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PROOF OF INSURANCE (2015) CLOSEDFax From StreemCenter Page 1 of 9 562 695 2120 WILLDAN INDUSTRY OFFC 03:36:06 p.m. 05 -04 -2015 1 /9 CERTIFICATE OF LIABILITY INSURANCE DATE(MMroDmYY) 4/2212015 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the PRODUCER Dealey, Renton & Associates P. O. Box 1055D Santa Ana CA 92711 -0550 Co of A INSURED Willdan Engineering 2401 E. tatella Avenue, Ste. 300 Anaheim CA 92806 THIS 18 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. I TR. TYPE OF INSURANCE rua Iwe. Poucvyuue_Eg11 E y Iq� LIMITS C x COMMERCIAL GENERAL LIAaILITY Y 630115SP02D 11/912014 111/9/2015 EACH OCCURRENCE 51 000,000 CLAIMS41ADE O OCCUR � ,0 $1,000,000 .. 0 OD1atr Aal hA fp EXP 1Any a m arson $110.000 ^�r U PERSONAL ACV INJURY _ 51 ,000 000 OERLAGGREGATE LIMIT APPLIES PER: GENERALAGGRIeGATE 52,000 DO JECT F-1 POLICY LOC PRODUCTS - COMP /OP AGG 52.0010,000 OTHER: S A AUTOMO9ILE LUIBILITY Y 6101158P020 11!912014 11/912015 1 '1'000,000 AN Y AUTO 0ODILYINJURY(PerPerson) 5 NX AU�'TOrED OSULE BODILY INJURY(Pat accidenl) HIRED AUTOS AUTOS WNED Para�rro' �, 1' S UMBRELLA UAB I I OCCUR EXCESS LIAR CLAIMS -MADE JCERSCOMPJ:NSATION Y UB7D417a1B 119/2014 11/912016 X I cTasrrrc I EMPLOYERS•LIABILITY -ii-F.0-11- _... - PROi�'& i1V„"1'C7'RMJ''ARTN*R,MyMCVTIVF Y INIAI E.L. EACH ACCIDENT rvr. crate r „mr:'xr cvro , wnrrre�. B IProfessional Llahlllly AED97441115 11912014 119 @015 ll Im CllmMe I ( 1 1AnnuuaAggregate $1:606:660 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addi lonal Remarks Schedule, maybe attached If more space Is required) General Liability policy excludes claims arising out of the performance of professional services. Independent Contractors are Included as respects to General Liability. 10 Days for Non-Payment/30 day notice for cancellation. Fie: 2015 Congestion Management Program (CMP) H hway Monitoring, City of EI Segundo, Its officials and employees Islare aldillonal Insured as res sets to General and Auto Liability as required by written contract, Primary and Non- Contributing coverage applies to General Liability Auto Liability as required by written contract. Waiver of See Attached.... City of El Segundo Public Works Dept; Attn: Stephanie Katsouleas 350 Main Street El Segundo CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU IOALM REPRESENTATIVE 0 1988-2014 ACORD CORPORATION, All rights reserve ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Fax From StreemCenter Page 2 of 9 5626952120 VW11... L. r 'AIN1IINDI.B "."a°1'I$'MG"FF(: 0337,02I: »,n, 0°,_.04....2015 219 AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY Dealey, Renton & Associates NAUMINSURED Wiilidan Engineering 2401 E. Katetla Avenue, Ste. 300 Anaheirn CA 92806 POUCYNUMBER eaRwER Nate coos EFFECTA7E DATE: The ACORD name and logo are registered marks of ACORD Fax From StreemCenter Page 3 of 9 562 695 2120 WILLDAN INDUSTRY OFFC 03:37:21 p.m. 05 -04 -2015 3/9 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 (00) — POLICY NUMBER: UB7D4178 16 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right 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. You must maintain payroll records accurately segregating the remuneration of your employees white engaged in the work described In the Schedule. - -•• - -- The additional premium for this endorsement -shall be • 1,,16 of the Califomia workers' compensation premium-. otherwise due on such remuneration. Schedule Person or Organization: Job Description: Any person or organization for which the Insured has completed a written agreement to provide this waiver DATE OF ISSUE: "11/9/2014- 11/9/2D15 Fax From StreemCenter Page 4 of 9 562 695 2120 WILLDAN INDUSTRY OFFC 03:37:39 p.m. 05 -04 -2015 419 COMMERCIAL GENERAL LIABILITY 6301158PO20 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 Il — 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", "properly damage" or "personal injury"; and b. If, and only to the extent that, the injury or - damage -is -caused by-acts, or omissions of y.ou*or your siilicontractor in the performance of "your work" to which the "written contract requiring !nsurance" 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 insu €ed 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- 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: T The insurance provided to the'addltlonal 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- dlllonal 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 :he 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 organiza!ion 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: CG D4 14 04 OS 0 2008 '. he Travelers Compen'es, nc. Page 1 of 2 Fax From StreemCenter Page 5 of 9 562 695 2120 WILLDAN INDUSTRY OFFC 03:38:26 p.m. 05 -04 -2015 5/9 a M COMMERCIAL GENERAL LIABILITY I. How, when and where the "occurrence" or offense took place; IL The names and addresses of any injured persons and witnesses; and Ill. 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 "salt" and the date received; and 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 •clalmri -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 "sult" 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 :his Cover - age Part, provided that the "bodily Injury" and " "property damage " occurs slid the "personal in- jury" Is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. White that part of the contract or agreement is ._. _ In.effect,and C. Before the end of the policy period. Page 2 of 2 0 2008 The Travelers Companies, Inc. CG D414 04 08 Fax From StreemCenter Page 6 of 9 562 695 2120 WILLDAN INDUSTRY OFFC 03:36:54 p.m. 05 -04 -2015 619 COMMERCIAL AUTO 8101158PO20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these. coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties; and what Is and Is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS F. HIRED AUTO — LiMITED WORLDWIDE COVERAGE —INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE —GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An insured, of SECTION 11 — LIABILITY COV- ERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership Interest and that is not separately Insured for Business Auto Coverage. Coverage under this provision Is afforded only un- fit the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever Is earner. B. BLANKET ADDITIONAL INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT 1. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. 'PERSONAL EFFECTS . K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS executed by you before the "bodily injury' or "property damage" occurs and that Is In effect during the policy period, to be named as an addi- tional insured is an "insured" for Liability Cover- age, but only for damages to which thls Insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who is An Insured provision contained in Section I. C. EMPLOYEE HIRED AUTO 1. The following Is added to Paragraph A.1., Who Is An Insured, of SECTION II — LI- ABILITY COVERAGE: The following is added to Paragraph c. in A.1., An "employee" of yours is an "Insured" while Who Is An insured, of SECTION II — LIABILITY operating an "auto" hired or rented under a COVERAGE: contract or agreement In that "employee's" required under name, with your permission, while performing Any person or organization who is re q duties related to the conduct of your busl- a written contract or agreement between you and ness. that person or organization, that Is signed and CA T3 53 0310 02010 The Travelers Indemnity company. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with Its permission, 77 -`7`7 7, 77777777777777777777 Fax From StreemCenter Page 7 of 9 562 695 21 20 WILLDAN INDUSTRY OFFC 03:39:42 p.m. 05 -04 -2015 7/9 COMMERCIAL AUTO 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered -auto' hired or rented by your "employee" under a contract In that individual "employee's" name, with your permission, while perform - Ing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto ". D. EMPLOYEES AS INSURED The following is added to Paragraph A.i., Who Is An Insured, of SECTION It -- LIABILITY COV- ERAGE: Any "employee" yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow In your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION II — LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION 11— LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "Insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS The following replaces Subparagraph (5) In Para- graph 51.7., Policy Period, Coverago Territory, of SECTION IV — BUSINESS AUTO CONDI- TIONS: (5) Anywhere In the world, except any, country or Jurisdiction while any trade sanction„ em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or Jurisdiction, for Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that Is not an "auto" you lease, hire, rent or borrow from any of your "employees ", partners (if you are a partnership), members (if you are a limited liability company) or members of their house- holds. (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (1) You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (11) Neither you nor any other involved "Insured" will make any settlement without our consent. _. ._.v.... � discretion, (III) it) We may, at t our participate in defending the "Insured" against, or In the settlement of, any claim or "suit". (lv) We will reimburse the "Insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limit Of Insurance, of SEC- TION If — LIABILITY COVERAGE. (v) We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit ", but only up to and included within the limit described in Para- graph C., Limit Of Insurance, of SECTION Il — LIABILITY COVER- AGE, and not In addition to such limit. Our duty to make such payments ends when we have used up the ap- plicable limit of insurance in pay- ments for damages, settlements or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available Page 2 of 4 0 20io The Travelers Indemnity Company. CA T3 53 03 10 Includes copyrighted materlal of Insurance Services ORlce, Inc, with Its permisslon. Fax From StreemCenter Page 8 of 9 562 695 2120 wI'LLDAN INDUSTRY OF'FC 03:40:31 p.m. 05 -04 -2015 819 �,...� COMMERCIAL AUTO to the "Insured" whether primary, excess J. PERSONAL EFFECTS contingent or on any other basis. The following is added to Paragraph A.4., Cover. (c) This insurance is not a substitute for re- age Extensions, of SECTION III — PHYSICAL qulred or compulsory insurance In any DAMAGE COVERAGE: country outside the United ,States, its ter- Personal Effects diodes and possessions, Puerto Rico and Canada, We will a u to 9 P pay p $400 for loss to wearing a - You agree to maintain all required or parel and other personal effects which are: compulsory Insurance In any such coun- (1) Owned by an "Insured "'; and try up to the minimum limits required by (2) In or on your covered "auto. local law. Your failure to comply with compulsory Insurance requirements will This coverage applies only In the event of a total not Invalidate the coverage afforded by theft of your covered "autou. this policy, but we will only be liable to the No deductibles apply to this Personal Effects same extent we would have been liable coverage. had you complied with the compulsory in- K. AIRBAGS surance requirements. The following is added to Paragraph 8.3., Exclu- (d) it Is understood that we Eire not an admit- sions, of SECTION III — PHYSICAL DAMAGE ted or authorized insurer outside the COVERAGE: United States of America, its territories and possessions, Puerto Rico and Can- Exclusion 3.a. does not apply to "foss" to one or We assume no responsibi lity for the more alrbal�s In a covered "auto" you own that in- __ fc�mii b ng of cerdfl t rf insurarloe, " . "... - -Rate- due -to -e •cause-other- than -a- cause -of "loss" for compliance In any way with the laws set fort% In Paragraphs A.1.b. and A.1.c., but of other countries relating to Insurance. only: G. WAIVER OF DEDUCTIBLE — GLASS a. If that "auto" is a covered "auto" for Compre- The following Is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto' will apply to glass damage If the glass Is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph AA.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use Is $65 per day, to a maximum of $750 for any one 'accident". 1. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The fallowing replaces the first sentence In Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER - AGE: We will pay up to $50 per day to a. maximum of $1,500 for temporary transportation expense In -. curred by you because of the total theft of a cov- ered "auto" of the private passenger type. hensive Coverage under this policy; b. The alrbags are not covered under any war- ranty; and c. The airbags were not Intentionally Inflated. We will pay up to a maximum of $1,000 for any one "loss ". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following Is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or 'loss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany) (d) An executive officer„ director or Insurance manager (if you are a corporation or other or- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident« or "loss ".. CA T3 63 03 10 ® 2010 The Travelers Indemnity Company. Page 3 of 4 Includes copyrighted material of Insurance Services Office. Inc. with Its permisslon. V::ax I:::�irom StreernCenteir Page 9 of 9 562 695 2120 WILLDAN INDUSTRY OFFC 03 :41:19 pan. 05-04-2015 S f9 COMMERCIAL AUTO M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: S. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "loss ", provided that the "accident"" or "'Coss" arises out of operations contemplated by such contract. The waiver applies only to the person or organization designated In such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following Is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV —BUSINESS AUTO CONDITIONS: The unintentional omission of, or unintentional error In, any Information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non - renewal. Page 4 of 4 ® 2010 The Travelers Indemnity Company. CATS 53 0310 Includes copyrighted material of Insurance Services Office, Inc. with Its permission.