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PROOF OF INSURANCE (2025) CLOSEDAC �� CERTIFICATE OF LIABILITY INSURANCE DATE(M 3D2 1DDYYY) B 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, co IMPORTANT: It the certificate holder is an ADDITIONAL INSURED„ the ic (y s) must have ADDITyONq L INSURED provisions or be endorsed. If P "� P SUBROGATION IS WAIVED, subject to the terms and conditions of the olic , certain policies may require an endorsement. A statement on this policy, m certificate does not confer rights to the certificate holder in lieu of such endorsement(s). m PRODUCER CONTACT NAME:: 13 Aon Risk Services South, Inc. _ (866) 283-7122 AX (600) 363-0105 IAJC NtL.)_. v Franklin TN Office (NCI No Ext). ..... 501 Corporate Centre Drive E-MpRESS: Suite 300 _ Franklin TN 37067 USA INSURER(S) AFFORDING COVERAGE NAIC K INSURED INSURER A: Twin City Fire Insurance Company 29459 Arcadis, a California Partnership- INSURER e: Hartford Fire insurance Co, 19682 537 South Broadway, Suite 500 Los Angeles CA 90013 USA -. - ..,.... INSURERC" Hartford Accident & Indemnity Company 22357 INSURER D: INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER 570108352004 REVISION NUMBER; WA 'THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE IBEENI 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 INSD wVD MMVDDfYYYY MM�'0®d1"9? LIMITS TYPE OF INSURANCE POLICY NUMBER LTR OF INSURANCE X 'COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE '$ A, 000, IO' SIRappliesper policyterns p p & condi -ions '1iA'Iq"A"C�"Tii'F(EN $1,000,000 CLAIMS -MADE X OCCUR PREMISESoccurrence) MED XPAn y one person) $10 , 000 PERSONAL&ADV INJURY $1,000,000 0 OEN`LAC„iFlE1ArELIMITAPP'LpL PER: GENERAL AGGREGATE $2,000,000, N POLICY ;,x, II PRO....., LOC PRODUCTS - COMP/OP AGG $ Z , OOO , 000 '.... o r......0 JECT OTHER: n B AUTOMOBILE LIABILITY 20 UEN OL5319 10/01/2024 10/01/2025 COMBINED SINGLE LIMIT $1,000,000 un X ANY AUTO BODILY INJURY( Per person) 0 OWNED "SCHEDULED BODILY INJURY (Per accident) ) AUTOS ONLY AUTOS PROPERTYDIAMAGE to HIREDAUTOS NON -OWNED (Per accidenn ONLY .........- AUTOS ONLY d UMBRELLA LIAR OCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS -MADE AGGREGATE eED RE7°C'TOTION I WORKERS PENSATION AND 2OWNOL5323 A OPRTH.0 OMPLOPRY N ETFF ARTNEER/EXEECUTIVE O ,N/A ADS 20WBROL5321 10/01/204// EL. EACH ACCIDENT $1,000,000 A E (Mandatory In NH) iMA, WI E.L. DISEASE -EA EMPLOYEE $1,000,000 If pas, 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: Engineering and Architechtural detail and Design and Consultant Services for the Urho Saari swim Stadium. The City of El Segundo, its officials and employees are included as Additional Insured in accordance with the policy provisions of the General Liability policy. w rroTlrlf'ATC W111 nGo rANf`FI I ATIr)N 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. E1 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 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OW II RS, 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) Lcacation s') Of Covered O erations ,'A,nketl as required by written contract. All locations where required by wi, .itten 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 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", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: 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 your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or 2. That portion of "your work" out of which the However: injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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 10 04 13 © 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 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 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. ADDITIONAL INSURED - OWNERS, LESSEES O 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) Or Organization(s) Blanket, as required by written contract. Location And Description Of Completed Operations All locations where required by written contract. Information required to com lete this Schedule„ if not shown above, will be shown in the 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 Section III organization(s) shown in the Schedule, but only — 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, by required by a contract or agreement, the most we will "your work" at the location designated and pay on behalf of the additional insured is the amount of: described in the Schedule of this endorsement insurance: performed for that additional insured and 1. Required by the contract or agreement; or included in the products -completed operations hazard". 2. Available under the applicable Limits of Insurance shown in the Declarations; However: 1. The insurance afforded to such additional insured only applies to the extent permitted whichever is less. This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 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 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1