Loading...
PROOF OF INSURANCE (2025 - 2025)CERTIFICATE 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