PROOF OF INSURANCE (2018 - 2018) CLOSED THIS CERTIFICATE IS ISSUED A A MATTER OF OINFF (TIO DATE/21120/7 Y)
AIC- DATE LIABILITY INSURANCE � 04!2112017
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 t(
NAL _INS _
provisions or be
If ef subject thlpolicy, requirepsciesay an endorsement.A
statement n this certificate des not confer rights to the certificate older in lieu of such endorsement(s).
_PRODUCER CONTACT
CENTURY INS SERVICES INC. PMNL
FAX
(1VG.:,,No,rad): (SJi'.r„Nay):
PO BOX 946580 FrtAlu.
Maitland, FL 32794-6580 NSURER(S)AFFORDING COVERAGE NAIC#
1-877-724-2669 N.aUfl. National F'i're Insurance of Hartford 20478
I S ERA:
INSURED INSURER B: Continental CasualtyCom an p y
20443
GEOSPATIALTECHNOLOGIIES, INC. INSURER C:
10055 SLATER AVENUE, SUITE 214 INSURER D:
FOUNTAIN VALLEY,CA 92708 INSURER E:
INSURER F:
COVERAGES CERTIFICA
TE 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. NOTWITHSTANDINGANY 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 SUBR POLICY EFF POLICY EXP
LITYPE OF INSURANCE (NSD POLICY NUMBER (MMy AR X COMMERCIAL GENERAL LIABILITY Y _ wvD 4029432517 06/01/17 06101/18 EACH OCCURRENCE
TO CCURRURRRENTED LIMITS 11000,000
DAMAGE
CLAIMS-MADE OCCUR PREMISES W4 QDOMMO) 300,000
MED EXP(Anyone person) 10,000
ry — PERSONAL&ADV INJURY $ 1,000,000
p
Y G_.E...k'LAGGREGAT�LIMIT APPLIES PER: GENERAL.,A,.G.,..G,..R..mE...G....
T
Em^M.m- $ 2,000,000
P -
,
R��POr / : _PRODUCTS-COMP/OP AQQ $ 2000,000
OTHER:
�ACOMINE
AUTOMOBILE LIABILITY 40294325517 06/01/17 06/01/18 (EaaccldeD SINGLE LIMIT 1,000,000
D ANY
O BODILY INJURY(Por person)
OWNED TAUTOS SCHEDULED I BODILY INJURY(Peraccident) ................................ .....W,
ONLY
iii MIREDAUTOS �/ NON-OWNED PROPERTY DAMAGE
ONLY x AUTOS ONLY (Per accident) '$ _
5 .-A �....LAIMS-M..........,
UMBRELLALIAB O J 4029432498 06/01/17 06/01/1$ EACH OCCURRENCE $ 1,000,000
B ExcEss LIAR C........ AGGREGATE $ 1,000,000
��// ADE AGGR -
DEDIXi RETENTION$ 10,000
WORKERLOYE PENSATION .. - - - - - - .0 .� PER 0' -
RS'LIABILITY YIN STATUTE I 10'm-
AND
ANY PROPRIETORIPARTNER/EX€CUTIVE
OFHOER/MEMBEA EXCLUDED? [„ NIA E,L,EACH ACCIDENT °$
(Mandatory In NH
E.L.DISEASE-EA EMPLOYEE $
If yes,describe under •-• • -- -
DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT ^$
OTHER
STATUTE J ERrF
E,L,EACH ACCIDEN"I° $
- E.L.DISEASE.EA EMPLOYEE $
E.L.DISEASE-POLICY LIMIT $
Certificate Holder is named IassOwnier/Les _
a ( cord 451,Iti9rllddnural r'ion�nrlsia arolruacMsaln,may Ian e4'Itra:rroocllt more apace I�r+��godrecJ)
see/Contractor(A)
Location#1 10055 Slater Avenue, Suite 214, Fountain Valley, CA,92708
CERTIFICATE HOLDER CANCELLATI
ON
CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
350 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS.
EL SEGUNDO, CA 90245-3813 Ayr�i1 rtilllzr rr far)shI si NrATIVE
Q 1988-2015 ACORD CORPORA ...-._
TION..All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered(narks of ACORD
C S (Ed.06/111)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -
SCHEDULED PERSON OR ORGANIZATION -WITH PRODUCTS COMPLETED
OPERATIONS COVERAGE
This endorsement modifies Insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
SCHEDULE"
Name Of Person Or Organization:
CITY OF EL SEGUNDO
350 MAIN STREET
EL SEGUNDO CA 90245-3813
' Information required to complete this Schedule,if not shown on this endorsement,will be shown in the Declarations.
A. The following is added to Paragraph C. Who Is An 1. The rendering of, or the failure to render any
Insured: professional architectural, engineering, or
4. Any person(s) or organization(s) shown in the surveying services, including:
Schedule is also an additional insured, but only (a) The preparing, approving,or failing to prepare
with respect to liability for"bodily injury,""property or approve maps, shop drawings, opinions,
damage" or "personal and advertising Injury," reports, surveys, field orders, change orders
caused,in whole or in part,by: or drawings and specifications;and
a. Your acts or omissions;or (b) Supervisory, inspection, architectural or
b. The acts or omissions of those acting on your engineering activities.
behalf 2. "Bodily Injury," "property damage," or "personal
In the performance of your ongoing operations for and advertising injury" arising out of any premises
the additional insured(s); at the location(s) or work for which the additional insured is
designated above; or specifically listed as an additional insured on
another endorsement attached to this Policy.
c. "Your work" that Is included In the 'products- C. The following is added to Paragraph H. of the
completed operations hazard" and performed Businessowners Common Policy Conditions:
for the additional insured, but only if this
Policy provides such coverage,and only if the H. Other Insurance
written contract or written agreement requires
you to provide the additional insured such This insurance is excess over any other insurance
coverage. naming the additional insured as an insured
whether primary, excess, contingent or on any
B. The insurance provided to the additional insured does other basis unless a written contract or written
not apply to "bodily injury," "property damage," or agreement specifically requires that this insurance
"personal and advertising injury"arising out of: be either primary or primary and noncontributing.
