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PROOF OF INSURANCE (2010) CLOSED3898. BC M. CERTIFICATE OF LIABILITY INSURANCE 01-10-2009 `MM1 Pte= THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION EANSOL FINANCIAL A MARKETING INSURANCE 3325 Wilshire Blvd ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY TION Lam 1310 LOS ANGELES CA 90010 INSURERS AFFORDING COVERAGE NAIC S Y CH)1N SEE INSURER A: LLOYD'S o! LONDON A AN BEST RAT 15 � N" s 1,000,000 DBA: BELL BUILDING MAINTENANCE, CO. INSURER 0: MED EV on. t PERSONAL t ADV IN.RIRY 5170 SEPULVEDA BLVD. 11180. INSURER C: GENERAL AGGREGATE s 2,000,000 SHERMAN OARS, CA 91403 INS-UREao: S INSURER E: AUTOMOSUE LIABILITY ANY Auro ALL OWNED Auras SCHEDULED AUTOS HIRED AUTOS NON•OW NED AUTOS 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE W11 RATION DATE THEREOF, THE IBSUww INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN POLICY NUMBER EFPECTNE POLICY TION Lam 150 ILLINOIS ST rA 71 GaNERALLIABUITY COMMERCIAL GENERAL LIABILITY CLAM MADE 21 OCCUR ONSO01379 01 -10 -2009 01 -10 -2010 � N" s 1,000,000 _ 10 .000 MED EV on. t PERSONAL t ADV IN.RIRY s GENERAL AGGREGATE s 2,000,000 GENE AGGREGATE LIMIT APPLIES PER: PoucY PRO Loc PRODUCTS - COMPIOP AGO S AUTOMOSUE LIABILITY ANY Auro ALL OWNED Auras SCHEDULED AUTOS HIRED AUTOS NON•OW NED AUTOS COMBINED SINGLE LMIT (s : BODILY Ml,A1RY (Per P—) = BODILY INJURY (Pu ae kWd) = (Per O=id nt)j I : GARAOS LNOILITY R ANY AUTO AUTO ONLY . EA ACCIDENT I OTHER THAN EA ACC AUTO ONLY: AGG S S EXCEiLNMBRELLALIABIL TY OCCUR FI CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE i AGGREGATE i i S S WORKERS AND EMPLOYERS* LIABILITY ANY PROPWEIORIPARTNERIEXECVTIVE OFFICEWME BEREXCLUDEDrT M drab udrx below WC B,. T. E.L. FJ1 CIi ACCIDENT S E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE • POLICY LIMB S OTHER D"CRrM Of OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS THE CERTIFICATE HOLDER IS NAMES AS ADDITIONAL INSURED UNDER THE ABOVE SUMARY OF COVERAGE (S), SUBJECT TO ACTUAL POLICY TERMS ANDCONDITIONS. CCQTICICATIO un: non CANCFI 1 ATION CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE W11 RATION DATE THEREOF, THE IBSUww INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN PUBLIC WORKS DEPT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SNALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPON THE INSURER, TTS AGSMfl OR 150 ILLINOIS ST REPREUNTATIVEa AUTIMIZEDREPREBENTA EL SEGUNDO, CA 90245 ACORD 25 (2001108) 0 AGOKD GVKPVKAI IWn woo 898. ACORD„ CERTIFICATE OF LIABILITY INSURANCE ° 4- 114' -200" 04_14 -2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA ON HMSO. FXIO19CXAL i MARKETING INSURAi= ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE s THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1325 Wilshire Blvd ALTER ALTER THE COVERAGE AFFORDED BY THE POL IESUELOW. 6A0 1 j TQ R pk �6 - S RE PRF,lENTATTVBS, 1310 LOS ANCXL8S CA 90010 INSURERS AFFORDING COVERAGE NAIC 8 INSURED INSURER GENGAALAGGREOATt ... I YAXQ, CHAS! 888 PRODUCT$ _COMPIOP AGG S - _ -- MruRER °: pROGRS38IV8 xli9pRALJCB CO>'ANY SELL BUILb11l6 MAISQTIQQAI = CO. -8 5170 SVMVMA BLVD. 3T3. 100 rgURGR C: COM INEDSINOLSLIMIT tBERMAN OAKS, CA 91403 UYSUIe6RD: _ - ✓ INSURER E: 104317391 t'MVERAGFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THN 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 CiRTIFICATE MAY 06 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AOGRROATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN - POLICY NUMBER POU EFFECT PO4CYE% ATI s ORNERALLIABILITY EACHOCCURRENCE S COMMERCIAL GINGRjA '�L LIABILITY 6A0 1 j TQ R pk �6 - S RE PRF,lENTATTVBS, AUTHORILEDREFREWNTATIVR' i - .__ - ' - - — CLAIMS MADE I .J OCCUR Mob a LM one pawn) _ PERSONAL f ADV INJURY 3 GENGAALAGGREOATt ... I GM ALSOREGATE LIMIT APPLES PER: PRODUCT$ _COMPIOP AGG S POLICY 17 % LOC _ -- AvrowON.IUA°IUTY -8 04/14/08 04/14/09 COM INEDSINOLSLIMIT f 1 000, 000 ✓ ANY AUTO 104317391 Me F�d"t) r - ALL OWNED AUTOS SOOILY INJURY S B SCHEDULED AUTOS (Pnrpr.—) ✓ HIRED AUTOS BODILY INJURY $ ✓ NON OWNIM AUTOS (PPW M -W-) -° - - PROPERTY DAMAGE $ (PR a0videM) CARAOD UAaNJ Y AUTO ONLY -!!?k ACCIDENT S ANY ALTO OTHER THAN EA ACC S AUTO ONLY: A00 S �RCiSIRJMSR4LU rlA°ILRY I[ACH OCCIIRREN06 S - OCCUR I . _J CLAIMS MADG AGGREOAT4 .... S --- DEDUCTIOLE RETENTION WGR118t11 COMPiNSATION ARD A ANY PRO►RIETOiiNAR CUTIVE E.L• EACH ACCIDENT Orr=RME= IXC� GL, OLMAn. EA EMPLOY_ S If doAalbe undo SEAS - POLICY LI R S crNi VIN# JTJBT20XS400S0897 PEP $1,000 A == (M 470 DISCRIPTION OF OPOATION31 LOCATMS I VEHICLES I EXCLUSIONS ADDED RY ENDORSEMINT I SPECIAL PROVISIONS THR CITY OF E1 Segundo and Its Officials and Illployeee are additional Insured there under in relation to those oyAtAtione, uses oeeupations, acts, and activities described generally above wltb regard to operatione performed by or an behalf of the nsned insured. The policy shall not bn subject to cancellation, change in coverage, change in coverage, reduction of limits or non - renewal •xC,!pt aftnr written notice to the public works+ dept of the public works dept of the City of X1 Segundo. by certified mail, return receipt receipt requested, net lose than thirty(30) days riox to the effective date thereof. CERTIFICATE HOLDER CANCELLATION City of 81 Segundo / Public Works Dept = ILOULD AMY OF THE ABOVE DESCR13EDFOUCIESRE CANCELLED OEFORETHEEXPMATION Its o£ficiala and Employees as DATE THEREOF. THE ISSUING INSURER WILL INDIAVOR TO MAIL 30 DAYS wRrTTO+ NOTICI TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, avT FAILURE TO 00 30 SHALL "additional Insured" RAFOSE NO 06LKLATON OR LIADILrtY OF ANY KIND UPON THE INSURER, ITS AGENTS Ole 150 Illinois at RE PRF,lENTATTVBS, AUTHORILEDREFREWNTATIVR' i - .__ - ' - - — El Segundo, CA 90245 I ACORD 26 (2001108) ® ACORD CORPORATION 1955 3898 . ACORN„ CERTIFICATE OF LIABILITY INSURANCE °"�" ""'°°" 4/3D/2008 08 PRODUCHR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION wouRmcm L%= xNau ]L cz SBIIV'Iczs 4032 1TYS8IR8 BLVD ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PO CI BELOW. IMPOSE NO OBLIQATION OR LABILITY OF ANY KM UPON THE HIBURFHI, n0 AOENM OR S=TS 309 LOS I►1tf;>KL>G4 CA 90010 INSURERS AFFORDING COVERAGE _ INSURI.RA. Z"LOYXAS COMPENSATION INS CO NAIC 0 . NiUREO 11512 WSURGR 0: Y"of C DBA T BELL B17ILD31PG lMMM0 7W= COWAIPY 5170 8lV=VBDk BLVD S= 180 _ INsUkArt 0: –' 0111low OAX CA 91403 INSURER COVERA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUOD TO TH8 INSURED NAMID ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCVMQNT WITH REVECT TO WHICH THIS CERTIFICATE MAY 09 ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DCSCRISEb HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POUdBS. AG�REowm LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. im pp-uy"UmBlm ro �tr.waTTDN LIM OEMERALLLAMLITY EAOHOOCURRL4= S CONSANROIAL GENERAL LIABILITY CLAM MADE OCCUR O tGa HIED EM (anyMlw iv M S S PER LA44 fNAUw _ t 2mMEoAL OATH AOOREGATCUNlTAPPLIG^,PGR: f PRODUCTS- COMPWA00 Lac AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT ME sea") S ODDLY INJURY Ip- p—) = ALL OWNED AUTOS GOIZOU.ED AUTOS i HIRED AUTOS NON.OWNW AUTOS DOOILY INJURY IMr oommo (pO�dDJAMAO& i —r— OARAOCLJABILRY AUTOONLY.&AACCIDGNT S OTHER THAN "ACC AUTO ONLY: AGO S + L—� ANY AUTO " S ■IBlSBIUMMMLLA LIABILITY ODOUR FI CLAIMSMADE EACH OCCURRENCE _ _� AGGREGATE 7 S DEDUCTI NZ ' R 3 ]L rYORRNRSOOMPBNBATiONAND EMPLOYERS' LIABILITY ANY FR01'HIBTONIFARTNEPIEXECUTIVE orFILYIUMEMSER rJLCIUOiot SCIALL k tllrplD� ynON halmo BIG 1087361 -00 5/2/2008 5/2/2009 K.L. BACHaCCIDFM S 11000,000 EL I)MMA E -EA I.IPLOYGL; EL DISEASE - PCI&= LIWT S 11000,000 I f 1. O D O. D 0 0 OTHER ISTBORPTION OF OFOIA7IR -S I LDCATIOM I YEWCLJIB 1 EXCLUNEM AMIW BY BNDOIIBNMDTTI MPEC W- PRWnIOM CaszTSr> a&= uoLom z8 A9 Am AL0mo mL =am=. /►QDTIGIBAYG um nco PALIf+QI 1 ATIMLI CITY OF 8L sEGUNDO L40ULD ANY OFTHEAWigDlIMMCDPOUCIFaBEOANCOLImN IJORETNEEIWIRAMN PUBL =C WORKS DATE THEREOF, THE ISSUING INSUPM Vln" OIOBAVOR TO MAS 30 DAYS WIQTTBN NOT14N TO THE 041"IOATTI HOLDER NAMED TO THE LAFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIQATION OR LABILITY OF ANY KM UPON THE HIBURFHI, n0 AOENM OR 150 ILLINOIS ST RffPRR*jMLA_Tn& AVi11011RNDRNPRiaiNTATfVi «_ EL SBG'QNDO CA 90245 AGNKU 40 j4UUTIUOJ • . wF14Vruj bMrcrvr%mI lv" Iaug 7. Ul/ Uo/ 4UU7 1J. `YU Ul UJU.JJ f.li f L L VVL1i ♦u w 1•0 u VV i nun Vi 38 �8 Reproduction of Insurance Services Office, Inc, Form INSURER: ISO FORM CG 2010 11 95: POLICY NUMBER: OME001379 ENDORSEMENT NUMBER: EXHIBIT 1 -A THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS(FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL, GENERAL LIABILITY COVERAGE PART. SCHEDULE. Name of Person or Organization: CITY OF EL SEGUNDO 350 MAIN STREET EL SEGUNDO, CA 90245 Officials & Employees The City, its officers, officials, employees, agents, and volunteers (If no entry appears above, the information required to complete this endorsement Will be shown in the Declaration as applicable to this endorsement) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization Shown in the Schedule, but only with respect to liability arising out of "your work" for that insured Modifications to ISO form CO 20 10 11 85 1. The insured scheduled above includes the Insured's officers, officials, employees and volunteers. 2. This Insurance shall be primary as respects as respects the insured shown in the schedule above, Or if excess, shall stand in an unbroken chain of coverage excess of the Named Insured's scheduled Underlying primary coverage. In either event, any other insurance maintained by the Insured Scheduled above shall be in excess of this insurance and shall not be called upon to contribute with it. 3. The insurance afforded by this policy shall not be canceled except after thirty days prior written by Certified mail return receipt requested has been given to the entity. 4, Coverage shall not extend to any indemnity coverage for the active negligence of the additional Insured in any case where an agreement to indemnify the additional insured would be invalid Under subdivision (b) of section 2782 of the Civil Code. CO 20 10 11 85 Insurance Services Office, Inc. Form(Modifaed) j sass Wftt" a sjs+o Fm WS) aWlm 3898 . , , See Supplemental Information Page (s) The City of El Segundo and Its Officials and Employees are additional Insured there under in relation to those operations, uses, occupations, acts , and activities described generally above with regard to operations performed by or on behalf of the named insured. The policy shall not be subject to cancellation, change in coverage, reduction of limits or non - renewal except after written notice to the public works dept of the City of El Segundo. by certified mail, return requested, not less than thirty (30) days prior to the Effective date thereof.