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PROOF OF INSURANCE (2015) CLOSEDDATE (MWDDNYYY) ACCW"' CERTIFICATE OF LIABILITY INSURANCE 1 01/16/2015 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 pollcy(les) must 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). �Brad Bell PRODUCER Brad Bell Insurance Agency HO B-a8 FA, JA&M9-1101L . 81 3-2996 A X ..................... ------ A-1C ),lol:_818-883-2997 4869 Topanga Canyon Blvd., Suite #1 E-MAIL APPRgas,. bradbe11212000@ypk�qq. OLI .......... Woodland Hills, CA 911364 INSURERS AFFORDING COVERAGE NPdC 9 INSURERA. Westchester Surplus Lines Insurance Company 1 10172 INSURED I .-., - I i gar INSURER D. X COfMJERCtAL GENERAL LIABILITY ] S 50,000 CLAIM ""E XI OCCUR 000 5, A G24305296 003 0810-412014 08/04r2015 J12����!NJURY 1.000.000 Additional ional Primary Insured GENERAL AGGREGATE S 2,000,000 L AGGREGATE UMIT APPLIES PER- ............... PRODUCTS -CVJPt1C-PAGG S 2.000,000 POL 'i [' ICY E� PRO to JEc AUTOMOBILE LIABILITY lffiurzx r 1,000,000, Any AUTO IBODILY INJURY (Per rwsw) ALL OWNED A AUTO S SCHEDULED AUTOS 624305296 003 14 08104120 0810412015 500aywitIRY61-re"! X HIRED AUTOS NON-00NED AUTOS UMBRELLALIAB OCCUR EACH OCCURREP4CE EXCESS LIAR rat AGGREGATE DEo RETEmno,, s WORKERS COMPENSATION WCSTATU- OTH-1 1QftY00ffa AND EMPLOYERS'LIABILITY YIN [ ANY PRO PRIET04RA,1AFIT?I ERr-EXECUTIVE N I A L E - EACH ACCIDENT S EXCLUDED? (Mandatory In NH) I4d E L DISVSE - EA EMPLOYEE' .- -1-- — — - 3 . . ..................... ............. . ...... gN'E ¢d 4M crba w)der � —,D F TTON D�F OPFRATZ74S bePow E-L. DISEASE A Professional Liability. G24305296 003 1 08/04r2014 0810412015 52,000,000. (per incident/per aggregate) DES CfUP'1I0N OF OPERATIONS I LOCATIONS —1-1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROV'iS404S Certificate Holder is Additional Insured for General Liability but only if required by written contract with the Named Insured tenor to the occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions. 'Except 10 days notice of cancellation for non-payment of premium, For Professional Liability coverage, the aggregate limit is the total insurance available fDr all covered darms reported within the policy period, T\yv SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of El Segundo DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: Kimberly Christensen, AICP, Planning Manager NOTICIFTO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 350 Main Street El Segundo, CA 90245 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. I JunH64imDREPREsEmTATrvE ,a C "R CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ ° °/YYYY) I _ 01/20/2015 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 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). I PRODUCER I �ONI1ACT M PAYCHEX INSURANCE AGENCY INC r n Ext : 877 362-6786 (A)C, No): 877 677 -0447 150 SAWGRASS DR ROCHESTER, NY 14620 she °ravel °rx'xi °m' (877) 362_6785 INSURERS) AFFORDING COVERAGE NAIC # ...,. ... ----- ...... ..­ ...� ............. _ .... INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA INSURED INSURER B:. ECOTIERRA CONSULTING INC °- °°°......... 555 WEST 5TH STREET 31 ST FLOOR INSURER C LOS ANGELES, CA 90013 INSURER D: mmIT^ITITITIT INSURER E t .-.- ....................... _ .............",.......,._...... .�.............__ INSURER F: COVERAGES CERTIFICATE NUMBER: 135213714441410 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„ I'NSR AODL SUBR POLICY EFF POLICY EXP .tuTli ..,. CE ... tlhiSD #dY' `r,('.._� POLICY NUMBER ( .,M/D,[1�IYVY?I1 .,._(M.R1 /Dr / _yV) _....._ LIMITS ...., ....,. TYPE OF INSURAN ,,,,, '.. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAbff 10 N CLAIMS - ^MADE. OCCUR P I "Se $ MED ECP An coo near are $ PFB,-QML,& ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENFRALAGGREGTF $ IPRO - POLICY �IJECT E'...''LOC PRMWQ141, - ,DMPl. PAGG $, OTHER: $ COMBINED AUTOMOBILE LIABILITY (Ea c accident) SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS HIRED AUTOS — NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION N/A UB-6937R706 -14 08/02/2014 08/02/2015 X s nTUTE OTH- PROPRIET0i Ef U'tl °tl' E. ',Y E.L. DISEASE EA EMPLOYEE $ �'OOO,rv. 000 (Mandatory in NH) ,000,000 It s, destrobe under 0 . CRIiPTION OF OPERAI "'IONS bolewr E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) AS RESPECTS TO WORKERS COMPENSATION COVERAGE, WC 99 03 76 (A) - WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (BLANKET WAIVER) HAS BEEN ATTACHED TO THE POLICY. CERTIFICATE HOLDER CANCELLATION THE CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN KIMBERLY CHRISTENSEN, AICP THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PLANNING MANAGER ACCORDANCE WITH THE POLICY PROVISIONS. 350 MAIN STREET EL SEGUNDO, CA 90245 AUTHORIZED REPRESENTATIVE L/' ... .. ............ ._._ .�........... ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Named Insured Endorsement Number Ecotierra Consulting Inc Policy Symbol Policy Number Policy Period Effective Date of Endorsement ECP G24305296 003 0810412014 to 08/04/2015 08/04/2014 15:sued By (Name of Insurance Gomp my) Westchester Surplus Lines Insurance Company Insert the policy number The remainder of the information is to be completed onlywhen this endorsement is issued subsequent to the preparation of the policy. 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: Af COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE flame of Parson 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. (If no entry appears above, information required to complete this 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 R ELE .TRAV AW WORKERS COMPENSATION Y G G AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) — 001 POLICYNUMBER: (IJUB- 6937R70 -6 -14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA wi (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 2 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. 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 Policy No. Insured Endorsement No. Premium Insurance Company Countersigned by., DATE OF ISSUE: 06 -18 -14 ST ASSIGN: Page 1 of 1