PROOF OF INSURANCE (2007) CLOSEDO V
CERTIFICATE OF LIABILITY INSURANCE
DATE io/s2006m'
PRODUCER
Aon Risk Service Inc. Of Southern California dba Aon Risk Services, Inc. of
Southern California Insurance Services
707 Wilshire Blvd., Suite 6000
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
Los Angeles, CA 90017
INSURED
INSURER A: Travelers Property Cas Co of America •4-
25674
INSURER 8: Firemans Fund Ins Co A
21679
ACCO Engineered Systems, Inc.
6265 San Fernando Road
INSURER C:
Glendale, CA 91201
INSURER D:
INSURER E:
a -... jp.. td .,r _:....
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADD'L
M18R0
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDIYY)
POLICY EXPIRATION
DATE (MMIDDIYY
LIMITS
A
❑
GENERAL LIABILITY
RTC2JC09494A13606
10/1/2006
10/1/2007
EACH OCCURRENCE
$ 1,000,000
W COMMERCIAL GENERAL LIABILITY
F-1 CLAIMS MADE W OCCURRENCE
Contractual
❑
DAMAGE TO RENTED
PREMISES Ea occu .
$ 1 �O
MED EXP (Any one person)
$ 5,000
PERSONAL 8 ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS — COMP /OP AGG
$ 2,000,000
❑� POLICY L� J PROJECT ❑ LOC
A
❑
AUTOMOBILE LIABILITY
0 ANY AUTO
RTC2JCAP9494A14806
10/1/2006
10/1/2007
COMBINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
❑� ALL OWNED AUTOS
❑ SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
❑�/ HIRED AUTOS
❑�/ NON OWNED AUTOS
BODILY INJURY
(Per accident)
$
❑
❑
PROPERTY DAMAGE
(Per accident)
$
❑
GARAGE LIABILITY
AUTO ONLY — EA ACCIDENT
$
❑ ANY AUTO
❑
OTHER THAN ACC EA
AUTO ONLY: AGG
$
$
B
❑
EXCESS /UMBRELLA LIABILITY
L� OCCUR CLAIMS MADE
PFX1000563
10/1/2006
10/1/2007
EACH OCCURRENCE
$ 1000,000
_
AGGREGATE
$ 1,000,000
❑ DEDUCTIBLE
$
$
❑ RETENTION
$
WORKERS' COMPENSATION AND
❑ WC STATIY OTHER
TORY LIMnS
'' S '
EMPLOYERS' LIABILITY
$
E.L. EACH ACCIDENT
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICERIMEMBER EXCLUDED?
E.L. DISEASE — EA EMPLOYEE
$
E.L. DISEASE — POLICY LIMIT
$
H Yes, describe under SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS 06-07 Casualty Standard 152214
REVISED
All Operations of the Named Insured
Additional Insured Endorsement attached.
NMI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
City Of El Segundo THEREOF, THE ISSUING COMPANY WILL K)MEII 71t)GO MAIL 'in DAYS WRITTEN NOTICE TO THE
Public Works Department CERTIFICATE HOLDER NAMED TO THE LEFT, ON
City Hall
350 Main Street AUTHORIZED REPRESENTATIVE ftan (tijk3li roicrs, Inc ofSourA n CaCfornia
EI Segundo, CA 90245 InsuranceSo ni xr
i4 RN NIS
O V
POLICY NUMBER: RTC2JC09494A13606 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY
ADDITIONAL INSURED
(CONTRACTORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY — CONTRACTORS COVERAGE PART
SCHEDULE
NAME OF PERSON (S) OR ORGANIZATION (S):
City of El Segundo
Public Works Department
City Hall
350 Main Street
El Segundo, CA 90245
PROJECT/LOCATION OF COVERED OPERATIONS:
all operations of named insured
1) WHO IS AN INSURED — (Section II) is
amended to include the person or organization
shown in the Schedule above. The person or
organization does not qualify as an additional
insured with respect to the independent acts or
omissions of such person or organization. The
person or organization is only an additional insured
with respect to liability caused by "your work" for
that additional insured at the location shown in the
Schedule.
2) The insurance provided to the additional
insured is limited as follows:
a) In the event that the limits of liability
stated in the policy exceed the limits of
liability required by a written contract of
written agreement in effect during this
policy period and signed and executed by
you prior to the loss for which coverage is
sought, the insurance provided by this
endorsement shall be limited to the limits
of liability required by such contract of
agreement. This endorsement shall not
increase the limits stated in Section III —
LIMITS OF INSURANCE.
b) The insurance provided to the additional
insured does not apply to "bodily injury",
"property damage" or "advertising injury"
arising out of an architect's, engineer's
152214
or surveyor's rendering of or failure to render any
professional services including:
I. The preparing, approving or failing to
prepare or approve maps, shop drawings,
opinions, reports, surveys, field orders,
change orders, or drawings and
specifications; and
II. Supervisory or inspection activities
performed as part of any related
architectural or engineering activities.
c) This insurance does not apply to "bodily
injury" or "property damage" caused by
"your work" included in the "products -
completed operations hazard" unless you
are required to provide such coverage for
the additional insured by a written contract
or written agreement in effect during this
policy period and signed and executed by
you prior to the loss for which coverage is
sought and then only for the period of time
required by such contract or agreement and
in no event beyond the expiration date of
the policy.
3) Subpart (1)(a) of the Pollution exclusion under
Paragraph 2., Exclusion of Bodily Injury and
Property Damage Liability Coverage (Section I
— Coverages) does not apply to you if the
"bodily
r M.
CG D2 47 10 02 Copyright, The Travelers Indemnity Company
POLICY NUMBER: RTC2JCO9494A13606 COMMERCIAL GENERAL LIABILITY
injury or "property damage" arises out of "your
b) Immediately forward all legal papers to us,
work" performed on premises which are owned or
cooperate in the defense of any actions,
rented by the additional insured at the time "your
and otherwise comply with policy
work" is performed.
conditions.
c) Tender the defense and indemnity of any
4) Any coverage provide by this endorsement to an
claim or "suit' to any other insurer which
additional insured shall be excess over any other
also insures against a loss we cover under
valid and collectible insurance available to the
this endorsement. This includes, but is not
additional insured whether primary, excess,
limited to, any insurer which has issued a
contingent or on any other basis unless a written
policy of insurance in which the additional
contract or written agreement in effect during this
insured qualifies as an insured. For
policy period and signed an executed by you prior
purposes of this requirement, the term
to the loss for which coverage is sought specifically
"insures against' refers to any self -
requires that this insurance apply on a primary or
insurance and to any insurer which issued a
non - contributory basis. When this insurance is
policy of insurance that may provide
primary and there is other insurance by method
coverage for the loss, regardless of whether
described in the policy.
the additional insured has actually
S) As a condition of coverage, each additional
requested that the insurer provide the
insured must:
additional insured with a defense and/or
a) Give us prompt written notice of any
indemnity under that policy of insurance.
"occurrence" or offense which may result in a claim
d) Agree to make available any other
an prompt written notice of "suit'.
insurance that the additional insured has
for a loss we cover under this endorsement.
0 IC 4CSZ
CG D2 47 10 02 Copyright, The Travelers Indemnity Company