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PROOF OF INSURANCE (2014) CLOSEDACORO® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 DATE (MM /DD/YYYY) 07/12/2013 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 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 CONTACT Willis of New York, Inc. c/o 26 Century Blvd. P. 0. Box 305191 PHONE FAX - 877 - 945 -7378 888- 467 -2378 E -MAIL certificates @willis.com Nashville, TN 37230 -5191 INSURER(S)AFFORDINGC0VERAGE NAIC # INSURER A: Greenwich Insurance Company 22322 -001 EACH OCCURRENCE INSURED Atkins North America, Inc. INSURER B: American Guarantee & Liability Insurance 26247 -001 INSURERC:Underwriter's at Lloyds 15792 -001 2001 NW 107th Avenue Miami, FL 33172 -2507 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 20112057 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 LTR TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY Y Y CGG740901602 4/1/2013 4/1/2014 EACH OCCURRENCE $ 1,000,000 PREMISESOEaoccurence $ 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 X Contractual Liability GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY -X] PRO- X LOC ECT $ A AUTOMOBILE LIABILITY Y CAH740901702 4/1/2013 4/1/2014 COMBINED SINGLE LIMIT (Ea accident) 2 000,000 $ i BODILY INJURY(Per person) $ X ANY AUTO X ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIREDAUTOS X NON -OWNED AUTOS PROPERTYDAMAGE (Per accident) $ B X UMBRELLALIAB X OCCUR AUC924234901 4/1/2013 4/1/2014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LAB CLAIMS -MADE DED X RETENTION $Zero $ A WORKERS COMPENSATION Y CWG740901502 4/1/2013 4/1/2014 X WC"_,M, oTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? IMandatoryin NH) tf yes, describe under DESCRIPTION OF OPERATIONS below N/A E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Professional B080111209P13 4/1/2013 4/1/2014 $2,000,000 Each Claim & Liability- Claims Made $2,000,000 Annual Aggregate 11/11/1961 Retrodate DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) Greenwich Insurance Companies Best Rating A XV American Guarantee and Liability Insurance Company Best Rating A+ XV Underwriters at Lloyd's London AM Best Rating: A XV. Professional Liability policy written on claims -made basis. There are no Deductibles or Self - Insured Retentions on the General Liability, Automobile Liability and Workers Compensation and Umbrella covers es. CERTIFICATE HOLDER CANCELLATION Coll : 4153482 Tpl :1610765 Cert : 20112057 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 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: Kimberly Christensen, AICP, Planning Manager 350 Main Street t El Segundo, CA 90245 Coll : 4153482 Tpl :1610765 Cert : 20112057 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 33004588 LOC #: ACO `- ADDITIONAL REMARKS SCHEDULE Page 9 of 2 AGENCY NAMED INSURED Atkins North America, Inc. Willis of New York, Inc. 2001 NW 107th Avenue Miami, FL 33172 -2507 POLICY NUMBER See First Page CARRIER NAIC CODE EFFECTIVE DATE: see First Page See First Page AUUI I IUNAL KEMAKKb THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Re: 888 North Sepulveda Specific Plan Project (Environmental Assessment EA -997), Environmental Review Consultant Services Cty f E1 Segundo, its officials and employees are included as Additional Insureds as respects ti Genoeral Liability and Auto Liability. General Liability policy shall be Primary and Non - Contributory with any other insurance in force for or which may be purchased by the Additional Insureds. waiver of Subrogation applies in favor of the Additional Insureds as respects to General Liability and workers' Compensation, as permitted by law. ACORD 101 (2008/01) Coll:4153482 Tpl:1610765 Cert: 20112057 © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CGG740901602 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT' CHANIGES THE POLIICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNIERS, (LESSEES OR CONTRACTORS - SCHIEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Ilnsured Persons) Or 0irganizatilori Locatilon(s) Of Covered Operations ANY PERSON OR ORGANIZATION WITH WHOM YOU VARIOUS AS REQUIRED PER WRITTEN HAVE AGREED, THROUGH WRITTEN CONTRACT, CONTRACT. AGREEMENT OR PERMIT, EXECUTED PRIOR TO THE LOSS, TO PROVIDE ADDITIONAL INSURED COVERAGE. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is Ain Insured is amended to include as an additional iinsured 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) desig- nated above. B. With respect to the insurance afforded to these additional iinsureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury"' or "property damage" occurring after, 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 CQ ISO Properties, Inc., 2004 Page 1 of 1 El POCKY NUMBER: CGG740901602 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Thus endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULIE Name Of Additional Insured Person(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WITH WHOM VARIOUS AS REQUIRED PER WRITTEN YOU HAVE AGREED, THROUGH WRITTEN CONTRACT. CONTRACT, AGREEMENT OR PERMIT, EXECUTED PRIOR TO THE LOSS, TO PROVIDE ADDITIONAL INSURED COVERAGE. Information ulred to com Meta this Sclhedute, li mat slhawn above, will ba shown in tho Deciarat'ions. Section III — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the SGheduie, but only with respect to liability for "bodily injury"' or "'property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sche- dule of this endorsement performed for that addi- tional insured and included in the "products- completed operations hazard". ,CG 20 37 ,07 04 (D ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY INUIlMBER: CAH740901702 XIC 411 1007 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED This endorsement modIfies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM A. LIABILITY COVERAGE, Who Its An [insured, is amended to include as an "insured" any person or organization you are required in a written contract to name as an additional insured, but only for "bodily injury" or "property damage" otherwise covered under this Policy caused, in whole or in part, by the negligent acts or omissions of. 1. You, while using a covered 'aui or Z. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto' with your pernnission; Provided that: a. The written contract is !in effect during the pollicy period of th is Policy; Ir. The written contract was signed lby you and executed prior to the "accident' causing "bodily Injury "' or "property damage" for which liability coverage is sought; and c. Such person or cirgainization is an "insured' solely to the extent required by the contract, but in no event if such person or organization is solely negligent. B. The Limits of Insurance provided for the Additional Insured shalt/ net The greater, than these required by contract and, in no event shall the Lumiits of Insurance set forth in this Policy be increased! by the contract C. General Conditions, Other insurance is amended as follows: Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether such insurance is primary, excess, contingent or on any other Ibasis unless the contract specifically requires that this llodicy ibe primaily. All terms, conditions, exclusions and limitations of this Policy shall apply to the liability coverage provided to any additional Insured, and in no event shall such coverage be enlarged or