SB-300120-C Page 1 of 1
(Ed.06111)
ACERTIFICATE OF LIABILITY INSU 'CF ��i7i2o1
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 Ipollcy(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).
PRODUCER NSM U f Carrie Boggs
RDS Insurance Brokers PHONE1IL
„ (909)305-1200 FA C c909»05-1205
Lic# 0606461 carrie@rdsins.com
P.O. BOX 159 INSURER(S)AFFORDING COVERAGE NAIC t
San Dimas CL 91773 INSURERAAxis Insurance Company 37273
INSURED
INSURER B
GeoSpatial Technologies, Inc. INSURERC:
10055 Slater Ave. , Suite 214 INSURERD:
INSURER E:
Fountain Valley CA 92708 INSURERF:
COVERAGES CERTIFICATE NUMBER:17-18 E&O 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 tEDUCED BY PAID CLAIMS.
INSR MPOLICYDDL SU13R POLICY EFF POLICY EXP
ITR TYPE OF INSURANCE II POLICY NUMBER IMMIDDIYYYYI I'MMIDOIYYYYb I LIMITS
GENERAL LIABILITY - ......
EACH
OCCURRENCE $
COMMERCIAL GENERAL LIABILITY UAVA+4 K)R00 LU
f "Ma*E";IEo or ur en:.e) $
�,CLAIMS-MADE OCCUR MED EXP(Anv one person) $
PERSONAL&ADV INJURY $
GENERALAGGREGATE $
GEN'L Ar,,GREG'As E LIMIT APPOES PER PRODUCTS-COMPIOP AGG $
�
' PRtWY '
�7 POLIu"..Y I I Ffi I I L'UC, $.
AUTOMOBILE LIABILITY I pBIdJELD=19Pg1:wLk U11W
Ea ecrwrlerrtl &
ANY AUTO BODILY INJURY(Per person) $
ALL OVMED SCHEDULED ( BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OVNVED PROPER I l DArAs„.E $
- HIRED AUTOS AUTOS Pc,rrc,rjdt+n'tt
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE C AGGREGATE $
DEC) II J RETENTION$ $
WORKERS COMPENSATION W-; OTH-
A D EMPLOYERS'LIABILITY YIN N TnPY I MITE I VOFML
ANY PRO PRIEfORPARTNERCUTIVE E L EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? NIA
(Mandatory In NH) E.L.DISEASE-EA EMPLO $
Itas closrntae under
DE5CRIPS'Ir.`44 OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
A Technology Errors & :ACH0373014017 7/19/2017 7/19/2018 Each Claim $3,000,000
Ommissions Liability $3,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required)
For Insurance Purposes Only
CE'RTIF'ICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
For Insurance Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
For Insurance Purposes Only
ACORD 25( ! ) ®1888-2010 ACORD CORPORATION. All rights reserved.
INS025(201005).01 The ACORD name and logo are registered marks of ACORD
DATE(MMIDDIYYYY)
ACOORV CERTIFICATE OF LIABILITY INSURANCE
Ill 1 07/05/2017
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(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 endorsement(s).
PRODUCER CONTACT' Cicely Song
KCAL Insurance Agency 2048 S Hacienda Blvd. (N,P"Nq...E li,._(626)333"1111 JWC,No):(626)369-7539
c
FWAPIL
Hacienda Heights, CA 91745 ADDRESS: Joann@kcal.net
License#: OB07015 INSURER,IS)AFFORDING COVERAGE NAIC N'
INSURER A: HARTFORD INSURANCE 22357
INSURED INSURER B:
GEOSPATIAL TECHNOLOGIES INC. INSURER C:
10055 SLATER AVE STE 214 INSURER O:
FOUNTAINVALLEY, CA 92708 INSURER E:...................................................................................................................................................................................
INSURER F:
COVERAGES CERTIFICATE NUMBER: 00000000-235592 REVISION NUMBER: 6
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 PE STAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH 3OLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR TYPE OF INSURANCE M$D.SyN�n POLICY1 W
NUMBER tlMIOLICIYEFF POdPOLICY
OLI YEXPY
LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE tJ.z�fO tl,yq iI,l:��dTEo
OCCUR PR 64"; $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY❑PF(C' F—]LOCPRODUCTS-COMP/OP AGG $
._ J�N�,'j
OTHER! $
AUTOMOBILE LIABILITY COM'MNED SINGLE I ITAt $
IF,.a at.6owgll')
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per.accident)...$..................................................................
AUTOS ONLY AUTOS .. ...........................................
HIRED NON-OWNED rnAMGE„
$
AUTOS ONLY AUTOS ONLY (Peer a dei)
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE ,AGGREGATE,,,,,
DED RLTEN'TION$ $
WORKERS COMPENSATION h
A 72WECEV7186 01/2212017 0112212018 X STATUTE I FRH_
t' u
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE Y N__ EL EACH ACCIDENT $ 1,000,000_
OFFICER/MEMBER EXCLUDED? N I A
(Mandatory in NH) E L,DISEASE-EA EMPLOYEE $ 1,000,000
Ifyes,describe under
DESCRIPTION OF OPERATIONS below E L,DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
PROOF OF INSURANCE
CERTIFICATE HOLDER CANCELLA,TIO"N r
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of EI Segundo ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street
EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE
............... (CSO)
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Printed by CSO on July 05,2017 at 09:46AM