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PROOF OF INSURANCE (2026)DATE (MM/DD/YYYY) 4C "R " CERTIFICATE OF LIABILITY INSURANCE l , 4/3I2025 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 NAMECONTACT .terry ND OIa Edgewood Partners Insurance Agency PHONEFAX 3780 Mansell to 370 q pp xl), �220.7699 E-MIAI sAIPharettaGA 30022 g.eyling o(arc, ru INSURED KPFF, Inc. 1601 5th Ave Suite 1600 Seattle WA 98101 INSURERISt AFFORDING COVERAGE NAIC'"r INSURER A: National Union Fire IDSmCO of Pittsburg 19445 ... KPFFINC INSURER B The Travelers Indemnd Com an I 25658 ..........Y P Y INSURERC New .Hampshire Ir1SUrance Company23841 w. 4319 INSURER D: Allied Word Surplus Lines Insurance Co 24319 F: rnveonr_�e f'=0TIr=IrAT Pd1I1U1IZFR•91171Q7nR1 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. iNSR � TYPE OF INSURANCE......... - ADDL SUB ,,,,,,,,'- POLICY NUMBER ..... .. LTR NSO .. I MM/DD,IYXYY MM DD/YYYY-.-........ LIMITS LIABILITY GL5268336 A X COMMERCIAL GENERAL„ 4/1/2025 4/1/2026 000000 E , EACH OCCURRENCE � $ 2,..._ I I CLAIMS -MADE X OCCUR M��>r�md� (Any one person ED EXP (A ) $ 25,000 - PERSONAL & ADV INJURY $ 2 000 000 _. G ATE LIMIT APPLIES PER: ( E N'L AGGREGATE i GENERAL AGGREGATE $ 4 000,000 ....... ......... .. m. .. POLICY X.� X.,, Loc I PRODUCTS -COMP/OP AGG $ 4,000,000 JECOT D�p�rR. A AUTOMOBILE LIABILITY CA9775930 4/1/2025 4/1/2026 COMB$2000000 X ANY AUTO BODILY INJURY (Per person) $ 1 OWNED ) =SCHEDULED BODILY INJURY (Per accident) f $ AUTOS ONLY ) AUTOS X W-I HIRED X I NON -OWNED erOa den[DAMAGE AUTOS ONLY f AUTOS ONLY j ,� J j$ B I UMBRELLA X�OCCURCUP7X94996725NF X 1 4/1/2025 i 4/1/2026 EACH OCCURRENCE $ 10 000 000 EXCESS LIAB LAIMS-MADEr � 1 A GGREGATE $ 10,000.000 I DED I X I RETENTION $in nnn $ C WORKERS COMPENSATION WC072113239(AOS) 4/1/2025 4/1/2026 IX 'PER E OTH- 1 ' ST,gTLI' ER �_.. C AND EMPLOYERS' LIABILITY YIN � ANYPROPRIETOR/PARTNER/EXECUTIVE WC072113237 (CA) 1 = 4/1/2025 d.. , I 4/1/2026 i EL EACH ACCIDENT $ 2,000 000 OFFICER/MEMBEREXCLUDED? O 1 N I A 1 I m EA EMPLOYEEI $ 2 000 000 (Mandatory in NH) , E L DISEASE �- - If es, describe under DESCRIPTION OF OPERATIONS below sE"-" L . I E L DISEASE -POLICY LIMIT I $ 2,000.000 D Professional/Pollution Liability 03120067 4/1/2025 4/1/2026 ;Per Claim 10,000,000 Aggregate 10,000,000 I J SIR: 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re: Project #2200388; SW 23-01 - Sandhill Basin Improvement Project. The city, its officials and employees are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. Umbrella Follows Form with respects to General, Automobile & Employers Liability Policies. CERTI City of El Segundo 350 Main 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 „ .., © 1988-2015 ACORD GUKFUKA I rUN. AU ngnts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DATE(MMIDDIYYYY) ACC>Ra CERTIFICATE OF LIABILITY INSURANCEF., 4/3/2025 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 ri.. hts to the certificate holder in lieu of such endorsement($). PRODUCER .Kerry NO,yOla Edgewood Partners Insurance Agency PHONEO'° NA�t� 3780 Mansell Rd. Suite 370 (Ax..N9w1) 1--0 20 7FZ98 ��a/MN�p E MArL rB III1 Darts of re lln com Alpharetta GA 30022 ADOp�s 9 y .gea 9 � 9r INSURED Ki Inc. 1601 5th Ave Suite 1600 Seattle WA 98101 °INsURE_R(,S) ArF9R9! 9cOyE1RAG I NAIC# INSURERA. National Union Fire Ins Co of PItP tsbtrt 19445 KPFFINC INSURER 8 The Travelers y. emni 25658 INS,t&RERµC NeWHam)St�redln UralnCeGq__any.. ., 238411 iN,;uI n Allied Word a'urolus Lines Insurance Co 24319 1 rrtrari=r_tg. 47070nanOA RFVICInN NIIIIi 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.m. „IT ....... , _ . ........ _,..... ---- ...... .........:AOOL�StY R�� „_.,. ,,,,. __. .. ,.. ..... L. POLICYEPP ! 'PrOLIGyeio INSR I ...... ,,.,_ LIMITS �rR TYPE OF INSURANCE POLICY"NUMBER r MMMD/YYYY , M 8Gyf7;YY`'MY _ A X COMMERCIAL GENERAL LIABILITY GL5266336 4/1/2025 4/1/2026 EACH Od.;C4/I'RE.NE C,t01g000 -........ . ,..m _ I�[7aMArEVi»NiLC% CLAIMS MADE X OCCUR = PMi�I=rS(. ' ) $ 500000 � n oneI eFs ED EXP (Arty one persasa/ $ 2 000 ... _ { PERSONAL DV INJURY $ 2. 000� 000 ---------- . _ I. AGGREGATE $4„000i000i J GENERAL G GEN L AGGREGATE LIMIT APPLIES PER: .,.. POLICYj X PELT XLOC PRODUCTS,- COMP/OPAGG .....,,� I I f�$4000000 I A AUTOMOBILE LIABILITY / € CA9775930 4/1/2025 t 4/1/2026 COIM SIN AD SINGS E LIMIT {(raorercideala),........ $ 2,000.000 X ` ANY AUTO ( son) BODILY INJURY Per per I $ ® OWNED SCHEDULED I f B INJURY (Per accede— 1 $ X„ g AUTOS ONLY AUTOS i HIREDNON-OWNED PODILY 'OPERTW OAMAC�E -- , �$.. . (AUTOS ONLY AUTOS ONLY ...... B UMBRELLA LIAB X OC F ` CUP7X94996725NF 4/1/2025 4/1/2026 EACH OCCURRENCE $10,000,000 ... ..- ..---- EXCESS LIAB 1IWq F' fv9ArkE....., I A. AGGREGATE $ 10,000,000 �� .... .,, .,,.CUR f DE0 RF1'CN'1"!ONr' i C IWORKERS COMPENSATION f WC072113239(AOS) 4/1/2025 411/2026 JX... I SfiEA1UTL CRH C AND EMPLOYERS' LIABILITY Y / N "'""""" I WC072113237 (CA) 4/1/2025 4/1/2026 E EACH ACCIDENT $ 2 4J00 000 ANYPROPRIETOR/PARTNER/EXECUTIVE N N / A .L _ OFFICER/MEMBEREXCLUDED? "'"""" (Mandatory in NH) i I EL DISEASE IGA EMPOYN.F $ 2,000 000 f es. describe onlei I O SCRIPTION OF OPERATIONS balow f E.L DISEASE PM,ICY LIMIT > $ 2.,000„000 D i Professional/Pollution Liability 03120067 1 4/1/2025 4/1/2026 Per Claim 10,000,000 Aggregate 10,000,000 I I SIR: 250,000 DESCRIPTION OF OPERAVONS.I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Selhedule, may be:attached it more apace Is required) Re: Project #2°500121 City of EI Se undo - Dog Park. The city„ its officials and employees are named as Additional Insureds with respects to General & Automobile Liability Where required gy Written contract, Umbrella Follows Form with respects to, General Automobile & Employers Liability Policies. CERTIFICATE HOLDER City of El Segundo 350 Main Street El Segundo CA 90245 ACORD 25 (2016103) 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 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GL5268336 COMMERCIAL GENERAL LIABILITY CG20101219 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 Organization,(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. _ Information required to this Schedule, if not shown above, will i q II be shown in the Declarations. CG 20 10 12 19 ® Insurance Services Office, Inc., 2018 Page 1 of 2 0 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. 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 4 Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: GL5268336 COMMERCIAL GENERAL LIABILITY CG20371219 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 Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE CONTRACT OR AGREEMENT. BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 ® Insurance Services Office, Inc., 2018 Page 1 of 1