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PROOF OF INSURANCE (2016) CLOSEDClient#: 12965 ANDERPART IDD /YYYY) DATE (MM ACORDTM CERTIFICATE OF LIABILITY INSURANCE DA TE(MM2015 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. .......... ............._,....ti-f,. " "a "'t ................. :.........................DDITI NAL INSURED, the olic ies must be endorsed. If SUBROGATION IS WAIVED, to �m IMPORTANT. lithe certlflcate holder Is an A O SU p y( ) � 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 N I!d1E: Dealey, Renton 8r Associates i 714 427 6 818 Pa ON EYn 714 427 -6810 1 License #0020739 -rFAX E -MAIL P. O. Box 10550 ADORss ___ ................................ .............NAIC.N........ ....�...s,_..__......,.,. $ . tNSURERC(S) AFFORDING COVERAGE Santa Ana, CA 92711 -0550 Conn 25682 INSURER ...... avelers Indemnity �Co of 8 INSURED INSURER B: Travelers Property Casualty Co 25674 AndersonPenna Partners, Inc. '.. "......... INSURER C: Everest National Insurance Comp 10120 3737 Birch Street Suite 250 --- ,,,, -- -- - - - - -- ........ ......... Newport Beach, CA 92660 INSURER D PRO. POLICY ....,, INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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, IN gR O RL WVO POLICY T .. �..� POLICY EF F POLICY EXP .TYPE OF INSURANCE NUMBER MMPC501Y'YYY IMMIDq/VWY1 LIMITS A GENERAL LIABILITY 68030521_77A 8101/2015 08/01/2016 EACH OCCURRENCE $1,000,000 B X UMBRELLA LIAB I X OCCUR CUP6874Y728 8/0112015 08/01/201 EXCESS LIAB M r, e. —1. 0 $ MED EXP (Any one person) .i PERSONAL &ADV INJURY $ 1 GENERAL AGGREGATE „„ X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [ X OCCUR .............. .__�_nm $2 General Liab. excludes claims arising out of OMBI Lik4tT_... G1EDSINGLE BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ the performance $ . (Pr &G«IYlep7?) GEN'L AGGREGATE LIMIT APPLIES PER: EACH OCCURRENCE $1 '' of professional $1 $ PRO. POLICY ....,, services m .............. B AUTOMOBILE LIABILITY BA30531_556 8/01/2015 08/01/201 X ANY AUTO ._ ALL OWNED SCHEDULED AUTOS AUTOS XI. HIRED AUTOS X NON -OWNED AUTOS B X UMBRELLA LIAB I X OCCUR CUP6874Y728 8/0112015 08/01/201 EXCESS LIAB M r, e. —1. 0 $ MED EXP (Any one person) .i PERSONAL &ADV INJURY $ 1 GENERAL AGGREGATE „„ $2 PRODUCTS: COMPIOPAGG $2 OMBI Lik4tT_... G1EDSINGLE BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPLRt'Y DAMIAGE $ . (Pr &G«IYlep7?) EACH OCCURRENCE $1 AGGREGATE $1 $ B WORKERS COMPENSATION UB3708T659 8101/2015 08/01/201 XT pV' "� TS GRn_ AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE Y I N . E L EACH ACCIDENT $1; (Mandatory / in NHR EXCLUDED? C N NIA E,L OISEASE EA EMPLOYEE $1,; IF es describe under DESCRIPTION OF OPERATIONS below E L DISEASE POLICY, LIMIT $1 -- ------ --- ......... .......... , C Professional PL5E000154151 8/01/2015 08/01/2016 $1,000,000 per claim Liability $2,000,000 anni aggr. Claims Made $40,000 Ded, per ciaim. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Excess Liability Coverage Excludes Professional Liability 30 Day Notice of Cancellation /10 Day notice for Non - Payment of Prem Re: All operations as performed by the named Insured. City of El Segundo, its officials and employees are additional insured as respects to General Liability as required by written contract. Primary and Non - Contributing coverage applies to GL as required by written contract. 000 000 00 City of El Segundo - Public Works,, THE SHOULD EXPIRATTIIONH DATE ABOVE THEREOF, DESCRIBED NOTICE POLICIES WIBLL CBE CDELIVERED NE Attn: Lifan Xu, P.E, ACCORDANCE WITH THE POLICY PROVISIONS. Principal Civil Engineer 350 Main St. AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 2 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1408648/M1408624 RILL AndersonPenna Partners, Inc. 68030521_77A 08/01/2015 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the/performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work/'and included within the "products - completed operations hazard ". Such person or organization does not qualify as an additional insured for "bodily injury ", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. INSURANCE (Section Ill) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- C. age as an additional insured specifically is added by another endorsement to this Cover- age Part. e, This insurance does not apply to the render- ing of or failure to render any "professional services ". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance ". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 09 07 © 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the coovriohted material of Insurance Services Office. Inc.. with its permission COMMERCIAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; 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 m 2007 The Travelers Companies, Inc. CG D3 81 09 07 Includes the coovriahted material of Insurance Services Office. Inc.. with its permission