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PROOF OF INSURANCE (2013) CLOSED-^~ THE �Pwc MAY PERTAK THE INSURANCE AFFORI)ED 8Y THE POLICIES DEStWBED HEREIN tS SUBJECT TO ALL THE TERMS-,-EXCLUSIONS AND CONDffIONS OF SUI;H POLICIES- AGGREGATE L11MrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, G24305296 001 VZWDCCURW-�'K�E IF OnIER ProlessIonal Liability Occurrence) t$141,1,e'� 6/4/13 G24305296 001 Certificate HoWer is Additional Insured for General I-jability but only if required by written contract wAh the Named Msured pinur to thre occuryence arid as per afiachadendmement., Coverageis subjerA W all policy terms wid condifians- *F.xcF--pt 10 days notice of caricellation fornuWayment ofpremiurn. For Prolessional Liabifily coverage, the aggregate finift �s the total Insurance avaflable (or a11I covp-fFd daims rpported wRNn Ow policy penod. F-1 C,'A—Tg —HO 05—ffff CANCELLATION C�ly of EJ Segundo DATF THEREOF, THE OSSUING INSURER WiLL, UAIL ' 30 DAYS WRI TTIEN Attfli-. Kimberty Christensen, Al jartn�ng Manager -- 350 Main Street NOTICE TO THE CERDFICATE HOLDER NAMED TO THE LEFT, El Segundo, CA 90245 k, -TUw6R-2F0 REP—RESENTATM—i—, am Named Insured ... " "" Endorsement Number Ecotierra Consulting Inc _._. Policy Symbol Policy Number WuPolicy Period Effective hate of Endorsement ECP G24305296 001 08/04/2012 to 08/04/2013 08/04/2012 7s' _...... y (N' .. _.... ... ...... ...._ __ ..................... sued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT - OWNERS, LESSEES OR CONTRACTORS (PRIMARY AND NON - CONTRIBUTORY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR'S POLLUTION LIABILITY COVERAGE SCHEDULE: Name of Person or Organization: Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (It no entry appears above, intormation required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION II - WHO IS AN INSURED is amended to include: A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions 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 site 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. The coverage provided hereunder shall be primary and not contributing with any other insurance available to those designated above under any other third party liability policy. ENV -3101 (08 -04) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1 ADDITIONAL INSURED ENDORSEMENT — PRODUCTS - COMPLETED OPERATIONS HAZARD ................................................._........ ........................� .. .... ............. ............................... Named Insured Endorsement Number Ecotierra Consulting Inc ..- ..................... ....... Policy Symbol Policy Number Policy Period Effective Date of Endorsement ECP 624305296 001 08/04/2012 to 08/04/2013 08/04/2012 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART SCHEDULE Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of � such person or organization to you, wherein such request is made prit�mmencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) 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 performed for that additional insured and included in the products - completed operations hazard. All other terms and conditions remain the same. ENV -3225 (10 -08) Copyright 0 20080 Page 1 of 1 A+C-"R"°" CERTIFICATE OF LIABILITY INSURANCE /14 /2012YYY) 06 06/14/2012 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 be endorsed. If SUBROGATION is WAIVED, subject to themm 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). ... W ....W .................. ._...._. PRODUCER".. CONTACT ONE PAYCHEX INSURANCE AGENCY INC �� _......� .... W FAX AFExta, (877382 0789 , 8447... .mm...AIC mNo,:,•_,j877f7a- 150 SAWGRASS DR E -IMAIL ROCHESTER, NY 14620 .•.......• ..............__.. PRODUCER (877) 362 -6785 PR SV996 70A INSURER(S) AFFORDING COVERAGE NAIC # ''. INSURED INSURER A:TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA ECOTIERRA CONSULTING INC INSURER B 30307 GOODSPRING DR INSURER C _.- AGOURA HILLS, CA 91301 ........ INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER* 787760017501761 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 MAYBE 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. NSR ADDL SUBR POLICY EFF POLICY EXP TR TYPE „OF.,INSURANCE... .. ........ IMSR POLICY NUMBER .... ........... - (II!JMI /ODIKI!YY.,„:, ..,_ IMAllll'd�p/YYXY,,„ . ...... LIMITS ....... —,. GENERAL LIABIITY -- .EACH OCCURRENCE $ COMMERCIAL ��`� N 0 $ C AIMS MADEERAL,LIABILITY OCCUR PRE I $ .. .. .. XP (Anyone person) — .. ------- ............. .....:.:.:.:_.... PE.RSONAL. &ADV INJURY $ '.'.'.'.. GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMNOP AGG ...._.. PRO POLICY E LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ •• ANY AUTO • .. ..•. BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS ........... PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON -OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE .......... ............................... .._........................_ AGGREGATE $ $ DEDUCTIBLE RETENTION A 'WORKERS COMPENSATION NIA UB- 6937R706 -12 08/02/2012 08/02/2013 X Ry �A TU5 OETRN. AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDE[ XECUTIVE Y❑ ACCIDENT OFFICER/MEMBER EXCLUDED? /M EA EMPLOYEE $ 1 eOOO,OOO OFFICE in E L. DISEASE ( 000,000 yes, describe under '.SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) AS RESPECTS TO CANCELLATION; 30 DAY NOTICE OF CANCELLATION HAS BEEN ATTACHED TO THE POLICY WC 99 06 11 (A), IN FAVOR OF THE CITY OF EL SEGUNDO ATTN KIMBERLY CHRISTENSEN, AICP, PLANNING MANAGER CERTIFICATE HOLDE. R.... ................. ..........m_.......��� -_ CANCELLATION �... _........_........__.. ....... ............. .................. ......................._....._ THE CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ATTN KIMBERLY CHRISTENSEN, Al P EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE PLANNING MANAGER WITH THE POLICY PROVISIONS. 350 MAIN STREET EL SEGUNDO, CA 90245 � AUTHORIZED REPRESENTATIVE _.. _.._. ..... _..... .p ....... ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD