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PROOF OF INSURANCE (2017) CLOSED Client#:25326 KPFFINCO
ACORD,. CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDIYYYY)
7/2612017
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 hohder is an ADDITIONAL INSURED,the policy('los)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 CONIACI Jerry Noyola
Greyling Ins. Brokerage/EPIC P>1ONE 770-552-4225 &Ax ) 866 550-4
(Arc,No,Exl)r Arc.No: 082
3780 Mansell Road,Suite 370 F-MAIL no c lln com
Alpharetta, GA 30022 ADL7RESS:.Jetr y yola� 're y
INSURER(S)AFFORDING COVERAGE NAIC#
Travelers Prop ..........
INSURER A:TlPp Casualty Co of 25674
INSURED INSURER c,Travelers
B:The Phoenix Insurance Company 25623
KPFF, Inc.
Indemnity Company 25658
1601 5th Avenue
Suite 1600 INSURER D Lloyds of London
Seattle,WA 98101 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 16-17 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
LTRR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
IN$R MR POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY 3H32477A 10/10/2016 1011012017 EACH OCCURRENCE $1,000,000
X (N)'D
CLAIMS-MADE V (occuR (AOS) r � � a 300,000
A X WA Stop Gap 680-6H805490 10/10/2016 10/10/2017 MED EXP(Any one person) $5,000
X Contractual Liab. (CA) PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICYX�PEO I., ...... LOC PRODUCTS-COMP/OP 2„AGG $ „0,0,0.rO......O,O
OTHER.
$
B AUTOMOBILE LIABILITY BA1283L7CO BIN
587 10/10/2016 10/10/201 hDtsiNGL"1=LIMi"r S1,000,000
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS X AUTOS BODILY INJURY(Per accident) $
X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $
_—._ AUTOS (Per accide,nt).................. ,„ ,................... .......... ..
SS LIAR B OCCUR CUPOOOF630530 10/10/2016 10/10/2017 EACH OCCURRENCE $10,000,000 C X EXCE UMBRELLA LAB V X �CLAIMS MADE A4��wiRF $10,000,000
,..... -
PER I ?(RETE,NTI,ON$10,000 ..... ....................... $
A AND EMPLOYERS'COMPENSATION
�I�,NVF,�Y II N NIA XJU65836Y21616 10110/2016 10/10/2017 X ,�SAATIJTF ACCIDENT p R'_I~_. ...._... ....,. O
RS CO
ANY PRO
ft'K EC
CH
OFFICE
ER
AND EM
$1,000,00..................................
(Mandatory In NH) E.L DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below EL DISEASE-POLICYLIMIT $1,000,000
D Professional/ B0146LDUSA1604384 10110/2016 10/10/2017 Per Claim$10,000,000
Pollution Liab. Aggregate$10,000,000
SIR$250,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
Re: KPFF Project#10121600121 -EI Segundo Bike Path.The City of EI Segundo is named as an Additional
Insured with respects to General&Automobile Liability where required by written contract.Waiver of
Subrogation is applicable where required by written contract&allowed by law. Umbrella Follows Form with
respects to General,Automobile&Employers Liability Policies. Should any of the above described policies
be cancelled by the issuing insurer before the expiration date thereof, 30 days'written notice(except 10
days for nonpayment of premium)will be provided to the Certificate Holder. ,,,,.m "
CERTIFICATE HOLDER CANCELLATION
City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Orlando Rodriguez ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street
EI Segundo,CA 90245 AUTHORIZED REPRESENTATIVE
©1988-2014 ACORD CORPORATION.All rights reserved.
ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S835524/M564569 JNOY1
COMMERCIAL GENERAL LIABILITY
Policy Number: 680-6H805490
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 „d
A. The following is added to WHO IS AN INSURED INSURANCE (Section III) for this Coverage
(Section li): Part.
Any person or organization that you agree in a B. The following is added to Paragraph a. of 4.
"contract or agreement requiring insurance"to in- Other Insurance in COMMERCIAL GENERAL
clude as an additional insured on this Coverage LIABILITY CONDITIONS(Section IV):
Part, but only with respect to liability for"bodily in-
However, if you specifically agree in a contract or
jury", "property damage" or "personal injury" agreement requiring insurance"that the insurance
caused, in whole or in part, by your acts or omis- provided to an additional insured under this Cov-
sions or the acts or omissions of those acting on erage Part must apply on a primary basis, or a
your behalf: primary and non-contributory basis,this insurance
a. In the performance of your ongoing opera- is primary to other insurance that is available to
tions; such additional insured which covers such addi-
b. In connection with premises owned by or tional insured as a named insured, and we will not
rented to you;or share with the other insurance, provided that:
c. In connection with "your work" and included (1) The "bodily injury" or "property damage" for
within the "products-completed operations which coverage is sought occurs; and
hazard". (2) The "personal injury" for which coverage is
Such person or organization does not qualify as sought arises out of an offense committed;
an additional insured for "bodily injury", "property after you have entered into that "contract or
damage" or "personal injury" for which that per- agreement requiring insurance". But this insur-
son or organization has assumed liability in a con- ance still is excess over valid and collectible other
tract or agreement. insurance, whether primary, excess, contingent or
The insurance provided to such additional insured on any other basis, that is available to the insured
is limited as follows: when the insured is an additional insured under
d. This insurance does not apply on any basis to
any other insurance.
any person or organization for which cover- C. The following is added to Paragraph 8. Transfer
age as an additional insured specifically is Of Rights Of Recovery Against Others To Us
added by another endorsement to this Cover- in COMMERCIAL GENERAL LIABILITY CON-
age Part. DITIONS(Section IV):
e. This insurance does not apply to the render- We waive any rights of recovery we may have
ing of or failure to render any "professional against any person or organization because of
services". payments we make for "bodily injury", "property
f. The limits of insurance afforded to the addi- damage" or "personal injury" arising out of "your
tional insured shall be the limits which you work" performed by you, or on your behalf, under
agreed in that 'contract or agreement requir- a"contract or agreement requiring insurance"with
ing insurance" to provide for that additional that person or organization. We waive these
insured, or the limits shown in the Declara- rights only where you have agreed to do so as
tions for this Coverage Part, whichever are part of the'contract or agreement requiring insur-
less. This endorsement does not increase the ance" with such person or organization entered
limits of insurance stated in the LIMITS OF into by you before, and in effect when, the "bodily
CG D3 8109 07 ©2007 The Travelers Companies,Inc. Page 1 of 2
Includes the coovriahted material of Insurance Services Office.Inc..with its permission
COMMERCIAL GENERAL LIABILITY
injury" or "property damage" occurs, or the "per- erage Part, provided that the "bodily injury" and
sonal injury"offense is committed. "property damage" occurs, and the "personal in-
D. The following definition is added to DEFINITIONS jury"is caused by an offense committed:
(Section V): a. After you have entered into that contract or
"Contract or agreement requiring insurance" agreement;
means that part of any contract or agreement un- b. While that part of the contract or agreement is
der which you are required to include a person or in effect; and
organization as an additional insured on this Cov- c. Before the end of the policy period.
f
Page 2 of 2 ©2007 The Travelers Companies,Inc. CG D3 8109 07
Includes the coovriahted material of Insurance Services Office.Inc..with its permission
COMMERCIAL AUTO
Policy Number: BA12831_587
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AUTO COVERAGE PLUS ENDORSEMENT
This endorsement modifies Insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modi-
fied by the endorsement.
GENERAL DESCRIPTION OF COVERAGE–This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover-
age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. BLANKET ADDITIONAL INSURED H. AUDIO, VISUAL AND DATA ELECTRONIC
B. EMPLOYEE HIRED AUTO EQUIPMENT–INCREASED LIMIT
C. EMPLOYEES AS INSURED I. WAIVER OF DEDUCTIBLE–GLASS
D. SUPPLEMENTARY PAYMENTS – INCREASED J. PERSONAL EFFECTS
LIMITS K. AIRBAGS
E. TRAILERS–INCREASED LOAD CAPACITY L. AUTO LOAN LEASE GAP
F. HIRED AUTO PHYSICAL DAMAGE M. BLANKET WAIVER OF SUBROGATION
G. PHYSICAL DAMAGE – TRANSPORTATION
EXPENSES–INCREASED LIMIT
A. BLANKET ADDITIONAL INSURED performing duties related to the conduct of
The following is added to Paragraph A.1., Who Is your business.
