PROOF OF INSURANCE (2010) CLOSEDDATE (MM /DD/YY)
ACD_RD CERTIFICATE OF LIABILITY INSURANCE 06107110
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PRODUCER
PRODUC ,Renton &Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 12675 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Oakland, CA 94604 -2675 INSURERS AFFORDING COVERAGE
510 465 -3090 --
INSURED JN SURER A: Hartford_ Casualty Insurance Co.
AKM Consulting Engineers, Inc. INSURER B: American Automobile Ins. Co.
553 Wald Street INSURER c: Travelers Casualty & Surety Co. Amer
Irvine, CA 92618 INSURER D:
INSURER E:
COVERAGES
n,nnTCn ,J/1TMT414ZTANIi1N(;
+� �• - ••- -•- --
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO IFit INSUKtU NAMCU MDVVc rvr. E MAY BE ISSUED OR
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAT
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.
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE /D /YY
ILITY
CIALGENERALLIABILITY
IMS MADE a OCCUR
EGEN'LAGGREGATEE
57SBALU8719
09120/09
09/20!10
URRENCE
$2 000 000
GE (Any one fire)
$300 000
Any one person)
$10 000
L & ADV INJURY
$2 OOO OOO
AGGREGATE
LSR
$4 000 000
S - COMP /OP AGG
$4000000 _
GATE LIM ITAPPLIES PER: X PRO LOC
LIABILITY
ANY AUTO
ALL OWNE D AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
57SBALU8719
09/20109
09/20/10
D SINGLE LIMIT
nt)
$2,000,000
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
X
X
PROPERTY DAMAGE
(Per accident)
$
AUTO ONLY - EA ACCIDENT
$
;GARAG:ELIA:1B1UTY
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
S LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
57SBALU8719
WZP80975892
09/20109
09/20/09
09/20/10
09120/10
EACH OCCURRENCE
$1,000,000
A
AGGREGATE
$1,000,000 _
WC STATU- OTH-
X
B
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$11,000,000
OTHER Professional
Liability
QP03801912
09/20/09
09/20/10
$1,000,000 per Claim
$2,000,000 Annl Aggr.
C
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
General Liability Policy excludes claims arising out of the performance of professional
services.
Ref: El Segundo Sanitary Sewer Rehabilitation Project.
(See Attached Descriptions)
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of El Segundo DATE THEREOF, THE ISSUING INSURER v MXIJKX tXAlfc TO MAIL 30_ ._ DAYS WRITTEN
Attn: Maryam Jonas NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTH E LEFTJWATR
350 Main Street p pd4�IxQXR9P RRX*R x; RxRNKDWC
El Segundo, CA 90245 -3895 AUTHORIZED EPRE
AUTHORIZED REPRESENTATIVE
9�'� LID_. - 11 J- .// — . ,
ACORD 25 -S (7/97)1 Of 2 #M258763
.,. n Annan rnRPnRATION 1986
AMS 25.3 (07/97) 2 of 2 #M258753
Insurer: Hartford Casualty Insurance Co.
Insured: AKM Consulting Engineers, Inc.
Policy Number: 57SBALU8719
Policy Period: 09/20/09 — 09/20110
ADDITIONAL INSURED: City of El Segundo, its officers, officials, employees and volunteers.
EXCERPTS FROM: Hartford Form SS 00 08 04 05
BUSINESS LIABILITY COVERAGE FORM
C. WHO IS AN INSURED
6. 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
(ii) 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.5. 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.