expanded by reason of the cointract, All other terms and conciftions of this policy remain unchanged. a.00 (Authorized Representative) XIC 411 1007 9) 2007, XL America, Inc. Page I of I Inoludos copyrighted ri of insurance office, Inc., with Its permission. WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Persons or Organization: Any person or organization with whom you have agreed in writing to waive any right of recovery prior to a loss. Information required to complete this Schedule, if not shown in the Declarations. The following is added to Paragraph 8. Transfer of Rights of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. This endorsement is executed by the Greenwich Insurance Company Premium $ Effective Date 4/1/2013 Expiration Date 4/1/2014 For attachment to Policy No. CGG740901602 Issued To Atkins North America, Inc. Issued Countersigned by Authorized Representative Sales Office and No. Rnd. Serial No. 17 CG 24 04 05 09 ©ISO Properties, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: Business Auto Coverage Form Garage Coverage Form Truckers Coverage Form Motor Carrier Coverage form SCHEDULE Premium: INCL Name of Persons or Organization: Any person or organization for whom you perform work under a written contract if the contract requires you to obtain this agreement from us, but only if the contract is executed prior to the injury or damage occurring. The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your operations of a covered auto done under contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. Policy No. CAH740901702 Issued By: Greenwich Insurance Company Effective Date 4/1/2013 Expiration Date 4/1/2014 Sales Office: 0001 Endt. Serial No.35 AX 12 10 02 05 B Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC000313 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the night to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a writ:ten,CDntFaGt that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one inct named In the SOedule. Schedule As required by written contract This endorsement changes the policy to which it is attached effective on the date issued unless otherwise stated. (The InfcirmatEon below is required oafy when this erieforsement is Issued subsequent to preparation of flie p6icy) Endorsement Effective Policy No. CWG7410901502 Endorsement No. Insured Atkins North America, Inc. Premium Insurance Company Greenwich Insurance Company WC 00 03 13 (Ed, 4184) 1983 National Council on Compensation Insurance POLICY NUMBER: CGG740901602 COMMERCIAL GENERAL LIABILITY CG 02 24 1[0 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR ILIABIILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTSICOMPLETEID OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days' Notice 90 (if no entry appears above, information required to complete this Schedule will he shown in the Declarations as applicable to this endorsement) For any statutorily permitted reason other than Policy Condition or as amended by an applicable, nonpayment of premium, the number of days state cancellation endorsement, is increased to the required for notice of cancellation, as provided in number of days shown in the Schedule above. paragraph 2. of either the CANCELLATION Common CO 02 2410 93 Copyright, insurance Servlce3 Office, Inc., 11992 POLICY NUMBER: CAH7409011702 XIC 405 1,007 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION BY US This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORIM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Changes IIn Conditions The number of days required for notice of cancellation by ius for any reason other than nonpayment of premium, as provided in either paragraph 2. of the