PROOF OF INSURANCE (2010) CLOSEDACQRD CERTIFICATE OF LIABILITY INSURANCE OP ID pG DATE(MiWDD/YYYY)
ADVA-14 10/28/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
United Agencies, Inc. (C) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CA License #0252636 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
301 E. Colorado Blvd. Ste. 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pr--idena CA 91101
NSR
1 le: 626--449 -5197 Fax: 626 - 577 -1346
INSURERS AFFORDING COVERAGE NAIC #
INSURED
INSURER A: Hartford Fire Insurance Co.
19682
INSURER B: Hartford Underwriters Ins. Co.
30104
GENERAL LIABILITY
Advanced Electronics, Inc.
2601 Manhattan Beach Blvd.
Redondo B e ach CA 90278
INSURER C: Delos Insurance Company
A D REP E$ENTA E
INSURER D: Federal Insurance Company
20281
INSURER E:
rnvr:owr_re
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDfTIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L7R
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATE MMJDD
DATE MMIDD
LIMITS
350 a
350 M
Ma in Stre et
e et
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT$ AGENTS OR
GENERAL LIABILITY
REPRESENTATIVES.
A D REP E$ENTA E
URRENCE
$ 1 OOO OOO
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE L OCCUR
72CESOA2654
10/31/09
10/31/10
REACH
To
EaoccurD
S 100 000
Any one person)
$ 10 O 00
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEML AGGREGATE LIMIT APPLIES PER
POLICY JECT PRO• LOC
PRODUCTS - COMP/OP AGG
$1,000,000
Emp Ben.
1 000 000
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
72UUNUQ6117
10/31/09
10/31/10
COMBINED SINGLE LIMIT
CO BINEni)
$1 OOO ,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accldent)
$
GARAGE LIABILITY
AUTO ONLY • EAACCIDENT
$
ANY AUTO
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
S
D
EXCESS/UMBRELLALIABILITY
X OCCUR CLAIMS MADE
79817852
10/31/09
10/31/10
EACH OCCURRENCE
$5,000,000
AGGREGATE
$ 5 000,000
s
$
HDEDUCTIBLE
X RETENTION $ 0
$
C
WORKERS COMPENSATION AND
EMPLOYERS' IETORILITY
ANY PROPRIETOR/ EXCLUDED?
OFFICER/MEMBER EXCLUDED?
H yes. desafbe under
SPECIAL PROVISIONS below
03DKRM12001408
10/31/09
10/31/10
X TORY LIMBS ER
E.L. EACH ACCIDENT
_
$1,0001000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
As respects the General Liability coverage, the City of El Segundo, The
Realty Association Fund VIII, LP and Essex Realty Management, Inc. are named
as an Additional Insureds.
I:CK 1 II-MrA 1 C NC/LUtK CANCELLATION
EL SEGU
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
City of El Segundo
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO $HALL
Of the City Cler
350 a
350 M
Ma in Stre et
e et
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT$ AGENTS OR
El Segundo CA 90245 -389
REPRESENTATIVES.
A D REP E$ENTA E
AGORD 26 (Anniva) 0 ACORD CORPORATION 4988
Policy Number: 72CESOA2654
Effective Date: 10/31/09
i Named Insured and Address: Advanced Electronics, Inc.
2601 Manhattan Beach Boulevard
Redondo Beach, CA 90278
Endt. No. 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
BY CONTRACT, AGREEMENT OR PERMIT - OPTION III
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s):
Designated Project(s) or Location(s)
Of Covered Operations
City of El Segundo
All work performed for the Additional
Insured.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Solely with respect to the additional insured(s)
shown in the schedule above, the following will
apply:
1. WHO IS AN INSURED SECTION (II), item 5. is
deleted and replaced by the following:
5. The entity named in the schedule above with
whom you agreed pursuant to a written
contract, written agreement or permit, to
provide insurance such as is afforded under
this policy, but only to the extent that such
person or organization is liable for your acts
or omissions with respect to:
a. Your ongoing operations performed for
that additional insured; or
b, "Your work," included within the
"products- completed operations
hazard," but only to the extent required
by such written contract, written
agreement or permit, and
Form GN 348213 (ED. 04104)
0 2004 The Hartford
c. At the locations(s) designated above or
facilities owned or used by you.
This provision applies only:
(1) If the injury or damage occurs
subsequent to the execution of such
written contract, written agreement or
issuance of permit;
(2) While such written contract, written
agreement or permit is in force, or until
the end of the "policy period," whichever
is earlier; and
(3) To any person or organization not an
insured under WHO IS AN INSURED
(SECTION II), item 6. under this policy
or any endorsements forming a part of
this policy,
In addition to the foregoing, none of the
following are insureds:
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