PROOF OF INSURANCE (2006) CLOSED (2)` � 1 CERTIFICATE NUMBER C E R I t.VA� <0 HOU-000652865-02 M
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1000 Main Street, Suite 3000 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Houston, TX 77002 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
1695 - PROP- 03 -05 -06 A ZURICH AMERICAN INS.CO
INSURED
COMPANY
Shell Pipeline Company, LP
ATTN: Jena Henry
B N/A
P.O. BOX 2648
COMPANY
Houston, TX 77252 -2648
C
COMPANY
D
COVIERAGt f „ Thiip�iCei � ficafa supersedes an ' replaces any previously Issued certificate for the policy "'period noted bi314 `
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDNY)
POLICY EXPIRATION
DATE (MMIDD/YY)
LIMITS
A
GENERAL
LIABILITY
GLO9307950 -02
01/01/05
01/01/06
GENERAL AGGREGATE
$ 1,000,000
X
COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP /OP AGG
$
CLAIMS MADE I-XI OCCUR
PERSONAL & ADV INJURY
$ 1 ,000,000
X
EACH OCCURRENCE
$ 1 ,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$
MED EXP (Any one person)
$
A
AUTOMOBILE
LIABILITY
'TAP9307948 -02 (TX)'
COMBINED SINGLE LIMIT
$ 1,000,000
X
A
ANY AUTO
BAP9307949- 02(O /S)
01/01/05
01/01/06
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
%(
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
-
X
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
$
AGGREGATE
EXCESS LIABILITY
EACH OCCURRENCE
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
A
A
WORKERS
EMPLOYERS' LIABILITY
WC9307956 -02
WC9307951 -02
01/01/05
01/01/05
01/01/06
01/01/06
X TORYLIMITS ER
EL EACH ACCIDENT
$ 1,000,000
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE - POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
HE
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS
THE CERTIFICATE HOLDER SHALL BE INCLUDED AS ADDITIONAL INSURED (EXCEPT AS RESPECTS ALL COVERAGE AFFORDED BY THE
WORKERS' COMPENSATION POLICY) AND IS GRANTED A WAIVER OF SUBROGATION WHERE REQUIRED BY WRITTEN CONTRACT BUT ONLY
FOR LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
T
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _ A DAYS WRITTEN NOTICE TO THE
City Of El Segundo f _
Dept. of Public Works -
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
350 Main Street
El Segundo, CA 90245-3813
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
,, .4 ;;...•
1
MARSH USA INC.
BY: David R. Hirshorn f&a../,.,_.__..
MM4(3 /02) VALID AS OF: 08/25/05