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PROOF OF INSURANCE (2025 - 2026) CLOSED1, 1 IW CERTIFICATE OF LIABILITY INSURANCE DAT (m D YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO 131GHTa 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 bolder Is'art ADDITIONAL INSUREf ,flee taollcy1;S) miist have ADDITIONAL. INSURED provisions or bB 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 endorsemerrt(s). PROAon Risk (666) 263-7122 -- - --- ADn Risk Services South, inc. (gpp) 363-0105 Franklin TN Office rArc-,NCo®.',x11: tiV 501 Corporate Centre Drive E-MAID. ''..suite 300 ADDRESS:: Franklin TN 37067 USA INSURER(S) AFFORDING COVERAGE NAIC k NSUREO INSURER A: Twin City Fire Insurance Company c945.9.... Arcadfs, a California Partnership INSURERS: Harr,ford Fire Insurance co, 19682 537 'South Broadway, Suite 500 Los Angeles CA 90013 USA INSURERC: Hartford Acci'dBnt Indemnity Company -22357 INSURER D: INSURER E: INSURER F: , COVERAGES CERTIFICATE NUMBER. 57010835 fl04 REVISION NUMBER. THIS M TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED I3ELIO'"Af HAVE SEEN ISSUED TO THE INSURED NAMED ABOVEFOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT' WITH RESPECT" IO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXC'LUVONSAND CONDITIONS OF SUCH POLICIES, LIMITS ;SHOWN MAY HAVE BEEN REDUCED SY PAIR CLAIMS. Limits shown are as requested p LL TYPE OF INSURANCE I ET YCr. POLICY NUMBER pygypriyyy Via: fY y LIMITS COMMERCIAL GENERAL LIABILITY UECSOL5318 EACH OCCURRENCE CLAIMS -MADE L'000UR SIR applies per policy terns & conditions PnEMUSES Ea xaCCsarren m MED EXP (Any one person) PERSONAL& ADV INJURY GE N"L AGGREGATE LIMIT APPLIES PER: POLICY PRO<JECT a LOC OTHER: AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOSONLY AUTOS HIRED AUTOSR NON-OWNED ONLY AUTOS ONLY UMBRELLALIAB OCCUR EXCESS LIAR CLAIMS -MADE WPLOYERS" LIABILITY A 4 ANY PROPMET'OR I PARTNER! EXECUnVE 0FROERdMEMB'ER EXCLUDED7 PRODUCTS - COMPIOP AGG 20 UEN OL5319 20/01/2024 10101I202.5 COM&tNEOSMOLELIMR ntq BODILY INJURY ( Per parson) BODILY INJURY (Per acciden) PAC"'H OCCURRENCE AGGREGATE N/AI 12'OWBROL5321 1tld"(I�'.,,12024 10/0;112025 ELEACH ACCIDENT 9II NA, WI E.L DISEASE -EA EMPLOYEE E. L DISEASE -POLICY LIMIT ,000, $10, ,000, .000, S1,000, $1,000, $1.,000, 51,000, DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, maybe 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 ABOVE DESCRIBED POLICIES BE CANC'FLLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE Attn: Elias sassoon main ElOsequndotCA 90245 USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD at 13 e CI 01 32 0 0 N co Ln n 0 z w t m V 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 CE TIFIC OF LIABILITY INSURANCE DATE(MM,202YYYY> O5/19/2025 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 °1 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). c PRODUCER CONTACT NAME: Aon Risk insurance services west, Inc. FAx Denver CO Office (ArC. No. Ext), (866) 283-7122 A?0 Na I: (800) 363-01o5 D 200 Clayton street, Suite 800 E-MAIL p Denver Co 80206 USA ADDRESS: = INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Indian Harbor Insurance Company 36940 Arcadi s , a California Partnership INSURER B: 537 South Broadway, Suite 500 Los Angeles CA 90013 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570112593452 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 LS TYPE OF INSURANCE �' INSD W'V'D POLICY NUMBER CPOLIC Y FF POLICYEXP YYYY LIMITS CO (ABILITY EACH OCCURRENCE COMMERCIAL GENERAL CLAIMS -MADE OCCUR tN i eu 9 PREMISES (Ea occurrence, _ MED EXP (Any one person) PERSONAL & ADV INJURY � GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE CO PRO- FLOG N POLICY 0JECT PRODUCTS-COMP/OPAGG OTHER: a n AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT LO Ea accident) _ ANYAUTO BODILY INJURY ( Per person) O Z OWNED SCHEDULED BODILY INJURY (Per accident) d AUTOS ONLY AUTOS --- -- HIREDAUTOS NON -OWNED PROPERTYDAMAGE �p v ONLY AUTOS ONLY (Per accident) i G! UMBRELLA LIAR OCCUR ,,EACH OCCURRENCE V EXCESS LIAB CLAIMS -MADE AGGREGATE OED RETENTION WORKERS COMPENSATION AND PER STATUTE OTH• m EMPLOYERS' LIABILITY Y/ N R ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? Q N / A (Mandatory in NH) E,L,, DISEASE -EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT _ A ContraLiabilctors Pollution US00101061EO25APollution 06/01/2025 06/01/2026 Anach nuallaggregate $1,000,000 SIR applies per policy terns & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if 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. a 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 sequndo CA 90245 USA (� tJ an nM t�Nir4w X JL ©1988-2015 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 A KS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Insurance Services west, Inc. Arcadis, a California Partnership POLICY NUMBER See Certificate Number: 570112594271 CARRIER NAIC CODE See Certificate Number: 570112594271 EFFECTIVE DATE: ADDITIONAL REMARKS 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. 1NSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFFECTIVE DATE ''..., (MMIDD/YYYY) POLICY EXPIRATION DATE (MMIDDNYYY) LIMITS OTHER 4C1 'ms-Made E�ol ution Liability y� Contractors E essional Liability ACORD 101 (2008101) U 2008 ACUHD CUHPUHATIUN. An ngnts reserves. The ACORD name and logo are registered marks of ACORD