PROOF OF INSURANCE (2019 - 2019) CLOSED^ � � 1 t 1 � � i 'f � � ` LIABILITY A.�I Rf'"1 I Y DATE0412112 1YYYv�
� 04121!201 fi
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, 1;XTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE }TOES 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 have ADDITIONAL INSURED provisions or be
endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may roqulre an endorsement, A
statement on this cortificate dons not confer rialits to the certificate holder In lieu of such endorsament(s).
PRODUCERjCONTACT
CS&SINEW CENTURY INS SERVICES INC. I PHONE I FAX
lAIG. No, Ext): (AIC, No);
PO BOX 946580I EMAIL
Maitland, FL 32794.6580 ADDRESS:
I INSURER(S) AFFORDING COVERAGE MAIC #
1.877-724-2669 INSURER A: National Fire Insurance of Hartford 20478
(
INSURED INSURER B: Continental Casualty Company 20443
GEOSPATIAL TECHNOLOGIES, INC. INSURER c:
10055 SLATER AVENUE, SUITE 214 INSURER 0:
FOUNTAIN VALLEY, CA 92708 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. NOTINITHSTANDINGANY 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 'I& SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
WaR ADDL SUER POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER (MMfl)D/YY) tMMIDDIYYS LIMITS
A CLAIMSMAOE�IA OCCUR Y 4029432517 Ofi10111$ 06101I19 n&MAs si RC" 0 I $ 300,000 0
_
I MED EXP (Any are person)
$ 10,000
PERSONAL &ADV INJURY
$ 1,00000
GEN'L AGGREGATE LIMIT APPLIES PER::
GENERALAGOREGATE
$ 2,000,000
POLICY 0'T
I I JT
I PHCYo- LOC
PRODUCTS • COMPtCP AGO
$ 2,000,000
0
A AUTOMOBILE LIABILITY 4.0.29432517
06/01/18
06/01/19 COMBINED aINr�Lf3 LIMIT (E
�tcaident)
$ 11000,00(ED
ANY AUTO
BCDILY INJURY(Por person)
$
OWNCD AUTO'S SCHEDULED
BODII_YIN.IURY(Paraccident)
$
ONLY AUTOS
xHIRED AUTOS x NON -OWNED
PROPERTY DAMAGE
CNLY /\ AU'roo ONLY
(Per accident)
$
$
B X UMBRELLA LIAR I X1 OCCUR 4029432498
06/01118
06/01119 EACH OCCURRENCE
$ 1,000,000
EXCESS LIAR GLAIM&MADE
I AGGREGATE
$ 1,000,000
I/" RETENTION $ 10,000
$
WORKERS COMPENSATION
_
PER CTH-
�
AND EMPLOYERS' LIABILITY YIN
STAT UTE ER
ANY PROPnIETOR/PARTNEWEXECUTIVE
OFFICEFVMEM13E R EXCLUDED?R.L.
NIA
EACH ACCIDENT
$
(Mandatory In NH)
E.L. DISEASE • FA PMPLOYEF.
$
It yes, doscrlbe under
-- -
DESCRIPTION OF OPERATIONS below
E.L, DISEASE - POLICY LIMIT
$
PER IOTHFR ISTATUTE (CRIT
E.L. EACH ACCIDENT
$
E;,L. DISEASE - EA ENPLOYEL
$
E.L. DISEASE . POLICY LIMIT
$
DESCRIPTION OP 01314I7ATIONS / LOCATIONS I V _HICLES(Aeord • 01, Additional Remarks
icfiodufe, may be attantiec
1f more up000 Is required)
Certificate Holder is named as OwnerfLessee/Contractor (A)
Location #110055 Slater Avenue, Suite 214, Fountain Valley, CA, 92708
CERTIFICATE HOLDER - - CANCELLATION
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.
8L SEGUNDO, CA 90245»3813 AUTHORIZED REPRESENTATIVE
' 01988-2015ACORDCOAP'ORATION.AII rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
8B -3001204C
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
����U1������U U����DU����~�������� 0�����������������������—
..��.~.~~~�..� ~~�~��~~��� ~~~~~~_"~�, ������� ��~~��~.~.~~.�.~~.~_
SCHEDULED PERSON OR ORGANIZATION - WITH PRODUCTS COMPLETED
OPERATIONS COVERAGE
This endorsement modifies insurance provided under the following:
BUG|NESSOWNERSUABIL|TY COVERAGE FORM POLICY #4029432517
Name Of Person Or Organization:
°
Information required to complete this Schedule, if not shown on this endorsement, will be shown in the
Declarations.
A. The following kaadded to Paragraph C:.Who |mAn hm\ The preparing, approvnA, or failing to
|mawrod: prepare or approve nlape. shop drawings,
4' Any person(s) or organization(s) shown in the opinions, ^reports, surveys' field orders,
Schedule is also an additional insured, but only change orders or drawings and
ap�ci�cotione�' end
with respect to liability for "bodily h�u�,
"property damage" or "personal and advertising (b) Supervisory, inspection, architectural or
ipUury.''caused, inwhole mrinpart, by: engineering activities.
m. Your acts oromissions; or
b. The acts or omissions of those acting on
your behalf
in the performance nfyour ongoing operations
for the additional insuned(s); at the location(s)
designated above; or
c. "Your work" that is included in the
'.products -completed operations hazard"
and performed for the additional ineunad,
but only if this Policy provides such
covmraga, and only ifthe written contract or
written agreement requires you to provide
the additional insured such coverage.
B. The insurance provided to the additional insured
does not apply tV"bodily imjun,""property damage
."
or"personal and advertising injury" arising out o�
1. The rendering of, or the failure to render any
professional arohdectura|, engiDeerng, or
surveying services, including:
2. Injury," "property or mal
and advertising injury" arising out of any
premises or work for which the additional
insured is specifically listed as an additional
insured on another endorsement attached to
this Policy.
C. The following is added to Paragraph H. of the
Bus|messovvners Common Policy Conditions:
H. Other Insurance
This insurance is excess over any other
insurance naming the additional insured ooan
insured whether primary, excess, contingent or
on any other basis uD|eou avvritten contract or
written agreement specifically requires that this
insurance be either primary or primary and
noncontributing.
SB -300120-C Page 1cf1
A�"^+ p^ -Y^ DATE(MMIDDNYYY)
."^^�CC> L.+► CERTIFICATE OF LIABILITY INSURANCE I 0810212018
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 IN&UREIJ, the policy(los) 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 ondorsement(s).
PRODUCER CONTACT
KCAL Insurance Agency PHONE F611c1a Ma FAX
2048 S. hacienda Blvd., E_(A1rc. L -Ex11: (026)333-1111 (AIC. Nat: (ti26)3C+9.7539
ADMDAR�ESS: fellclaana@kcal.net _
INSURED
Hacienda Weights, CA 91745
License ##: OS07015
GEOSPATIAL TECHNOLOGIES INC.
10055 SLATER AVE STE 214
FOUNTAIN VALLEY, CA 92708
INSURERIS) AFFORDING COVERAGE
INSURERA: HARTFORD INSURANCE
I INSURER B:
I INSURER C:
INSURER D:
I INSURER E :
NAIC #
00914
I INSURER F
COVERAGES CERTIFICATE NUMBER., 00000000-235592 REVISION NUMBER; y
THIS IS TO CERTIFYTHAT 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 RTAIN, 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
LTR TYPE OF INSURANCE INan MNn POLICY NUMBErtLIMITS
(MMIAA,IYYYYI,•, IMMIDDIYYYY),
COMMERCIAL GENERAL_ LIABILITY
IEACH OCCURRENCE $
CLAIMS -MADE OCCUR DAMAGE TO RENTED
PREMISES tEa occurrence) $
I MED EXP (Any one person) $
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 0 PRO- DLOC
JEGT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
___- AUTOS ONLY AUTOS
HIRED NON -OWNED
— AUTOS ONLY AUTOS ONLY
UMBRFLI,.A LIAR OCCUR
EXCESS LI IAB CLAIMS -MADE
DED I f RETENTION
-
A
WORKERS AND EMPLOYFRVI IbTY YIN 72VVEC!EV7186
ANY PROPRIEI'OR(PARTNERJEXFCUTIVE
OFFiCERfMEMBEREXCL.UDED? ❑ NIA
(Mandatory in NFII
If os, describe undor
DSCRiPTION OF OPERATIONS below
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMPJOP AGG $
COMBINED SINGLE LIMIT
(Ea aocident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accldenU
EACH OCCURRENCE
(AGGREGATE
0'(12212018 01/22/2019 X I STATUTE I I EERH � $
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE -POLICY LIMIT $
DESCRIPTION OF OPERATIONS ! LOCATIONS A VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
PROOF OF INSURANCE
1,000,000
1,000,000
1,000000
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street
EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE
-....,..,-.,.,„
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Printed by FLM on August 02, 2018 at 02:32PM
AC"IWDATE (MMODDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 8/2/2018
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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(l") must'bd endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, Certain policletmay require an endorsement. A statement on this certificate does not confer rights to the
Certificate holder In Ileu of such endorsement(s).
