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PROOF OF INSURANCE (2023) CLOSED (2)CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 04/27,2029 E 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 Aon Risk Services South, Inc. Franklin TN Office CONTACT NAME- j p;,yX. AIC. No. Eaty: (866) 283-7122 (800) 363-0105 E-MAIL ADDRESS: 501 Corporate Centre Drive suite 300 INSURER(S) AFFORDING COVERAGE NAIC # Franklin TN 37067 USA INSURED INSURER A: Hartford Fire Insurance Co. 19682 ISI Group, A California Partnership 537 South Broadway, Suite 500 Los Angeles CA 90013 USA INSURERB; Hartford Accident & Indemnity Company 22357 INSURERC: Twin City Fire insurance Company 29459 INSURER D: INSURER E: INSURER F: r4g411 =1:7_Ccl d :1 A 119 [H_11 :1. [11] di 1=14.:l Aliilw"1'IO1L I � I'l i T 144:' 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. Limits shown are as requested MISR R TYPE OF INSURANCE I PUMS D 0 POLICY NUMBER MM/DDa�Y'YYV ' `. 'NYY) LIMITS X COMMERCIAL GENERAL ECSOL � EACH OCCURRENCE 11, 000, 000 �LIABILITY -^ '... .SIR applies per policy terns & CDndl "l OnS TO PEN TREMISES(E U $1,000,000 CLAIMS -MADE OCCUR PDMAGE e�61�el VIED EXP (Any one person) $10, 000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S2,000,000 POLICY ELOC JT PRODUCTS - COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY 20 UEN OL5319 04/30/2023 10/01/2023 COMBINED SINGLE LIMIT $1,000,000 .dlailz.019 0._.....�........................................ X ANY AUTO BODILY INJURY ( Per person) BODILY INJURY(Per accident) OWNED SCHEDULED PROPERTY DAMAGE AUTOS ONLYAUTOS HIRED AUTOS NON -OWNED H ONLY AUTOS ONLY Per accident. UMBRELLA LIAR HOCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE '...DED R'ETEN IV1 IN a WORKERS COMPENSATION AND 20WNOL5 23 04/30 202310 012023 X'PER STATUTE OTH- EMPLOYERS' LIABILITY N ADS C ANY PROPRIETOR/PARTNER/EXECUTIVE [ �j N/A 20WBROL5321 04/30/2023 10/Ol/2023 E.L EACH ACCIDENT S1,000,0OO OFF ICER/MEMBEREXCLUDED? (Mandatory in NFQ MA, WI E.L. DISEASE -EA EMPLOYEE S1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Enqineerin and Architechtural detail and Design and Consultant Services for the Urho Saari swim Stadium. The City of El its included in Segundo, officials and employees are as Additional insured accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION 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 AUMHORIZEDREPRESENTATIVE Attn: Elias sassoon 350 Main St. E1 Sequndo CA 90245 USA 17 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 20 Ecs OL5318 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. ADDITIONAL INSURED - OWNERS, LESSEES O CONTRACTORS - SCHEDULED PERSON OIL This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Blanket, as required by written contract. All locations where required by written contract. 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: 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 location 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 as a part of the same project. CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 0413 POLICY NUMBER: 20 Ecs OL5318 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED . OWNERS, LESSEES O CONTRACTORS S 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 Organizations Location And Description Of Completed Operations Blanket, as required by written contract. All locations where required by written contract. 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. B. 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 +'+ CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 05/23/2023 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 Aon Risk Services South, Inc. Franklin TN Office CONTACT NAME. (c,Ne,Exq: C866) 283-7122 Nb:. (800) 363-0105 E-MAIL ADDRESS: 501 Corporate Centre Drive Suite 300 Franklin TN 37067 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Indian Harbor Insurance Company 36940 IBI Group, A California Partnership 537 South Broadway, suite 500 LOS Angeles CA 90013 USA INSURER B: --- ..... _- - INSURER C: •••----------- ......•• INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: b70099b08931 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. Limits shown are as requested LieTYPE OF INSURANCE I D y4"WCi POLICY NUMBER MrDOfYY°!Y' 'MAR't111ISV1lYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE ❑ OCCUR 1-G E707&_N7ff_. 2A.MISES Eat aMcca,rr a ncel MED EXP (Any one person) PERSONAL& ADV INJURY GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE POLICY PRO- F� LOC JECT PRODUCTS-COMP/OP AGG OTHER: .............................................................. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i ptl ANY AUTO BODILY INJURY ( Per person) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY j BODILY INJURY (Per accident) PROPERTYDAMAGE ''.. Per acciden( UMBRELLALIAB I I OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB El CLAIMS -MADE DED I: RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ PER STATUTE OTH- B E.L. EACH ACCIDENT ANY PROPRIETOR/ PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If es, descrlbe under DSCRIPT{ONOF OPERATIONS below E.L. DISEASE -POLICY LIMIT A Contractors Pollution U500101061Eo23A 06/01/2023 06/01/2024 Each Claim $1,000,000 Liability Professional & Pollution Annual Aggregate S1,000,000 ...........SIR applies per policy ter ,is & condi'.ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space is required) RE: Engineering and Architechtural detail and Design and Consultant Services for the Urho Saari Swim Stadium. For Professional Liability and Pollution Liability coverage, the Aggregate Limit is the total insurance available for claims presented within the policy period for all operations of the insured. The Limit will be reduced by payments of indemnity and expense. CERTIFICATE HOLDER CANCELLATION aim,I 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 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000005571 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk services South, Inc. NAMED INSURED IBI Group, A California Partnership '.. POLICYNUMBER see Certificate Number: 570099508931 CARRIER NAIC CODE see Certificate Number: 570099508931 EFFECTIVE DATE: ADDITIONAL REMARKS ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD