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PROOF OF INSURANCE (2011) CLOSEDA " CERTIFICATE OF LIABILITY INSURANCE 12ATE(M 2/YYYY) 010 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 endorsements . PRODUCER NAME: CONTACT Jerry Noyo'la Ames and PHONE . (770)552-4225 _ � FAX AIC.No u E-MAIL 0Norhrid a Parkway ADDRESS.l? noY ola @amesg ough.com � ) A.RODU Suite 102 CUSTOCER 00001398 ER �t 1111. , ., .,. Atlanta GA 30350 INSURER(S)AFFORDINGCOVERAGE NAICR _ -------- _ INSURED INSURER A Traveler Y s Indemnity Co. of CT 2 „56,82 INSURERc:Travelers Property.. Csua,1t,y 25658 Kimley -Horn and Associates, Inc. .eNSIaRER,s••Tr a v eler s Ind,ert Casualty Co. 25674 P.O. Box 33068 INSURERD:Phoenix Insurance Oompany Company 25623 INSURER Insurance Company m,19437 _, Raleigh NC 27636 INSURERF:Travelers Pro g. Cas. Co America 25674 COVERAGES CERTIFICATE NUMBER: *10 -11 (Kimley Jessica) 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” I A00 i§UI`i( 1111 POLICY NUMBER MOLIC/YYYY MOLIC YYY.�,_, ,_,..... ..- 1111... . TR TYPE OFINSURANCE p LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 (SAMAEiC iEIViD _ . 1111 X COMMERCIAL GENERAL LIABILITY PREMISE „S jEapcaurrence� $ 1,000,000 2 1/010 12/1/2011 A .CLAIMS -MADE OCCUR P- 630- 8193B99A- TCT -10 12 / MEDEXP {Anyoneperson) $ 10 000 1111. _ .. PERSONAL &ADV INJURY $ 1, 000, 000 ..� GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 1,000,000 PRO POLICY X X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X., (Ea accident) $ 1,000,000 ANY AUTO - .. ,. 1111 ... , , P8105724B497IND 10 12/1/2010 12/1/2011 BODILY INJURY (Per person) $ - - - - B ALL OWNED AUTOS • -- - -- BODILY INJURY (Per accident) 1 $ SCHEDULED AUTOS _ _,,,___ ����.. .... PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ ... X NON -OWNED AUTOS Underinsured motorist BI split $ 111-1111111 . -...- Uninsured motorist property $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB -­CLAIMS-MADE AGGREGATE $ 5,000,000 _ [­­ -1111 1111. DEDUCTIBLE $ 1111,,, C X RETENTION $ 10,000 PSM- CUP.- 8193B99A- TIL -10 +2/1/2010 12/1/2011 $ D WORKERS COMPENSATION PNUB- 8193B99A -10 12/1/2010 12/1/2011 WCSTATU OTH- AND EMPLOYERS' LIABILITY YIN X I TOBY, LIMITS I _ .M F=.R,.1, -, ANY PROPRIETOR/PARTNER /EXECUTIVE� - El. EACH ACCIDENT $ 500,00d OFFICER/MEMBER EXCLUDED? L':..J' N/A - -- .NI ° °- - -- ^� F (Mandatory n NH NUB- 8193B99A -10 (CA) 12 /1/2010 12/1/2011 rY ) E.L. DISEASE EA EMPLOYE $ 500000 If yes, describe under — DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 E Professional Liability D16o17332 12/9/2010 12/1/2011 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: All City of E1 Segundo Projects. The CIty of E1 Segundo, its officials & employees are named as Additional Insureds on the above referenced liability policies with the exception of workers compensation & professional liability. This insurance is primary & non - contributory where required by written contract. Waiver of Subrogation is applicable where required by written contract & allowed by law. CERTIFICATE HOLDER. rANrFI I ATHIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of E1 Segundo ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Administrator 350 Main Street AUTHORIZED REPRESENTATIVE E1 Segundo, CA 90245 -3813 Matias Ormaza /NOYOLA j ACORD 25 (2009/09) ©1988 -2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD Policy Number: P- 630- 8193B99A- TCT -10 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL, LIABILITY COVERAGE PART 1. The following is added to SECTION 11 — WHO IS AN INSURED: Any person or organization that-you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury'; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor. in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is limited as follows: c. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance ", the in- surance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance ". This endorsement shall not increase the limits of insurance described in Section III — Limits Of Insurance. d. This insurance does not apply to the render- ing of or failure to render any "professional services" or construction management errors or omissions. e. This insurance does not apply to "bodily in- jury" or "property damage" caused by 'your work" and included in the "products - completed operations hazard" unless the "written contract requiring insurance" specifi- cally requires you to provide such coverage for that additional insured, and then the insur- ance provided to the additional insured ap- CG D414 04 08 005835 plies only to such "bodily injury" or "property damage" that occurs before the end of the pe- riod of time for which the "written contract re- quiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SEC- TION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible "other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the ad- ditional insured under this Coverage Part must apply on a primary basis or a primary and non- contributory basis, this insurance is primary to "other insurance" available to the additional in- sured which covers that person or organization as a named insured for such loss, and we will not share with that 'other insurance ". But this insur- ance provided to the additional insured still is ex- cess over any valid and collectible "other insur- ance", whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any "other insurance ". 3. The following is added to SECTION IV — COM- MERCIAL GENERAL LIABILITY CONDITIONS: Duties Of An Additional Insured As a condition of coverage provided to the addi- tional insured: a. The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: © 2008 The Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY i. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against the additional insured, the additional insured must: i. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c. The additional insured must immediately send us copies of all legal papers received in con- nection with the claim or "suit ", cooperate with us in the investigation or settlement of the claim or defense against the "suit ", and oth- erwise comply with all policy conditions. d. The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of other insurance which would cover the additional insured for a loss we cover. However, this condition does not affect whether this insurance provided to the addi- tional insured is primary to that other insur- ance available to the additional insured which covers that person or organization as a named insured. 4. The following is added to the DEFINITIONS Sec- tion: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or or- ganization as an additional insured on this Cover- age Part, provided that the 'bodily injury" and "property damage" occurs and the "personal in- jury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 D 2008 The Travelers Companies, Inc. CG D4 14 04 08 November 22, 2010 Re: Updated Certificate of Insurance Dear Certificate Holder: You are receiving a new certificate of insurance from Kimley -Horn and Associates because they are consolidating all of their insurance policy expiration dates to December 1St anniversary. There has been no change in insurer, no reduction in coverage or change in policy limits. The enclosed certificate replaces any certificates you have received in 2010. If you have any questions, please give us a call. Best Regards 4 rry ; yo'� tiles Gough 450 Northridge Parkway, Suite 102 A Atlanta, GA 30350 Telephone: (770) 330 -8327 A Facsimile: (866) 550 -4082