SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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 PAID CLAIMS. $
$
$
$ PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOS ONLY AUTOS
NON-OWNED
OWNED SCHEDULED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH- STATUTEPER
(MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY)
POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $
AGGREGATE $
$
OCCUR
CLAIMS-MADE
DED RETENTION $
PRODUCTS - COMP/OP AGG $
GENERAL AGGREGATE $
PERSONAL & ADV INJURY $
MED EXP (Any one person) $
EACH OCCURRENCE $
DAMAGE TO RENTED
PREMISES (Ea occurrence) $
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
5,000,000
EPK144434
5,000,000
LOS-002288075-18
1,000,000
X
25674
Irvine, CA 92614
N
X
Comp/Coll Deductibles
BI & PD Ded. $5,000
07/01/2023
07/01/2024
07/01/2023
BA1N96406A2343G
Errors & Omissions-Claims Made
B
5,000,000
5,000,000
N/A
Travelers Property Casualty Co. of America
1,000,000
X
A
X
1,000
06/29/2023
07/01/2023
5,000,000
The City of Redondo Beach, its officers, elected, and appointed officials, employees, and volunteers are included as additional insured (except workers’ compensation) where required by written contract. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to General Liability.
X
Contractors Pollution
Redondo Beach, CA 90277
City of Redondo Beach
X
A
N/A
CN115158923--01-23-24
Each Claim/Aggregate
5,000
07/01/2024
1,000,000
Retro Dates: See 2nd Page
5,000,000
44520
50,000
1,000,000
07/01/2024
UB7K7286762343G
17901 Von Karman Avenue, Suite 1100
Marsh Risk & Insurance Services
(949) 399-5800; License #0437153
Attn: [email protected]/F: 212-948-4323 3 MacArthur Place, Suite 1100
PlaceWorks, Inc
Santa Ana, CA 92707
EPK144434
07/01/2023
415 Diamond Street
B
07/01/2024
Crum & Forster Specialty Insurance Co
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
2 2
Irvine
Subject to policy terms, conditions, limitations and exclusions.
Errors & Omissions Retro Dates:
1/1/87 - Design Community & Engineering Inc.
7/1/99 - Planning Center, Inc.
Certificate of Liability Insurance
CN115158923
Marsh Risk & Insurance Services
3 MacArthur Place, Suite 1100
PlaceWorks, Inc
Santa Ana, CA 92707
25 Policy# BA1N96406A2343G - Effective 07/01/2023
Policy# BA1N96406A2343G - Effective 07/01/2023
Policy# BA1N96406A2343G - Effective 07/01/2023
Policy# BA1N96406A2343G - Effective 07/01/2023
Policy EPK-144434 Effective 7/1/20'23 - 7/1/2024
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
SCHEDULE
Name of Addttlonal Person(s} or Organtzatlon(s}: Location And Description Of Completed Operations Where Required By Written Contract. Where Required By Written Contract.
Information required to complete this Schedule, if not shown above, will beshown in the Declarations.
A. Section Ill - Who Is An Insured within the Common
Provisions is amended to include as an insured
the person(s) or organization(s) shown in the
Schedule, but only with respect to liability for
"bodily injury'' or "property damage" caused, in
whole or in part, by ''your work" at the location
designated and described in the schedule of this
endorsement performed for that additional
insured and included in the "products-completed
operations hazard".
EN0320-0211 Page 1 of 1
Policy EPK-144434 Effective 7/1/2023 - 7/1/2024
· · _' . pan of tile FAIRE.U gtoup
THIS ENDORSEMENT .CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NON--CONTRlBUTORY ADDITIONAL
INSURED WITH WAIVER OF SUBROGATION
This endorsement modifies insurance provided under 1he following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
CON1 'RACTORS POLUJT"ION LIABILITY COVERAGE PA.RT
ERRORS AND OMISSIONS LIABILITY COVERAGE PART
THIRD PARTY POLLUTION LIABILITY COVERAGE PA,RT
SCHEDULE
Name of Additional Insured Person(sl or Oraanlzallonfs) Where Required byWritten Contract
A. SECTION Ill - WHO IS AN INSURED within the C:ommon Provisions is amended to include as an additional insured the person(s) or organization{s) indicated in the Schedule shown above, but solely with respect to "claims" caused in whole or in part, by ''your work· for that person or organizafion performed by you, or by those acting on your behalf.
This insurance shall be primary and non-contributory, but only in the event of a: named lnsur:ed's sole negligence.
B. We waive any right of recovery we may have against the person(s) or organization{s) indicated In the Schedule shown above because of payments we make for "damages" arising out of "your work" perfooned under a designated project or contract with that person(s) or organizatlon(s ).
C. This Endorsement dc:>es not reinstate or increase th� Limits of Insurance applle.able to any "claim" lo which the coverage afforded by this Endorsement applies.
ALL OTHER TERMS AND CONDmONS OF THE POLICY REMAIN UNCHANGED.
EN0118-0211 Page 1 of 1