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PROOF OF INSURANCE (2013) CLOSEDCERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 04/17/2012' 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 I CONTACT 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. TM..,.,....... NCE............ ..,...... ,..., POLICY NUMBER,,,,,, .OLIO ......... INSR DD' SUB. POLICY EFF POLICYEXP PE OF INSURA ..., .............. LIMITS • GENERAL y CGG740901601 4/1/2012 4/1/2013 EACH OCCURRENCE $ 1,000¢000 X COMMERCIAL GENERAL LIABILITY DA A ET ;RENi1ED �$ � QO�I.a QQQ �RAL� CLAIMS -MADE. X ME E P( nyoneperson) .. $ 3 � P Q Q - X_ Contractual Liability PERSONAL, &ADVINJURY $ 1, 000., 000,,,,,,,,,,,. .. ........ GENERALAGGREGATE $ 21 QOO, OQO „_... ATE LIMIT APPLIES PER: GEN'LAGGREG __ PRODUCTS COMP /OPAGG $ 2, QQQ..m QQQ POLICY PRO X. 'LG"YC _- .......... $ • AUTOMOBILE LIABILITY CAH740901701 4/1/2012 4/1/2013 0M81NED SINGLE LIMIT Eaaccldsinl) $ 2 000, 000 X ANY AUTO BODILY INJURY(Per person) $ AU TOS OS SCH .AUTO S EDLILED AU BODILY INJURY(Per accident) $ Y HIREDAUTOSOSIOdtC gDAMokG ..AUr wdariikJ $ UMBRELLALIAB OCCUR .. ..., ., EACH OCCURRENCE $ _A..�... � EXCESS LIAB CLAIMS-MADE GGREGATE $ DIED I RETENTION $ $ B WORKERS COMPENSATION CWG740901501 4/1/2012 4/1/2013 X �' TORY LdMRTS FR AND EMPLOYERS' LIABILITY .. -! ... .. ANY PROPRIETOR /PARTNER /EXECUTIVE II NIA: E.LEACHACCIDENT $ 1,000,000 OFFICER /MEMBER EXCLUDED? (( "C ......_._ - IMandatory inNH) E,L DISEASE EA EMPLOYEE 5 1,000,000 fyes,describeunder - --- DESCRIPTIONOFOPERATIONSbelow EL DISEASE - POLICY LIMIT $ 1,000,000 C Professional B080111209P12 4/1/2012 4 1 2013 $1,000,000 Each Claim & Liability - Claims Made $1,000,000 Annual Aggregate 11/11/1961 Retrodate DESCRIPTION OF OPE,RATIDNS/ LOCATIONS /VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) RE: 222 Kansas Street Project Effective April 1, 2011, Post, Buckley, Schuh & Jernigan, Inc., d /b /a PBS &J changed its name officially to Atkins North America, Inc. Greenwich Insurance Companies Best Rating A XV XL Specialty Insurance Company Best Rating A+ XV Under-writers CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN r” ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE Attn: Ms. Kimberly Christen T Main Street El E1 Segundo, CA 90245 Co11:3701211 Tp1:1424704 Cert:17763586 © 1988- 2010ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACORD 101 (2008/01) Co11:3701211 Tp1:1424704 Cert: 17763586 © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER:CGG740901601 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 Organ ization s : Locations Of Covered Operations Where required by written contract/agreement. 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. 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. 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. CG 20 10 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: CGG7409016 COMMERCIAL GENERAL LIABILITY CG 02 2410 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days' Notice 60 (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above. CG 02 2410 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ POLICY NUMBER: CAH740901701 XIC 405 1007 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION BY US 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 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Changes In Conditions The number of days required for notice of cancellation by us for any reason other than nonpayment of premium, as provided in either paragraph2 of the CANCELLATION Common Policy condition or as amended by an applicable state cancellation endorsement, is extended to the number of days shown in the schedule below. SCHEDULE Number of Days' Notice: 60 All other terms and conditions remain the same. (Authorized Representative) XIC 405 1007 C 2007, XL America, Inc. Page 1 of 1 Includes copyrighted material of Insurance Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 01 10 (Ed. 1/08) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY EARLIER NOTICE OF CANCELLATION PROVIDED BY US ENDORSEMENT This endorsement modifies Insurance provided under the following: WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY Number of Days Notice: 30 (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided in PART SIX — CONDITIONS, D. Cancellation of the Workers' Compensation and Employers' Liability Insurance Policy or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above All other terms and conditions remain the same. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No Insured: XL Specialty Insurance Company CWG740901501 Countersigned by WC 9901 10 Ed. 1/08 2007 XL America, Inc. UMR: B080111209P12 Insured: WS Atkins Pic Type of Risk: Insurance of: Primary Professional Indemnity Insurance Period: 1 Apri12012 to 31 March 2013 4.12 Cancellation .If INSURERS cancel this policy prior to its expiry date by notice to the INSURED for any reason, INSURERS will send written notice of cancellation to the persons or organisations listed in the schedule to be created and maintained by the INSURED (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 INSURED 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 person(s) or organisation(s) named in the Cancellation Notice Schedule in the event of a pending cancellation of coverage. INSURERS 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 and will not negate any cancellation of the policy. INSURERS are not responsible for verifying any information in any Cancellation Notice Schedule, nor are INSURERS responsible for any incorrect information that the INSURED may use. UNIQUE AL& RKET REFERENCE: B080111209P12 TYPE: Primary Professional Indemnity Insurance INSURED: A) W S Atkins plc formerly W S Atkins Ltd and/or Associated and/or Subsidiary Companies and Partnerships including but not limited to Faithful +Gould (formerly Hanscomb Faithful & Gould) and the Houston, Texas office of MSL Engineering Ltd and as more fully defined herein but excluding the entities listed as INSURED B)_ B) f c Atki sNorth Anrcrica llolda�Corporation which is coniprised o t ae fb, owing an r, R Atkins North America Inc; Atkins Michigan Inc; Atkins, P.A.; Peter R Brown Construction, Inc; Atkins Caribe, LLP; and the entities formerly known as: The PBSJ Corporation Post, Buckley, Schuh & Jernigan, Inc. doing business as BS &J, P.A. PBS &J Caribe Engineering, C.S.P. PBS &J Constructors, Inc. PBS &J International, Inc. PBS &J Construction Services, Inc. Seminole Development Corporation Post Buckley de Argentina S.A. John Powell & Associates, Inc John Powell & Associates John Powell & Associates, a Sole Proprietor Durham Technologies, Inc. Welker & Associates Tri-Line Associates, Inc. W. Koo & Associates, Inc. Croslin & Associates, Inc. Land & Water Consulting ssoca 0 orporation Peter Brown Construction, Inc. PBS &J Caribe, LLP and/or Associated and/or Subsidiary Companies and Partnerships and as more fully defined herein." Page 1 B080111209P12 wlnis Limited SIip911702615 Saved; 22103/2012 16; 40;00