08/28/2024
Klein Agency, LLC
P.O. Box 219
Timonium MD 21094
Certificates
(410) 832-7600 (410) 832-1849
[email protected]
Bowman Consulting Group Ltd.
12355 Sunrise Valley Drive,
Suite 520
Reston VA 20191
Charter Oak Fire Insurance Co 25615
Travelers Indemnity Co. of Am 25666
Travelers Property Casualty Co. of America 25674
Berkshire Hathaway Specialty Insurance 22276
Beazley Insurance Company 37540
24-25 Main
A Contractual Liability Y Y 630-6J047645-COF-24 08/31/2024 08/31/2025 1,000,000
1,000,000
10,000
1,000,000
2,000,000
2,000,000
B Y Y 810-8T020319-24-43 08/31/2024 08/31/2025
1,000,000
C Y Y CUP-6J395074-24-23 08/31/2024 08/31/2025
25,000,000
25,000,000
C N Y UB-6J317115-24-43-G 08/31/2024 08/31/2025
1,000,000
1,000,000
1,000,000
D/E
Primary Professional & Pollution Liab /
Excess Professional & Pollution Liab 47EPP33066602/V3349C240301 08/31/2024 08/31/2025 Each Claim/Aggregate $5,000,000
Excess Each Claim/Aggr. $5,000,000
Endorsements CGD604, CGD379, CGD414, CAT474, CAF129, WC000313 are attached. If required by an insured written contract, executed prior to any loss, City of Redondo Beach, its officers, elected and appointed officials, employees, and volunteers are an Additional Insured on a primary and non-contributory basis under the General and Auto Liability Policies. If required by an insured written contract, executed prior to any loss, Waiver of Subrogation is provided for General, Auto, and Workers Compensation Policies. Umbrella Policy follows form over General, Auto, and Employer's Liability Policies. 30 day notice of cancellation, 10 day for non-payment.
City of Redondo Beach
415 Diamond Street
Redondo Beach CA 90277
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
OTHSTATUTEPER
(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)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED AUTOMATIC STATUS
IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The following is added to SECTION II WHO IS AN (a) The Additional Insured Owners, LesINSURED: sees or Contractors Scheduled Person Any person or organization that: or Organization endorsement CG 20 10 07 04 or CG 20 10 04 13, the Additional a. You agree in a written contract or agreement to Insured Owners, Lessees or Contracinclude as an additional insured on this Coverage tors Completed Operations endorse- Part; and ment CG 20 37 07 04 or CG 20 37 04 13, b. Has not been added as an additional insured for or both of such endorsements with either the same project by attachment of an endorse- of those edition dates; or ment under this Coverage Part which includes (b) Either or both of the following: the Addi- such person or organization in the endorsement's tional Insured Owners, Lessees or Con- schedule; tractors Scheduled Person Or Organiis an insured, but: zation endorsement CG 20 10, or the Ada. Only with respect to liability for "bodily injury" or ditional Insured Owners, Lessees or "property damage" that occurs, or for "personal Contractors Completed Operations eninjury" caused by an offense that is committed, dorsement CG 20 37, without an edition subsequent to the signing of that contract or date of such endorsement specified; agreement and while that part of the contract or the person or organization is an additional in- agreement is in effect; and sured only if the injury or damage is caused, b. Only as described in Paragraph (1), (2) or (3) be- in whole or in part, by acts or omissions of low, whichever applies: you or your subcontractor in the performance of "your work" to which the written contract or
(1) If the written contract or agreement specifical- agreement applies; or ly requires you to provide additional insured
coverage to that person or organization by (3) If neither Paragraph (1) nor (2) above applies:
the use of: (a) The person or organization is an addi-
(a) The Additional Insured Owners, Les- tional insured only if, and to the extent sees or Contractors (Form B) endorse- that, the injury or damage is caused by ment CG 20 10 11 85; or acts or omissions of you or your subcontractor in the performance of "your work" (b) Either or both of the following: the Addito which the written contract or agreetional Insured Owners, Lessees or Con- ment applies; and tractors Scheduled Person Or Organization endorsement CG 20 10 10 01, or (b) Such person or organization does not the Additional Insured Owners, Lessees qualify as an additional insured with reor Contractors Completed Operations spect to the independent acts or omisendorsement CG 20 37 10 01; sions of such person or organization. the person or organization is an additional in- The insurance provided to such additional insured is sured only if the injury or damage arises out subject to the following provisions:
of "your work" to which the written contract or a. If the Limits of Insurance of this Coverage Part agreement applies; shown in the Declarations exceed the minimum (2) If the written contract or agreement specifical- limits required by the written contract or agreely requires you to provide additional insured ment, the insurance provided to the additional incoverage to that person or organization by sured will be limited to such minimum required the use of:
limits. For the purposes of determining whether
CG D6 04 02 19 ú 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 2
COMMERCIAL GENERAL LIABILITY
this limitation applies, the minimum limits required result in a claim. To the extent possible, such by the written contract or agreement will be con- notice should include:
sidered to include the minimum limits of any Um- (a) How, when and where the "occurrence" brella or Excess liability coverage required for the or offense took place; additional insured by that written contract or (b) The names and addresses of any injured agreement. This provision will not increase the persons and witnesses; and limits of insurance described in Section III Limits
Of Insurance. (c) The nature and location of any injury or damage arising out of the "occurrence" or b. The insurance provided to such additional insured offense. does not apply to:
(2) If a claim is made or "suit" is brought against (1) Any "bodily injury", "property damage" or the additional insured: "personal injury" arising out of the providing, (a) Immediately record the specifics of the or failure to provide, any professional archiclaim or "suit" and the date received; and tectural, engineering or surveying services, including: (b) Notify us as soon as practicable and see to it that we receive written notice of the (a) The preparing, approving, or failing to claim or "suit" as soon as practicable. prepare or approve, maps, shop drawings, opinions, reports, surveys, field or- (3) Immediately send us copies of all legal paders or change orders, or the preparing, pers received in connection with the claim or approving, or failing to prepare or ap- "suit", cooperate with us in the investigation prove, drawings and specifications; and or settlement of the claim or defense against the "suit", and otherwise comply with all policy (b) Supervisory, inspection, architectural or engineering activities. conditions.
(2) Any "bodily injury" or "property damage" (4) Tender the defense and indemnity of any caused by "your work" and included in the claim or "suit" to any provider of other insur- "products-completed operations hazard" un- ance which would cover such additional inless the written contract or agreement specifi- sured for a loss we cover. However, this concally requires you to provide such coverage dition does not affect whether the insurance for that additional insured during the policy provided to such additional insured is primary period. to other insurance available to such additional c. The additional insured must comply with the fol- insured which covers that person or organizalowing duties: tion as a named insured as described in Paragraph 4., Other Insurance, of Section IV (1) Give us written notice as soon as practicable Commercial General Liability Conditions. of an "occurrence" or an offense which may
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED PRIMARY AND
NON-CONTRIBUTORY WITH OTHER INSURANCE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
PROVISIONS 2. The following is added to Paragraph B.5., Other Insurance of SECTION IV BUSINESS AUTO 1. The following is added to Paragraph A.1.c., Who CONDITIONS:
Is An Insured, of SECTION Il LIABILITY
COVERAGE: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this This includes any person or organization who you insurance is primary to and non-contributory with are required under a written contract or applicable other insurance under which an agreement between you and that person or additional insured person or organization is the organization, that is signed by you before the first named insured when the written contract or "bodily injury" or "property damage" occurs and agreement between you and that person or
that is in effect during the policy period, to name
organization, that is signed by you before the as an additional insured for Liability Coverage, "bodily injury" or "property damage" occurs and but only for damages to which this insurance that is in effect during the policy period, requires applies and only to the extent of that person's or this insurance to be primary and non-contributory. organization's liability for the conduct of another "insured".
CA T4 74 08 17 ú 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. � TRAVELERSJ WORKERS COMPENSATION
AND
ONE TOWER SQUARE
HARTFORD CT 06183 EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 00 03 13 (00) - 001
POLICY NUMBER: UB-6J317115-24-43-G
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
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.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
SCHEDULE
DESIGNATED PERSON:
DESIGNATED ORGANIZATION:
ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED
BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER.
Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual.
DATE OF ISSUE: 08-31-24 ST ASSIGN: PAGE 1 OFl