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PROOF OF INSURANCE (2023) CLOSEDDATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 05,06/2022 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). Aon Risk Services Central, Inc. '.Minneapolis MN office FH15rIE (866) 283-7122 FAX (800) 363-0105 IArC-'NF Exrp:.. AMA rtlo. E-MAIL ADDRESS6 5600 West 83rd Street 18200 Tower, Suite 1100 INSURER(S) AFFORDING COVERAGE NAIC # I23043 Minneapolis MN 55437 USA INSURED INSURER A: Liberty Mutual Insurance Co. IBI Group, a California Partnership Professional Services (USA) Inc. 537 S. Broadway, Suite 500 INSURERB: Twin City Fire Insurance Company INSURERC: Beazley Insurance Company, Inc. 29459 .....- 37540 INSURER D: LOS Angeles CA 90013 USA ''. INSURER E: W ._.. .......... _.. ''. INSURER F: rnvcrxer_Ge riFRTIFIrATF NIIIMRFR• 57(1(149nln29.r, REVISION NUMBER. - THIS IS TO CERTIFY' THAT THE POLICIES OF INSURANCE LISTER BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATE). NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TI-M INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMAITS SHOWN MAY HAVE BEEN SEDUCED BY PAID CLAIMS. Limits shown are as requested INSR L'E`IR' TYPE OF INSURANCE '� S W POLICY NUMBER iMMIDWYYY MM/DWYY" LIMITS A X COMMERCIAL GENERAL LIABILITY TB B EACH OCCURRENCE $2,000,000 CLAIMS -MADE OCCUR _ UAMAUET6"AEN=_ PREMISES Eaacaurrence $2,000,000 MED EXP (Any one person) $2 , 500 PERSONAL&ADV INJURY $2,000, 000' GEN'LAGGREGGATryE LIMITAPPLIES PER: GENERAL AGGREGATE $5,000,000 X POLICY I I JECT LOC L.,.....7 EC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY ASI-B71-171213-012 04/30/2022 04/30/2023 COMBINED SINGLE LIMIT fga rio $1, 000, 000 BODILY INJURY ( Per person) ANY AUTO X OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS ONLY AUTOS PROPERTYDAMAGE HIRED AUTOS NON -OWNED (Per accident ONLY AUTOS ONLY X Hired Auto X Non -Owned Auto UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE 4b EXCESS LIAB CLAIMS -MADE E'D RE'TENTGON B WORKERS COMPENSATION AND 41WEOL `H7 9 04 3 20 22 4 0 X PER STATUTE OTH R EMPLOYERS' LIABILITY Y / tt ANY PROPRIETOR / PARTNER / EXECUTIVE E L. EACH ACCIDENT $1 000, 000 OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) '., N / A E L. DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E1, DISEASE -POLICY LIMIT $1, 000, 000 C E&O-PL-Primary v1F72FZ20601 05/01/2022 04/30/2023 Per Claim Limit $1,000,000 Claims Made Aggregate Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD101, Additional Remarks Schedule, may be attached If more space is required) As respects to policies, General Liability, Auto Liability and Umbrella Liability; Aon Risk Solutions (U.S.) is generating and distributing this certificate in an administrative capacity. Aon Reed Stenhouse Inc. Toronto, Ontario Canada is the broker for the defined policies. RE: Engineering and Architechtural detail and Design and Consultant Services for the Urho Saari Swim Stadium. The City of E1 Segundo, its officials and employees are included as Additional Insured in accordance with the policy provisions of the General Liability policy. m N 6 0 0 O Ln O Z d {O O r Will CERTIFICATE HOLDER CANCELLATION ;c_-' .Z--A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE Attn: Elias Sassoon 350 Main St. El Sequndo CA 90245 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Policy -Number TB1-B71-171213-022 Issued by LIBERTY MUTUAL INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION II - WHO IS AN INSURED is amended to include as an insured any person or organization for whom you have agreed in writing to provide liability insurance. But: The insurance provided by this amendment: 1. Applies only to "bodily injury" or "property damage" arising out of (a) "your work" or (b) premises or other property owned by or rented to you; 2. Applies only to coverage and minimum limits of insurance required by the written agreement, but in no event exceeds either the scope of coverage or the limits of insurance provided by this policy; and 3. Does not apply to any person or organization for whom you have procured separate liability insurance while such insurance is in effect, regardless of whether the scope of coverage or limits of insurance of this policy exceed those of such other insurance or whether such other insurance is valid and collectible. The following provisions also apply: 1. Where the applicable written agreement requires the insured to provide liability insurance on a primary, excess, contingent, or any other basis, this policy will apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION IV of this policy will not apply. 2. Where the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy will govern. 3 This endorsement shall not apply to any person or organization for any "bodily injury" or "property damage" if any other additional insured endorsement on this policy applies to that person or organization with regard to the "bodily injury" or "property damage". 4. If any other additional insured endorsement applies to any person or organization and you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis for that additional insured, this policy will apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION IV of this policy will not apply, regardless of whether the person or organization has available other valid and collectible insurance. If the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy will govern. LN 20 0106 05 Page 1 to 1 POLICY NUMBER:AS1-B71-171213-011 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED R.ED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT Policy Number: 41 WE 01-61-178 Endorsement Number: Effective Date: 04/30/21 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: IBI GROUP US 8101 N HIGH ST STE 100 COLUMBUS OH 43235 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 shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. Endorsement is not applicable in KY, NH, NJ or for any MO construction risk Countersigned by Form WC 00 03 13 Printed in U.S.A. Process Date: 04/29/21 Authorized Representative Policy Expiration Date: 04/30/22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 41 WE 01-61-178 Endorsement Number: Effective Date: 04/30/21 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: IBI GROUP US 8101 N HIGH ST STE 100 COLUMBUS OH 43235 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 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 04/29/21 Policy Expiration Date: 04/30/22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT Policy Number: 41 WE 01-61-178 Endorsement Number: Effective Date: 04/30/21 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: IBI GROUP US 8101 N HIGH ST STE 100 COLUMBUS OH 43235 This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with () Special Waiver Name of person or organization respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule (X) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: All Texas Operations 3. Premium: The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in connection with work performed for the above persons) or organization(s) arising out of the operations described. 4. Advance Premium: Form WC 42 03 04 B Printed in U.S.A, Process Date: 04/29/21 Policy Expiration Date: 04/30/22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UTAH WAIVER OF SUBROGATION ENDORSEMENT Policy Number: 41 WE 01-61-178 Endorsement Number: Effective Date: 04/30/21 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: IBI GROUP US 8101 N HIGH ST STE 100 COLUMBUS OH 43235 This endorsement applies only to the insurance provided by the policy because Utah is shown in Item 3.A. of the Information Page. 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 Schedule 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. Our waiver of rights does not release your employees' rights against third parties and does not release our authority as trustee of claims against third parties. Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. Endorsement is not applicable in KY, NH, NJ or for any MO construction risk Countersigned by Authorized Representative Form WC 43 03 05 Printed in U.S.A. Process Date: 04/29/21 Policy Expiration Date: 04/30/22