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PROOF OF INSURANCE (2017) CLOSED"-1-041111 0 CERTIFICATE OF LIABILITY INSU ANCF page 1 of 2 03/29/20 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 CONTACT Willis of New York, Inc. NAME: PHONIE FAX c/o 26 Century Blvd. gz.NC.XT)...,.,877, -945_ -7378 �A/G.dvG�_ 888 -467 -2378 P. O. Box 305191 E -MAIL - ADRFESS ......... cer 1£� a e yai l is, Nashville, TN 37230 -5191 "Odp1 - - - -- AFORDLNGCOVERAGE I NAIC# ......... w w ...,..... .. .. .. ...... INSURERA:Greenwich Insurance Company 22322 -001 INSURED NSURERB XL Specialty Insurance Company 37885 -001 Atkins North America, inc. -- - 2001 NW 107th Avenue INSURERC Underwriter's at Lloyds 15792 -001 Miami, FL 33172 -2507 _ ., _ n ............ ............................... „ INSURER D: INSURER E: INSURER F. kP COVERAGES CERTIFICATE NUMBER: 24277021 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 bADDL4SUB aPOLICYEFF POLICY EXP ITR TYPEOFINSURANCE 4 POLICYNUMBER LIMITS COMMERCIAL GENERAL .LIABILITY Y CGG740901605 4/1/2016 4/1/2017 { EACH OCCURRENCE $ 1 00Q'A QQQ �CLAIMS- MADh,X„ 000UR 11 1 ENTED PREMSFES {taoccurence) � ,,,,,, 300,Q00 X rqLq Li.bi,ziy, MED EXP (Any one person),.......... $ PERSONAL & ADV INJURY $ 1 0 ..-..- ....a. 0 0 0 ,�..r.. 00 GEN'LAGGREG ATE LIMIT APPLIES PER AGGREGATE $ 2J1000,,0­00. PRO- Y, X� LOC N.. POLICY [. -��PRO - y -GENERAL PRODUCTS ....- ,. ...............$ $ 2,OHOaOQ f OTHER: • C AUTOMOBILE LIABILITY CAH740901705 4/1/2016 4/1/2017 COMBINED SINGLE LIMIT (Eaaodderal),,,, $ 2,000,0.. 0 0 f X ANYAUTO - .. . ( .. ........... BODILYINJURY Per erson ........ „„ ...,_ $ X AUTOS AUTOS '. AUTOS AUT�'ira` BODILY INJURY(Per accident) $ X HIRED AUTOS Xm NON-OWNED AUTOS PA0P,rATyUAMA .......... (Per accidonl) .....W... $ I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ -- _... .... ..... ........ ... ........ ..... $ DED (RETENTION$ B WORKERS COMPENSATION CWG740901505 4/1/2016 4/1/2017 X I ER STATUTE.. f AND EMPLOYERS' LIABILITY Y l ...... ....... ANY PROP RIETOR/PARTNER/EXECUTIVE VN,N /A E.L. EACH ACCIDENT $ 1,000,000 OFFICER /MEMBER EXCLUDED? iar NH7, ftear, alory In E.L. DISEASE EA EMPLOYEE ------ ... -.- $ 1,000,000 yyP�earudatlurry �.,�. under I' If�.a.�L,RIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 C (Professional B080111209P16 .4/1/2016 4/1/2017 $1,000,000 Each Claim & Liability- Claims Made $1,000,000 Annual Aggregate 11/11/1961 Retrodate i DESCRIPTION OF OPERATIONS l LOCATIONS / VEHICLES (ACORD 101, Aadd tonal Remarks 3chedarle, may he allachead if more space Is rerltdre4) RE: 222 Kansas Street Project Greenwich Insurance Company Best Rating: A XV XL Specialty Insurance Company Best Rating: A XV Underwriters at Lloyd's AM Best Rating: A XV Professional Liability policy written on claims -made basis. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE Attn: Ms. Kimberly Christensen t 350 Main Street E1 Segundo, CA 90245 Coll:4875378 Tpl:2041775 Cert:24277021 © 1988- 2014ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACORD 101 (2008/01) Coll:4875378 Tpl:2041775 Cert: 24277021 © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CGG740901605 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ► 1101 ` . a • m • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ izatio n s : Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WITH WHOM YOU VARIOUS AS REQUIRED PER WRITTEN HAVE AGREED, THROUGH WRITTEN CONTRACT, CONTRACT. AGREEMENT OR PERMIT, EXECUTED PRIOR TO THE LOSS, TO PROVIDE ADDITIONAL INSURED COVERAGE. 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 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: CGG740901605 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 90 (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 .y Policy Condition or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above. CG022410 93 Copyright, Insurance Services Office, Inc., 1992 POLICY NUMBER: CAH740901705 XIC4051007 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 paragraph 2. 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: 90 All other terms and conditions of this policy remain unchanged. (Authorized Representative) XIC 405 1007 © 2007, XL America, Inc. Page 1 of 1 Includes copyrighted material of Insurance Office, Inc., with its pennission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY 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:90 we 99 ono Fd. 1 (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. Cancelation 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 April 1, 2016 Policy No. CWG740901505 Endorsement No. Insured ATKINS NORTH AMERICA, INC. Insurance Company: XL Specialty Insurance Company Countersigned by Company © 2007 XL America, Inc. _ we 99 olio Ed. 1/08 Willis Limited FINEX Global INSURED: WS Atkins plc and as more fully defined in the contract PERIOD: 1 April 2015 to 31 March 2017 TYPE: Insurance of UK PI Generic Primary UNIQUE MARKET REFERENCE: B080111209P16 e p 7 ENDORSEMENT REFERENCE: 0002 EFFECTIVE DATE: 1 April 2016 local standard time at the address of the Insured. It is hereby noted and agreed that with effect from the effective date above the following General Condition is added to the policy: " 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 organizations 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 organization(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 organization(s). Any failure to provide advance notice of cancellation to the person(s) or organization(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." All other terms and conditions remain unaltered. Willis Limited WUv1081!1 JON Willis lntemal Rei' 0002 •