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PROOF OF INSURANCE (2010) CLOSED02/04/2010 10:30 3232613462 Al STEEL FENCE CO PAGE 02/
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02/04/2010 10:30 3232613462
Al STEEL FENCE CO PAGE 03/
OL/21 /2010 13:26 909860411y WESTERN INS PAGE 02/04
IMPORTANT
If the cartifloata holder is an ADDITIONAL INSURED, the policy(ies) tnust, he oildomed. A <tatement
an this certflcate does not confer rights to the cmedfirate holder in Ileu of such endomemeMVS).
If ieyu eR�� eT10 tlnS1rWAI AED'lalebitlr`�il un the
ll� AfmvrL flcaleo ludiyans u f v�f olii MI!L�o �Iolnt rplltilLlfl4F may
L'
holder !n it ?u of such. ondarsement(4).
DISCLAIMER
This CeRiflcate•of insurance- does not nongfitt1h± a ocintmot 13VA"en the i2suing insurer(t), authorl;red
represMn- Dative or producer, and the certificate holder, n.or doeS k.9111)rMMovely or negetivelY amend,
extnnd or alter the coverage offor0ed by the paliciet; Itsted thereon.
) 25 (2
=301)
POLICY NUMBER: I- 680 - 44378911•
COMMERCIAL GENERAL LIABILITY
ISSUE DATE: 2/3/2010
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
(CONTRACTORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
NAME OF PERSON(S) OR ORGANIZATION(S):
City of El Segundo, its officer, officials, employees, agents & volunteers
C/O City Clerk 350 Main Street Room S
El Segundo, CA 90245 -3813
PROJECTILOCATION OF COVERED OPERATIONS:
FENCE INSTALLATION
1. WHO IS AN INSURED — (Section II) is amended
to include the person or organization shown in the
Schedule above, but:
a) Only with respect to liability for "bodily injury",
"property damage" or "personal injury"; and
b) If, and only to the extent that, the injury or
damage is caused by acts or omissions of
you or your subcontractor in the performance
of "your work" on or for the project, or at the
location, shown in the Schedule. The person
or organization does not qualify as an addi-
tional insured with respect to the independent
acts or omissions of such person or organiza-
tion.
2. The insurance provided to the additional insured
by this endorsement is limited as follows:
a) In the event that the Limits of Insurance of
this Coverage Part shown in the Declarations
exceed the limits of liability required by a
"written contract requiring insurance" for that
additional insured, the insurance provided to
the additional insured shall be limited to the
limits of liability required by that "written con-
tract requiring insurance ". This endorsement
shall not increase the limits of insurance de-
scribed in Section III — Limits Of Insurance.
b) The insurance provided to the additional in-
sured does not apply to "bodily injury", "prop-
erty damage" or "personal injury" arising out
of the rendering of, or failure to render, any
professional architectural, engineering or sur-
veying services, including:
i. The preparing, approving, or failing to
prepare or approve, maps, shop draw-
ings, opinions, reports, surveys, field or-
ders or change orders, or the preparing,
approving, or failing to prepare or ap-
prove, drawings and specifications; and
Ii. Supervisory, inspection, architectural or
engineering activities.
c) The insurance provided to the additional in-
sured does not apply to "bodily injury" or
"property damage" caused by "your work"
and included in the "products - completed op-
erations hazard" unless a "written contract
requiring insurance" specifically requires you
to provide such coverage for that additional
insured, and then the insurance provided to
the additional insured applies only to such
"bodily injury" or "property damage" that oc-
curs before the end of the period of time for
which the "written contract requiring insur-
ance" requires you to provide such coverage
CG D2 47 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2
COMMERCIAL GENERAL LIABILITY
or the end of the policy period, whichever is
earlier.
3. The insurance provided to the additional insured
by this endorsement is excess over any valid and
collectible "other insurance ", whether primary,
excess, contingent or on any other basis, that is
available to the additional insured for a loss we
cover under this endorsement. However, if a
"written contract requiring insurance" for that ad-
ditional insured specifically requires that this in-
surance apply on a primary basis or a primary
and non - contributory basis, this insurance is pri-
mary to "other insurance" available to the addi-
tional insured which covers that person or organi-
zation as a named insured for such loss, and we
will not share with that "other insurance ". But the
insurance provided to the additional insured by
this endorsement still is excess over any valid
and collectible "other insurance ", whether pri-
mary, excess, contingent or on any other basis,
that is available to the additional insured when
that person or organization is an additional in-
sured under such "other insurance ".
4. As a condition of coverage provided to the
additional insured by this endorsement:
a) The additional insured must give us written
notice as soon as practicable of an "occur-
rence" or an offense which may result in a
claim. To the extent possible, such notice
should include:
1. How, when and where the "occurrence"
or offense took place;
ii. The names and addresses of any injured
persons and witnesses; and
iii. The nature and location of any injury or
damage arising out of the "occurrence" or
offense.
b) If a claim is made or "suit" Is brought against
the additional insured, the additional insured
must:
I. Immediately record the specifics of the
claim or "suit" and the date received; and
If. Notify us as soon as practicable.
