Loading...
PROOF OF INSURANCE (2016) CLOSED�1 ACOR"' CERTIFICATE OF LIABILITY INSURANCE [ DATE (MMIDDIYYYY) � 1` 7/1/2016 10/9/2015 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 LGc'k1on Companies Three CIPlace Drive, Suite 900 IA/C. No. Extl: IBC N St. u-oOs M063141.7081 (314) 432 -0500 "�Arass'. I INSURED Corr r0 Companies, Inc. INSURER 13: AC'F. American Insurance C'pmnanv 1316614 514 V 1�. ontebet10 Ave• INSURER C : Indemnity Insurance Co of'North America Glendale AZ 85301 rn% /r_raAr= f (112 "1ll'1 r_r- PTIr -Ir_ tTr rdllll IRIP -P, 1171 1010 Pr- %/I InPd IhdI11 Wargo• Y°VV'kVY "Y _.THIS._.._ _m. —._®.. 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. thr R TYPE OF INSURANCE ADDL W UB' POLICY NUMBER O:L. Y E'FF. rnPOLICY EXP LIMITS A ,Ar COMMERCIAL GENERAL LIABILITY Y Y CGD3000849 7/1/2015 7/1/2016 EACH OCCURRENCE. a 2,000.000 A CLAIMS -MADE ❑ OCCUR X XCU / BROAD FORM PD DAM A ' REN FED P E a < rcuxrenor $ 1.000.000 MED E. XP (Anv one Derson) a 10.000 PERSONAL & ADV INJURY s 2.000,000 GEN L AGGRrGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4.000.000 POLICY JECT Fx_1 LOC PRODUCTS - COMP /OP AGG $ 4,000,000 OTHER $ B AUTOMOBILE LIABILITY Y Y ISAH0885886A 7/1/2015 7 /1 /2016asra9�luIN LtPM I "EPIMIT $ 2.000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS .� BODILY INJURY (Par socldlant $ XXXXXXX NON -OWNED HIRED AUTOS AUTOS PRC PI.:I$TY N„MMAGE a a $XXXXXXX $XXXXXXX UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB Ck AIM'S "MAD�F NOT APPLICABLE '�. GGREGATE $ XXXXXXX. $ DED RETENTION $ B C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE b'IW OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA Y W1 K48589042 (CAM A) WI'°1�*'r18'= "89115 gd,�'a (EXCLUDING MONOPOLISTIC) 7/1/2015 7/1/2015 ) 7/1/2016 7/1/2016 TH... X STATUTE FR LL, EACH ACCIDENT $ 1. 000_000 F,L, DISEASE - EA EMPLOYEE A 1. 000.000 I I yes, desaibe under" DESCRIPTION OF OPERATIONS below E I DI4FQCF PD_IfY LIMIT ¢ 1,000_000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CORRPRO JOB NUMBER: 52002463 - CITY OF EL SEGUNDO ELEVATED TANK. THE CITY OF EL SEGUNDO, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSUREDS UNDER GENERAL LIABILITY AND AUTOMOBILE LIABILITY ON A PRIMARY AND NON - CONTRIBUTORY BASIS WHERE APPLICABLE BY WRfCIEN CON 'I RACr, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS. WAIVER OF SUBROGATION APPLIES UNDER GENERAL LIABILITY, AUTOMOBILE LIABILITY, AND WORKERS' COMPENSATION WHERE PERMISSIBLE BY LAW, AS REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS. * *SEE ATTACHED ENDORSEMENTS ** CERTIFICATE I /f. �r 13711919 CITY OF EL SEGUNDO ATTN: JOHN GILMOUR j 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) @ 11980-70WACCIRD The ACORD name and logo are registered marks of ACORD rights EP,00RSEMENT ThiS ENndorseirrient, effective 12:01 a rn , Juiy 1, 2015 foirims as pait ot Poky ii CGIX30008 49 to AEGK)N COFRFIOF,AT�OfJ by Grf:,ermich IInsu.alraannce Coiri'npariy n im 11,:,PIDORSIl IYIEN'r CI 110,41GES IIIE POL ICY. 1°)I JEASE READ I I CAREFIJI 1-Y, ADDITiONAR iNSUFU."D OWINERS, I IIESSEES OR COPI T"RACI ORS SCIIEU PLIED PEFISON ()R ORGANiZA, riON i Iluiis ("ridorsement urnnand6fues i iris ij rance provkl("Ild undeir the fi,fliowin' CQIUMEF~ UAL GENERAL i iANJITY COVERAGE FIARI Nairne of F)erson (,�)r Orgairiizlation: Any person or orcl,janization withii whoun you have agreed, thrqmgh wrlfter couirtract, agireement or permit, exec;uted prior taa loss. (if no eintry appears above, infimmafion required k corrq)Iete this q:,,ndorserneirit wHi t)e shown in the Deckuahons as apipficabie to this (?ndoirsemeint.) h A. Section Iii -, Who Is An Insured is arnended to inciude as an inmin:'d the r)erson or oyganizatkxi shown in the Scheduie,, but ()riiy with resr!u(?ct to habiRy arUsrng out of your ongoing operations penfixirned for that irmured it 2010 1001 (Ed. 0413) (D, 2013, XIL Arnedca, Unc Flage 1 of 2 AH rights Ireso3 rved, May not Ibe copiied without penrlbssbn hu,iudes cq!)ydghted mateir4l of insuiu:irice Services Office, inc_ with ts permission B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions 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 site of the covered operations has been completed; or tw` (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 r subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions remain unchanged. XIL 2010 -1001 (Ed. 0413) © 2013, XL America, Inc. Page 2 of 2 All rights reserved May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc , with its permission ENDORSEMENT This endorsement, effective 12:01 a.m., July 1, 2015, forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization: Any person or organization with whom you have agreed, through written contract, agreement or permit, executed prior to loss. Location And Description of Completed Operations: Various as required per written contract XIL 2037 -1001 (Ed. 0413) © 2013, XL America, Inc Page 1 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc , with its permission (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Sect:VK- Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products - completed operations hazard ". All other terms and conditions remain unchanged XIL 2037 -1001 (Ed. 0413) © 2013, XL America, Inc. Page 2 of 2 All rights reserved. May not be copied without permission_ Includes copyrighted material of Insurance Services Office, Inc., with its permission ENDORSEMENT # This endorsement, effective 12:01 a.m., July 1, 2015, forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY„ PRIMARY INSURANCE CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS COVERAGE PART It is agreed that to the extent that insurance is afforded to any Additional Insured under this policy, this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured, as required by written contract. All other terms and conditions of this policy remain unchanged. XIL 424 0605 ©, 2005, XL America, Inc, POLICY NUMBER: CGD3000849 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OIL' TRANS ER OF 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 Person Or Organization: Where required by written contract or agreement executed prior to the loss (except where not permitted by law), Information required to complete this Schedule, if not shown above, will be shown in the Declarations. i 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. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 ENDORSEMENT # This endorsement, effective 12:01 a.m., July 1, 2015, forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below: .... _u ..... _. ............... .. Number of Days"'-"- Name of Person(s) or Entity(ies) Mailing Address: Advanced Notice of Cancellation: Per Schedule on File with the Companv 90 All other terms and conditions of the Policy remain unchanged. IXI 405 0910 © 2010 X.L. America, Inc. All Rights Reserved. May not be copied without permission. AU I UVIATIC AIII':)DITIOINXI MURED h o, i( mjpoi'at cm ( cri�xiiiuii[ Niwibw 2 i0885886A i,,'O 1120 '1 ','5, "" o C,17/0 1/2 0 16 A,C,'E Pw )!,L,y "xi"w i�, w , wmj�i� kQ "i "nMS ENDORSEMENT CHANGES THE POLMY, PLEASE READ FT CA':.III' RAIN "nos endmmemen"nodMcs hismance pi ovkJecl under the f&,Jowhrug^ BUSINESS AUTO COVEFRAGE F:ORM 1100 � OR CAFORIER COVEIRMGE F�OMVI ail CTIC)N iU - Lb,"kWaY COVERACE,MHO PS AN INSURED is amodud to ambde as an nmumd—arl pumm ur oromnir� f tr, g)u wrt n � "Viih(.ri c'), iCi 14 rM - , "mAdcli6nimal 11 sured on yat"!r pol icy ",m (�miy V 1vidy Owl" wr"propcOy tin to "tithich if �Ido accs"t"enC, ", 1, "You, vvh0e usorg a i�i�)Vc'ired ''milro", 0� 2 , Any Qmr pmaj haw sing a mi ed ",)W0'' mth yow pcminosskjin 14, ninmanu: pmvWed by Hs andminnuiA shOl Le ic) )Ihc) cc,'mM are be, I, m,hl of V nvmnnm; pmvidud fcn tho Addrdmuslunwal WY H not -io, g 'ciaitul 1hairl requmed by coiltlitci, wnd, n mu c"'w"[d, the poh("'s l ilndu it of hc, ir!(o/""""tcd fry" rIhr; c,,,1WrijcJ 2, dl ierms rimd con�'flhon,,.-, of she lie k.y shI , dl aqiply U,) thii, c",)Veragu (,;)pi'uvicdcd to We Add hmmi irthmm, and nudi aiverage sh;Al md be erdarped or aMmWed bv reamm rd Min muls(J 2 Cumnyu pmood n Ids undcommmak skH hu co'(,os""t c)vcl C.'my Wh• ind to thi:j Al"'k,'itiunal "uniiingmi", o[ cm any/ [11(' -i� yt)(j A apoy c�r,� a, �_pjiy'jijr, pi or to K dhat thiS plimm,',; ( Y i nss, J =570da (Owl Q Pi,ig',ci 1 ('d C. NOPCETO 0-IIIERS ENDORSEMENT — SCHEDW-E N011CFE BY�NSIJREVS REF'RE!3F.--,N"r'AI IVE "GUS ENDORSEMENT CHANGES THE P0L �CY. F"LEASE ��READ F'CARF-'F`UL,L,Y, k |/wooanoe| this Pu|ioyphorVz/uaoxonaUondaiabynotioahzyoucs Its first Named|nmuredfmr any ,aaamnotharthan nonpayman� of WawU| endeoxoh as so no io Ha ondorsemeQ io sand whVen ncdke ofconceUabon. to Me pe/sona oro/ganiza8ona |iOed in IN achmdudm that you ur your rep oauan*aUma craaAa or meinbain (Una ^S(;hedula^) byaUom nQ you/ epraoenambwa to aand ouoT noUue b such persons ororgon|zaUona. Thiu nodoy wi|| be An addWan um our noUmam you at Me Named |nsured ang any o\harpaMywhomwaava Uu notify byubabgeand in accordance wk(he cancdUa|ion pruv|aions al' ikmPuUc, B. Thm notbe nobaoaocmd in this �:"ndooemenh as pmvid�d by you, ,apmscnt�ihva im n/ended only ho a cou�eoy no{/ho20on (o (km pemon(y) or onJan/vaUun(s) namaU |n Ma 8ohedu|e in the event of a psndinG oancmUoUon of covarage, VVa hava no ieQN obbgaUon of any kind |o any such pamon(s) or orQan|zahon(s) The taUue to provide advance noToaUun of uznceUadon to tht� ohomn in |he Sohadu|a will imposm no oU||gaUon orUabi|ity ofany KioU upon u% our agema or nap,osanbaibeu. wiU not exknd any Why concaUsdion Imte andwU{noo nega(many ooncaUuUunoY the Policy � VVe ape no< hzr vadNing any inkmnaUon io any Sohedu|a, nor we we nsapona|We An any incored |narmabon(hat you o/you, amn(aUvs may uae Q, YVawiU on|ybe,aaponAUla for uendinQ euch ncdke 8zyournepeser0abve. and yournspnasantsUvavvU| in *um send Uhm noVu� to Uha or organizations Usimd in tho Gdhedu|m mt |east 30 days pdmr to the, canoeUUUon daba appUoaNa ha The Pohoy You ON 000pera1e with um in pmviding the 8chedu|e' or /n ceuain@ yuurrepnsaentaUvy hz provide Ne Schedule- E, All uU�ar0mrms aod oonUiUono of this Policy remain um:hanged aAK32686(0111> Paga1 o|1 WAIVEIR, OF rRANSPER OF SH&FTS OF FUECTOVERY iWAD ISTOWERS CC), I p o, r s:l b 0 n 7 pokcy ',5yrnbcl 1101cy Nhirrilrer PI:Acy Piericxf I EAMNe We of EndamonmW ISA -K)8858HA 07 AYU2015 io 07/01/2016 sumd By (Name of Wan nuMba"! o(,,'E A n I erk;@ i, l h I Su I I'�f I CE� C,C) IT f )a 7515 ENDORSEMENT CHANGES'! ff P01 ICK PLEASE READ IT CARERAIM Thk Endmmoment modMes h-murance provided uinder thie, foHow6g: 131,J&1IqEiSS At ffO COVERAGE 4!-()RM MOTOR CAIZRIE��RS COVERAGE HYRIM AUTO DEALERS COVERAGE FORM We wale any nght of tecovery wu noy hme agNnM the pwam or orgaNzAbon sho= 0 do S&e?A tobw bwwme c,yf (rayuMs we inake Q iNw-y or dwnage ading W of Um Ime of a covared •utc) I hr,,,y app ies orfly to the or ongariizzffloii shov n in Urc, SCHEEEMJLE SCHEDUL IH Pay pam on or ogunizoinn ngbnsf whnm you have agmed to waWe your Hght of rocnveg In a Wmi am AM, pwvded ash cwArwi wm C"WmWd Whr 0 Us datB d 1=�; qgg 00 . . . . . . . . WA 31 t A (OW 4) pne I A 1 Workers' +t,onipeination and Einployer s' Liability Policy m ... _.. ........__ .m ...._�_.�.�_ Named Insured E ndorsement Number AEGION CORPORATION 17988 EDISON AVENUE __..�....- ._......�.- __..._., w, CHESTERFIELD MO 63005 Policy Number _ Svmbol; WLR Number: C48589042 Effective . Date of Endorsement 07 -01 -2015 TO 07 -01 -2016 07 -01 -2015 U;1 _ ...� _ .. ed By (Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY to CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A, of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: ( X ) Blanket Waiver „ Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL OPERATIONS CONDUCTED BY AN INSURED PURSUANT TO SUCH WRITTEN CONTRACT 3. Premium: The premium charge for this endorsement shall be 2 . 0 percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: 0 ------------------------ - ------- Authorized Agent WC 99 03 22 Workers' Compensatlon and Employers' Liability Pol AEGION CORPORATION 17988 EDISON AVENUE Policy Number CHESTERFIELD MO 63005 :r: C48589042 ement -� 07 -01 -2015 07 -01 -2015 TO D7 -.01- 2016........ �........... �...., �...___.._... . .................. �. �W.................... ............................... Issued By (Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY NOTICE TO OTHERS ENDORSEMENT— SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out in this endorsement, to send written notice of cancellation, to the persons or organizations listed in the schedule that you or your representative create or maintain (the "Schedule ") by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice referenced in this endorsement as provided by your representative is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. C. We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in turn send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. E. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. Authorized Representative����������� WC 99 03 69 (01/11) Page 1 of 1