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PROOF OF INSURANCE (2014) CLOSEDClient #: 974 ,AKMCONSU _ 112""' ACORDTM CERTIFICATE OF LIABILITY INSURANCE 96/013 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 12675 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 510 465 -3090 INSURERS AFFORDING COVERAGE INSURED ......... ........... www ....................... .......- ........ .. .. .._,,.., - ......................� .. -.._ INSURER A: Hartford... Casualty.. Insurance Co. . . .._.......... .......-- ..... .�..... .m._....,. AKM Consulting Engineers, Inc. INSURER B_ American Automobile Ins. Co. 553 Wald Street INsu.�.�. ...�- ....�...__— .wa�.. ���w.w�.�.m. � ...... ....... .. . RER c Travelers Casualty & Surety Co. Irvine, CA 92618 4627 -- -..w.. .. .... ....... _..._ ...... INSURER D. - .......... .... . -- INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ............ ....... - INSR TYPE OF INSURANCE„ POLICY NUMBER — F�OLfCY EFFECTiV] POLICY EX� ��� – �— PIRATION LIMITS MR_ DATE M DD DATE MMIDD A GENERAL LIABILITY 57SBWLU8719 09/20/13 09/20/14 EACH OCCURRENCE $ a 2 OOO 000 X COMM CO AGE (Any ne fire) $300,000 .. 1 CLAIMS MADE XLi OCCUR _.........k ......� person) ME EXP (Any one p ... $10,000 ....... ,.,_.. PERSONAL & ADV INJURY .................. $2,000 OOO _.,................._ �.w -.. _ .... .. ... .�. rE GENERALAGGREGA, .. $4 000 000 .-.mot .- ...-- z,_.-- ............ ...., ............ GEN'L .......................................... .....,.,.,.,...,.,.,.,.. „... -- AGGREGATE LIM ITAPPLIES PER: PRODUCTS- COMPlOPAGG _.......... $40 00 0 000 m,mmmmmm,m.. r... X .......J. POLICY X PRO.', F ... LOC A AUTOMOBILE LIABILITY 57SBWLU8719 09120/13 09120114 COMBINED SINGLE LIMIT $2,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X I BODILY INJURY $ HIREDAUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS LIABILITY 57SBWLUB719 09120/13 09/20 /14 EACH OCCURRENCE $3 000 000 )XI OCCUR CLAIMS MADE AGGREGATE .._ _ $3 OOO DOO -_ -_ -_ _ DEDUCTIBLE $ RETENTION $, $ B WORKERS COMPENSATION AND '... WZP81013870 09/20113 09/20/14 X W' STATU- OTH- _ T.0RY LLMITS ......... E)z............ .. .. .......... EMPLOYERS' LIABILITY E L. EACH ACCIDENT 51,000,000 L. DISEASE -EA EMPLOYEE 1110P-01900 ,m........ ,,.,�_ ,,E �El. DISEASE - POLICY LIMIT $11000,000 C OTHER Professional 105344511 09/20/13 09/20114 $1,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS General Liability Policy excludes claims arising out of the performance of professional services. Ref: Maple Avenue Project. (See Attached Descriptions) CERTIFICATE HOLDER City of El Segundo Attn: Arianne Bola 350 Main Street El Segundo, CA 90245 -3895 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL J9)(R5e+QJI V MAIL 30 DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, B��jQjpJpjQj$K(j(� W*JOJMX RM)TX.VXXXXXMxMX31MX XM TIVE ACORD 25 -S (7/97)1 of 2 #S739211/M739096 NMF © ACORD CORPORATION 1988 DESCRIPTIONS (Continued from Page 1) V BUSINESS LIABILITY, NON -OWNED and HIRED AUTOMOBILE LIABILITY ADDITIONAL INSURED: The Certificate Holder* and any other person named in the written contract between the Named Insured and the Certificate Holder. The coverage afforded is pursuant to Section C., Who Is An Insured, Sub - Section f. Additional Insureds by Contract, Agreement or Permit, of the Business Liability Coverage Form, Form No. SS 00 08 *ADDITIONAL INSURED: City of El Segundo, its officers, officials, employees and volunteers AMS 25.3 (07197) 2 of 2 #S739211/M739096 Insured: AKM Consulting Engineers, Inc. Insurer: Hartford Casualty Insurance Co, Policy Number: 57SBWLU8719 Policy Effective Date: 09/20/13 Additional Insured: City of El Segundo, its officers, officials, employees and volunteers EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FOR� ' C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering E.5. Separation of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non- contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. EXCERPT FROM Hartford Form SS 04 38 06 01 HIRED AUTO AND NON -OWNED AUTO B. With respect to the operation of a "non -owned auto ", WHO IS AN INSURED is replaced by the following: The following are "insureds ": d. Anyone liable for the conduct of an "insured ", but only to the extent of that liability. Insured: AKM Consulting Engineers, Inc. Policy Number: WZP81013870 Effective Date: 09/20/13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. ULE Person or Organization Job Description 3off R,,Maple Avenue Project. SCHEDULE CONTINUED: City of EI Segundo, its officers, City of EI Segundo als, employees and volunteers Attn: Arianne Bola 350 Main Street El Segundo, CA 90245 -3895 Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: Policy Expiration Date: