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PROOF OF INSURANCE (2025 - 2025) CLOSEDCERTIFICATE OF LIABILITY INSURANCEDB/23I2D24
THIS CERTIFICATE IS ISSUED AS 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
in
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
I PORTANT:If the certificate hiildar is art ADDITIONAL INSURED, the TaohcyOOS) 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
e
certificate does not confer rlgh'ts to the certificate holder in lieu of such endor'sematit(s)..
Iv
CONTACT
PRODUCER NA1,4E:. -
AOn Risk Services south, Inc. fAlC Ea lkt (666) 2 ('�105
122
63-7�iYC, k1o»I;
4)
„
Franklin TN office
E
c
501 Corporate Centre Drive ADDRESS.
Suite 300
Franklin TN 37067 USA INSURER(S) AFFORDING COVERAGE NAIC k
INSURER A: TwinyFIre insurance Company
S7fl-
AccadiS, a California Partnership INsuRERaI tarrford Fire insurance
Co '
35BCfy, Suite INSURERC. HdrtfOrdAccident & ityComfary
Los Angeles CA 90013 USA
INSURER D:
INSURER E: -
INSURER Ft
COVERAGES CERTIFICATE NUMBER., 570108362004 REVISION NUMBER`
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CIONTRACTOOR OTHER DOCUMENT WITH RESPECT TO WHICHRIOD THIIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXC'LUVONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA10 CLAIMS. Limits shown are as requBste
711 OF AlIABILITY YNS�Ib. VPVCn POLICY NUMBER M7JA'DT9JYYY M IY
LIMITS Sl,
COMMERCIAL GENERALTYPE
LC OL EACH OCCURRENCE
SIR applies per policy terns $ CO ndi 'ions 000, 000 .000.000
CLAIMS -MADE I X I,OCCUR PREMU5E5 (�,a s�csatr4rim',
1........1 MED EXP (Any one person) $10, 0'00
ADV _ $l , ODOi a 000
ADV & I -RY -
PERSONAL»INJURY
o
---�-• GENERALAGGREGATE 52r000,000
,N
GE 91-.AG.C,R'E,GATE LIMIT APPLIES PER: -
PRO^ PRODUCTS - COMPIOPAGG 52.000,000
a LOG
cc
POLICY JECT
0
OTHER:
uri
20 UEN OL' 5319
10f01i'2024
fay/Dl}Z0�5
''wk&tlNEED'SONGLE LIMIT
, 000, OOfI
S1.
B
AUT OMOBILE LIABILITY
..
BODILY INJURY ( Per paoson)
0
X ANY AUTO
BODILY INJURY(Per accidenl)
SCHEDULED
OWNED
AUTOS
PROPER'ra"DAMVk4E'
v
AUTOSONLY
HIRED AUTOS NON -OWNED
I'Parateidon0
1=
ONLY AUTOS ONLY
CD
... tJ
!!A,IlOCCURRENCE....
OCCUR
•--^^^
""""
-d_
AGGREGATE
aION
CLAIMS•MADE
O
'wORq ERS. COAIPENSA11ON AND
t$V+NDN�..
10. 0172U 4
I
10 Od/,?0 5
X PER STA1iUTE OT}i.'.
R
EMPLOYERS" LIABILITY
ANY PROPMETOR I PARTNER I EXECUTIVE :CNN
20WBROL5321
:I,CI;ef"d, 1.,,i ,t} Q
.tO;�'O,Tf tD2
..ELEACH ACCIDENT
$1, OOO, OLIO',.
A
OFFICaRIMEMBE�r EXCLUDED?
(Mandatory Goa NM
NIA
NA, WI
E.L DISEASE -EA EMPLOYEE
"•••..... -
'51' 000 , 000
"�...�..—.-
IIyds describe under ... w.-. ..�...W t...._
E.L DISEASE -POLICY LIMIT
51,000,000
=
.............