PR40OLICER CONTACT
NAME: Carrie Boggs
RDS insurance Brokers ,,: (909) 305-1200 fF�,X' N.,: (909)305-12015
'ON C
r
Lic# 0606461 EMAI� -
ADDR Rs.carrie@rdsins.com
P.O. BOX 159 INSVIRSIR(S) AFFORDING COVERAGE NAIC
San Dimas CA 91773 INSURERA-AXiS Insurance Ccmpanv 37273
INSURED
GeoSpatial Technologies, Inc.
10055 Slater Ave., Suite 214
INSURER B :
INSURER C:
INSURER �
INSURERE:
Fountain Valley C& 92708 INSUPER F,:
COVERAGES Cr=RTIFICATENUMBER:18-19 =0 REVISION NUMBER:
THIS IS TO CERTIFYTHAT 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 ?EDUCED BY PAID CLAIMS.
ADDL SUBR POLI SYEFF POLI P I
(NSR
I NQa POLICY NUMBER (MMIC IYVYY) (MMM&MY
IN TYPE OF INSURANCE _WD LIMITS
GENERAL LIABILITY I EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY
= CLAIMS -MADE r-1 OCCUR
GEN'LAGGREGATE LIMITAPPLIES PER.
I
POLICY 71. Jocof F- 1 LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALTOS OS /WTVW ED SC[,1OSEDU1-L0
NON MED
AUTOS HIRED AUTO A 8
UMBRELLA LIABOCCUR
EXCESS LIAR HCLAIMS-MADE
DED I I RETENTION
WCRKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y ( N
ANY PROPRIETORIPARTNER)EXECUTIVE [—
OFFICEFUMEMBW EXCLUDED-? NIA
(Mandatory In NH)
M
es dssi�*eundor
D SdRIPTIo r4 OF OPERATIONS below
A Technology Professional
Service* Liability
DAMAGE TO R HN'I ED
PREMISES fEa occurrence)
MED EXP (Any one person)
PERSONAL & ADV, INJURY
GENrRAIL AGbRtGATE
PRODUCTS - COMP/OP AGG
�D SINGLE LIMIT
FRE65.1'.-Int)
BODILY INJURY (Per person) $
BODILY INJURY (Per acoldont) $
PROPERTY DAMAGE
(Per neddent)
$
EACH OCCURRENCE
AGGREGATE
wc
TORY LIMITS
ITuI
S I ER- I OTH-
E.L. EACH ACCIDrNT
E.L. DISErkSE - EA EMPLOYEE
E.L. DISEASE - POLICY LIM IT
P-001-000030098-01 7/-19/2018 7/-19/2019 EachClairn $3,000,000
Aggragete $3,000,000
Dr=SCPJPTIONOFOPErtATION$iLOCA'nONSiVr--IllCLtS (Attisch AGO RD 101, Addiflonaf Re rn-ft fthldwl 0, If Moro apoco Is requiroti)
Those, nsual to the inwiteds operations.
CERTIPI CATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street
El Selgundo, CA 90245-3813 AUTHORIZED REPRESENTATIVE
Carrie Boggs/CARRIE
ACORD 25 (2010105) O 1988-2010 ACORD CORPORATION. All rights reserved.
INS025 (2otoI5),oi The ACORD name and logo are registered marks of ACORD