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PROOF OF INSURANCE (2018 - 2018) CLOSED
CERTIFICATE OF LIABILITY INSURANCE1 DATE(MMIDDPIr" 0/19/2017 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.termE holds conditions of the policy,Is an in policies m certificate and Ifthe h lieu of such holder s certain ADDITIONAL s INSURED,the olley(les) must be endorsed. If SUBROGATION IS WAIVED, subject to p p may require an endorsemer►t. A statement on this certificate does not confer rights to the PRODUCER � r Brad BellX..�2 ....., ... ...,, pangs Canyon Blvd.,Suite E •..818-883- _. ._. .__.� �( 818-883-2997 4869 To ERags:�L I1_Ebelplii u _. Brad Bell Insurance Agency PHON r 00 Woodland Hills,CA 91364 ............... INBURgKS WORDMN Bk ....._......_....,,,..,. NAJ!C'M 818UREO .._,r n ININBURER Westchester Lines Insurance Company 10172 w ' EcoTlerrs Consulting,Inc. INSURER C: 633 W.Fifth SL,26th Floor o; Los Angeles,CA 90071 INSURER E: INSURER F: I 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 TERMER,, EXCLUSIONS AND CONDITIONS OF SUCH 'OLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. J. TYPE OF INSURANCE SR iAN B r POIJCY NUMBER PO . _.w__ _....... �._ LI rs GENERAL LIABILITY EACH OCCURRENCE $ __...... yone :san 1,000,000 COMMERCIAL GENERAL LIABILTY _ _ MM5 SMDe EPAn A 5,000 G24305296 00608104/2017 08/04/2018 PERSONAL a ADV INJURY a 11000,000 Additional Primary Insured AL AGGR GENEREGATE _.._ I 3 .......2,000,000 GEWLAGGREGATE LIMITAPPLI'ESPER , 00 p POLICY I P Loc PRODUCTS-C.OMPIOP AGG $ 2,000,0 AUTOMOBILE LIABILITY �7MBINE'D SINGLE LIMIT nacGdw,�u'a S 1,000,000. ANYAUTO BODILY INJURY(Perpeeo) I= ALLOWNEUALEDG24305296 006 08104/2017 08/04/2018 INJURY(Per ecddenty SSCHEDYY AUTOS AUTOS X HIRED AurosR AUTOSYVNEDOi� , . IMAGE _........_.:.... _..a.__.._.. i UMMRELLA LIAR OCCUR EACH HEXCE83 LIAR CLAIMS44ADE AG�GREGATERRENCE,.. S _. Y RETENTIONSWORKERS IWO SI S AND EMPLOYERS'LIABILITY 1.AYWIT 9II A Y PROPRIETO VPARTNEIN XF.CUT'IVE Y J hI E L ?EACH ACC DFM O W Y [r FMCERIM'EMBER EXCLUDED? NIA I(IMmdatory In N r E.L.DISEASE-EA EMPLOYEE S .,,,... DG:RIPTION OF OPERATIONS bels EL.DISEASE-POLICY LIMIT S A Professional Liability; G24305296 006 08/04/2017 08/04/2018 $2,000,000.(per Incident/per aggregate) 1E8CRIP ION OF OPERATIONS I LOCATIONS I VEHICLES(Alheh ACORD 101,Addlthmm Remelke Sandub,If mon epees b regWred) CERTIFICATE HOLD'E'R CANC'E'LLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of EI Segundo Attn:Gregg McClain, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AICP,Planning Manager ACCORDANCE WITH THE POLICY PROVISIONS. 360 Main Street ..AUTHORIZED REPRESENTArn.. ENT. ....E. EI Segundo,CA 90245 til � ACORD 20(2010105) 01988,2010 ACORD CORPORATION., All rights reserved. The ACORD name and logo are registered marks of ACORD Named Insured Endorsement Number Ecotierra Consulting Inc Policy ECP G24305296 .. .. ...624305296...................................................... Periodolicy Number Policy Effective Date of 00608/04to 08/04/20.1..8.......................................................� 08/04/2017 Endorsement............................ Issued B Name of Insurance Com..................................... ................__......... ........ ...._.�. Y P Y) Westchester Surplus Lines Insurance Company ......................................._.............................................................................................- ................................... W...... 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—SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR'S POLLUTION LIABILITY COVERAGE SCHEDULE: Nance of Person or-Or anization: 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.) 