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PROOF OF INSURANCE (2019 - 2020) CLOSED
Client#:25326 KPFFINCO I,' onr=(MmioomrY) ACORD_ CERTIFICATE OF LIABILITY INSURANCE a 3/21/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H'O'LDER,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. I PORTA,NT:'If the certificate holder is an ADDITIONAL INSURED,the policy'(ies)m 't'' INSURED provisions'or be endorsed .........��... ust have ADDITIONAL I . . D ' M' If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on Gra 1'mR Ins.to does not confer CO "A"�Ext):770.552.4225 Kresner this certificate h NA tAC l rte...,.. GreyEg BrokeragelEPlCany rights to the certificate older in lieu o such en o770.552 4225 �fAec Ne), 866.550.4082 3780 Mansell Road,Suite 370 E-MAILADOR SKatie.Kresner re Iln com _ Alpharetta,GA 30022 A National Union AFFORDING o OC N GCOVERAGE 19445 INSURED INSUR R . INSURED _INSURER B:The Continental Insurance Company 35289 KPFF,Inc. INSURER C.New Hampshire Ins.Co. 23841 1601 5th Ave INSURER D:LIOy ds of Lo11 ndon i Suite 1600 INSURER E: Seattle,WA 98101 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 POL CIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 1Y PAID CLAIMS. LTR ..,,P y .... .41 UDI WkVP_r. ICY IPO1,ICY EFF �ACSG.fCY E,xP I .......... LIMIT ..... .. ,NUMBER MMICY[1lYK1fMl (MMfOWYYYYI I A '^X COMMERCIAL OGENERAL N ABILITY 52683360L 04/01/2019 04/01/2026,EACH OCCURRENCE ,m,mmm ,$1„000"000 CLAIMS-MADE X OCCUR FfA"i _..RFN Gi'D �' y o_w.........on) $25,0000 PERSONAL&ADV INJURY 000 R 00,000 MED FXP(Ancone parse,...........$..... GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY F X1 JEC!'r Ep LOCRODUTSCOMP/OP AGG $ t 0"000 OTHER: ....... .... ... .. ., y . .. ...__ A AUTOMOBILE LIABILITY 9775930 04/01/2019 0410112020�:OMBINED SIhNG1 E 1.WT 00, g1 0 0 000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY�L1AIJ4AGE $ _ er ncriaYxinl .,,...,,.,.m ., UMBRELLA LIAB ( ,u occuR Y 6050399824 04/01/2019 04/0112020.EACH OCCUR AUTOS..,,, . ......._ B.,, .X CLAIMS-MADE AGGREGATE OCCURRENCE $10,000,000 ................. .,.X EXCESS LIAB FF, $ A ANY PROPRIETOR/PARTNER/EXECUTIVE 022296244(CA) 04/01/2019 04/01/2020 ECL EACH AC H _ DED X RETENTION$0 AND EMPLOYERS'LIABILITY waN PER o .... WORKERS COMPENSATION ���� T _LSTAT�lTF. OFFICER/MEMBER EXCLUDED? N� N/A ACCIDENT _$1,000,000 (Mandatory in NH) L.........' E.L,DISEASE-EA EMPLOYEE $1,000.000 If yes,describe under D Professional/OPERATIONSbelow ................................ ., ,....,...,................. .E,,LmmDISEASE-POLICY LIMIT $1,000000 B0146LDUSA1804384 10/10/2018 10/10/2019 Per Claim$10,000,000 Pollution Liab Aggregate$10,000,000 SIR$250,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Re:KPFF Project#1012180464 City of EI Segundo On-Call Services CITY,its officials,and employees are named as Additional Insureds on the above referenced liability policies with the exception of workers compensation&professional liability where required by written contract.The above referenced liability policies with the exception of workers compensation and professional liability are primary& non-contributory where required by written contract.Should any of the above described policies be cancelled (See Attached Descriptions) C'E,RTIFICATE,HOLDER CANCELLATION Cit of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y 9 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. EI Segundo,CA 90245-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S149338701488491 KKRE1 DESCRIPTIONS (Continued from Page 1) 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.Waiver of Subrogation In favor of Additional Insured(s)where required by written contract&allowed by law. I. SAGITTA M3(2016103) 2 of 2 #S1493387IM1488491 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 Person(s) 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. C1 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 0413 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 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 f7 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) Countersigned by________________ _ Authorized Representative This page has been left blank intentionally.