The additional insured must see to it that we
receive written notice of the claim or "suit" as
soon as practicable.
c) The additional insured must immediately
send us copies of all legal papers received in
connection with the claim or "suit ", cooperate
with us in the investigation or settlement of
the claim or defense against the "suit ", and
otherwise comply with all policy conditions.
d) The additional insured must tender the de-
fense and indemnity of any claim or "suit" to
any provider of "other Insurance" which would
cover the additional insured for a loss we
cover under this endorsement. However, this
condition does not affect whether the insur-
ance provided to the additional insured by
this endorsement is primary to "other insur-
ance" available to the additional Insured
which covers that person or organization as a
named insured as described in paragraph 3.
above.
5. The following definition is added to SECTION V.
— DEFINITIONS:
"Written contract requiring insurance" means
that part of any written contract or agreement
under which you are required to include a
person or organization as an additional in-
sured on this Coverage Part, provided that
the "bodily injury" and "property damage" oc-
curs and the "personal Injury" is caused by an
offense committed:
a. After the signing and execution of the
contract or agreement by you;
b. While that part of the contract or
agreement is in effect; and
c. Before the end of the policy period.
Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 47 08 05
A
02/04/2010 10:30 3232613462 Al STEEL FENCE CO
PAGE 01/05
1/22/2010
THIS OeRTIFICATS It I"U2D AS A MATTER OF INFORMATION
Advanced Risk Solutions ONLY AND CONFERS NO RIONTS UPON THE CERTIFICATE HOLDER, DOES NOT AMEND, eX
12980 Metcalf, Suite 490 THIS CERTIFICATE! TIeND OR ALTERTHB
COVERAGE AFFORDED BY THE POLICIES SCLOW.
Overland Park, KS 66213
INSURER Lumbermen-9 Underwriting Alllance
913.385.2455
www.advanceddskaolutlons.com INSURER
Wu _.-B
Atlas Resources INsUR81
A -1 Steel Fence Co.
4661 Telegraph Rd., INSURER
Los Angeles CA 90022
INSURER
NOTWITHSTANDING ANY REQUIREMENT, TERMYOR r'Avt: BEEN ISSUED CONDITION OF ANYOCONTRACT OR
I L10JOED ABOVE FOR THE POLICY PERML)
OTHER DOCUMENT WITH RESPECT TO WHICH TH S,
CERTIFICATE MAY 613 ISSUED MAY PERTAIN, THE INSURANCE AFFORDED
TERMS, EXCLUSIONS AND -CONDITIONS OF SUCH POLICIES BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI. THE
AGGREO TE LIMITS SHOWN Maw MAVC DEED
TYPE OF INSURANCE I POLICY NUMBER
coMMERCIAL GENERAL LIM
CLAIMS MADE OCCUR
L p Ee PER
POLICr I PROJEOTf1 LOC
IJTOMOBILE LIABILITY
ANY AL To
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON•CwNED AUTOS
RAGE LIABILITY
WY AUTO
OCCUR OCLAIMO MADE
DEDUCTIRI.F.
295125
COMBINED eINOLE LIMIT
BODILY INJU Y
(Pernenen)
BODILY INJURY
fp9r YCCIO�n')
PROPERTY DAMA06
(Per 404146no
AUTO ON4 • fiA ACCIDED
OTHER TI1AN
AUTO ONLY:
EACH OCCURRENOE
AGOREDATE
1211/2009 12/112D10 STATUTORY LIMIT
EL EACH ACCIDENT
EL DISF-A 1- EA EMPLOYHE
-.- EL OI9r•A9e . oro,rv, ,,.,.
o L.cnl IrICATE CONFERS NO ADDfTIONAL INSURED RfOkIT9 UPON THE CER 1T AP ATE HOLDER.
those Clients loasod through Atlas Resources and hired by A -1 Steel Fonce Co. are Insured under the referenced policy.
Operations of the named ineUred ae on Me wi(h the Insurance cerrlor,
City Of El Segundo
Its Of"Dials and Employees
C/o City Clerk
350 Main Street Room 5
El -Segundo CA 90245
cBRr NO.,: 673907t Lyd1n Crl&90 1/22/2010 10:15:16 AN p119e 1 oP 1
LIMITS
(RATION DATE ITT" NO, THE ISSUING COMPANY WILL ENDEAVOR O MAIL
DAra MIRRTFlt NOTICE TO THE CERTIFICATE NOLDRA NAMED TO THE
T, BUT FAILURE TO MAIL SUCH NOTICE SHALL, IMPOSE NO OBLIGATION
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE-
TATIVP&
Robort M Gagne
ADVANCED RISK
SOLUTIONS, INC.
Insurance & Risk Management
February 4, 2010
City Of El Segundo
c/o City Clerk
350 Main Street, Room 5
El Segundo, CA 90245
RE: Request to change Cancellation Wording on Workers' Compensation Certificate
of Insurance.
To Whom It May Concern:
Pursuant to carrier underwriting guidelines, please be advised that we cannot change the
Cancellation Wording on the Workers' Compensation Certificate of Insurance.
Should any of the above described policies be cancelled before the expiration date
thereof, the issuing company will endeavor to mail 30 days written notice to the
certificate holder named above, but failure to mail such notice shall impose no obligation
or liability of any kind upon the company, its agents or representatives.
Sincerely,
Jill Ney
12980 Metcalf, Suite 490, Overland Park, KS 66213
913 .385 . 2455 Fax 913 .385. 2605