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. ENV-3100(08-04) Includes copyrighted material of Insurance Services Office, Inc.with its permission Page 1 of 1 FE ed amInsured Endorsement Number cotierra Consulting Inc Policy symbol Policy Number ....006 ... ...........08/04/20.1..7......................... ........._w- 04/2017........................................... _. c Effective Date of Endorsement to 08/04/2018 08/ ECP G24305296 mmmmmmmmmmmmmmmmmmm .mm.. ° y eriod Effe Issued 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. .....................................................................................................................................................................w ......................................................... (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: 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 Named Insured Endorsement Number Ecotierra Consulting Inc c Pony symbol ..2.430.ry....5296....006 08/04/2017 to 08/04/201.......................................................... oli to of Endorsement . ..................... 17 ECP 13y tNameoti"nsuran"ceG8 08/04/20 u Issued v er Policy Period 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. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE ..................... NarrietafrsrrrDrfatrolatBar�: 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. _ .. ..................................._....... ................ Y.. (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 AC"R" CERTIFICATE OF LIABILITY INSURANCE 1 A0/17/2/17/2DD017 7 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). PRODUCER CONTACT 150 SAWGRASS DRE'Xq x;x ase-sees FAX ') :Mw°11 (saa sx�.a a PAYCHEX INSURANCE AGENCY INC TN�41"....... ._.. ROCHESTER, NY 14620 App g�paychex{ trayelers.com (877)362-6785 INSURER(S)AFFORDING COVERAGE NAIC#.r...___. INSURER A:TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA .......................ww............................... ........................................................... .....................,rw.... INSURED INSURER B: ECOTIERRA CONSULTING INC 633 W 5TH ST,26TH FL INSURER C: LOS ANGELES,CA 90071 INSURER D: INSURER E: INSURER F: ....................................................................................................................wwww�............�..ww..... ..__....................................... ............ COVERAGES CERTIFICATE NUMBER: 568822659041092 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. ILNSR , ( �EACH OCCURRENCE $ POLICY EXP TR INSD„uuvr) POLICY NUMBERMMII)DY/YYYY, _ MMIDD/YYYY,— DAMAGE"C'0 RENTED TYPE OF INSURANCE POLI ( _ LIMITS COMMERCIAL GENERAL LIABILITY �'.-. .. /.:t.AsMS-I"rrIADB: �.......... OCCUR PREMISES(Ea orcAlrrenre) $ MED EXP(Anv one person) $ PERSONAL&ADV INJURY $ .G.E AGGREGATE''LIMIT APPLIES PER: GENERAL AGGREGATEm Y $ POLICY PRO- . JECT R LOC Pw'^,vUbl.lw~:TS-COIIMPA'IP AGG $ OTHER. .......................................... AUTOMOBILE LIABILITY CO(EaMBINED SINGLE LIMIT $ accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED �..-AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNEDrPROPERDAMAGE t $D)AMAGE ...,,. AUTOS lP aEci ... ...... $ EXCESUMBRELLA RET N EACH OCCURRENCE $ S L ABI EB,..TIO FTCL.A.lM, S-1,AD,CUR E AGGREGATE rr N$ $ ........... V............� II $ A AND EMPLOYERS' 7 „IN� NIA �( UB-6937R706-17 08/02/2017 08/02/2018 X sra-ruTE I TRH ,_...................._w ORKERS COMPENSATION (Mandatory m NH)ANY EL """"""""' E L D SEASE EL EACH GEA EMPLOYEE $1,000,000 IDENT 000 AND EMPL YERS'LIABILITY Y 1 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $1,000,000 ..............................� DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be 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 HAS BEEN ATTACHED TO THE POLICY. .CER-fihCATE HOLDER........................................................... CANCELLAT.V, . --...............-m-.................................................................._ _.......... THE CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EL SEGUNDO,CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (,' • 30 J l ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD »� � �� � WORKERS COMPENSATION ! AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A)— 001 POLICY NUMBER: (IJUB-6937R70-6-1 7) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (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. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 06-1 6-1 7 ST ASSIGN: Page 1 of 1