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it 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.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ASOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE CC -LIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
ay
city Of E1 Segundo AUTHORIZED REPRESENTATIVE
Attn: Elias sassoon
350 Main St.
El 5equndo CA 90245 USA na
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) 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 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 Or anization s
Locations Of Covered O erations
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
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
However:
2. That portion of "your work" out of which the
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 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2
0
M
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 2010 0413
POLICY NUMBER: 2 o Ecs OL5318
COMMERCIAL GENERAL LIABILITY
CG 20 37 0413
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)
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 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1
""'�I DATE(MM/DD/YYYY)
> CERTIFICATE OF LIABILITY INSURANCE D5/,7/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S 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 po icy(ies) must have ADDITIONAL INSURED provisions or be endorsed. II
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 endorsoment(s),
Aon Risk services south, Inc.
Franklin TN office
501 Corporate Centre Drive
Suite 300
Franklin TN 37067 USA
Arcadis, a California Partnership
537 South Broadway, Suite 500
LOS Angeles CA 90013 USA
rnUR (866) 283-7122 "`'"""" (800) 363-0105
(A/C. No. Ext1�: A±C. No. :
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Indian Harbor Insurance Company
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN fSSUED 10 1 HE INZjUHLU NAMlzU At$ nVt n-w_, N I "t t'ULIUY rtmuld
INDICATED. NOTWITHSTANDING ANY REOUIREMENT', 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 re ueste
TYPE OF INSURANCE N M it. D POLICY NUMBER MIS L."199m),LIMITS
COMMERCIAL GENERAL LIABILITY
[EACH
❑OCCURRENCE
MOCCUR CLAIMS-MADEoccurrence)
GENIAGGRErG�:TF LIMITAPPLIES PER:
POLICY I PRO ❑ LOG
aJECT
OTHER:
AUTOMOBILE LIABILITY
MED EXP (Any one person)
PERSONAL & ADV INJURY -
GENERALAGGREGATE
PRODUCTS - COMPIOPAGG
COMBINED SINGLE LIMIT
BODILY INJURY ( Per person)
ANYAUTO
SCHEDULED
BODILY INJURY (Per accident)
OWNED
AUTOS
-
AUTOS ONLY
HIREDAUTOS NON -OWNED
PROPERTY DAMAGE
ONLY AUTOS ONLY
- ,(Peraccldent
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
AGGREGATE
EXCESS LIAB CLAIMS -MADE
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR / PARTNER EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑ N / A
(Mandatory In NH)
IF yes, describe under
DESCRIPTION OF OPERATIONS below
A Contractors Pollution �US00101061EW4A 06/01/2024 06/0:
Liability Professional & Pollution
SIR applies per policy terns & condi ions
E.L. EACH ACCIDENT
E.L. DISEASE -EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT
Each Claim $1,000,000
Annual Aggregate $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space Is required)
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. RE: Engineering and Architechtural detail and Design and Consultant Services for the Urho Saari Swim stadium.
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 AUTHORIZED REPRESENTATIVE
Attn: Elias Sassoon
350 Main St. �
El 5equndo CA 90245 USA
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
ar
AGENCY CUSTOMER ID: 570000005571
LOC #:
ADDITIONAL REMARKS SCHEDULE
Page _ of _
AGENCY NAMED INSURED
Aon Risk services South, inc, Arcadis, a California Partnership
POLICY NUMBER
See Certificate Number: 570105765624
CARRIER NAIC CODE
See Certificate Number: 570105765624 EFFECTIVE DATE:
AUUI I WMAL Mr-MAHMb
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER
INSURER
INSURER
INSURER
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits.
INSR
LTR
TYPE OF INSURANCE
ADDL'SUBR
INSD
WVD
POLICY NUMBER
POLICY
EFFECTIVE
DATE
(MM/DD/YYYY)
POLICY
EXPIRATION
DATE
(MM[tDD/YYYY)
LIMITS
OTHER
'ms-Made
Kr essional Liability
dQl Contractors
grol
ution Liability
Aoonu IU1 (2uu5/101) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD