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PROOF OF INSURANCE (2023 - 2023) CLOSEDDATE (MMIDD/YYYY) A CCO CERTIFICATE OF LIABILITY INSURANCE 10/8/2022 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 poiicy(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 360 626 2019 70 Arc „ AssuredPartners of Washington, LLC PHONE A Net 360.626 2019 A/E Insurance Services E-MCONTACT Jim Ledbetter CA License #01 i742 19689 7th Avenue NE, Ste 183, PMB #369 ADDRESIL S pm ledbettera assuredpartners.com Poulsbo WA 98370 INSURER(S)AFFORDING COVERAGE NAIC# INSURED John M Cruikshank Consultants Inc DBA JMC2 411 N Harbor Blvd, Ste 201 San Pedro CA 90731 A QBE Insurance Corporation 39217 B: RLI INSURANCE COMPANY 13056 F: 1'nvc0nc1=c /`C0TIFI1'ATP IJI IMRFR• 19R7QR01,:zn RFVIRION NHMRFR: 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. m�. INSR TYPE OF INSURANCE ADDL 5'�PBR POLICY NUMBER fuPIM.IDCA/YEYFXII PMIDICDY/Y YY LIMITS LT B X ` COMMERCIAL GENERAL LIABILITY Y Y PSB0008537 10/15/2022 10/15/2023 EACH OCCURRENCE '.. $2,000,000 bAMA�t YC7 ktErSt'6f5 ce 00 0 CLAIMS-MADEX ------,i OCCUR I i "PREMISES„(Fa occurrence) $ 1,000 „ ,,,....... MED EXP (Any one person) '.. $ 10,000 PERSONAL & ADV INJURY $ 2,000 000 GCNt. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000 000 X i PRODUCTS PRO, COMP/OP 1 POLICY. JEC"r � LOC i AGG 54,000000 I OTHER ' i $ B AUTOMOBILE LIABILITY Y Y PSB0008537 10/15/2022 10/15/2023 COMBINED SIN.L# #.01e8IT $2,000000 (E<a q� gdenty ANY AUTO '.. BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident). S AUTOS ONLY ! AUTOS NON -OWNED 1 AUTOS ONLY = AUTOS ONLY t q a, X HIRED ..X ", RO FF't'RTY D/4fw9A4al:' S „ B UMBRELLA LIAB I X OCCUR Y Y PSE0004233 10/15/2022 10/15/2023 EACH OCCURRENCE S 1 000.000 X EXCESS LIAB _ CLAIMS MADE AGGREGATE S1,000,000 I DED _... - RETENTION$ $ WORKERS COMPENSATION , PE' " OTH- AND EMPLOYERS' LIABILITY `STATUTE ANYPROPRIETOR/PARTN ER/EXECUTIVE YIN E L EACH ACCIDENT F—] N I A $ OFFICERIMEMBER EXCLUDED? � (Mandatory In NH) E,L DISEASE EA EMPLOYEE, $ If es, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE _ E -POLICY LIMIT ( $ A Professional Liability N Y ANE4556203 10/15/2022 10/15/2023 Per Claim $2,000,000 Aggregate $4.000,000 Certificate holder Is, when agreed in a contract or agreement, afforded Additional Insured and waiver of subro aim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) g g g 'Dn coverage under General Liability Additional Insured form PPB 304G 04 13, products completed PPB 304G 04 13, and is primary and non-contributory. Auto additional Insured form PPA 300WA 03 13 and waiver of subro()ation PPA 300VVA 03 13. Project: STREET IMPROVEMENTS FEASIBILITY STUDY FOR THE 500 BLOCK OF ARENA STREET AND 613 ARENA STREET L;tK I IFII,A I t City of El Segundo 350 Main St. El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 9 1988-2015 AGURD GUKPUKA I IUN. All ngnts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Policy Number: i'SB0008537 RLI Insurance Company Named Insured:.. John IV CrOksh—k THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack° FOR PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM - SECTION II — LIABILITY C. WHO IS AN INSURED is amended to include as an additional insured any person or organization that you agree in a contract or agreement requiring insurance to include as an additional insured on this policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by you or those acting on your behalf: a. In the performance of your ongoing operations; b. In connection with premises owned by or rented to you; or c. In connection with 'your work" and included within the "product -completed operations hazard". 2. The insurance provided to the additional insured by this endorsement is limited as follows: a. This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this policy. b. This insurance does not apply to the rendering of or failure to render any "professional services". c. This endorsement does not increase any of the limits of insurance stated in D. Liability And Medical Expenses Limits of Insurance. 3. The following is added to SECTION III H.2. Other Insurance — COMMON POLICY CONDITIONS (BUT APPLICABLE ONLY TO SECTION II — LIABILITY) However, if you specifically agree in a contract or agreement that the insurance provided to an additional insured under this policy must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs after you have entered into that contract or agreement; or b. The "personal and advertising injury" for which coverage is sought arises out of an offense committed after you have entered into that contract or agreement. 4. The following is added to SECTION III K. 2. Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT APPLICABLE TO ONLY TO SECTION II — LIABILITY) We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal and advertising injury" arising out of 'your work" performed by you, or on your behalf, under a contract or agreement with that person or organization. We waive these rights only where you have agreed to do so as part of a contract or agreement with such person or organization entered into by you before the "bodily injury" or "property damage" occurs, or the "personal and advertising injury" offense is committed. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPB 304 02 12 Page 1 of 1 Policy Number: PSE0004233 RLI Insurance Company John M Cruikshank THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, RLIPack° FOR DESIGN PROFESSIONALS EXCESS LIABILITY ENHANCEMENT SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT A. General Aggregate Limit — Per Project Or Per Location B. Additional Insured — Primary/Non-contributory C. Waiver Of Transfer Of Rights Of Recovery Against Others To Us This endorsement modifies insurance provided under the following; COMMERCIAL EXCESS LIABILITY COVERAGE FORM A. General Aggregate Limit — Per Project Or Per Location Paragraph 2.a. of C. Limits of Liability of SECTION — INSURING AGREEMENT is deleted and replaced by the following: a. The limit of liability stated in the Declarations as general aggregate is the most we will pay during each policy period for all ultimate net loss, except ultimate net loss because of: (1) injury and damage included in the products - completed operations hazard or; (2) any coverage included in underlying insurance to which no underlying aggregate applies. The general aggregate applies separately to each of your "projects" away from premises owned by or occupied by you or to each of your locations owned by or occupied by you. "Projects" mean an area away from premises owned by or rented to you at which you are performing operations pursuant to a contract or agreement. For the purposes of determining the applicable aggregate limit of insurance, each "project" at the same "location" shall be considered a single "project'. For the purposes of this provision, "location" means (1) premises involving the same or connecting lots; (2) premises where connection is interrupted only by a street, roadway, waterway or right- of-way of a railroad; or (3) premises where operations are performed in sections, stages or phases as a continuation of the same contract or agreement, even if the premises do not involve connecting lots. B. Additional Insured — Primary/Non-contributory Paragraph K. Other Insurance of SECTION IV — CONDITIONS is deleted and replaced by the following: K. Other Insurance If other insurance, whether collectible or not, is available to the insured covering a loss also covered by this policy, the insurance afforded by this policy shall be in excess of, and shall not contribute with, such other insurance. However, if the underlying insurance provides coverage to an additional insured on a primary basis, or a primary and non-contributory basis, this insur- ance shall be available to such additional insured on an excess basis over the underlying insurance. We will not share with other insurance which covers such additional insured as a named insured. C. Waiver Of Transfer Of Rights Of Recovery Against Others To Us Paragraph L. Subrogation of SECTION IV — CONDITIONS is deleted and replaced by the following: PPU 304 06 10 Page 1 of 2 L. Subrogation In the event of any payment under this policy, the insured must notify us of any of the insured's rights of recovery against any person or organization. We shall be subrogated to all such rights. The insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The insured shall do nothing after loss to prejudice such rights. However we waive any rights of recovery we may have against any person or organization if the underlying insurance also waives such rights. Any amount recovered through subrogation or otherwise shall be apportioned in the inverse order of payment of the claim or claims involved to the extent of actual payment thereof by all interests. The expenses of all such recoveries and proceedings in connection therewith shall be apportioned in the ratio of respective recoveries. With respect to proceedings conducted solely by us, if there is no recovery, we will bear the expense thereof. If there is a recovery, we shall be reimbursed in full from such recovery for the amount of all expenses incurred by us before apportionment of such recovery as herein provided. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPU 304 06 10 Page 2 of 2 Policy Number: PSB0o08537 PSB0008537 RLI Insurance Company Named Insured�oln M Cruikshank THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack° NOTICE OF CANCELLATION OR NONRENEWAL — DESIGNATED PERSON OR ORGANIZATION Schedule Designated Person or Organization: City of El Segundo Email Address: US Mail Address: 350 Main St.. El Segundo, CA 90245 If we cancel or chose to nonrenew this policy for any reason other than nonpayment of premium we will provide written notice at least (30 ) days before the effective date of the cancellation or nonrenewal to the designated person or organization in the above schedule. Such notice will be sent via the US mail address or E-mail address listed above. Proof of mailing or e-mailing will be sufficient proof of notice. PPK 2108 05 11 Page 1 of 1 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE ��� 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). CT PRODUCER SU Insurance Solutions, LLC ID: (Optimum) NAME ,' _ _Raquel Cawaro, c/o Optimum Emplo er Solutions, LLC PHONE FAX 2530 Red Hill Ave., Cote 200 E AII_aa 99 7ttt x 221 iq N Santa Ana, CA 92705 ADDRESS: raquelca@7optlmumhr,net Insurance INSURED Optimum Employer Solutions, LLC LCF John M Cruikshank Consultants Inc dba JMC2 2530 Red Hill Ave. Suite 200 Santa Ana CA 92705 NAIC # 29157 COVERAGES CERTIFICATE NUMBER: 68503287 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. TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE f I OCCUR EACH OCCURRENCE LIMITS (Any one person) o $ '... '.... PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT .'; APPLIES PER: GENERAL AGGREGATE $ PRCIII..00 jj ,,.. POLICY � .......1 PRODUCTS...-COMP/0P AGG $.. OTHER: $ AUTOMOBILE LIABILITY COMBiNEO SINGLE LILOT $ ............ . . ANY AUTO '... BODILY INJURY (Per person) $ ,.. OWNED . ,, SCHEDULED I BODILY INJURY (Per acadent) '.'. $ AUTOS ONLY ,AUTOS I " HIRED -OWNED i ., r f'�ROPERTi''D611lAAG�E . , �.. ,.. $ ,. .,.. AUTOS ONLY ,NON AUTOS ONLY (Per acridentl .. $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE , DIED r RETENTION $ A jWORKERSCOMPENSATION WC527-00135-022-SZ AND EMPLOYERS' LIABILITY YIN WC527-00135-021-SZ ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) IF yes, describe under DESCRIPTION OF OPERATIONS below 7/1 /2021 7/1 /2022 EACH OCCURRENCE $ AGGREGATE $ $ E L EACH ACCIDENT $ 1 E L DISEASE - EA EMPLOYEE $ 1 E L, DISEASE LIMIT � $1 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Covera e provided for all leased employees but not subcontractors of: John M Cruikshank Consultants Inc dba JMC2 Client Pifective: W6/2019 Project: STREET IMPROVEMENTS FEASIBILITY STUDY FOR THE 500 BLOCK OF ARENA STREET AND 613 ARENA STREET CERTIFICATE HOLDER CANCELLATION City of El Segundo Public Works Department 350 Maun Street El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE „ r � , Rick Leonard © 1988-2015 ACORDCORPORATION. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 685032B7 I John M Cruikshank Consultants (CA) MCP 00135 1 Rosemary Young 1 5/27/2022 1:27:44 PM (EDT) I Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) r,10 7P".:4 ,)7" 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 SUNZ Insurance Solutions, LLC ID: (Optimum) NAME, Raquel Castro c/o Optimum Employer Solutions, LLC PHONE 949-s5oasoo x 22� FAX 2530 Red HIII Ave., Suite 200 Santa Ana, CA 92705QIR,',. _ E-MAIL QqugdcCnl4trotinaunhrml?q�:. INSURER(S� AFFORDING COVERAGE NAIC # we®,,,,, INSURER United Wisconsin _ nsin Insurance Company 29157 .,. INSURED INSURERS: Optimum Employer Solutions, LLC LCF John M Cruikshank Consultants Inc dba JMC2 . INSURERC: 2530 Red Hill Ave. INSURERD;; Suite 200 INSURER E : Santa Ana CA 92705 INSURER URIEIR._." F ; t.uVCKAura LCRI IrmmIC IVUIVIDr-mm NWNdi',:7U'3,26 RCVI01UIY IYUIYIoCR. 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 .. „... TYPE OF INSURANCE .ADDL SUB' ���� �� RI 1 PQLICXNUMBER POLICY EFF POLICY EXP � MM/DO/YYYY MMIOOIXYYY 1 LIMITS COMMERCIAL GENERAL LIABILITY .. EACH OCCURRENCE S ,,,,. ,. I �"bAMaUE"tr1'YtENYF_tl .` CLAIMS -MADE OCCUR PRFMISES.,,tE nrcurrencP) $ MED EXP (Any one person) III S 6 PERSONAL & ADV INJURY S GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S I�RCI- ❑ ,. . ,,.. Y a POLICY LOC ..,,, JEOT PRODUCTS -COMP/OP AGG S .. ..... AUTOMOBILE LIABILITY I COMM NED SINGLE LIMIT $ j ANY AUTO BODILY INJURY (Per person) S i OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS HIRED NON-OWNED'"RC`XPEXITY pAMALE 8 AUTOS ONLY ! AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB , CLAIMS -MADE '.. '.. AGGREGATE $ DED RETENTION $ �I $ A WORKERS COMPENSATION WC527-00135-02 PER 7/1/2022 7/1/2023 GL)Rffl 1-SZ AND EMPLOYERS'Y/N WC527-00135-021-SZ EXECUTIVE I SATU 7/1/2021 7/1/2022 EL EACHA E ACCIDENT $ 1 000 OOO ID NMP, OFFICER/MEMBER EXCLUDED? ❑ I N / A I (Mandatory in NH) EL DISEASE $ O�0 OOQ If yes, describe under I nFR(:RIPTICIN OF nPFRATIONS helnw -. mLOYEE - I E L.. DISEASE -POLICY LIMIT $ 1 .000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage provided for all leased employees but not subcontractors of: John M Cruikshank Consultants Inc dba JMC2 Client Effective. 9)16/2019 Project: Arena Street Feasibility Study r FDTICIrATF WnI r1GR rANr' I I A.'TInti SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CItX of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 35U Main St. ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo CA 90245 AUTHORIZED REPRESENTATIVE Rick Leonard C0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 66503286 1 John M Cruikshank Consultants (CA) MCP 00135 1 Rosemary Young 15/27/2022 1:27:44 PM (EDT) I Page 1 of 1