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PROOF OF INSURANCE (2019 - 2019) CLOSED 0 DATE(MMIDDIYYYY) AC"_k" CERTIFICATE OF LIABILITY INSURANCE 1dUV �,,,,...�- 9119/2018 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 INSURERS), 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 require an endorsement. A statement on this certificate does not confer rights to the certlficate holder in lieu of such endorsement(s). CONTA PRODUCER 9 Management Risk ArLc 1 326-6203ESTSURE TtlFCCA"1"""' 12750 Merit Arthur J.Gallagher Drive,rSu to 000 Services,Inc. C�uIs P µ �nl pee1972.663 M .E 1G N,a r 800.. PEST w M SI�RECd�,Ts o"IAJG.t`O 6258" Dallas TX 75251 INSURER A:Old Republic Insurance Company p q - 24147 _ I INSURED INSURER 8; r AFFORDINGCOVERAGE NAIC 24554" •, DEWEY SERVICES, INC.BRANCH NO. 7 tnlsuRERc I DBA DEWEY PEST CONTROL X Insurance America,Inc. L.._... — EAST UNION STREET INSURERD; PASADENA CA 91106-7214 INSURER E: INSURER F: i COVERAGES CERTIFICATE NUMBER:1517210502 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 'AID CLAIMS- INTSR'I TYPEOFINSURANCE JA D SUE POLICY NUMBER ...............I,•tIfid1Ld,17p�W' .PF.. P ..,....m..„ ..._.,r..�.._. ,..............................LIMITS..........., IGI LaCY0'Y IVM"f'Y1 BMNAfO)OMYYYYF A X COMMERCIAL GENERAL LIABILITY Y Y MWZY 313733 10/1/2018 1011/2019 EACH OCCURRENCE $2,000,000 IM EMI,S 1.41rI "FR -D CLAIMS-MADE I OCCUR .�,�'....,..,..�':�..(�Tr,4"!gct•�ulfn..�.u,-,.—..510000...................................__._ MED EXP(Any one person) S 5„0011 _ PERSONAL BADVINJURY S2,000.000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 547000,000 P FSO ❑jECT O LOC PRODUCTS-COMP/OPAGG �I,S4000.000 X.... ER A AUTOMOBILE LIABILITY MWTB 313749 1011/2018 101112019 .CCO161IMNLO 5INGLL LIMIT I$2,000.000 n IwLwAatrly X ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED XITBPPO,rDM�rrY INJURYNacddenl) $SAUTOS ONLY XAUTOS HIREDOO AUTOS ONLY AUTOS ONLY .................................... al e ... ............._. X UMBRELLA LIAR X OCCUR USOOOBS87OLIlBA 10/112018 1011/2019 EACH OCC RRENCE S 1,000.000 EXCESS LIAR �� E $1.000,000 B .X CLAIMS-MADE A...G........0............................. j DED I X I,RETENTIONS 1p r„ p0 _ _ $ A WORKERS COMPENSATION Y MWC 31139700 1/112016 11112019 X,,,,,,�STATUTE �,,,,,,,, ORH_. AND EMPLOYERS'LIABILITY YIN ANYPROPRIETORI OFFICERIMEMBERE DES,dasvi a un OxERATEONS below E.L.EACH LIMIT $1,D00 000 ry ) NT S S,OOO If es,dOSO6ae under ����.N�� P - .000 NIA (Mandato In NH y C.L.DISEASE ., ,000 ..-. DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) ALL LOCATIONS&OPERATIONS.ADD'L INSURED COVERAGE IS PROVIDED BY FORM#CG 2010(04113).SEE ATTACHED, THE CITY OF EL SEGUNDO IS NAMED AS ADDITIONAL INSURED. COMPLETED OPERATIONS IS INCLUDED ON THE GENERAL LIABILITY POLICY. A WAIVER OF SUBROGATION IS PROVIDED IN FAVOR OF THE CITY OF EL SEGUNDO. 30 DAYS NOTICE OF CANCELLATION WILL BE PROVIDED TO CERTIFICATE HOLDER(10 DAYS FOR NON-PAYMENT OF PREMIUM.) 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 SEGUNDOPUBLIC WORKS DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. GENERAL SERVICES DIVISION 150 ILLINOIS STREET EL SEGUNDO CA 90245 AUTHORIXEDREPRESCNNTT TIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER:MWZY 313733 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART V SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s)Of Covered Operations All persons or organizations as required by contract or All locations. agreement. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. Your acts or omissions;or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 04 13 0 Insurance Services Office, Inc.,2012 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or i i l i 0 I u Page 2 of 2 ©Insurance Services Office, Inc.,2012 CG 20 10 0413 POLICY NUMBER: MWZY 313733 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL (INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations All persons or organizations as required by contract or All locations. agreement. I I . Information required to complete this Schedule, if not shown above,will be shown in the Declarations. I A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we your work at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less, insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. V CG 20 37 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: MWZY 313733 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: I All persons or organizations as required by contract or agreement. I I i I Information required to complete this Schedule, if not shown above,will be shown in the Declarations. i I The following is added to Paragraph 6. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: 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. 0 CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page t of 7 V I� WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below. (,Phe following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement,effective 12:01 AM 911912018 forms a part of Policy No.MWC 311397 00 Issued to:DEWEY SERVICES,INC. BRANCH NO. 7 DBA DEWEY PEST CONTROL By:Old Republic Insurance Company Premium: INCL 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 5%of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization CITY OF EL SEGUNDOPUBLIC WORKS DEPARTMENT GENERAL SERVICES DIVISION 150 ILLINOIS STREET EL SEGUNDO CA 90245 The sentence in parenthesis above does not apply Job Description WC 04 03 06 Countersigned by (Ed.4-84) Authorized Representative