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PROOF OF INSURANCE (2008) CLOSEDPRODUCER DATE (MMIDDIYY) 'r A CORDTM . ,,. , " , • �� 12/15/2006 Serial # A18939 TONLYCANDIF CONFERS S NO R GHTS MU ONR HE INFORMATION CERT IIFICATE LEGENDS ENVIRONMENTAL INS.SVCS,LLC HOLDER. END, EXTEND OR THE CO ERAGECAF ORDED B THE POLICIES BELOW. 2165 N. GLASSELL ST. ORANGE, CA 92865 COMPANIES AFFORDING COVERAGE LICENSE #OC79875 COMPANY AMERICAN SAFETY CASUALTY INSURANCE CO. (714) 634 -2683 (714) 634 -3704 A INSURED COMPANY B 790 EAST SANTA CLARA STREET # 103 COMPANY VENTURA, CA 93001 C COMPANY D nnax ,y �#h:r ,: V u•-n'�' 1E"a _ .�,? .,. # BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY DESCRIBED IS SUBJECT TO ALL THE TERMS, HAVE BEEN REDUCED BY PAIDCLAIMSREIN CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE LIMITS INSURANCE OWN MAY EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, POLICY EFFECTIVE POLICY EXPIRATION LIMITS TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YY) DATE (MM /DD/YY) GENERAL LIABILITY ENVO07375 -06 -02 rA 12/17/06 12/17/08 GENERAL AGGREGATE $ 3,000,000 3,000,000 PRODUCTS - COMP /OP AGG $ X COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY $ 3,000,000 CLAIMS MADE � OCCUR EACH OCCURRENCE $ 3,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Anyone fire) $ 100,000 X CONTRACTORS POLL MED EXP (Anyone person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ EXCESS LIABILITY $ UMBRELLA FORM AGGREGATE Is OTHER THAN UMBRELLA FORM WC STATU- OTH- TORY LIMBS ER WORKER'S COMPENSATION AND EL EACH ACCIDENT $ EMPLOYERS' LIABILITY EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERSIEXECUTNE REXCL EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: OTHER A PROFESSIONAL LIABILITY ENVO07375 -06 -02 INCLUDED IN 12/17/06 12/17/08 R TRO DATE 12 / °V9 LIMIT CLAIMS MADE DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS ARE INCLUDED AS ADDITIONAL INSURED WITH RESPECTS TO WORK THE CITY OF EL SEGUNDO, ITS OFFICIALS, AND EMPLOYEES PERFORMED FOR THEM BY THE NAMED INSURED. "EXCEPT 10 DAYS NOTICE FOR NONPAY OF PREMIUM IN LIEU OF PREVIOUS CERTIFICATE �.? N Xf ' • #ri - �4I� °�,� �1= s ,o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THE ISSUING COMPANY WILL EIkXZiX1YlAIL ITY OF EL SEGUNDO I 7ELK"SY,d4Pi^i�� EXPIRATION DATE THEREOF, 30 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, TN: PLANNING MANAGER DAYS 50 MAIN STREET SEGUNDO, CA 90245 :AUTHO., RIZED REPRESENTATIVE OF INDEPENDE I URANCE C e�p 7 kli $�`.0 �pP 1Ptit��, '"�,,�* 1� +N .; ` CAFMPRO \CERTPROS.W EB Af,QW,. CERTIFICATE OF LIABILITY DATE (MMIDDIYYYY) INSURANCE 1 05/12/2006 PRODUCER (949) 348 -7400 FAX (949) 348 -2373 Insurance Solutions License #0746539 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MAY PERTAIN. THE INSURANCE DES 26522 La Alameda, Suite 190 Mission Viejo, CA 92691 INSURED Ri ncon Consultants, Inc. INSURERS AFFORDING COVERAGE INSURER A: Mercury Casualty Company NAIC # 11908 LIMITS INSR DD' POLICY NUMBER _DAIE4MMLDQLy41L_ "A TYPE OF INSURANCE 790 E. Santa Clara INSURER B' DAMAGE TO RENTED $ INSURER C. Ventura, CA 93001 MED EXP (Any one person) $ CLP,IMS MADE ❑ OCCUR PERSONAL & ADV INJURY $ INSURER D. GENERAL AGGREGATE $ INSURER E: PRODUCTS - COMPIOP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER. COVERAGES NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT EREINS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN. THE INSURANCE DES POLICIES. E LIMITS SHOWN MADY HAVE BEEN BY PADID POLICY EFFECTIVE POLICY EXPIRATION LIMITS INSR DD' POLICY NUMBER _DAIE4MMLDQLy41L_ "A TYPE OF INSURANCE EACH OCCURRENCE $ GENERAL LIABILITY DAMAGE TO RENTED $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLP,IMS MADE ❑ OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER. POLICY 170 M LOC AC11070034 -02 04/18/2006 04/18/2007 COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) 1,000,000 ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ X SCHEDULED AUTOS A X HIRED AUTOS BODILY INJURY (Per accident) $ X NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EA ACC $ ANY AUTO OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - POLICY LIMIT $ If yes, describe under SPECIAL PROVISIONS below OTHER DPSCRIPTION OF OPERATIONS I LOCPTIONS I VEFIICLFS I EXCLUSIONS ADDED BY ENDORSEMENT / PF�CIA{L PROVISIONS are additional insured. City of E1 Segundo, its officials, and employees — is for the benefit of the certificate holder only. This coverage *10 days written notice given in the event of cancellation for non - payment of premium. City of E1 Segundo Attn: Planning Manager 350 Main Street E1 Segundo, CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MXK)MM MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, i�XIXJQ�iI( lbXIXXIYdEIXD6Xllf, �( lbD( d6�X�6X +]1dtdWfl61416xXIX�6Ri6a(XX AUTHORIZED REPRESENTATIVE Tonv Alessandra /BRITTK �nnn�AT1AAl 9,1100 ACORD 25 (2001108) -.-• -• _._..._ CERTHOLDER COPY STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142 -0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 02-01 -2007 GROUP: POLICY NUMBER: 1414358 -2007 CERTIFICATE ID: 594 CERTIFICATE EXPIRES: 02 -01 -2008 02- 01- 2007/02-01-2008 CITY OF EL SEGUNDO SL 350 MAIN STREET EL SEGUNDO CA 90245 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. THORIZED REPRESENTATI PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - MICHAEL GIALKETSIS, CFO - EXCLUDED. ENDORSEMENT #1600 - JOSEPH VANDER PLUYM, SEC - EXCLUDED. ENDORSEMENT #1600 - STEPHEN SVETE, PRIES - EXCLUDED. ENDORSEMENT #1600 - WALTER HAMANN „ VICE PRESIDENT - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 02 -01 -2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER RINCON CONSULTANTS, INC SL 790 E SANTA CLARA ST STE 103 VENTURA CA 93001 SL M0408 PRINTED : 01- 19-2007 (REV.2 -05) CERTHOLDER COPY SL STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142 -0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01 -24 -2008 GROUP: POLICY NUMBER: 1414358 -2006 CERTIFICATE ID: 594 CERTIFICATE EXPIRES: 02 -01 -2007 02 -01- 2006/02 -01 -2007 CITY OF EL SEGUNDO SL 350 MAIN STREET EL SEGUNDO CA 90245 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. THORIZED REPRESENTATI PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - MICHAEL GIALKETSIS CFO - EXCLUDED. ENDORSEMENT #1600 - JOSEPH VANDER PLUYM, TREASURER - EXCLUDED. ENDORSEMENT #1600 - THOMAS MATTEUCCI, SECRETARY - EXCLUDED. ENDORSEMENT #1600 - STEPHEN SUETE PRES - EXCLUDED. - ENDORSEMENT #1600 - WALTER HAMANN, VICE PRESIDENT - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 02 -01 -2006 IS - ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER RINCON CONSULTANTS, INC SL 790 E SANTA CLARA ST STE 103 VENTURA CA 93001 [CJ2,CN] PRINTED : 01 -24 -2008 IREV.2 -051