYEXP LIMITS TYPE OF INSURANCE POLICYNUMBER MM/DD/YYYY IDDIYYY I LTR __. CO MMERCIALGENERAL.LIABILITY EACH OCCURRENCE $ 0 l ".DAMAGffYd KEarff 0 CLAIMS -MADE OCCUR PRF a occurren _11 MED EXP (AnY one personY �, � .. ,..... .---� f PERSONAL & ADV INJURY $ ,,,,_.. GEN'L ..... AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ _ 0,-,-„ ( � PRODUCTS COMP/OP AGG $ „J T ....I LOG .... ----......., OTHER A ELIABILITY �....,_,_UTO COMBINED SINGLE. LIMIT �..(n' P iw;Ugynt) .._ $ ,,..,. O ANYAUTO BODILY INJURY Per person ( P ) w ------ SCHEDUL ,.... "BODIINJURY Per aeeident ( ...�_ $ AUTOS ONLY AUTOS HIRED �� NON -OWNED ��. CROP ERT Y DAMAGE PR $ ,. HIRED ONLOWNEDY AUTOS ONLY _J a � Qn....... ,. ... ..... UMBRELLA LIAB ... OCCUR EACH OCCURRENCE,_ ���......... ------------- $ �. SS LIAB EXCESS CLAIMS -MADE �.......... AGGREGATE ......... �.u...... $ ....._.. .,. .. ........_,,, DED RETENTIONS $ -. WORKERS COMPENSATION ( OTH X TATIJTF A EMPLOYERS ANYPROPRIETOR/PARTNERIEXECUTIVE YIN ONDCER/ME TOR/PA �UDEE -,FR �,,,,E LEACH ACCIDENT $ 1,000,000 A Y NIA Y N9WC846089 07/12/202S 07/12/2026 (Mandatory in NH) D O EI $ ,000,000 IF yes, cl"a be under _ E.L DISEASE POLICY L MIT - � $1,000,000 DESCRIPTION OF OPERATIONS below Professional Liability (Errors & Per Occurrence/ Omissions): Claims -Made Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Policy #N9WC846089 contains a blanket Waiver of Subrogation therefore the insurer agrees to waive its right to recover from the certificate holder to the extent required by written contract. Exclusions: Harrison Wairimu; Timothy Lewsadder; CERTIFICATE HOLDER CANCELLA I WIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St El Segundo CA 90245 AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD