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PROOF OF INSURANCE (2027)!�" CERTIFICATE OF LIABILITY INSURANCE YYY) 3/2MIDDIYM/DDtY DATE (M 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). CONTAPRODUCER Ed ewood Partners Ins Center PHONcT Jerry No ola 9 FAX 3780 Mansell Rd. Suite 370 t _ ( 77.. 220.. {AfcaN . E-MAIL �re IIn cesmo re lin com .. Alpharetta GA 30022 Ap... �~>�� .9!m.wy . 9 ..9...�! ...�... .. ......._.. .. INSURER{S) AFFORDING COVERAGE NAIC #, .._.__. INSURERA: National Union Fire .,Ins Co of Pittsburg_ _ __ 19445 INSURED KPFFINC p _ _ p y KPFF, INSURERB Newd World Surplus Lines Insurance CO 24319, _..i KPFF, Inc. 1601 5th Ave INSURERC Allied „... Suite 1600 INSURER D Seattle WA 98101 INSURER E r^IJCMAr_rc f`FDTICIf`ATC IUIIMRFR• 7nRrRr.7Q 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. ...�._ INS N INSD t DL SUI R. LT _ X.. TYPE OF POLICY NUMBER R M4I1ODNYYY (M4/1DDIYYYYI I LIMITS A COMMERCIAL GENERAL (ABILITY GL5268336 I20 EACH OCCURRENCE� $ 2,000,000 EACH OCCURRENCE X CLAIMS MADE OCCUR MEP„ {Ea occurrence) „[,$, 500 000 ME Any one person) $ 25 000 NAAGGREGATERY $ 2 000 000 PERSONAL ...... . ...... ........... ,.—., s4,000,000 I APPLIES PER GEN'L AGGREGATE LIMIT A PRO- POLICY X LOC GENERAL PRODUCT S - COMP/OP AGG $ 4,000,000 JECT ,,,,,X ,, 01 HER. CA9775930 4/1/2026 4/1/2027 MO B�IIg�tINt�V.ELIMIT $2000000... F,TOMOBILELIABILITY X ANY AUTO INJURY (Per person) $ OWNED V SCHEDULED INJURYM((Peerr accident) $ AUTOS ONLY AUTOS°°• X HIRED X NON -OWNED BROOpIPL �$ AUTOS ONLY AUTOS ONLY Peracrder� t )1....... �.. A X UMBRELLALIABX OCCUR BE019168220 4I1I2026 4/1/2027 EACH OCCURRENCE 1 00 $ EXCESS LIAB � � CLAIMS -MADE AGGREGATE $100000 00 .. -.....� DED I X I RETENTIQN $ ® inn $ - --8 _ WORKERS COMPENSATION WC072113239 ) 4/1/2026 4/1/2027 y X STATUTE ERH,,,, B AND EMPLOYERS' LIABILITY WC072113237{CA (CA) { > 4/1I2026 4/1/2027 ,,,,, OFFICERRIETOREXCUDE/EXECUTIVE Y/N N N/A EL( EACH ACCIDENT $ 2 000 00 0 (Mandatory in NH) El. DISEASE EA EMPLOYEE $ 2 000 000 If yes, describe under E L DISEASE POLICY LIMIT 0 $ 2,000,000 ,DESCRIPTION OF OPERATIONS below - C Professional/Pollution Liability 03120067 4/1/2026 4/1/2027 Per Claim Aggregate 10,000.000 10,000,000 SIR: 250,000 e rrred) DESCRIPTION OF OPERATIONS LOCATIONSBasin 101, Additional Remarksmay be Re: Project #2200388SW 23-01 Sandhill Improvement Project. The city, is and employees eesaenamed 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. 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 EI Segundo 350 Main Street U REPRESENTATIVE AUTHORIZED El Segundo CA 90245 ,- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 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 O ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Orqanization(s) Location(s) Of Covered OP"ion ANY PERSON OR ORGANIZATION WHOM YOU IPER 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. CG 20 10 12 19 ® Insurance Services Office, Inc., 2018 Page 1 of 2 ❑ 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 9 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 ED - OWNERS, LESSEES OR CONTRACTORS ACTORS - 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) Location And DescnPt ns qq Of Completed Operatio Or Or anizationls) Loca 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. m ..... ........ "I'll 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 9 Insurance Services Office, Inc., 2018 Page 1 of 1