An Insured, of SECTION II – LIABILITY COV- 2. The following replaces Paragraph b. in B.S.,
m� ERAGE: Other Insurance, of SECTION IV – BUSI-
Any person or organization who is required under NESS AUTO CONDITIONS:
a written contract or agreement between you and b. For Hired Auto Physical Damage Cover-
that person or organization, that is signed and age, the following are deemed to be cov-
executed by you before the "bodily injury" or ered"autos" you own:
"property damage" occurs and that is in effect
during the policy period, to be named as an addi- (1) Any covered "auto" you lease, hire,
rent or borrow; and
tional insured is an "insured" for Liability Cover-
°— age, but only for damages to which this insurance (2) Any covered"auto" hired or rented by
applies and only to the extent that person or or- your "employee" under a contract in
ganization qualifies as an "insured" under the that individual "employee's" name,
Who Is An Insured provision contained in Section with your permission, while perform-
II. ing duties related to the conduct of
B. EMPLOYEE HIRED AUTO your business.
1. The following is added to Paragraph A.1., However, any"auto"that is leased, hired,rented or borrowed with a driver is not a
Who Is An Insured, of SECTION II – LI- covered"auto".
ABILITY COVERAGE: C. EMPLOYEES AS INSURED
An "employee" of yours is an "insured" while
operating a covered "auto" hired or rented The following is added to Paragraph A.1., Who Is
under a contract or agreement in that "em- An Insured, of SECTION 11 – LIABILITY COV-
ployee's" name, with your permission, while
ERAGE:
CA T4 20 07 10 02010 The Travelers Indemnity Company.All rights reserved. Page 1 of 3
Includes copyrighted material of Insurance Services Office,Inc.with Its permission.
000870
COMMERCIAL AUTO
Any "employee" of yours is an "insured" while us- (3) If a repair or replacement results in better
ing a covered"auto" you don't own, hire or borrow than like kind or quality, we will not pay for the
in your business or your personal affairs. amount of betterment.
D. SUPPLEMENTARY PAYMENTS — INCREASED (4) A deductible equal to the highest Physical
LIMITS Damage deductible applicable to any owned
1. The following replaces Paragraph A.2.a.(2) of covered "auto".
SECTION 11—LIABILITY COVERAGE: (5) This Coverage Extension does not apply to:
(2) Up to $3,000 for cost of bail bonds (in- (a) Any "auto" that is hired, rented or bor-
cluding bonds for related traffic law viola- rowed with a driver, or
tions) required because of an "accident" (b) Any "auto" that is hired, rented or bor-
we cover. We do not have to furnish rowed from your"employee".
these bonds.
2. The following replaces Paragraph A.2.a.(4) of G. PHYSICAL DAMAGE — TRANSPORTATIONEXPENSES—INCREASED LIMIT
SECTION II—LIABILITY COVERAGE:
(4) All reasonable expenses incurred by the The following replaces the first sentence In Para-
graph A.4.a., Transportation Expenses, of
"insured" at our request, including actual SECTION III — PHYSICAL DAMAGE COVER-
loss of earnings up to $500 a day be- AGE:
cause of time off from work.
E. TRAILERS —INCREASED LOAD CAPACITY We will pay up to $50 per day to a maximum of
$1,500 for temporary transportation expense in-
The following replaces Paragraph C.I. of SEC- curred by you because of the total theft of a cov-
TION I—COVERED AUTOS: ered "auto"of the private passenger type.
1. "Trailers" with a load capacity of 3,000 H. AUDIO, VISUAL AND DATA ELECTRONIC
pounds or less designed primarily for travel EQUIPMENT—INCREASED LIMIT
on public roads. Paragraph C.2.. Limit Of Insurance, of SEC-
F. HIRED AUTO PHYSICAL DAMAGE TION III — PHYSICAL DAMAGE COVERAGE is
The following is added to Paragraph AA., Cover- deleted.
age Extensions, of SECTION III — PHYSICAL I. WAIVER OF DEDUCTIBLE—GLASS
DAMAGE COVERAGE: The following is added to Paragraph D., Deducti-
Hired Auto Physical Damage Coverage ble, of SECTION III — PHYSICAL DAMAGE
If hired "autos" are covered "autos" for Liability COVERAGE:
Coverage but not covered "autos" for Physical No deductible for a covered "auto" will apply to
Damage Coverage, and this policy also provides glass damage if the glass is repaired rather than
Physical Damage Coverage for an owned "auto", replaced.
then the Physical Damage Coverage is extended J. PERSONAL EFFECTS
to "autos" that you hire, rent or borrow subject to
the following: The following is added to Paragraph AA., Cover-
(1) The most we will pay for "loss" in any one age Extensions, of SECTION III — PHYSICAL
"accident" to a hired, rented or borrowed DAMAGE COVERAGE:
"auto"is the lesser of, Personal Effects Coverage
(a) $50,000; We will pay up to $400 for "loss" to wearing ap-
(b) The actual cash value of the damaged or
parel and other personal effects which are:
stolen property as of the time of the (1) Owned by an "insured"; and
"loss"; or (2) In or on your covered"auto".
(c) The cost of repairing or replacing the This coverage only applies in the event of a total
damaged or stolen property with other theft of your covered "auto".
property of like kind and quality. No deductibles apply to Personal Effects cover-
(2) An adjustment for depreciation and physical age,
condition will be made in determining actual
cash value in the event of a total "loss".
Page 2 of 3 ®2010 The Travelers Indemnity Company.All rights reserved. CA T4 20 07 10
Includes copyrighted material of Insurance Services Office,Inc.with its permission.
COMMERCIAL AUTO
K. AIRBAGS (2) Any:
The following is added to Paragraph B.3., Exclu- (a) Overdue lease or loan payments at the
sions, of SECTION III — PHYSICAL DAMAGE time of the 'loss'
COVERAGE: (b) Financial penalties imposed under a
Exclusion 3.a. does not apply to 'loss" to one or lease for excessive use, abnormal wear
more airbags in a covered "auto" you own that in- and tear or high mileage;
flate due to a cause other than a cause of 'loss" (c) Security deposits not returned by the les-
set forth in Paragraphs A.1.b. and A.1.c., but sor;
only: (d) Costs for extended warranties, Credit Life
a. If that "auto" is a covered "auto"for Compre- Insurance, Health, Accident or Disability
hensive Coverage under this policy; Insurance purchased with the loan or
b. The airbags are not covered under any war- lease; and
ranty; and (e) Carry-over balances from previous loans
c. The airbags were not intentionally inflated. or leases.
We will pay up to a maximum of $1,000 for any M. BLANKET WAIVER OF SUBROGATION
one'loss". The following replaces Paragraph A.S., Transfer
L. AUTO LOAN LEASE GAP Of Rights Of Recovery Against Others To Us,
The following is added to Paragraph AA., Cover- of SECTION IV — BUSINESS AUTO CONDI-
age Extensions, of SECTION III — PHYSICAL TIONS:
DAMAGE COVERAGE: 5. Transfer Of Rights Of Recovery Against
Auto Loan Lease Gap Coverage for Private Others To Us
Passenger Type Vehicles We waive any right of recovery we may have
In the event of a total 'loss"to a covered "auto" of against any person or organization to the ex-
the private passenger type shown in the Schedule tent required of you by a written contract exe-
or Declarations for which Physical Damage Cov- cuted prior to any "accident" or 'loss", pro-
erage is provided, we will pay any unpaid amount vided that the "accident"or"loss"arises out of
due on the lease or loan for such covered "auto" the operations contemplated by such con-
less the following: tract.The waiver applies only to the person or
`= organization designated in such contract.
(1) The amount paid under the Physical Damage
Coverage Section of the policy for that"auto";
and
o=
o=
m=
o=
:r
CA T4 20 07 10 ®2010 The Travelers Indemnity Company.All rights reserved. Page 3 of 3
Includes copyrighted material of Insurance Services Office,Inc.with its permission.
000880
TRAVELERSWORKERS COMPENSATION
AND
ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY
MARTFOROs CT 06183
ENDORSEMENT WC 00 03 13 (00)-Ot
POLICY NUMBER: XJUB5836Y21616
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 any one not named In the Schedule.
SCHEDULE
DESIGNATED PERSON:
DESIGNATED ORGANIZATION:
ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED
IN A WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO PROVIDE THIS
WAIVER.
DATE OF ISSUE:7/26/2017 ST ASSIGN: