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PROOF OF INSURANCE (2018 - 2019) CLOSED
DATE(MMIDDIYYYY) '� CERTIFICATE OF LIABILITY INSURANCE 316/2018 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 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s►. PRODUCER Company "NAME:cr Risk d� L �res(;nmpany Risk Strategies Com an NAME: Itlsk,rll Ile 2040 Main Street, Suite 450 PHONE FAX (AIC No,-ExU: z4i" 7 0 _I(AX,No);_ Irvine, CA 92614 EMAIL ADDRESS: syOUng@risk-slfate,gies com INSURER_(S)AFFORDING COVERAGE_ NAIC# www,risk-strategies.com CA DOI License No OF06675 INSURER : Citizens Insurance Co of America 31534 INSURED INSURER B: AllmerlCa Financial Benefit Ins Co 41840 P2S, Inc, �t't�a R2S' Eneering xNSURER C: The Hanover American Insurance Company 36064 to2,a Et1gUllel'NifhC�� Inc'I . 5000 �gy'. ring .yi,«pp, 41 FI. INSURER D: Continental Casualty Co. 20443 Long Beach CA 6:0815 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 40693323 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 'AID CLAIMS. INSR ADDL SUBRI POLICY EFF POu„It:'a @':u;P' _lN,TRI TYPE OF INSURANCE rIY$.4d...t '.G7 r'�7u,IC"M rdklrF,tp f'Bk -tM1Ar ,ry Yyvl {MMi67L.1,N 5r...r"'a t. LIMITS ...., ., A ✓ COMM ERCIAL GEN ERA L LIAB ILI TY ✓ OB39144846 7/1/2017 7/1/2016 F, fiOC 'S 0 VI I CLAIMS-MADE ✓I OCCUR 1NtAl II ^J)A ryewo dy 6u) i8 JI1 000 i�00 1",r kF0,14r la C i MLD e xr.r rlr,Y z','rY1,t',ev rNu s$10,1`100 PEraSOrdA'L e,ADV' Va,uURY $SI,f')t')0.(1'00 (1k.N'R.Yr77iCRf::CV,(ELIMIT APPLIES PER GENE RAI$Z000,t100 { 1 PRO- ^�.)r1C';'?r ✓ JECT LOC PkT�I;{It"a�J,k"i'!:kI'�I;;pAtl:^PI'Sk��/ud,n'Cn 1$2,vt1L)'til',f1P�liSr . ... ., B AUTOMOBILE LIABILITY AW39122842 7/1/2017 711/2018 (OMMNEL,SINGLE LIMtrg$1.0.0.0000___ 1 �^ ,reod b'Ak)1 Co BODILY INJURY(Per person) 5 !"AIO,O I SCHFDUt ED BODILY INJURY(Per accldenl) 5 AU I'I„P,",,K;frk AUTOS IIOIPD 4 NON-OWNED PROPERTY DAMAGE s 1 ✓ ALII I Ck d;;Il+1t'Y P ✓ AUTOS ONLY b AUMHIE, OCCUR EACHOCCURRENCE 11A ALIAB iOB39144846 7/1/2017 7/1/2018 $$4,000,000 --- .._ .i VV AGGREGATE _.- _ 4'I --- ✓ � lrn Ysl,a LIAR CLAIMS-MADE-✓I S$4,000,000 13FTFNTION£0 5 C WORKERS COMPENSATION ✓ 'WZ39122627 7/1/2017 7/1/2018 ii PER !! _IR-c l-H AND EMPLOYERS'LIABILITY YIN TB✓_I_STA - _I__j E _ ANYPROPRIETORIPARTNER/EXECUTIVE I'-1 EL EACH ACCIDENT 's$"l',r'"0;`,y,(�,I(,0 0FFICERWEMBER EXCLUDED? `J NIA (Mandatory in NH) E L,DISEASE-EA EMPLOYEE s$t rQ,(l'Q.(I(l0 Dy ON OF OPERATIONS_ _ below_ , E L DISEASE-POLICY LIMI f S$,1,t.1r:Sr0,UJ n If es,describe underRIPTI D Professional Liability AEH288283306 3/7/2018 3/7/2019 Per Claim:$5,00,000 Aggregate $5,000,000 1 p DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Projects as on file with the insured including but not limited to EI Segundo ABF Contract City of EI Segundo,its officials and employees are named as additional insureds and primary/non-contributory clause applies to the general liability policy and a waiver of subrogation applies to the work comp policy-see attached endorsements CERTIFICATE HOLDER �._ 'CANCELLATION City Ot El' e undo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Clerk's u artment THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Attn: MOna Shi ling .350 'Main Street AUTHORIZED REPRESENTATIVE EI Segundo CA 90245-3813 %. q A ichae'l Christian ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 90693323 116-19 Pi., 17-1e GL-ISL-1JL-%?C I Sncrc, Yo ng 1 5/G!=01e f1:21i:1? All (l j Pag, 1 of J Architects and Engineers The following policy language is from Businessowners General Liability Coverage Part NAMED INSURED:P2S Engineering,Inc. POLICY NUMBER:01339144846 The following are mandatory forms on the policy identified on the Certificate of Insurance: 391-1586(08-16) BUSINESSOWNERS GENERAL LIABILITY SUPPLEMENTARY ENDORSEMENT Additional Insured by Contract, Agreement or Permit µ A. Section II — Liability, C —Who is an insured is amended to include as an additional insured any person or organization with whom you agreed in a written contract, written agreement or permit but only 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, but only with respect to: (i) "Your work" for the additional insured(s) designated in the contract, agreement or permit including "bodily injury" or "property damage" included in the "products - completed operations hazard" only if this Coverage Part provides such coverage; (ii) Premises you own, rent, lease, or occupy; or (iii) Your maintenance, operation or use of equipment leased to you. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily Injury", "property damage", "personal injury"or"advertising injury". (2) To any person or organization Included as an Insured by an endorsement Issued by us and made part of this Coverage Part. (3) To any lessor of equipment (a) After the equipment lease expires; or (b) If the "bodily Injury", "property damage", "personal injury"or"advertising Injury" arises out of sole negligence of the lessor. (4) To any: (a) Owners or other Interests from whom land has been leased which takes place after the lease for the land expires; or(b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury", "property damage", "personal injury" or "advertising injury" arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. (5) To "bodily injury", "property damage" or"personal and advertising injury" arising out of the rendering of or failure to render any professional services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" or the offense which caused the "personal and advertising injury" involved the rendering of or failure to render any professional services by or for you. Other Insurance Primary & Non-Contributory The following paragraph is added to SECTION III — COMMON POLICY CONDITIONS, H — Other Insurance: Additional Insured —Primary and Non-Contributory. If you agree in a written contract, written agreement or permit that the insurance provided to any person or organization included as an Additional Insured under SECTION II —Liability, C.Who is an Insured is primary and non-contributory, the following applies: If other valid and collectible insurance is available to the Additional Insured for a loss covered under SECTION II—LIABILITY of this Coverage Part, our obligations are limited as follows: (1) Primary Insurance: This insurance is primary to other insurance that is available to the Additional Insured which covers the Additional Insured as a Named Insured. We will not seek contribution from any other insurance available to the Additional Insured except: (a) For the sole negligence of the Additional Insured; (b)When the Additional Insured is an Additional Insured under another primary liability policy; or (c) When b. below applies. If this insurance is primary, our obligations are-Tvot-affected-unless any of the other insurance is also prim", (2) Excess Insurance: (a)This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (i) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for"your work"; (ii) That is Fire insurance for premises rented to the Additional Insured or temporarily occupied by the Additional Insured with permission of the owner; (iii) That is insurance purchased by the Additional Insured to cover the Additional Insured's liability as a tenant for "property damage"to premises rented to the Additional Insured or temporarily occupied by the Additional with permission of the owner; or (iv) If the loss arises out of the maintenance or use of aircraft, "autos"or watercraft to the extent not subject to Exclusion g. of SECTION II - LIABILITY. B. Exclusions, 1. Applicable to Business Liability Coverage. 36304702 17-18 OL-AL-VL-WC-PL I Sherry Young 1 6/23/2017 11;12:59 AM (PDT) I Page 2 of 4 M That is insurance available to you for your participation in any past or present"unnamed joint venture". (vi) That is any insurance you may have that provides coverage for your professional services. (b)When this insurance is excess, we will have no duty to defend the insured against any"suit"if any other insurer has a duty to defend the insured against that"suit". If no other insurer defends,we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (c)When this insurance is excess over other Insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (i)The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (ii)The total of all deductible and self-insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage part. (3) Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares,we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Per Project Aggregate The following changes are made to SECTION II -LIABILITY: 1.The following is added to SECTION II -LIABILITY, D. Liability and Medical Expenses Limits of Insurance, paragraph 4: The Aggregate Limits of Insurance apply separately to each of"your projects" or each"location" listed in the Declarations. 2. For the purpose of coverage provided by this endorsement only, the following is added to SECTION II - LIABILITY, F. Liability and Medical Expenses Definitions: 1. "Your project"means: a.Any premises, site or"location"at, on, or in which"your work"is not yet completed; and b. Does not include any"location" listed in the Declarations. 2. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part 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 claim is made or"suit" is brought. Waiver Of Subrogation The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization where required by written contract because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization where required by written contract. Notice Of Cancellation For any statutorily permitted reason other than non-payment of premium, the number of days required for notice of cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to 90 Days. AUTHORIZED REPRESENTATIVE `From Hanover Forms:391-1445 (08116);391-1586(08/16),391-1003(08/16) No coverage is provided by this Notice,nor can it be construed to replace any provisions of the policy(including its endorsements). If there is any conflict between this Notice and the policy(including the endorsements),the provisions of the policy(including its endorsements)shall prevail. 36309702 1 17-10 CL-AL-UL-WC-PL I Sherry Young 1 6/23/2017 11:12;59 AM (PDT) I Page 3 of 4 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless otherwise stated. This endorsement effective on 7/1/2017 at 12:01 am standard times forms a part of Policy No. WZ39122627 Of the Hanover American Insurance Co. issued to: P2S Engineering, Inc. Premium if an ) .. Authorized Representative 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 2.000% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization ANY PERSON OR ORGANIZATION WITH WHOM YOU AGREE IN WRITING TO WAIVE YOUR RIGHT TO RECOVER AGAINST THEM. YOU MUST AGREE TO THIS WAIVER PRIOR TO THE DATE OF LOSS Job Description: Projects as on file with the insured WC 252 040 84 36304702 17-18 GL-AL-UL-WC-PL I Sherry Yo=g 1 6/23/2017 11:12:59 AM (PDT) I Page 4 of 4