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PROOF OF INSURANCE (2017) CLOSED I DATE 05/19/2017 CERTIFICATE OF LIABILITY INSURANCE 05/19/2097 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. U Q IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on T this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Aon Risk Services Central, Inc. — PH P� .(866) 283-7122 I'AX (800) 363-0105 ly Pittsburgh PA office INC.NO.Ext): .......... � (A X No.): -p Dominion Tower, 10th Floor E-MAIL 625 Liberty Avenue ADDRESS: _ Pittsburgh PA 15222-3110 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Liberty Mutual Fire Ins Co 23035 Michael Baker International, Inc. INSURER B: Liberty Insurance Corporation 42404- Formerly Pacific Municipal Consultants (PMC) INSURER C: National Union Fire Ins Co of Pittsburgh 19445 2729 Prospect Park Drive, Suite 220 INSURER D: Lloyd's Syndicate No. 2623 AA1128623 Rancho Cordova CA 95670 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570066482121 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 Limits shown are as requested INSR ADDL SUB&t POLlUY EFF POd-fl�C:Y L-XP LTR TYPE OF INSURANCE I,N� O WV0 POLICY NUMBER tMMp .Y 194p / DdYY'YY1 LIMITS A X COMMERCIAL GENERAL LIABILITY � T'BC6810O414S 716 UPS/ /)G ��/ �/2U1/ EACH OCCURRENCE $2,000,000 DAMAGE IU RNTE CLAIMS-MADE OCCUR RENTED PREMISES(Ea occurrence) $300,OOO IVIED EXP(Any one person) I $10,000 PERSONAL 1,ADV INJURY I $2,000,000 N GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE I $4,000,000 POLICY JERCOT- LOC (PRODUCTS-COMP/OP AGG $4,OOO,OOO to OTHER I o A AUTOMOBILE LIABILITY A52-681-004145-726 08/30/2016 08/30/20171 COMBINED SINGLE LIMIT I � IEa accidenll $2,000,000 X ANY AUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) y AUTOS ONLY AUTOS }' HIRED AUTOS NON-OWNED PROPERTY DAMAGE V ONLY AUTOS ONLY (Per accident) w d C X UMBRELLA LIAB X OCCUR BE060476715 08/30/2016 08/30/20171 EACH OCCURRENCE $10,000,000 V EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED l X (RETENTION$10,000 B EMR ERSCOMAPBENSAYTION AND YPN wwA768DO04145776 08/30/2016 08/30/20171 X NSTATUTE JOTH ADS ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $1,000,000 B OFFICERIMEMBEREXCLUDED' II " II NIA WC7681004145786 08/30/2016 08/30/20171 (Mandatory in NH) uuu...... uuu wI E L DISEASE-EA EMPLOYEE $1,000,000 IF yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $1,000,000— D E&O-PL-Primar y 08li ol/2017�I claim 15,000„000 Professional & Pollution Aggregate $5,000,000 per policy terns cond " ons DE'SCRNPTlON OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) ..w '...,I RE: Projects on File. City of El Segundo, its officials and employees are included as Additional insured in accordance with the policy provisions of the General Liability policy. General Liability evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the workers' Compensation policy. .� CERTIFICATE HOLDER CANCELLATION -N 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: Planning & Building Safety Dept. 350 Main Street E1 Segundo CA 90245-3813 USA (�/� e em ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 212201400007700091 Policy(dumber TB2-6$1-004145-716 Issued by Liberty Nfutual Fire Insurance Co. THIS ENDORSEfiIrENTCHANGES THE POLICY. PLEASE READ IT CAREFULLY. B LAN KET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION it-WHO IS AN INSURED Is amended to Include as an Insured any person or orgardzathn for whom you have agreed in writing to provide liability insurance. But The insurance provided by this amendment: 1. Applies only to'bodily Injury'or"property damage'arising out of(a)dour wrork"or(b)premises or other property owned by or rented to you; 2. Applies only to coverage and minimum limits of insurance required by the written agreement,but in no event exceeds either the scope of coverage or the Iimks of insurance provided by this policy;and 3. Does not apply to any person or organization for whom you have procured separate liability insurance while such insurance Is in effect, regardless of whether the scope of coverage or limits of insurance of this policy exceed those of such other insurance or whether such other Insurance is valid and collectible. The following provisions also apply: 1. Where the applicable written agreement requires the insured to provide liability insurance on a primary,excess, contingent,or"other basis,this policy will apply solely on the basis required by such written agreement and Item 4.Other Insurance of SECTION IV of this policy will not apply.. 2. Where the applicable written agreement does not specify on what basis the liability insurance will apply,the provisions of Item 4, Other Insurance of SECTION IV of this policy will govern. 3 This endorsement shall not apply t0 any person or organization for any "bodily Injury'or"property damage"I any other additional insured endorsement on this policy applies to that person or organization with regard to the "bodily lnjury"or"property damage". 4. If any other additional Insured endorsement applies to any person or organization and you are obligated under a written agreement to provide liability insurance on a primary,excess. contingent. or any other basis for that additional insured,this policy wdl apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION IV of this policy will not apply, regardless of whetherthe person or organization has available other valid and collectible Insurance. If the applicable written agreement does not specify on what basis the liability insurance will apply,the provisions of Item 4,Other insurance of SECTION IV of this policy will govern. LN 20 0106 05 t933013006996M69 Policy Number TB2-681-004145-716 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR BARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PA'R'T COMMERCIAL LIABILITY—UMBRELLA COVERAGE FORM Schedule Nance of Other Porson(s)I Email Address or rrt l*ng address: Number Days Notice., organization(s): Per schedule on eer scneuuie-on fire° 30 file with the company A. if we canoell this policy for any reason other than nonpayment of premium* we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or malling address listed above at least 10 days, or the number of days listed above, If any, before the cancellation becomes effective. in no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation 6f the polioy. All other terns and conditions of this policy remain unchanged. LIM"0105 11 m 2011 Liberty Mutual Group of Companies.All rights reserved. Page 1 of 1 includes copyrighted material of Insurance Services Office, Inc.,with its permission. 2182014MO4500109 Poticy Number. . AS2-681-004145-726 Issued By: Liberty Mutual Fire rnsurance Co. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART Schedule Name of Other PersQrOX Email Address; Organization(s): Per scbsdulo on.films with the Per s, dul+ on file with the Company Company A. 9 we cancel this policy for any reason other than nonpayment of premium, we will nobly the persons or organkadons shown in the Schedule above by email.as soon as practical after notifying the first Named Insured, B. This advance emafi notification of a pending cancellation of coverage is intended as a courtesy only. Our Failure to provide such advance notification wr11 not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 98 92 9811 ®2011. Liberty Mutual Group of Companies. All rights reserved. Pagel of 1 Includes copyrighted material of Insurance Services Office,Inc. with its permission_ Policy Number: QC1602675 LIMITED AUTHORITY TO ISSUE CERTIFICATES OF INSURANCE ENDORSEMENT In consideration of the premium charged, it is hereby understood and agreed as follows: (1) Underwriters authorize Aon the ("Certificate Issuer") to issue Certificates of Insurance at the request or direction of the Assured. It is expressly understood and agreed that, subject to Paragraph (2) below, any Certificate of Insurance so issued shall not confer any rights upon the Certificate Holder, create any obligation on the part of the Underwriters, or purport to, or be construed to, alter, extend, modify, amend, or otherwise change the terms or conditions of this Policy in any manner whatsoever. In the case of any conflict between the description of the terms and conditions of this Policy contained in any Certificate of Insurance on the one hand, and the terms and conditions of this Policy as set forth herein on the other, the terms and conditions of this Policy as set forth herein shall control. (2) Notwithstanding Paragraph (1) above, such Certificates of Insurance as are authorized under this endorsement may provide that in the event the Underwriters cancel or non-renew this Policy or in the event of a Material Change to this Policy, Underwriters shall mail written notice of such cancellation, non-renewal, or Material Change to such Certificate Holder 30 days prior to the effective date of cancellation, non-renewal, or a Material Change, but 10 days prior to the effective date of cancellation in the event the Assured has failed to pay a premium when due. The Assured shall provide written notice to the Underwriters of all such Certificate Holders, if any, specified in each Certificate of Insurance (i) at inception of this Policy, (ii) 90 days prior to expiration of this Policy, and (iii)within 10 days of receipt of a written request from Underwriters. Underwriters' obligation to mail notice of cancellation, non-renewal, or a Material Change as provided in this paragraph shall apply solely to those Certificate Holders with respect to whom the Assured has provided the foregoing written notice to the Underwriters. (3) It is further understood and agreed that Underwriters' authorization of the Certificate Issuer under this endorsement is limited solely to the issuance of Certificates of Insurance and does not authorize, empower, or appoint the Certificate Issuer to act as an agent for the Underwriters or bind the Underwriters for any other purpose. The Certificate Issuer shall be solely responsible for any errors or omissions in connection with the issuance of any Certificate of Insurance pursuant to this endorsement. (4) As used in this endorsement: (i) Certificate of Insurance means a document issued for informational purposes only as evidence of the existence and terms of this Policy in order to satisfy a contractual obligation of the Assured. (ii) Material Change means an endorsement to or amendment of this Policy after issuance of this Policy by the Underwriters that restricts the coverage afforded to the Assured. All other terms, clauses and conditions remain unchanged, Market Submission- Supplemental Page 38 of 54 JM 17/08/16 01 PR303/17 Clauses WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Not applicable in Alaska, Kentucky, New Hampshire and New Jersey Schedule Where required by contract or written agreement priorto loss and allowed by law. In the states of Alabama,Arizona,Arkansas, Colorado, Dist. Of Col, Georgia, Idaho, Illinois, Indiana,Michigan, Mississippi, Missouri, Montana, Nevada,New Mexico, NorthCarolina, Oklahoma, Pennsylvania,Rhode Island,South Carolina, South Dakota,Vermont,West Virginia the premium charge is 2%of the total manual premium, subject to a minimum premium of $100 per policy. In the states of Connecticut, Florida, Iowa, Maryland, Nebraska,Oregon the premium charge is 1%of the total manual premium subject to a minimum premium of$250 per policy. In the state of Louisiana the premium charge is 2%of the total standard premium subject to a minimum premium of$250 per policy.in the state of Massachusetts the premium charge is 1% of the total manual premium. In the state of New York the premium charge is 2% of the total manual premium,subject to a minimum premium of$250 per policy. In the state of Tennessee there is no premium charge. In the state of Virginia the premium charge is 5%of the total manual premium, subject to a minimum premium of$250 per policy. Issued by Liberty Insurance Corporation 21814 For attachment to Policy No, WA7-68D-004145-776 Effective Date 08/30/201.6 Premium$ Issued to Michael Baker International, Inc. WC 00 03 13 0 1983 National Council on Compensation Insurance. Page 1 of 1 Ed.04101/1984 NOTICE OF CANCIELLATION TO 7MRO'PARTI"ES A. It we cancel this policy for any reason other than nonpayment or prernlurn, we will notify the pereons or orprilzations shown In the Schedule below.We will send notice to the eanrsll or malting address fisted below at least 10 days,or the number of days listed below,if any, before cancellation taocor oes effective, In no event does the notice to the third party e=eed the notice to the first named Insured. B. This advance nati6cation of a pending cancellation of coverage Is Intended as a COU609y only, Our fagtue to provide such advance noti'ltcatidn will not extend the policy cancellation date nor negate cancellation of the Poky. SchaedWe Name of Other Person(s)I Email Address or ma€ling address: Number Days Notice: Organization(s): Pet,schodula on f le, with the 30 company All other terms and renditions or this policy remain uncharged. Imedby Liberty Insurance Corp don 21814 Farattaochmentto Policy No. WA7-68D-004145-776 Premium i Issued to Michael Baker Corporation VYM 5018 t)B 11 ®2011,Liberty Mutual Group. All Rights Reserved. Page 1 of 1 Ed.06/0112011