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PROOF OF INSURANCE (2007) CLOSEDDATE (MMIDDIYYYY) r ORQM CERTIFICATE OF LIABILITY INSURANCE o5/07/2007 PRODUCER (714)731 -7700 FAX (714)731 -7750 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cornerstone Specialty Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1425` Culver Drive, A299 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Irvine, CA 92604 IN SURERS AFFORDING COVERAGE I NAIC # INSURED BOA ARCHITECTURE 279 West Seventh Street San Pedro, CA 90731 -3321 CAVFRAGES INSURERA Fidelity & Guaranty Insurance INSURER B: Travelers Casualty Ins Co of America INSURERc: Everest National Insurance Co INSURER D: INSURER E: TIJCTA Alnl AI!_ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMtu Atswt rvn 1 n - ruin. r«.1..� 1,..., . -• - •• - - 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. rINSR A DD' NSR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [�] OCCUR POLICY NUMBER BKO19SO347 POLICY EFFECTIVE 11/20/2006 POLICY EXPIRATION 11/20/2007 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PR MED EXP (Any one person) $ 300 , 000 $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 -- PRODUCTS - COMPIOP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X jECOT LOC AUTOMOBILE LIABILITY ANY AUTO BKO19SO347 11/20/2006 11/20/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ A SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS /UMBRELLA LIABILITY X OCCUR CLAIMS MADE BKO19SO347 11/20/2006 11/20/2007 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,000 $ -— $ Izz—$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY XSUB5840Y53 05/01/2007 05/01/2008 X wcSTATU- OTH - E.L. EACH ACCIDENT - $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 , OOO, OOO _ __ -_ -- E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 $1,000,000 Each Claim $2,000,000 Annual Aggregate $7,500 Deductible per Claim B C ANY PROPRIETOR/PARTNER/EXECUTNE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below TH Professional Liability 48AE000462 -061 11/20/2006 11/20/2007 DPSCRIPTI N O OPERATION / LOCATIONS I HICLES I EXCLUSIONS ADDED PY ENDQRSMENT / SPECIAL P QoyISIQNS it) oT E� Segundo, its oiy icers, agents an employees are Add-Itional Insured for General Liability but m y if required by written contract with the Named Insured prior to an occurrence and as per coverage form CL/BF26090903. Coverage is subject to all policy terms and conditions. *Except 10 days Notice of ancellation for non - payment of premium. For Professional Liability coverage, the aggregate limit is he total insurance available for all covered claims reported within the policy period. Public Works Department E1 Segundo City Hall Attn: Paul Bowen 350 Main Street E1 Egundo, CA 90245 ACORD 26 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL XaH{iib•IS MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,. AUTHORIZED REPRES Aimee La Rue © ACORD CORPORATION 1988 The ST. PAUL COMPANIES ENDORSEMENT FOR ARCHITECTURE AND ENGINEERING FIRMS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: 1. THE FOLLOWING IS ADDED TO THE BUSINESS OWNERS LIABILITY COVERAGE FORM: ADDITIONAL INSURED -- BY CONTRACT, MIT ubI c Works Department El Segundo City Hall 350 Main Street El Segundo, CA 90245 Item 5. of Section C. —WHO IS AN INSURED, is deleted and replaced by the following: Any person or organization (named above) to whom or to which you are obligated by virtue of a written contract, agreement or permit to provide such insurance as afforded by this policy is an insured, but only with respect to liability arising out of: a. "Your work" for that insured by you, including work or operations performed on your behalf for that insured; b. Permits issued by state or political subdivision for operations performed by you; or c. Premises you own, rent, occupy or use. This provision does not apply unless the written contract or agreement has been executed, or the permit has been issued, prior to the "bodily injury," 1. property damage," "personal injury" or "advertising injury." This provision does not apply to any person or organization included as an insured under Additional Insured — Vendors. This insurance is primary and is not additional to or contributing with any other insurance carried by or for the benefit of Additional Insureds. 2. 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 claim is made or "suit' is brought. Nothing herein contained shall vary, alter or extend any provision or condition of the Policy other than as above stated. h UL C Authorized Signature: Aimee La Rue ISSUED: May 7, 2007 Notice of Cancellation 1. If we cancel this policy for any reason other than non - payment of premium, we will mail written notice at least 30 days before the effective date of cancellation to the Additional Insured on file with the Company. 2. If we cancel this policy for non - payment of premium, we will mail written notice at least 10 days before the effective date of cancellation to the Additional Insureds on file with the Company.