PROOF OF INSURANCE (2006) CLOSEDACORA, CERTIFICATE OF LIABILITY INSURANCE
11 /21 /2 s'
PRODUCER (818)223 -8383 FAX (818)223 -8181
Tri County Insurance Calabasas
License # 0572714
23961 -L Craftsman Road
Calabasas, CA 91302
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 #
INSURED A iance Resource Consulting, LLC
One World Trade Center
Suite 420
Long Beach, CA 90831
INSURERA: Golden Eagle Ins. A
20621
INsuRER B Houston Casualty Company A*
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
INSURER C
10/15/2005
INSURER D
EACH OCCURRENCE
INSURER E:
DAMAGE TO RENTED
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.
INSR
DD'
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD[M
POLICY EXPIRATION
DATE (MMIDDIYYi
LIMITS
T.
X KKX)LXNO(NK)tXX"D (Kl[KKN*11*XL%4=lCXXXXXXXXX
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CBP9902609
10/15/2005
10/15/2006
EACH OCCURRENCE
$ 1,000,00C
DAMAGE TO RENTED
$ S0,0001
MED EXP (Any one person)
$ 5,00(
CLAIMS MADE a OCCUR
PERSONAL 8 ADV INJURY
$ Exclude
A
GENERAL AGGREGATE
$ 2,000,00(
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGG
$ 2,000,00(
PRO- LOC
POLICY JECT
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
CBP9902609
10/15/2005
10/15/2006
A
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
X
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY AGG
$
ANY AUTO
S
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
S
DEDUCTIBLE
S
RETENTION S
WC STATU- OTH-
I ER
WORKERS COMPENSATION AND
E . EACH ACCIDENT
S
EMPLOYERS' LIABILITY
ANY PROPRIETOR /PARTNER /EXECUTIVE
OFFICER /MEMBER EXCLUDED?
E . DISEASE - EA EMPLOYE
S
E.L. DISEASE -POLICY LIMIT I S
$1,000,000 less deductible of
$2,500
B
If yes, describe under
SPECIAL PROVISIONS below
OTHF�
ProVessional Liability
H704 -16064
10/15/2005
10/15/2006
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
HE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND CERTIFIED VOLUNTEERS ARE NAMED
S ADDITIONAL INSURED PER THE ATTACHED GECG 602. THIS INSURANCE WILL BE DEEMED PRIMARY SUCH THAT ANY
THER INSURANCE THAT MAY BE CARRIED BY CITY OF EL SEGUNDO WILL BE EXCESS THERETO. THIS INSURANCE WILL
E ON AN OCCURENCE, NOT A CLAIMS MADE BASIS OR EQUIVALENT.
'°10 DAYS FOR NON- PAYMENT OF PREMIUM
GER1 WIL;A I It MULUtI[
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL *)1%X00M MAIL
30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
City of El Segundo
���������xd (;dWED6lQ�6xXIXi�LwX`IKXX
350 Main Street
X KKX)LXNO(NK)tXX"D (Kl[KKN*11*XL%4=lCXXXXXXXXX
AUTHORIZED REPRESENTATIVE ?,rr
El Segundo, CA 90245
g
Sharon Eskra /SHARON
ACORD 25 (2001108) tVAI.UKU l.vrcrvrw 1 1U r WOO
O tc :SAS
3 5 6 3 - --t
POLICY NUMBER: CBP9902609 GECG602(09 /04)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
THE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS,
EMPLOYEES, AGENTS AND CERTIFIED VOLUNTEERS
350 Main Street
El Segundo, CA 90245
Paragraph 2. under SECTION II • WHO IS AN INSURED is amended to
include as an insured any person or organization when you and such
person or organization have agreed in writing in a contract, agreement or
permit that such person or organization be added as an additional insured
on your policy to provide insurance such as is afforded under this
Coverage Part. Such person or organization is not entitled to any notices
that we are required to send to the Named Insured and is an additional
insured only with respect to liability arising out of:
a. Your ongoing operations performed for that person or organization; or
b. Premises or facilities owned or used by you.
With respect to provision 1.a. above, a person's or organization's status
as an insured under this endorsement ends when your operations for that
person or organization are completed.
With respect to provision 1.b. above, a person's or organization's status
as an insured under this endorsement ends when their contract or
agreement with you for such premises or facilities ends.
2. This endorsement provision A. does not apply:
a. Unless the written contract or agreement has been executed, or permit
has been issued, prior to the "bodily injury', "property damage' or
"personal and advertising injury';
b. To "bodily injury" or "property damage" occurring after:
(1) All work, including materials, parts or equipment furnished in
connection with such work, in the project (other than service,
maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the site of the covered operations has been
completed; or
(2) That portion of "your work" out of which the injury or damage
arises has been put to its intended use by any person or
organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the
same project;
c. To the rendering of or failure to render any professional services
including, but not limited to, any professional architectural, engineering or
surveying services such as:
(1) The preparing, approving, or failing to prepare or approve, maps,
shop drawings, opinions, reports, surveys, field orders, change
orders or drawings and specifications; and
(2) Supervisory, inspection, architectural or engineering activities;
d. To "bodily injury', "property damage" or' personal and advertising injury"
arising out of any act, error or omission that results from the additional
insured's sole negligence or wrongdoing;
e, To any person or organization included as an insured under provision B. of
this endorsement;
f. To any person or organization included as an insured by a separate
additional insured endorsement issued by us and made a part of this policy.
GECG602(09 /04) i "6 �'
3563�.
Hogate, Richard
From: Evan Goodwin [ egoodwin@ allianceresourceconsulting.com]
Sent: Monday, February 06, 2006 2:57 PM
To: rhogate @eisegundo.org
Subject: Finance Manager recruitment
At the time of the signing of the contract in November, the employees of Alliance Resource Consulting were all
owner /parters and therefore exempt from the requirement for Worker's Compensation Insurance.
Payment Schedule
$3,500 Due on delivery of the Draft Profile (11/22105)
$3,500 Due on delivery of the Progress Report (1/18/06).
Evan Goodwin
Senior Partner
Alliance Resource Consulting
(562) 901 -0769 x333