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PROOF OF INSURANCE (2007) CLOSEDClient#: 50903 BUCKASO ACORDTM CERTIFICATE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR INSURANCE °"""'Y' LTR NSR TYPE OF INSURANCE 10/24, s PRODUCER PORT Y EXPIRATION MMI C RTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH Professional Practice Insurance Brokers, Inc. 2030 Main Street, Suite 350 NOV L ND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BK02198890 09101/06 Irvine, CA 92614 -7248 EACH OCCURRENCE INSURERS AFFORDING COVERAGE NAIC # INSURED 30131 To &Associates, Inc. 30131 Town Center Drive, Suite 295 Laguna Niguel, CA 92677 Public W Engineer RERA: United States Fidelity & Guaranty Co 25887 RERB: St. Paul Protective Insurance Co. 1643 INSURER C: Continental Casualty Company 20443 INSURER D: CLAIMS MADE 7 OCCUR INSURER E: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PORT Y EXPIRATION MMI LIMITS A GENERAL LIABILITY BK02198890 09101/06 09/01107 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMI $5;0 .0;0 CLAIMS MADE 7 OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $11000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG s2,000,000 POLICY 7 PRO-- LOC A AUTOMOBILE LIABILITY ANY AUTO BK02198890 09/01/06 09/01/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND BW02198904 09/01/06 09/01107 X OR sLIMIT o R EMPLOYERS' LABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $0,00-0,00-0— E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional AEA113988680 01/02/06 01/02107 $1,000,000 per claim Liability $2,000,000 aggregate DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: CITY'S PAVEMENT MANAGEMENT PROGRAM FOR 2006. GENERAL LIABILITY: THE CITY OF EL SEGUNDO, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDTN ADDTN INSRDS PER ENDT ATTACHED. CITY OF EL SEGUNDO ATTN: MARYAM JONAS 350 MAIN ST. El Segundo, CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 000MRRRMAIL A0_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,=3tX*bd mak REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #369591 LXR o ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001108) 2 of 2 #369591 Policy Number: BK02198890 Liability Coverage Enhancement - Architects and Engineers ENDORSEMENT ADDITIONAL INSURED: THE CITY OF EL SEGUNDO, ITS OFFICERS, AGENTS AND EMPLOYEES THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: LIABILITY COVERAGE PART. 1. The following replaces the final paragraph of SECTION II. WHO IS AN INSURED, 1.: However, no person or organization is an insured with respect to the conduct of any current or past partnership, joint venture, limited liability company or trust that is not shown as a Named Insured in the Liability Coverage Part Declarations. This provision does not apply to you, for your participation in any past or present "unnamed joint venture ", or if that person or organization is otherwise an insured under Paragraph 2. below. 2. The following is added to SECTION II. WHO IS AN INSURED, 2.: Person Or Organization Required By Written Contract Any person or organization that you agree to add as an insured under this Liability Coverage Part in a written contract or agreement that is made before, and in effect when, the "bodily injury" or "property damage" occurs or the offense that causes the "personal injury" or "advertising injury" is first committed, but only with respect to that person's or organization's liability arising out of "your work" for that person or organization. However, such person or organization is not an insured with respect to any: (1) "Bodily injury", "property damage ", "personal injury" or "advertising injury" that does not arise out of: (a) Your negligence; or (2) "Bodily injury", "property damage ", "personal injury" or "advertising injury" for which such person or organization has assumed liability in a contract or agreement, except for liability for damages that such person or organization would have in the absence of the contract or agreement; (3) "Property damage" to: (a) Property owned, used or occupied by, or loaned or rented to, such person or organization; (b) Property over which such person or organization is for any purpose exercising physical control; or (c) "Your work" performed for the insured; or (4) "Bodily injury", "property damage ", "personal injury" or "advertising injury" arising out of any architect's, engineer's or surveyor's rendering of, or failure to render, any "professional service ", when such person or organization is an architect, engineer or surveyor. 3. The following is added to SECTION II. WHO IS AN INSURED: "Unnamed Joint Venture "You are an insured for your participation in any past or present "unnamed joint venture" However, you are not an insured if the "unnamed joint venture" has: a. Direct employees; or (b) The negligence of another person or b. Owns, rents, or leases any real or personal organization for whom you are liable; property. CL/BF 26 09 09 03 Includes copyrighted material of Insurance Services Office with its Page 1 of 2 permission. Copyright, Insurance Services Office, Inc. 2001 No other member or partner, or their spouses, of any past or present "unnamed joint venture" is an insured. 4. The following replaces SECTION 111. LIMITS OF LIABILITY, 2. b.: b. Will apply separately to the sum of all: (1) Damages because of "bodily injury" and "property damage ", under SECTION I. COVERAGE, A. Liability above; and (2) Medical payments for "bodily injury", under SECTION 1. COVERAGE, B. Medical Payments above; arising out of each location listed in the Schedule of Premises or each of "your projects "; and 5. The following replaces SECTION IV. CONDITIONS, 5. "Other Insurance ", a. Primary Insurance, (2): (2) However, this insurance will be considered primary to, and non - contributory with, 'other insurance" issued directly to a person or organization added as an additional insured under SECTION II. WHO IS AN INSURED, 2.: (a) Paragraph h. Certain Additional Insureds By Contract or Agreement; or (b) Persons Or Organizations Required By Written Contract; if you specifically agree, in that written contract or agreement, that this insurance must be primary to, and non - contributory with, such "other insurance ". This insurance will then be applied as primary insurance for damages for "bodily injury", "property damage ", "personal injury" or "advertising injury" to which this insurance applies and that are incurred by such person or organization, and we will not share those damages with such "other insurance ". 6. The following is added to SECTION IV. CONDITIONS, 5. "Other Insurance ", b. Excess Insurance: This insurance is excess over any 'other insurance" whether primary, excess, contingent or on any other basis that is available to you for your participation in any past or present "unnamed joint venture ". 7. The following is added to SECTION IV. CONDITIONS, 8. Transfer Of Rights of Recovery And Proceeds Against Others To Us: However, we waive any right of recovery and proceeds we may have against any person or organization that is added as an additional insured under the Paragraph Person Or Organization Required By Written Contract of SECTION II. WHO IS AN INSURED, 2.: a. Because of payments we make for "bodily injury", "property damage ", "personal injury" or "advertising injury" arising out of "your work" in ongoing operations or included in the "products - completed operations hazard "; and b. Performed under a written contract or agreement that is made before, and in effect when, the "bodily injury" or "property damage" occurs or the offense that causes the "personal injury" or "advertising injury" is committed; and c. You specifically agree in such written contract or agreement to waive those rights of recovery and proceeds for such person or organization. 8. The following are added to SECTION V. DEFINITIONS: "Unnamed joint venture" means any joint venture in which you are a member or partner where: a. Each and every one of your co- ventures in that joint venture is an architectural, engineering or surveying firm; and b. That joint venture is not named in the Liability Coverage Part Declarations. "Your premises" means any premises, site, or location owned or occupied by, or rented to, you. "Your project ": a. Means any premises, site or location at, on, or in which "your work' is not yet completed; and b. Does not include "your premises" or any location listed in the Schedule of Premises All other terms of your policy remain the same. CUBF 26 09 09 03 Includes copyrighted material of Insurance Services Office with its Page 2 of 2 permission. Copyright, Insurance Services Office, Inc. 2001 GENERAL LIABILITY ADDITIONAL INSURED ENDORSEMENT CITY OF EL SEGUNDO In consideration of the premium charged and notwithstanding any inconsistent statement In the policy to which this endorsement is attached or any endorsement now or hereafter attached thereto, It is agreed as follows: 1. ADDITIONAL INSURED. The City of El Segundo, its officers, agents and employees are included as additional insured with regard to liability and defense of suits arising from "your work' performed by or on behalf of the named insured regardless of whether liability is attributable to the named insured or a combination of the named and the additional insured. 2. CONTRIBUTION NOT REQUIRED. Any other insurance maintained by the City of El Segundo is excess of this Insurance and will not contribute with )L 3. SEVERABILITY OF INTEREST. This insurance applies separatelyto each insured againstwhom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured does not affect any right which such person or organization would have as a claimant if not so included. 4. CANCELLATION NOTICE. With respect to the interests of the City of El Segundo, this insurance may not be canceled, reduced in coverage or limb or non - renewed, except after thirty (30) days prior written notice by REGISTERED OR CERTIFIED MAIL has been given to the Public Works Director of El Segundo addressed as follows: Public Works Department, El Segundo City Hall, 350 Main Street, El Segundo, CA 90245 6. APPLICABILITY. The insurance pertains to the operations and/or tenancy of the named insured under all written agreements in force with the City of El Segundo unless clhecked here( ) in which case only the following specific agreements with the City of Ell Segundo are covered: 6. MAILING ADDRESS: Completed endorsements shall be Issued to the City of El Segundo as follows: PUBLIC WORKS DEPARTMENT El Segundo City Hall 350 Main Street El Segundo, CA 90245 7. CLAIMS. Underwriter's representative for claims pursuant to this Insurance: Except as stated above, nothing herein shall be held to waive, alter or extend any of the limits, conditions, agreements, or exclusions of the policy to which this endorsement is attached. 1 LiN %I I ri fAype name), warrant that 1 have authorky to bind the below4lided Insurance company and by my signature hereon do so bind this company to this endorsement 8. Signature: Authorized Nep e n iv (original signelure required on furnished to the City Attorney) TITLE: /iN%fd`o� 9. ORGANIZATION: y ADDRESS: ��d � /I/� s✓ .�� Al �'7RO6 lSL TELEPHONE:: f ( ued code) (telephone number) Page 1 of 2 N:70RMSW0TICEBKI (828/00) WP GENERAL LIABILITY ADDITIONAL INSURED ENDORSEMENT CITY OF EL SEGUNDO (CONTINUED) 10. Includes (check as applicable): Broad Form Liability Endorsement Broad Form Property Damage �) Personal Injury () Independent Contractors Premises and Operations !) Explosion Hazard O CollapealUnderground Hazard ,*Products/Completed Operations () Wabrcmft Liability () Garage keeper's Legal Liability () Incidental Medical Malpractice OContracWal Liability — U M I Tam& ( ) owned Automobiles .(%•Non -Owned Automobiles Hired Automobiles Fire Legal Liability ff 11. Type coverage: f$1(��SS nd1 r 12. Limits of Liability: g1,CXOpP0o 13. Policy Period: From-Rik I L10 10 To: /C t AD 14. () Deductible ( ) Ssif4risursd Retention (check which) M/A Of applies coverage. () Per Claim () Par Occurance 18. Other provisions: 1DQCE""��Y 18. Names Insured and Addnrss: sJ Lv-N."wi !'✓ S �,f j77� 1T. Insurance CompanyIAHCd �Lt�5 Fde I(ttj � � Va" � 18. Pollcy Number. 19. Endorsement Number. 20. Effective Dab of Endorsement: O9 JO t /o l . WWORMSWDnCE910 (We=) WP Page 2 of 2