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PROOF OF INSURANCE (2023 - 2024) CLOSEDClient#: 237821 KPFFINC .................. . DATE (MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 12/20/2022 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEl CT Jerry Noyola Greyling Ins. Brokerage/EPIC PHONE 77U FAx (....,. r _ y 99 tali �aRL--- 3780 Mansell Road, Suite 370E-MAIL s Xj ry.no of er a@greyling.com Alpharetta, GA 30022 _.........._�......__ ................— INsuRE.�..�W�W�........�R...............,_----....------ ---..............................................-...._ R FFO DING COVERAGE NAIC # INSURED KPFF, Inc. 1601 5th Ave Suite 1600 Seattle, WA 98101 i) INSURER A: National Union Fire Ins. CO. 19445 INSURER B : The Continental Insurance Company 35289 _....... ______..................... _........... INSURER C : New Hampshire Ins. Co. 23841 INSURER D : Allied World Surplus Lines Ins 24319 INSURER E : COVERAGES CERTIFICATE NUMBER: 22-23 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 CONTRACTOR 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. TYPE ADDL INSRWD qRR�,.........: , ...O....,..O., .......... ....... . CY µY YYX pyyPOLICY EXP LIMITSLT A X COMMERCIAL GENERLIABILITY „ -�® GL5268336 4/01/2022 04/01/2023 EACH OCCURRENCE $500000PAGE 70 RENTED MCLAIMS-MADE Faoccur�nca�OCU.. m;D - — MED EXP (Any one person) $ 2 5a000 ... '. '... S 1 PERSONAL & ADV INJURY 000..- _m GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2000000 .�._-.. POLICY _ X, PRO- rl—„ LOC r ..._ ... .. ... PRODUCTS COMP/OPAGG s2,000,000 .. j OTHER: S E LIABILITY A AUTOMOBILE Y CA9775930 _ COMBINED SINGLE t.l M 04/01/2022 04/01/2023 E' acrndera4k $ 2 000 000 X ANY AU BODILYINJURY(PerpedP son) $ ,.. _ I OWNED `'`SCHEDULED AUTOS _ ..._.. .......... BODILY INJURY (Per accident) $ . HIRED X ' NON -OWNED AUTOS ONLY ONLY DAMAGE PROPERTY )...... .._ _. Per arrideri,t f { $ .—._- ............. UMBRELLA LIAB I B X' s Oc X cuR ...... ..... fi .. --------- ----- ........... 6050399824 ., ....... ...w... 0 00O OOO 410112022'04/0112023eACHoccuRRENCE � $1 .a.a_. X EXCESS LIAB CLAIMS MADE AGGREGATE $10,000,000 DED � X[RETENTIONSO .. S ,. C WORKERS COMPENSATION WCO22298245 (AOS) , 4/01/2022 04/01/2023 X PER IOTH TA7 UTF FIR EMPLOYERS' LIABILITY Y / N C ANY '.. WCO22298244(CA) ACCIDENT $111000 000 4/01/2022 04/01 /2023. E.L. EACH a OFFICEOPRIET ER EXCLUDED? N N / A (Mandatory in NH) "" E..L. DISEASE - EA EMPLOYEE $1,R000O00 If yes, describe under -PO..LICY... LIMIT..--$--1.. 000 ,000 ... D Professional/ 03120067 10/10/2022 04/01/2024 Per Claim $10,000,000 Pollution Aggregate $10,000,000 Liability SIR: $250 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: SW 23-01 - Sandhill Basin Improvement Project. The city, its officials and employees are named as Additional Insureds with respects to General 8r Automobile Liability where required by written contract. Umbrella Follows Form with respects to General, Automobile & Employers Liability Policies. :tla4Aa\ILei 01 City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S5069918/M4937789 J N002 This page has been left blank intentionally. POLICY NUMBER: GL5268336 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT.: BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. Information required to completethisSchedule, if not shown above, will be shown in the Declarations. A. Section II 6 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", This insurance does not apply to "bodily injury' "property damage" or "personal and advertising or "property damage" occurring after: injury" caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on work, on the project (other than service, your behalf; maintenance or repairs) to be performed by in the performance of your ongoing operations or on behalf of the additional insured(s) at for the additional insured(s) at the location(s) the location of the covered operations has designated above. been completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to 1. The insurance afforded to such additional its intended use by any person or insured only applies to the extent permitted organization other than another contractor or by law; and subcontractor engaged in performing 2. If coverage provided to the additional operations for a principal as a part of the insured is required by a contract or same project. 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 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 p Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: GL5268336 COMMERCIAL GENERAL LIABILITY CG20371219 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) .._........._ -- _w_w _W..._ Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION PER THE CONTRACT OR AGREEMENT, WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. ............ Schedule, if not shown above, will be shown in the De 'ons. Information required tocompletethis 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 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, required by a contract or agreement, the most by "your work" at the location designated and we will pay on behalf of the additional insured described in the Schedule of this endorsement is the 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; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the by law; and applicable limits of insurance. 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. CG 20 37 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1