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PROOF OF INSURANCE (2020) CLOSED Client#:25326 KPFFINCO DATE(MMIDDIYYYY) ACORD_ CERTIFICATE OF LIABILITY INSURANCE 3/21/2019 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. I If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this y g holder in lieu of such endorsement(s). PRODUCER certificate does not confer an rights t0 the certificate .... CON'1'ACI' Katie Krasner Grayling Ins.Brokerage/EPIC PHONE RESSx :770.552 n2925r,—@groyling.com a"°jruc Nc'': 866.550.4082 3780 Mansell Road,Suite 370 EMAIL Alpharetta,GA 30022 INSURER(S)AFFORDING COVERAGE ....................... ...., INSURER A:National Union Fire Ins.CO. 19445 ..INSURED ....................... INSURER B:The Continental Insurance..Company 3iO89..... ,,,,,,,,,,,, KPFF,Inc. INSURER C:New Hampshire Ins.Co. 23841 1601 5th Ave .............. INSURER D:Lloyds Of London Suite 1600 Seattle,WA 98101 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 19-20 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. �TR 'A�DOLI$UI w .. POLICY EFF Policy EXP 4� LIMITS INSURANCE _NN.$ MI''1?„ ., .POLICY NUMBER (MMrDDAY1!YYp {NIM�I3DAYYYY,), . A X COMMERCIAL OGENERA ......................... LIABILITY EACH OCCURRENCE $1,000,000 5268336 4/0112019 0 CLAIMS-MADEIT DAMAGE TO RENTED OCCUR $500,000 MED EXP(Any one person) s25,000 PERSONAL&ADV INJURY $1,000,000 EGATE GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGR $2,000,000 ....m... s R r• $2,000,000 POLICY��bECr []LOC PRODUCTS-COMP/OP AGG $ OTHER 0f4161WM1N1IT LIABILITY 9775930 04/01/2019 04/01/202q F .1 A AUTOMOBILE 4WGLE LI000,000 X ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED DIE INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROP ...................$,.,.,.,.,.,........ V AUTOS ONLY AUTOS ONLY ( LY ITY DAMA�G;E B �( UMBRELLA LIAB [X.�CCUR 6 0399824 04/01/2019 04/01/2020A 4CCURRENCE $10,000,000 IXEXCESS LIAB LAIMS-MADE 05 ,AGGREGATE $�Q�UUU1O,OU m_ A ANY NR,DPPIFTOrOFART'NERIEXECUTIVE 022298245(AOS) lSTATIITE, TH .mm. WO `. 1 IIrN1d43Nt1 hSATION PER. R RKERS YERS'L AND EMPLOYERS LIABYLNTY YIN ( ) .������......_. X ,,,,.,...,.IFP . ,. O RWEM13CRLXCLUDtD7 NIA 22298244 CA 04/0112019 04/01/2020 E.L.DISEa,sEGIDENr $1,000,000 b410112019 04101/2020 Mandalory In NH) CArFIGE; E.I EACH AC ... . .................................m..m ....... -EA EMPLOYEE' $1,000,000 ................... DESCRIPTION OF he under SA18.... 10/10/2018 10110 EL.DISEASE-POLICY LIMIT $1,000,000 ........... .. D Professional/OPERATIONS below B0146LDU If yes,describe /201 Per Claim$10,000,0 10 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. CERTIFICATE HOLDER CANCELLATION Ci of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City 9 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orlando Rodriguez I ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo,CA 90245-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1493388/M1488491 KKRE1 This page has been left blank intentionally. POLICY NUMBER:5268336 COMMERCIAL GENERAL LIABILITY GL 526-83-36 CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organization(s) Location(s) Of Covered Operations Any person or organization whom you become Per the contract or agreement. 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 or "property damage" occurring after: include as an additional insured the person(s) or 1. All work, including materials, parts or organization(s) shown in the Schedule, but only equipment furnished in connection with such with respect to liability for "bodily injury", work, on the project (other than service, "property damage" or "personal and advertising maintenance or repairs) to be performed by injury" caused, in whole or in part, by: or on behalf of the additional insured(s) at 1. Your acts or omissions; or the location of the covered operations has been completed; or 2. The acts or omissions of those acting on your behalf; 2. That portion of "your work" out of which the injury or damage arises has been put to in the performance of your ongoing operations its intended use by any person or for the additional insured(s) at the location(s) organization other than another contractor or designated above. subcontractor engaged in performing However: operations for a principal as a part of the 1. The insurance afforded to such additional same project. insured only applies to the extent permitted C. With respect to the insurance afforded to these by law; and additional insureds, the following is added to 2. If coverage provided to the additional Section III - Limits Of Insurance: insured is required by a contract or If coverage provided to the additional insured is agreement, the insurance afforded to such required by a contract or agreement, the most additional insured will not be broader than we will pay on behalf of the additional insured that which you are required by the contract is the amount of insurance: or agreement to provide for such additional 1. Required by the contract or agreement; or insured. 2. Available under the applicable Limits of B. With respect to the insurance afforded to these Insurance shown in the Declarations; additional insureds, the following additional whichever is less. exclusions apply: This insurance does not apply to "bodily injury" This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 0 CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 This page has been left blank intentionally. POLICY NUMBER:5268336 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 Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization whom you Per the contract or agreement. 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 2. If coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured will with respect to liability for "bodily injury" or not be broader than that which you are required "property damage"caused, in whole or in part, by by the contract or agreement to provide for such "your work" at the location designated and additional insured. described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1. The insurance afforded to such additional o insured only applies to the extent permitted by law;and �» CG 20 37 0413 0 Insurance Services Office, Inc.,2012 Page 1 of 2 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III—Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 0 ISO Properties, Inc.,2004 CG 20 37 0413 O ENDORSEMENT This endorsement, effective 12:01 A.M.04/01/2019 forms a part of Policy No.9775930 issued to KPFF, Inc. by National Union Fire Insurance Company of Pittsburgh, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO. I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. AUTHORIZED REPRESENTATIVE 87950 (9/14) This page has been left blank intentionally, ENDORSEMENT 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 04/01/2019 forms a part of Policy No. 022-29-8244 Issued to KPFF, Inc. By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA 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 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%of the total estimated workers compensation premium for this policy. WC 04 03 61 (11/90) , tea.�xP-;;✓�".,. ,,..`rww,if Countersigned by__,_,_ ____ __ ... -. Authorized Representative This page has been left blank intentionally.