CANCELLATION Common Polficycondition or as amended by an applicable state cancellation endoirseiment, is extended to the number of days shown in the Schedule below, SCHEDULE Niumberof iDays'Notice; 90 All other terms and conditions of this policy iremain unchanged. (Authorized Representative) XIC 405 1007 0 2007, XL America, Inc. Page 1 of I Includes ccpyr[ghted material of Insurance Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 01 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY- EARLIER NOTICE' OP CANCELLATION PROVIDED BY US ENDORSEMENT This endorsement modifies insurance provided under the fielloMnq: WORKEIRS'COMPENSATION AND EMPLOYERS' LIAB [LITY INSURANCE POLICY Number of (Days Notice: 90 (if no entry appears albovei, information required to complete this Schedule will be shown in the Declarations as applicable to this endcrsement-) For any statutorily permitted reason other than nonpayment of prernium, the number of days required for notice of cancellation, as provided in PART SIX — CONDITIONS, D. Cancelation of the Workers' Compensation and Employers' Liabill1y Insurance Policy or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule albove. All other terms and conditions remain the same. Thisenclorseroent changes the Ipoiicy to which it is attached and is effective on the date issued unless otherhise stated, (The information below is required only when this endorsement is Issued subsequent to preparation of tine policy.) Endorsement Effective April 1, 2013 Policy No. CVVG7410'901502 Fndorsemeint No, Insured ATKVS US HOWINGS MC, Insurance Company Greenwich Insurance Company Countorsignudby_ WG 99 01 10 Ed, 1108 Willis limited FINEXGlobal CONTRACT ENDORSEMENT NSURED., VAS .Atkins Me. and as more fully defined in the contract PERIOD: I April 2013 to 31 March 2014 Tk'E_ insurance of UK PI Go neria Pri nary [UtiIQUE MARKET REFERENCE. B080 1 1 1 209PI3 MP I IR ENDORSEMENT RI+.FEREXC &, 0002 EFFECTT ? DATE: I April 2010 ;local standard time at the address ofthe Insured. It is hereby noted and agreed that with effect fiom the effective date above the following General Condition is added to the ,policy: "If INSURI,M S cancel this policy prior to its expiry date by notice to the IN S UR l.1) for any reason, INSURERS will send written notice ofcancellation to the persons or organisations listed in the .schedule to be creatui and maintained by the IINSUREM (the " Cancellation Notice Schedule ") at least 30 days prior to the cancellation date applicable to the policy. This notice will be in addition to any notice to the INSURED. The INSURLD will provide an updated copy of the Cancellation Notice Schedule to Insurers on 'a monthly basis. The notice referenced in this endorsement is intended only to be a courtesy notification to the persons) or organisation(s) named in t:he Cancellation'Notice Schedule in the event of a pending cancellation of coverage. INSCJRLRS have no legal obligation of any kind to any such person(s) or organisation(s). Any failure to provide advance notice of cancellation to the person(s) or organisation(s) named in the Cancellation Notice Schedule will impose no obligation or liability of any kind upon INSURERS, will not extend any policy cancellation date aid will not negate any cancellation of the policy. INSTMERS are not responsible for verifying any information in any Cancellation Notice Schedule, nor are 1NSURIERS responsible for any incorrect information that the INSURED may use.,, All other terms and conditions remain unaltered. WN: is 1.. wild wiffl, RJ ON)`. Willis "Limited FIN EX Global CONTRACT ENDORSEMENT INSURED: WS Atkins No and as more fully defined in the contract PERIOD: I April 2013 to 31 March 2014 1,YPE: Insurance of UK P1 Generic Primary UNIQUE MARKET REFERENCE: B080111209P13 ENDORSEMENT REFERENCE: 0004 u�dlll� EFFECTIVY, DATE. I April 2013 local standard time at the address of the Insured It is hereby understood and agreed that with effect hunt the Efrective Date above Ole INSURED is amended to read as follows: "INS ME D A) W S Atkins plc formerly W S Atkins Ltd an&or Associated andlor Subsidiary Contparues and Partnerships including but not limited to Faithful+Gould (formerly Hanscomb Faithful & Gould) and the Houston, Texas office ofMSL Engineering Lid and as more fully defined herein but excluding the entities listed as INSURLD 13). 1:1) The, Atkins North America. Holdings Corporation which is comprised offfiv following enlitics: Atkins North, America Lie; Atkins Michigan Inc; Atkins, P.A.; Peter R Brown Construction, Inc.; Atkins Caribe, LLP; and the entities formcTly known as: The PB SJ Corporation Post, Buckley, Schuh & Jernigan, Inc- doing business as PBS&J, PBS&J, P.A. PBS&J Caribe Engineciing,C.S.P. P8S&I Constructors, Inc, PBS&J International, Inc. PBSW Construction Services, Inc. Wflfi, Li A,d WIA680.1 Mq:�Iw-,d Willis Limited FINEX Global CONTRACT ENDORSEMENT UNIQUE MARKET REFERENCE: 1:1080111209PI3 ENDORSEMENT REFERENCE: 0004 Seminole Development Corporation Post Buckley de Argentina S.A. John Powell & Associates, Inc John Powell & Associates .John Powell & Associates, a Sole Proprietor Durliain'Fechriologies, fm Welker & Associates Tri-Line Associates, Inc, W Koo & Associates, Inc. Croslin & Associates, Inc. Land & Water Consulting FIP Associates Eco �Science Corporation Peter Brown Construction, Inc. PBS&J Caribe, LLP mid/or Associated and/or Subsidiary Companies and Partnerships and as more fully defined herein." All other terms and condition% remain unaltered. ENDORSEMENT' #001 This endorsement, effective 12:01 a.m., April 1, 2013 forms a part of Policy No. CGG740901602 issued to ATKINS US HOLDINGS INC. by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. NAMED INSURED IENDORSEIMIENT This endorsement modifies insurance provided under the foHowiwg: 'COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSJCOMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE' COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM It is agreed that NAMED INSURED of the policy dedaratlons page, is amended to include the follow ing: Faithful & Goulld, Inc., Atkins, Inc. WS Atkins II nc. Anthony Acquisition Corp. Hanscomb Inc, The Atkins North America Holdings Corporation PBS&J Construction Ser0ces, Inc PBS&J International, Inc, Seminole Development Corp, EIP Associates PBSW Constructors, Inc. Peter R. BroWn Construction, Inc. Atkins Michigan, Inc. PBSU P.A. d1b/a PBS&J Architecture and Engineering Atkins North America Inc- PBSW Caribe Engineering, C.S.P. Atkins Cairlbe, LLP Eco Science Corporatiion XIL 404 06,05 C. & 2005., X'l- Arnedca, Inc. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 00 07 (Ed. 11081 SCHEDULE OF THE NAME OF INSURED INSURED NAME FEIN ADDRESS 1400 Urban Center Drive, 4th F1 PBS &J Construction Services, Inc. 650357416 Vcstav4 Hills, AL 35242 1400 Urban Center Drive, 4th F1 Peter R. Bromm Construction, Inc. 592627942 Vestavia. Hills, AL 35242 14,00 Urban Center Drive, 411 Fl WS Atkins hie. 980180721 Vestavia I fills, AL 35242 No fixed address PBS&J'Cons(ructors, hic. 650760639 Little Rook, AR 72201 3 '800 N orth Central Avenue 1600 Faithful & Grould Inc. 411797617 Phoenix, AZ 85012 60 South Aconin Blvd. C 104/106 Atkins North America, Inc. 590896138 Lake Havasu, AZ 86403 20860 North Tatum Boulevard Atkins North America, Inc. 590896138 Phoenix, AZ 85050 3191 Stillwater Suite C Atkins Njorth America, Inc. 590896138 Prescott, AZ 86305 12301 Wilshire Boulevard Atkins North Aincrica, Inc. 590896138 Los Angeles, CA 90025 625 I'lie City Drive Suite 200 Atkins North America, Ina, 590896138 Orange, CA 92868 1410 Rocky Ridge Drive Atkins North Anierica, Inc. 590896138 Roseville, CA 95661 1200 Second Street Suite 200 Atkins Noith Aincrica, hic. 590896138 Sacrainento, CA 95814 650 East Hospitality Lane Atkins North America, Inc. 590896138 San Bernardino, CA 92108 1250 San Carlos Avenue #TO?- Atkins North America, hic, 590896138 San Carlos, CA 94070 9275 SkypaTk Court Suite 200 Atkins North America, Inc. 590896138 San Diego, CA 92123 3570 Carmel Mountain Road Atkins North.Ameiica, Inc, 590896138 San Diego, CA 92130 475 Sansome, Street suite 2000 Atkins North America, Inc. 590896138 San Francisco, CA 94111. 5930 Cornerstone Court West Faithful & Gould Inc, 41.1.797617 San Diego, CA 92121 Page I of Page 2 of 7 655 Montgomery Street Faithful & Gould Inc. 411797617 San Francisco, CA 94111 3020 Old Ranch Parkway Faithful & Gould Inc, 41 17976 17 Seal Beack CA 90740 9275 Skypark Cowl Suite 200 Ell? Associates 941710558 San Diego, CA 92123 12301 Wilshire Boulevard WS Atkins Inc. 990180721 Los Angeles, CA 90025 5475 Tech Center Drive Suite 100 Atkins North America, Inc. 590896138 Colorado Springs, CO 90919 4601 I)TC Boulevard Suite 700 Atkins North America, Inc. 590896138 Denver, CO 90237 No rixed address WS Atkins Inc. 980180721 Dover, DE 19901 No fixed address Atkins US Holdings, hie, 522218784 Dover, DE 19901 6010 N, Broadway Avenue Suite 3 Atkins North Anicrica, Inc. 590896138 Bartow, FL 33830 1141 Jackson Avenue Atkins North America, Inc, 590896138 Chipley, FL 32428 3230 West Cornmercial Boulevard Atkins North America, hoc. 590896138 Fort Lauderdale, FL 33309 151413roadway'Suite 200 Atkins North America, Inc. 590896138 Fort Myers, FI, 33901 7463 Conunercial Circle Units I Atkins North America, Inc, 590896138 Fort Pierce, F'L 34951 7406 Fullerton Street Suite 35 Atkins North America, Inc. 590896138 Jacksonville, FL 32256 701 San Marco Boulevard 12th FI Atkins North America, Tile. 590896139 lacksonville, FL 32207 840 Southwest Main Boulevard Atkins North America, file. 590896138 Lake City, 171, 32025 7175 Morrell Road Atkins North America, Inc, 5908,96138 Ndelbourne, FL 32940 2'001 North West 107th Avenue Atkins North America, Inc. 590896138 Miami, FL 33172 482 S K(;Ilcr Rd Atkins Nordi America, Inc. 590896138 Orlando, FI, 32810 120 Richard Jackson Blvd Atkins North America, Inc. 590896138 Patiarna City Beach, FL 32407 2114 Airport Boulevard Atkins North America, Inc. 590896138 Pensacola, FL 32504 101 Arthur Anderson Blvd Atkins North America, Inc. 590896138 Sarasota, Fl, 34232 Page 2 of 7 The Atkins North America .Holdings 12180 28th Street N Atkins North America, Inc. 590896138 StPctcTsburg, FL 33716 Cedar Executive Center, 2639 N Atkins North America, Inc. 590896138 Tallahassee, FL 32303 4030 Boy Scout Boulevard Suite Atkins North America, Inc, 590996138 Tarnpa, FL 33 607 2056 Vista Parkway Suite IGO Atkins North America, Inc. 590896138 West Palm Beach, FL 33411 482 S. Keller Road Faitbfifl. & Gould Inc. 411797617 Orlando, FL 32810 4030 West Boy Scout Blvd, Atkins Michigan, Inc. 272413465 Tanipa, FL 33607 40310, West Boy Scout Blvd, Atkins US Holdings, Inc. 522218784 Tamps, FL 33607 13830-58 Street North Suite 401 PBS&J Construction Services, Inc;. 650357416 Clearwater, FL 33760 4030 West Boy Scout Blvd. PBS&J Constructors, Inc. 650766639 Tampa, FL 33607 4030 Wcst Boy Scout Blvd, PBS&J International, Ine. 541548173 Tampa, FL 33607 13 830 -58 Street North Suite 401 Seminole Development Corporation 591162206 Clearwater, FL 13760 The Atkins North America .Holdings 4030 West Boy- Scout Blvd, Corporation 591494168 Tampa, FL 33607 1')830 -58 Street North Suite 401 Peter R, Brown Construction, Inc. 592627942 Clearwater, FL 33760 15;00 & 1600 RiverEdge Parkway Atkins North America, Inc. 590896138 Atlanta, GA 30328 192 Anderson Street Suite 15D Atkins North America, Inc. 590896138 Marietta, GA 30060 1835 Shackleford Court Suite 140 Atkins North America, Inc. 590896138 Norcross, GA 30093 817 West Peachtree Street Faithfal & Gould Inc. 411797617 Atlanta, GA :10308 1500 & 1.600 RiverEdgo Parkway PBS&J Construction Services, Inc. 650357416 Atlanta, GA 30328 1500 & 1 600 RiverEdg-. Parkway PBS&J Constructors, Inc. 650766639 Atlanta, GA 30328 1500 & 1600 Ri-verfidge Parkway Peter R. Brown Construction, Inc. 592627942 Atlanta, GA 30328 No fixed address PBS&J Construction Services, Inc. 650357416 Des Moines, TA 50301 125 Wacker Drive Atkins North America, Inc. 590896138 Chicago, IL 60606 PagQ 3 of Atkins North America, Inc. Faithful & Could Inc. Atkins North America, Inc. Peter R. Brown Construction, Inc. Atkins North America, Inc, Faithful & Gould Inc. Peter R. Brown Construction, Inc, WS Atkins Inc, Atkins North America, Inc. I ?aithfu I & Gould Inc, Atkins North America, Inc. Atkins North America, Inc, Faithful & Gotdd Inc. Atkins North America, Inc, Atkins North America, Inc. Atkins, P.A. PBS&J Constructors, hic. Peter R.Brown Comstruction, hie. Atkins North America, Inc. Atkins North America, hic. AtIl North America, Inc, Atkins North America, Inc, Page 4 of 7 33 West Monroe Street Suite 1825 590896138 Chicago, IL 60603 230 West Monroe Street 411797617 Chicago, IL 606016 73 ell 'TurRvay Road Suite; 400 5908961.38 Florence, KY 41.042 7300 Turfway Road Sac 4010 592627942 Florence, KY 41042 One Galleria Blvd. Suite 1516 590396138 Metairie, LA 700,01 1100 Poydras St Suite 1045 411797617 New Orleans, LA 70163 1100 Poll St Suite 1045 592627942 New Orleans, LA 70163 One Gal teria Blvd, Suite 1516 990180721 Metairie, LA 70001 99 High Street 3rd Floor 590896138 Boston, MA 02110 55 Summer Street 3rd Floor 411797617 Boston, MA 02110 3901 Calverton Blvd firth Floor 590896138 Beltsville, MD 20705 12510 Nyorthland Drive 1st Floor 590896138 Mendota Heights, MN 55120 900 Second Avenue South 500 411797617 Minneapolis, MN 55402 No fixed address 590896138 Jefferson City, MO 65 101 Four River Bead Place Suite 21 590896138 Flowood, MS 39232 FOUT, River Bcrid Place Suite 21 260638224 Flowood, M15 39232 Flour River Bend Place Suite 21 650766639 Flowood, MS 39232 Flour River Bend Place Suite 21 592627942 Flowood, MS 39232 115 North Broadway Suite 202 59089,6138 Billhigs, TVIT 59 101 3810 Valley Commons Drive 590896138 Bozeman. ?X1' 59718 820 North Montana Avenue 590896138 Helena, W, 596,01 1120 Cedar Street 590896138 Missoula, MT 59802 Page -5 of 7 5200 77 Center Drive Atkins North Ponerica, Inc. 590896138 Charlotte, NC 28217 734 Harrisburg Drive Atkins North America, Inc. 590896139 I.enoir, N(28645 1616 Millbrook Read Suite 130 Atkins, M. 260638224 Raleigh, NC 27609 1616 Millbrook Road Suite 130 P]3s&j Constructors, Inc, 650766639 Raleigh, NC 27609 1616 Millbrook Road Suite 130 Peter R. Brawn Construction, Inc, 592627942 Raleigh, NC 27609 LOS Fieldcrest Avenue Suite 204 Atkins North America, Inc, 590896138 Edison, NJ 08817 200 Princeton South Corporate Faithful & Could lac, 411797617 Ewing Townsbip, NJ 08628 555 Double Eagle Court Atkins Noith America, Inc. 590896138 Reno, NV 89521 2270 Corporate Circle Suite 10 Peter R. Brown Construction, Inc. 592627942 Henderson, NV 89074 11-13 East 26th Street 18th Fl .Atkins, Y.A. 260638224 New York, NY 10010 11-13 East 26th Street I Sth FI P.BS&J Constructors, Inc. 650766639 New York, NY 10010 11-13 East 26th street 18th F1 WS Atkins Inc. 980180721 New York, NY 10010 350 David L. Boren Blvd. Atkins North America, Inc. 590996138 Norman, OK 73072 12725 SW Millikan Way Suite 42 Faithful & Gould Inc. 411797617 Beaverton, OR 97005 400'1'echnotogy Drive 15uite 100 Atkins NWh America, Inc. 590896138 Canonsburg, PA 15317 410 Rouset Road 5th Floor Atkins North America, Inc, 59089,6138 Coraopolis, PA 15108 410 Rouser Read 5th Floor Atkins, P,A. 260638224 Coraopolis, ?A 15108 410 Rouser Road 5th Floor WS Atkins Inc. 980180721 Coraopolis, PA 15108 810 Ditch Square Boulevard PBS&J Construction Services, Inc. 650357416 Columbia, SC 29210 810 Dutch Square Boulevard PBS&J Constructors, Inc. 650766639 Columbia, SC 29210 310 "Drttch Square, Boulevard Peter R. Brown Construction, Inc. 592627942 Columbia, SC 29210 414 Union Street Suite 1714 Faithful & Could Inc. 41179'7617 Nashville, TN 37219 Page -5 of 7 402 BNA Drive Suite 350 Peter R. BFO%Vn COTASITUCtiOn, InG, 592627942 Nashv�llo, TK 37217 3101 Airport Freeway Building Atkins North America, Inc, 590896138 Bedford, TX 76021 18383 Preston Road Atkins North America, Tric. 590896138 Dallas, TX 75'252 13739 Omega Road Atkins North America, Inc. 590896138 Dallas, TX 75244 404 Executive Center Blvd Atkins North America, Inc, 590896138 El Paso, TX 79902 101 Summit Ave Atkins North America, Inc. 59006138 Fort Woqli,'TX 76102 1250 V oodhranch Park Drive Atkins North America, Inc. 590896138 Houston, 'IX 77079 3838 North Sam Houston Parkway Atkins North America, Inc. 590896138 Houston, TX 77032 888 Sam Houston Parkway Atkins North America, Inc, 590896138 Houston, TX 77.042 10100 Reunion Place Atkins North America, Inc. 590996138 Son Antonin, TX 78216 1544 Sawdust Road Suite 406 Atkins North America, fire. 590896138 The Woodlands, TX 77390 909 ESE Loop 323 Atkins North AmerjCr' Inc. 590896138 Tyler, TX 75701 13333 North Central Expressway Faithful & Could Inc. 411797617 Dallas, TX 75243 2925 Briarpark Suite 550 Faithful & Gould [tic. 4117'97617 Houston, TX 77042 6504 Bridgepoint Parkway PBS&J Construction Services, Inc.. 650357416 Austin, TX 78730 18383 Preston Road PBS&J Constructors, Inc. 650766639 Dallas, TX 75252 650413ridgepoint Parkway Peter R. Brown Constructiort, Tue. 592627942 Dallas, TX 78730 920 Memorial City Way Suite 700 WS Yktldns Inc. 990180721 Houston, TX 77024 4001 South 700 East PBS&I Constructors, Inc. 650766639 Salt Lake City, UT 84107 3859 Centerview Drive Atkins North America, Inc. 590896138 Chantilly, VA 20151 11818 Rock Landing Drive Suite Atkins North America, Inc. 590896138 Newport News, VA 23606 7200 Glen Forest Drive Suite 303 Atk Ins North America, Inc. 590996138 Richmond, VA 23226 Page 6 of 7 PBS&J Caribe Engineering, C.S.P Atkins Caribe, LLP Eco Science Corporation Faithful & Ciould Inc. Peter R. Brown Coil stuictiori, top, Peter R. Brown Construction, Inc. 660529972 4030 West Boy Scout Blvd, Tampa, FI, 33607 270870236 4030 West Boy Scans Blvd. Tampa, FL 33607 562050560 4030 West Boy Scout Blvd, Tampa, FL 33607 411797617 1725 DuRc St•eet Suite 200,250 Alexandria, VA 22314 592627942 1725 Dulw Street !Suite 200, 250 AICXaUdTia, VA 22314 592627942 No fixed address Charleston, WV 25301 AD other terms and cond'Itions, of this pDOcy remain the same This enclorsernerit changes the policy to which it Is attached and is e0ectlyp on the datie issued unless ctharwdse stated. (The Information below Is required only when this enclorsoment is Issued subsequent to preparation of the policy.) Endorsement Move April .1, 2013 Policy No, CWG74090I502 EndorsomentNo. Insured: ATKINSUS HMDlMG8 INC. Inaurance Company Greenwich Insurance Company count,ersignedby WC 99 00 07 Fd. 1108 0 2'007 XL America, Mc, Pago 7 of 7