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PROOF OF INSURANCE (2019 - 2019) CLOSED CERTIFICATE OF LIABILITY INSURAIVNCE DATE(MM,DDlYYYY) 08/20/2018 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(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 CONTACT Brad Bell _ NAmgE Brad Bell Insurance Agency .�PHONE Patl: 818-456-4546 „Ne).�m _.._ 4802 Peonia Rd. A.Q.PR s _ Yaradbe1121 t70Q@'ah'0q,W 1 _ Woodland Hills,CA 91364 INSURERS]AFFORDING COVERAGE NAIC 9 INSURERA: Westchester Surplus Lines Insurance Company 10172 INSURED INSURER B- EcoTierra Consulting,Inc. INSURERC, 633 W.Fifth St.,26th Floor INSURER D: 9 IN .._.._. _. ...._ Los Angeles,CA 90071 SURER E INSURER F.- COVERAGES :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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR I .�A F OL .......,........._...... . ....�,ip6GC EF10I_IMM....CYE%P....W...,._.W.-.,.... „ P� ICYNUMBER ........ . (DDrf...... . TYPE OF INSURANCE IpOryyyyl LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 LX COMMERCIAL GENERAL . I?dA MYS!E,S %rcc rr rgcOr 5 ......... 00 L LIABILffY 50,000 _I CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 A G24305296 007 08/04/2018 08/04/2019 PERSONAL&ADV INJURY $ 1,000,000 ',X Additional Primary Insured GENERAL AGGREGATE _$ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 21000,000 L......... POLICY'I pF"T (LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMtT $ 1,000,000. ANY AUTO BODILY INJURY(Per person) $ A wALL OWNED SCHEDULED AUTOS AUTOS G24305296 007 08/04/2018 08/04/2019 BODILY INJURY(Per accident) $ � ._. NON-OWNED PFOPrR�YMAr E $ . HIRED AUTOS AUTOS Per;ec"Agnt) $ UMBRELLA OCCUR EACH OCCURRENCE $ ,.,. EXCESS LIAB B .,..........� CLAIMS-MADE AGGREGATE...,.,,,,,,, $ DED RETENTION$ $ WORKERS COMPENSATIONY/N - OTH- AND EMPLOYERS'LIABILITY -•°° .T�QRY.9.11"d1T8� ..FR EACH ACCIDENT $ FFICER y ry ) FANY PROPRIETORIPARTNER/EXECUTIVE -1N/A ,. EA EMPLOY,.,,._.._....._..,.,.,., OyMIEMBER EXCLUDED DESCRI--lot;OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ sc ice under A Professional Liability; G24305296 007 08/04/2018 08/04/2019 $1,000,000.(per incident/per aggregate) DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION', 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. 350 Main Street .,, AUTHORIZED REPRESENTATIVE EI Segundo,CA 90245 I a. /'i e i ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD wamo;Jmnued ------ --------- EndorsementNumber — -- EcoborraConoulting Inc -P����ym�/ Policy mu nn be r ------ Policy Period ------- momanL ECP | G24305296 007 08/04/2018 to O8/O4/2Q19 08/04/2818 /yuu'mov11(wumom11 m 11 auranvoCompany) Westchester Surplus Lines Insurance Company Insert the policy number The remainder ofthe information/"mbecompleted only when this endorsement/"issued subsequent wthe preparation mthe policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. ADDITIONAL INSURED ENDORSEMENT 'OWNERS, LESSEES 0RCONTRACTORS (PRIMARY AND NON'CONTR|BUTORY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR'S POLLUTION LIABILITY COVERAGE SCHEDULE: _ _________ ________ _ ____ Name m{Person mrOnoamizmLion: � 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, infonnnbon nyquin*d -'����-|e�» 1hia endorsement will be Declarations -- applicable 1othis endorsement.) SECTION U 'WHO |SANINSURED ioamended hoinclude: A. SECTION U - VVH0 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: 3. 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 ooapart ofthe same project. C. The coverage provided hereunder shall be primary and not contributing with any other insurance available 0othose designated above under any other third party liability policy. ENV' 1U1 (08'04) Includes copyrighted material ofInsurance Services Office, Inc.with its permission Page 1 of Named Insured Endorsement Number EooborroConsulting Inc ��11 oymbol Policy Number ���11 11� Effective Date of En dmment ECP G24305296 007 | 08/04/2018 to 8804/2019 0804/2018 ___ Issued ov(Name�msu�ncecnmnanv) Westchester Surplus Lines Insurance Company �������� Insert the policy number rhe remainder ofthe information/awurc.omipletooonly when this enoomemoo,missued subsequent wthe preparation urthe policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, WAIVER OFTRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TQ US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Nar2e of Person ovOroantzawqn: 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. ______ (|f no entry oppoom obovo, 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: VVewaive any right ofrecovery wumay have against the person ororganization shown inthe 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 pnoducte-ommp|ehyd operations hazard. This waiver applies only tothe person ororganization shown inthe Schedule above. All other terms and conditions remain the same, ENV-3143(03-05) Includes copyrighted material vrInsurance Services Office, Inc with its permission Page 1vr1 A DATE CERTIFICATE OF LIABILITY INSURANCE ATE8/ /DD/YYYY) 0/18/2018 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. ........................_.. ................... 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 certificate holder in lieu of such endorsement(s). �...................__..................................................._."......................_....................................... .......................................................................................................... ...... PRODUCER CONTACT .,_......................................................................................................................................................._.."__...... PAYCHEX INSURANCE AGENCY INC PHONE FAX q;Arc. t .E:k1_..5 ri... -s78s L...Src..". A.:.....i. g.di.. 7r.�rss� 150 SAWGRASS DR E4AIL ROCHESTER, NY 14620hpR_�s"u Payh?a wa>mei.:4agro...................................................................................................................... ( ) .........................................................IN.SU.RE.R,(B).,A,FFO.R.D,I.N.G COVERAGE NAIC# 877 362-6785 S .. ............................................................... INSURER A:TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA ...................................................................................................._.......................................................................... ................................................................�.�.�......�.�.�.�.�.�. ............ INSURED INSURER B ECOTIERRA CONSULTING INC 633 W 5TH ST,26TH FL INSURER C LOS ANGELES,CA 90071 INSURER D INSURER E INSURER F: ................................................................................................................................................................ ...........................................................m L.. ,................................ COVERAGES CERTIFICATE NUMBER: 644207414571192 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, INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MMIDDIYYYY) LIMITS EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY �UAI, AGE.TO REN OCCUR tJD EXP 6Any one oaraor6 PERSONAL&ADV INJURY $ VIII OEN'LAGGREGATE LIMIT AP�(PLIE'IIIIS PER. GENERAL AGGRECi,ATE $ V �POI.JCY �., .�JEjGr EjLOC PRODUCTS COMPtOPAGG $ PO ..............II OTHER: $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) BODILY INJURY(Per person) I$ A N Y A U'TO OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS "HIRED ( 'NON OWNED AUTOS ONLY �IAUTOSONLY PROPERTY DAMAGE fl..... V (Per accident) ➢$ 1$ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ PN EXCESS LIAB $ CI..AIMS-MAD,F AGGREGATE DED I_....I RE TENTION $ NIA X UB-6937R706-18 08/02/2018 08/02/2019 X rRTIIrE OTH I p A WORKERS COMPENSATION Nk AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ...."" E L. EACH ACCIDENT I$1.000,000 (Mandatory inNOFFICER/MEMBER EXCLUDED? � E I.. DISEASE EA EMPLOYEE $1,000.000 II (Mandatory in NH) If yes,describe under EL DISEASE PO DESCRIPTION OF OPERATIONS below U � L.KIY LIMIT I$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. .............. ............. _....... . ................................... CERTIFICATE HOLDER CANCELLATION 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 ............ 11988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AW WORKERS COMPENSATION TRAVELERV AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A)- 001 POLICY NUMBER: (I JUB-6937R70-6-1 8) 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: 06-20-18 ST ASSIGN: Page 1 of 1