PROOF OF INSURANCE (2005) CLOSEDISSUE DATE (MM /DD/YY)
'A41101111. CERTIFICATE OF INSURANCE BER75159 No 105416 10/12/04
PRODUCER
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
,,Barney & Barney, LLC - CA L i c 0 C 0 3 9 5 0 ERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
EDOES BY THE
LicOC24310 NOT AMEND, EXTE ND OR ALTER THE COVERAGE AFFORDED
Barney Barney, nc -CA
y y ,
IES BELOW.
P.O. Box 85638
COMPANIES AFFORDING COVERAGE
San Diego, CA 92186 -5638
EVEREST NATIONAL INSURANCE CO.
(858) 457 -3414
COMPAN Y
A
M s t #: 6164
i LETTER
NO COVERAGE ON THIS DOCUMENT
INSURED 13ERRYMAN & HENIGAR, INC.; ET
COMPANY B
!LETTER
AL (SEE ATTACHED)
NO COVERAGE ON THIS DOCUMENT
COMPANY G.
LETTER
NO COVERAGE ON THIS DOCUMENT
11590 WEST BERNARDO CT., #100
COMPANY D
LETTER
SAN DIEGO CA 92127
NO COVERAGE ON THIS DOCUMENT
'..Y
COMPAN
E
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MM /DD/YY) DATE (MM /DD/YY)
LTR
GENERAL LIABILITY
GENERAL AGGREGATE $
* * * * * * * **
COMMERCIAL GENERAL LIABILITY
PRODUCTS- COMP /OP AGG. $
CLAIMS MADE OCCUR NO COVERAGE
.PERSONAL & ADV. INJURY $
OWNER'S & CONTRACTOR'S PROT.
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED. EXPENSE (Any one person) $
AUTOMOBILE LIABILITY
COMBINED SINGLE
$ * * * * * * * **
ANY AUTO
LIMIT
ALL OWNED AUTOS
BODILY INJURY
$ * * * * * * * * *
SCHEDULED AUTOS
(Per person)
HIRED AUTOS NO COVERAGE
BODILY INJURY
$ * * * * * * * * *
NON -OWNED AUTOS
(Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE $ * * * * * * * * *
EXCESS LIABILITY
EACH OCCURRENCE $
UMBRELLA FORM NO COVERAGE
AGGREGATE $
i
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION CA100000168-041
STATUTORY LIMITS
09/30/04 09/30/05 *1, 000, 00
EACH ACCIDENT $
A AND
*1, O O , OO
EMPLOYERS' LIABILITY
DISEASE - POLICY LIMIT ,.. $
*1 000,00
DISEASE - EACH EMPLOYEE !. $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS
RE: GENERAL PURPOSE
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
CITY OF EL SUGUNDO
MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN : CITY CLERK
LIABILITY OF ANY KIND UPON THE CO NY, ITS AGENTS OR REPRESENTATIVES.
350 MAIN STREET
EL SEGUNDO CA 90245
AUTHORIZED REPRESENTATIVE
OACORD ORATION 1990
ATTACHMENT
-THE FOLLOWING ARE ADDITIONAL NAMED INSUREDS:
BERRYMAN & HENIGAR ENTERPRISES
Berryman & Henigar Enterprises
Named Insured:
Berryman & Henigar Enterprises
Berryman & Henigar, Inc., A Califronia Corporation
Berryman & Henigar, Inc., A Florida Corporation
Harbor Engineering
Govpartner.com
Schedule of Locations:
11590 W. Bernardo Ct., Ste. 100
San Diego, CA 92127 -1624
2001 East First Street
Santa Ana, CA 92705 -4020
6150 Stoneridge Mall Road, Ste. 370
Pleasanton, CA 94588 -3241
674 NE 5th Street
Crystal River, FL 34429
16880 W. Bernardo Drive #150
San Diego, CA 92127
1414 SW Martin L King Jr Ave.
Ocala, FL 34474 -3129
1221 W. Colonial Drive, Ste. 300
Orlando, FL 32804 -7156
1615 Huffingham Road
Jacsonville, FL 32216
4 Hargrove Office Center, Unit B
Palm Coast, FL
3200 Commonwealth Blvd., Ste. 101
Tallahassee, FL 32303
1412 Tech Boulevard
Tampa, FL 33619
2045 NE 41 st Street
Ocala, FL 34479
78 -060 Calle Estado, Ste. 11
LaQuinta, CA 92254
4840 W. University Avenue, Ste. A -1
Las Vegas, NV 89103 -3829
720 3rd Ave., Ste. 1200
Seattle, WA 98104 -1820
3050 Beacon Blvd.
West Sacramento, CA 95691
3006 Fuhrman Avenue East
Seattle, WA 98102
COMMERCIAL GENERAL LIABILITY
POLICY NO. 630 525D5655
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
BLANKET ADDITIONAL INSURED
(CONTRACTORS)
Additional Insured: City of El Segundo, its officers, agents and employees
This endorsement modified insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY - CONTRACTORS PART
WHO IS AN INSURED - (Section II) is amended to
include any person or organization you are required to
include as an additional insured on this policy by a
written contract or written agreement in effect during
this policy period and signed and executed by you
prior to the loss for which cover- age is sought. The
person or organization does not qualify as an
additional insured with respect to the independent acts
or omissions of such person or organization. The
person or organization is only an additional insured
with respect to liability caused by "your work" for that
additional insured.
2. The insurance provided to the additional insured is
limited as follows:
a) In the event that the limits of liability stated in the
policy exceed the limits of liability required by a
written contract or written agreement in effect
during this policy period and signed and executed
by you prior to the loss for which coverage is
sought, the insurance provided by this
endorsement shall be limited to the limits of
liability required by such contract or agreement.
This endorsement shall not in- crease the limits
stated in Section III - LIMITS OF INSURANCE.
b) The insurance provided to the additional insured
does not apply to "bodily injury", "property
damage ", "personal injury" or "advertising injury"
arising out of an architect's, engineer's or
surveyor's rendering of or failure to render any
professional services including:
I. The preparing, approving or failing to prepare
or approve maps, shop drawings, opinions,
reports, surveys, field orders, change orders,
or drawings and specifications; and
II. Supervisory or inspection activities per- formed
as part of any related architectural
or engineering activities.
c) This insurance does not apply to "bodily in-
jury or "property damage" caused by "your work"
included in the "products- completed operations
hazard" unless you are required to provide such
coverage for the additional insured by a written
contract or written agreement in effect during this
policy period and signed and executed by you
prior to the loss for which coverage is sought and
then only for the period of time required by such
con -tract or agreement and in no event beyond
the expiration date of the policy.
3. Subpart (1)(a) of the Pollution exclusion under
Paragraph 2., Exclusions of Bodily Injury and Property
Damage Liability Coverage (Section I - Coverages)
does not apply to you if the "bodily injury" or "property
damage arises out of "your work" performed on
premises which are owned or rented by the additional
insured at the time "your work" is performed.
4. Any coverage provided by this endorsement to an
additional insured shall be excess over any other valid
and collectible insurance available to the additional
insured whether primary, excess. contingent or on any
other basis unless a written contract or written
agreement in effect during this policy period and
signed and executed by you prior to the loss for which
coverage is sought specifically requires that this
insurance apply on a primary or non - contributory
basis. When this insurance is primary and there is
other insurance available to the additional insured
from any source, we will share with that other
insurance by the method described in the policy.
5. As a condition of coverage, each additional insured
must:
a) Give us prompt written notice of any "occur-
rence" or offense which may result in a claim
and prompt written notice of "suit ".
CG D2 46 10 02 Copyright, The Travelers Indemnity Company, 2002
1
COMMERCIAL GENERAL LIABILITY
a) Immediately forward all legal papers to us,
cooperate in the investigation or settlement of
the claim or defense against the "suit," and
otherwise comply with policy conditions.
c) Tender the defense and indemnity of any
claim or "suit" to any other insurer which also
insures against a loss we cover under this
endorsement. This includes, but is not limited
to, any insurer which has issued a policy of
insurance in which the additional insured
qualifies as an insured. For purposes of this
requirement, the term "insures against'
refers to any self- insurance and to any
insurer which issued a policy of
insurance that may provide coverage for
the loss, regardless of whether the
additional insured has actually
requested that the insurer provide the
additional insured with a defense and /or
indemnity under that policy of insurance.
d) Agree to make available any other
insurance that the additional insured has
for a loss we cover under this
endorsement.
CG D2 46 10 02 Copyright, The Travelers Indemnity Company, 2002