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PROOF OF INSURANCE (2019 - 2019) CLOSED DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 03/22/2018 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. Q IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have,ADDITIONAL INSURED provisions or be endorsed`.If 2DSUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this w certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT I a INC,Ira.P.. .................._w_w....._r...............w..._._...w..._.w......_, �.�.� -...........__......,.. Aon Risk Insurance Services West, inc. IION[y (866) 263-7122 FAX 800-363-0105 d Los Angeles CA office .:_ 1x_ . L...W9..,.No,.... ...........................................................w ADDRESS:,._... .................................................. ,..,.,......,.,.,.,.,.,....,..,.,.,.,.,., ,.. 707 Wilshire Boulevard E-MAIL suite 2600 = Los Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC# ............................. ................................................. _ ... INSURED INSURER A: Steadfast Insurance Company 26387 CS Engineers INSURER B: Zurich American Ins Co 16535 3900 Kilroy Airport Way, suite 100 Long Beach CA 90806-6816 USA INSURER C: INSURER D: .. ,.................................................................... .......... INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570070498935 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 Limits shown are as requested ANS&'2 AUDI SUGH POLICY EFF POLICY EXP LTRTYPE OF INSURANCE INSO WOAD POLICY NUMBER IMM(DD,IYYYY)� (MM/DDIYYYY) LIMITS E XII COMMERCIAL.. GENERAL LIABILITY GLOO11277803 03/31/201t� b3/31/f01g EACH OCCURRENCE $1,000,000 ............ .ry pp ,.,.,.,., .... ,.. ,.,.,.., CLAIMS-MADEI�OCCURTIi k'aa.'� ,t'il"�'i'I�II:I ..... $1,000,000 !!! 999999 PREMISES(Ea occurrence) MED EXP(Any oneperson) $25,000 ............................... PERSONAL&ADV INJURY $1,000,000 M GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE mmm -$4,000,000 ....... POLICY ..XX LOC PROUCTCOMP/OP"AGG................._..........$4.!„O,O.,.,.,ITIT.�O^,. .. PRO m .........ITIT....................,...".".....................0 0 JECT ...........� PRODUCTS ..O 0'...._...0 � OTHER: o B011278003 04/01/2018 04/01/2019 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY BAP - I (Fa arridentl $1,000,000 X... ANYAUTO (Per person) '- BODILY INJURY erson O OWNED SCHEDULED BODILY INJURY(Per accident) y AUTOS ONLY AUTOS ”" HIRED AUTOS NON-OWNED PROPERTY DAMAGE M ..,.,.,., ONLY ...AUTOS ONLY fPer accident) I� UMBRELLA LIAB OCCUR EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE ...............DED ...�-. RETENTION WORKERS B EMPLOYERSBYfN AN PR OEABILITUDOED RI PARTNER/EXDECUTIVE NIA wC011277903 O4/O1/2018 04J 01/2619' X PER I OTH- EMPLOYERS'LIABILITY STATUTE. ER """ EL EACH ACCIDENT $1,000,000 OFYFICEORIMEM(Mandatory in NH) "°"""N'"'°� E L DISEASE-EA EMPLOYEE $1,000,000 Ifyes,describe under . .,.,...w..........._.,...w......................�..-.....�.-..-,....._...,,,,,...................._........�.�.....__.....w DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $1,000,000.---- A Env Prof (E&O) IPR379235302 03/31/2017 03/31/2020 Per Claim $1,000,000 Prof Liab - Claims Made Aggregate $1,000,000 All DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: SCS Job No. 01217299.00, solid Waste Consulting services. City of E1 Segundo, its officials and employees are included as Additional Insured with respect to the General Liability N�--- policy; granted a Waiver of Subrogation for Workers' Compensation policy; and the General Liability policy evidenced herein is w- Primary and Non-Contributory to other insurance available, as required by written contract, but limited to the operations of the Insured under said contract. - -,J CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE I POLICY PROVISIONS. City Of El Segundo I AUTHORIZED REPRESENTATIVE Attn: Ken Beckman Public Works, 350 Main Street ;�',.� El Segundo CA 90245 USA .�J�o._xJ' s�,�/e4� n �sarGlancc etvww ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 0 Additional Insured — Automatic — Owners, .lessees Or ZURICH :'' Contractors Policy No. Eff. Date of Pol. Exp. Date of Pol, Eff.Date of End. Producer No. Add'1. Prem Return Prem. LGLO 0112778-03 03/31/2018 03/31/2019 03/31/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Stearns, Conrad and Schmidt, Consulting Engineers, Inc. Address (including ZIP Code): 3900 Kilroy Airport Way, Ste. 100, Long Beach, CA 90806 This endorsement modifies insurance provided under the; Commercial General Liability Coverage Part A. Section II —Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U-GL-1175-F CW(04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an 'occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or"suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV—Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or"suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III—Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U-GL-1175-F CW(04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission, WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION 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: 04/01/2018 Endorsement No. Policy No.WC 0112779-03 Insured: Stearns, Conrad and Schmidt, Consulting Engineers, Inc. Premium $ Insurance Company: Zurich American Insurance Company WC124(4-84) Page 1 of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance, Inc. Uniform FormsTM WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on: 04/01/2018 at 12:01 A.M. standard time, forms a part of Policy No. WC 0112779-03 Endorsement No. of the: Zurich American Insurance Company issued to: Stearns, Conrad and Schmidt, Consulting Engineers, Inc. Premium (if any) $ 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION WC 252(4-84) WC 04 03 06(Ed.4-84) Page 1 of 1