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PROOF OF INSURANCE (2009) CLOSEDClient#: 974 AKMCONSUI 38 74 . MM. CERTIFICATE OF LIABILITY INSURANCE 12!05, 8 PRODUCER Dealey, Renton & Associates P. O. Box 12575 Oakland, CA 94604.2675 510 4654090 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND • CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. ,THIS CERTIFICATE DOE§ NOT AMEND, EXTEND-OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED AKM Consulting Engineers, Inc. 553 Wald Street Irvine, CA 92618 INSURER A: Hartford Casualty Insurance Co. INSURER B. American Automobile Ins. Co. INSURERC: St. Paul Fire & Marine Ins. Co. INSURER D: INSURER E; COVERAGES 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. NSR TYPE OF INSURANCE POLICY NUMBER POLIOY EFFEpTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 57SBALU8719 09120/08 09120/09 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) $300000 X COMM ERCIAL GENERAL LIABILITY CLAIMS MADE FX1 OCCUR MED EXP (Any one person ) $10,000 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMPIOP AGO $4,000,000 POLICY X PRO LOC A AUTOMOBILE LIABILITY ANY AUTO 57SBALUB719 09120/08 09120109 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Perpereon) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ ANY AUTO $ A EXCESS LIABILITY 57SBALU8719 09/20/08 09120109 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 X1 OCCUR FI CLAIMSMADE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND WZP80963882 09120/06 09120109 X WC STATU- OTFF E.L. EACH ACCIDENT $1,000,000 EMPLOYERS' LIABILITY E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional QP03801912 09/20/08 09120/09 $1,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS !LOCATION& /VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL.PROWSKINS General Liability Policy excludes claims arising out of the performance of professional services. Ref: RFP No. 08.08 - Sanitary Sewer Pump Station #1 & Elimination of Pump Station V. (See Attached Descriptions) SHOULD ANYOF THE ABOVE DESCRIBED POLICIESB E CANCELLED BEFORE TH E EXPIRATION City of El Segundo DATE THEREOF, THE ISSUING INSURER WIkxWKftX ft TO MAIL 30_DAYSWRITTEN Attn: Maryam Jonas NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT 350 Main Street etxetamlcAOtxeae tK$aaseraaxflLxlx El Segundo, CA 90245 -3895 XXXXIII1 ACORD 254 (7197)1 of 2 #M237099 NMF O ACOKU CORPORATION 1933 38 74 , 1 r DESCR�P710NS (CQntrrlued from Page 1) BUSINESS LIABILITY, NON-OWNED and HIRED AUTOMOBILE LIABILITY-ADDITIONAL INSURED: The Certificate Holder* and any other person named in the written contract between the Named Insured and the Certificate Holder. The coverage afforded is pursuant to Section C., Who is An Insured, Sub Section 6., Additional Insureds When Required By Written Contract, Written Agreement Or Permit, Subsection f. Any Other Party of the Business Liability Coverage Form, Form No. SS 00 08. *ADDITIONAL INSURED PER POLICY FORM WORDING: City of El Segundo, its officials and employees. Insurance is primary per policy form. WS 25.3 (07!97) 2 of 2 NM237099 3874 . liisurpr:: Hartford Casualty Insurance Co.. Insured: •AKM Consulting Engineers, Inc. Policy Number: 57SBALU8719 Policy Period: 09/20/08 — 09/20/09 Ref: RFP No. 08 -08 - Sanitary Sewer Pump Station #1 & Ellminatlon.of Pump Station #7 ADDITIONAL INSUREDS: City of El Segundo, its officials and employees. EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 8. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) Identified in Paragraphs a. through f. below are additional Insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the Issuance of the permit. A person or organization Is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who Is not an Insured under Paragraphs a• through e. above, but only with respect to liability for "bodily Injury, "property damage" or "personal and advertising Injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and Included within the "products- completed operations hazard, but only If (i) The written contract or written agreement requires you to provide such coverage to such additional Insured; and (il) This Coverage Part provides coverage for "bodily injury" or "property damage" Included within the "products - completed operations hazard. (2) With respect to the Insurance afforded to these additional insureds, this insurance does not apply to: "Bodily Injury, "property damage" or "personal and advertising Injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, Including: Inspection, or engineering E.S. Separation of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the first Named Insured, this Insurance applies: a. As if each Named Insured were the only Named Insured: and b. Separately to each insured against whom a claim Is made or "suit" Is brought. E.7.b.(7).(b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this Insurance Is primary and non- contributory with the additional Insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.B.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the Insured has waived any rights of recovery against any person or organization for all or part of any payment, Including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the Injury or damage. EXCERPT FROM Hartford Form SS 04 38 06 01 HIRED AUTO AND NON -OWNED AUTO B. With respect to the operation of a "non -owned auto ", WHO IS AN INSURED is replaced by the following: The following are insureds": d. Anyone liability for the conduct of an "insured ", but only to the extent of that liability.