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PROOF OF INSURANCE (2018) CLOSED Client#:25320 KIMLHORN YYYY) MIDD/ ACORD. CERTIFICATE OF LIABILITY INSURANCE 3130/2017 DATE(MMJDDf THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ;ERTIFICATE 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 pol`icy(ies)must be endorsed.If SUBROGATION I1.S 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 ., .. ICN'ARai19A'iC"7lelfr,'�N'OyYNB r,,. FAX . Grey ing 37801M Mansell Road,krSu to 3 0 E C W e)r,*l �y noyola greyCing.com I `^866-550-4082 _w ........ ...... Alpharetta,GA 30022 INSURER(S)AFFORDING COVERAGE NAIC p INSURER A National Union Fire Ins.Co. 19445 INSURED INSURER Aspen American Insurance COmpan 43460_ Kimley-Horn and Associates,Inc. _..w.w ._ New Hampshire Ins.Co. 23_841 Street, _ 421 Fayetteville Suite 600 INSURER c: P Raleigh,NC 27601 LIOydS INSURER D:...w ... of London 1085202 INSURER E: yd ._..v..�....�.._.._..�......M.............._........__..,_........... ,......._-.......�.. .�... INSURER F: COVERAGES CERTIFICATE NUMBER: 17-18 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 T iE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEE REDUCED BY PAID CLAIMS. LNC TYPE OF INSURANCE PAI?OL SIkBR POLICY NUMBER POLICY E F POLICY EXP _ w INAP W J??Jb+fOp�'�"r_.!1 tr nua�ca9rrxv/ LIMITS A X COMMERCIAL GENERAL LIABILITY 5268169 04/01/2017 04/01/2018 EACH OCCURRENCE $1,000 000 .m...... .,.�CLAIMS-MADEa..,XOCCUR $500,000 rp I,SE,$„ .Si 'reaE'ry r, .,q $500,000 _... _-..w............M 525 000 ontractua Liab. MED EXP(MY one person) .. _ PERSONAL&ADV INJURY $1,000aQ.00 GEN'L AGGREGATE LIMIT APPLIES PER: V GENERAL AGGREGATE 62,000,000 _ POLICYX1 Eo- X LOC PRODUCTS-COMPIOPAGGW 62,000,000 J _ . _.. .. s AUTOMOBILE LIABILITY 4489663 04101/2017 04/01/2018,COMBINED aBeolaNEiIO SINGLE°'IMnT $1,000,000 _ ( X ANY AUTO BODILY INJURY(Per person) Is ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOSAUTOS X HIRED AUTOS X NON-OWNEDb..V.,-..,.... AUTOS (Por a wident)..................... ......... .........-.._.�. ..............._.............,.,.,.,.,.,......... ....'.. .....--_...�_....._...,......W............................ ............................__....................... 1,......................, ,,,,,,.............., B X UMBRELLA LIAR lOCCB CX005FT17 44/01/2017 04101/2018RRENCE._. . 55tOOO 00 , EXCESSLIAR CLAIMS-MADE AGGREGATE �-$5'000'000 DED p XYRETENTION$O .................. .....,�......_.............. $ C ❑ 015893685 AOS 04/01/2017 04/01/2018;X 0TH" WORKERS COMPENSATION PER AND EMPLOYER'S°LIABILITY (AOS) -- --.- .R ANY P'ROPRIt TORIPA R'T'NERIEXECUTIVE YIN E.L.EACH ACCIDENT _ $1y000 000 OFFICC,iVMEMBER EXCLUDED? N N I A A (MandalorylnNH) 015893686(CA) 04/01/2017 04/01/2018 E.L.DISEASE EA EMPLOYEE $1,000,000 If yes,describe under , .. DESCRIPTION,,,OF OPERATIONS,below............. _........_..,.,..._.Y._,_...r......,... .__.,,.,.,..,..�._..,_,.,.,.,.,.,..,.....,� E.L.DISEASE-POLICY LIMIT $1,000,000._,4^. .. D Professional Liab P070831700 04/01/2017'iO4/0112018 Per Claim$2,000,000 Aggregate$2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Re:2015-2016 On Call Services;Serine Ciandella.THe City of EI Segundo,its officials&employees are named as Additional Insureds with respects to General Liability where required by written contract.The above referenced liability policies with the exception of professional liability are primary& non-contributory where required by written contract. CIERTIFICATE,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 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. 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 #S697809/M695961 KKRE1 POLICY NUMBER: 5268169 COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under;he following; COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to a. The preparing, approving, or failing to include as an additional insured any person or prepare or approve, maps, shop organization for whom you are performing drawings, opinions, reports, surveys, operations when you and such person or field orders, change orders or drawings organization have agreed in writing in a contract and specifications; or or agreement that such person or organization b. Supervisory, inspection, architectural or be added as an additional insured on your engineering activities. policy. Such person or organization is an addi- tional insured only with respect to liability for This exclusion applies even if the claims against "bodily injury", "property damage" or "personal any insured allege negligence or other wrong- and advertising injury" caused, in whole or in doing in the supervision, hiring, employment, part, by: training or monitoring of others by that insured, if the 'occurrence"which caused the "bodily in- t. Your acts or omissions; or jury" or "property damage", or the offense 2. The acts or omissions of those acting on which caused the "personal and advertising your behalf; injury", involved the rendering of or the failure in the performance of your ongoing operations to render any professional architectural, for the additional Insured. engineering or surveying services. However, the insurance afforded to such 2. "Bodily injury" or "property damage" additional insured: occurring after: 1. Only applies to the extent permitted by law; a. All work, including materials, parts or and equipment furnished in connection with such work, on the project (other than 2. Will not be broader than that which you are service, maintenance or repairs) to be required by the contract or agreement to performed by or on behalf of the provide for such additional insured. additional insured(s) at the location of the A person's or organization's status as an addi- covered operations has been completed; tional insured under this endorsement ends or when your operations for that additional insured b. That portion of "your work" out of which are completed. the injury or damage arises has been put B. With respect to the insurance afforded to these to its intended use by any person or additional insureds, the following additional ex- organization other than another n clusions apply: contractor or subcontractor engaged in This insurance does not apply to: performing operations for a principal as a part of the same project. 1. "Bodily injury", "property damage" or r "personal and advertising injury" arising out C. With respect to the insurance afforded to these of the rendering of, or the failure to render, additional insureds, the following is added to any professional architectural, engineering or Section III - Limits Of Insurance: surveying services, including; The most we will pay on behalf of the additional insured is the amount of insurance: i CG 20 33 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 ❑ 1. Required by the contract or agreement you Insurance shown in the Declarations; have entered into with the additional whichever is less. insured; or This endorsement shall not increase the 2. Available under the applicable Limits of applicable Limits of Insurance shown in the Declarations. r k a r re ?o k Page 2 of 2 Insurance Services Office, Inc., 2012 CO 20 33 04 13 O r POLICY NUMBER:5268169 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following„ COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Off_Odr�ri` F�izlcsr�s-Porson(s) Location And Description Of Completed Operations _W_., _ RNY PERSON OR ORGANIZATION PER THE CONTRACT OR AGREEMENT, WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. 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 which you are required by the contract or include as an additional insured the person(s) or agreement to provide for such additional organization(s) shown in the Schedule,but only insured. with respect to liability for "bodily injury" or B. With respect to the insurance afforded to these "property damage" caused, in whole or in part, additional insureds, the following is added to by "your work" at the location designated and Section III - Limits Of Insurance: described in the Schedule of this endorsement If coverage provided to the additional insured is performed for that additional insured and required by a contract or agreement, the most included in the "products-completed operations we will pay on behalf of the additional insured hazard". is the amount of insurance: However: 1. Required by the contract or agreement; or 1. The insurance afforded to such additional 2. Available under the applicable Limits of Insu- insured only applies to the extent permitted rance shown in the Declarations; by law: and whichever is less. 2. If coverage provided to the additional insured is required by a contract or agree- This endorsement shall not increase the appli- merit, the insurance afforded to such addi- cable Limits of Insurance shown in the Decla- tional insured will not be broader than That rations. CG 20 37 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 ❑ BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause' need be completed only when this endorsement is issued subsequent to preparation of the policy. This endorsement, effective 12:01 AM 04/01/2017 forms a part of Policy No. WC 015-89-3686 Issued to KIMLEY-HORN AND ASSOCIATES, INC. By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. WC 04 03 61 Countersigned by _ (Ed. 11190) Authorized Representative