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PROOF OF INSURANCE (2006) CLOSEDn i �o '�Mnz -, 1 1 : A7CIM MAPgH TNC N0. 344 P.2/3 i x M yl v3 y r MilliCERTIFICATE NUMBER: SEA - 000892248 -02 1 k fl Ft� '4. . f 11a. t -4 d A ] INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED THIS CERTIFICATE IS ISSUED AS A MATTER OF IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED HEREIN. PRODUCER MARSH RISK & INSURANCE SERVICES COMPANY LLOYD'S OF LONDON P. 0, BOX 193880 SAN FRANCISCO, CA 94119 -3880 CALIFORNIA LICENSE NO. 0437153 102564 - -- EI Se LOAN NUMBER POLICY NUMBER INSURED Independent Cities Risk Management Auth. CIEDB 804.062 DZ003005 EFFECTIVE DATE tMMIDDIyY) EXPIRATION DATE (MMIDDIYY) CONT. UNTIL TERMINATED City of El Segundo Attn: Richard Hogate 350 Main Street 07101/05 07101!06 IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: El Segundo, CA 90245 1� �fkr t I RROP�k Y, FDRMQ r,l BIT LOCATION 1 DESCRIPTION City Hall located at 350 Main Street, El Segundo, CA ,t.d'a,:.�I�IN f �. a ,��i ��n._ •�• � �$ r� sF�P' � 'I� 0 7 iE INSURED NAMED HEREIN FOR THE POLICY PERIOD CATED, HEREIN HAVE BEEN ISSUED T H TINED THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED $SUED OR MADYIPERTAINRTQE INSURANCEEAFFORDED BDYITIOE OL CNES LO TEDAHERE N0 S SUB ECTUTo LL1THE TERMS, CONDITIOINS AND EXCLUSIONS OM SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGES/PERILS/FORMS AMOUNT OF INSURANCE ($) DEDUCTIBLE "All Risk" Property Covergae Excluding EQ /Flood 7,518,033 25,000 1,000,000 Rental Interruption R�fY( 1 BrflnalGds1�I p8,.., "� ?!r(�n jil2,,i Y,ii:7.. -° •: ,r rni,w�•s;ti 0A .... '.7'I,.. :1.�,4H_.. i.l fi f 1 r y 1y .i ill listed to the Douglas Street Gap Closure The Certificate Holder is Included as Additional Insured and Loss Payee with respect to the above propetry related Project; Agreement #CIEDB B34 -062, dated August 1, 2005. 1� ^ lI�� r " A bt # r tiF 11 t ;iM N t . . :J .. 4. `: x .q� y',,M.!! ` . `ti i t ��`5!! , 7s(1�wf�t+i r ,, I Gy y l g. � lI • j `� :I ) sbti- r i ,`� r � ,r rr I ,r , lid ) p+ 4rF w - SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER THIS CERTIFICATE,E.�, gOsF 'N9, 71i.r NAME AND ADDRESS NATURE OF INTEREST California Infrastructure and MORTGAGEE ADDITIONAL INSURED Kl Economic Development Bank (CIEDB) Attn: Credit Support Manager 1001 1 Street, 19th Floor X LOSS PAYEE (OTHER) Sacramento, CA 95814 MARSH USA INC Susan Blankenbur �pr"114 _:� By VALID AS O07/29/05f� r�tj; YI C - .,. �. ..; .. _. ..M ..... ,' :rk .. k.. _ .Ur r.,a„ ?d• s •r, { ., r,..,.c . ,- .� : -- UL -29 -2005 12:32 4157437726 96% P.02 J UL. Zy . ZUU� 11: 4`_iHM MHH5H INC Acct. No. n/a Policy No. DZ003005 LENDER'S LOSS PAYABLE ENDORSEMENT Loss or damage, If any, under this policy shall be paid to This Lender's Loss Payable Endorsement is applicable as indicated in Lenders Loss Payee and Mortgagee Interests and Obligations of this Policy Its successors and assigns, hereinafter referred to as "the Lender," In whatever form or capacity its Interests may appear and whether said Interest be vested In said Lender in Its Individual or in Its disclosed or undisclosed fiduciary or representative capacity, or otherwise, or vested In a nominee or trustee of said Lender. 2. The Insurance under this policy, or any rider or endorsement attached thereto, as to the interest only of the Lender, Its successors and assigns, shall not be Invalidated nor suspended; (a) by any error, omission, or change respecting the ownership, descrip- tion, possession, or location of the subject of the Insurance or the interest therein, or the title thereto, (b) by the commencement of foreclosure proceedings or the giving of notice of sale of any of the property covered by this policy by virtue of any mortgage or trust deed; (c) by any breach of warranty, act, omission, neglect, or non - compliance with any of the provisions of this policy, Including any and all riders now or hereafter attached thereto, by the named Insured, the borrower, mortgagor, trustor, vendee, owner, tenant, warehousemen, custodian, occupant, or by the agents of either or any of them or by the happening of any event permitted by them or either of them, or their agents, or which they failed to prevent, whether occurring before or after the attachment of this endorsement, or whether before or after a loss, which under the provisions of this policy of Insurance or of any rider or endorsement attached thereto would Invalidate or suspend the insurance as to the named Insured, excluding therefrom, however, any acts or omissions of the tender while exercising active control and management of the property. 3. In the event of failure of the Insured to pay any premium or additional premium which shall be or become due under the terms of this policy or on account of any change In occupancy or Increase In hazard not permitted by this policy, this Company agrees to give written notice to the Lender of such non - payment of premium after sixty (80) days from and within one hundred and twenty (120) days after due date of such premium and It Is a condition of the continuance of the rights of the Lender hereunder that the Lender when so notified In writing by this Company of the failure of the Insured to pay such premium shall pay or cause to be paid the premium due within ten (10) days following receipt of the Company's demand in writing therefor. If the Lender shall decline to pay said premium or additional premium, the rights of the Lender under this Lender's Loss Payable Endorsement shall not be terminated before ten (10) days after receipt of said written notice by the Lender. 4. Whenever this Company shall pay to the Lender any sum of loss or damage under this policy and shall claim that as to the insured no liability therefor exists, this Company. at Its option, may pay to the Lender the whole principal sum and interest and other indebtedness due or to become due from the Insured, whether secured or unsecured, (with refund of all Interest not accrued), and this Company, to the extent of such payment, shall thereupon receive a full assignment and transfer, without recourse, of the debt and all rights and securities held as collateral thereto. 5. If there be any other insurance upon the within described property, this Company shall be liable under this policy as to the Lender for the proportion of such loss or damage that the sum hereby Insured beers to the entire Insurance of similar character on said property under policies held by, payable to and expressly consented to by the Lender. Any Contribution Clause Included in any Fallen Building Clause Waiver or any Extended Coverage Endorsement attached to this contract of insurance Is hereby nullified, and also any Contribution Clause in any other endorsement or rider attached to this contract of Insurance is hereby nullified except Contribution Clauses for the compllance with which the insured has received reduction in the rate charged or has received extension of the coverage to include hazards other than fire and compliance with such Contribution Clause is made a part of the consideration f or Ins ins u such onthi r Nazar said payment) upon the payment to It of the full amount of Its claim, will subrogete this Company (pro rate with all to all of the Lender's rights of contribution under said other insurance. 6. This Company reserves the right to cancel this policy at any time, as provided by its terms, but in such case this policy shall continue In force for the benefit of the Lender for ten (10) days after written notice of such cancellation Is received by the Lender and shall then cease. 7. This policy shall remain In full force and effect as to the Interest of the Lender for a period of ten (10) days after Its expiration unless an acceptable policy -in renewal thereof with loss thereunder payable to the Lender In accordance with the terms of this - Lender's Loss Payable Endorsement, shall have been Issued by some insurance company and accepted by the Lender. 8. Should legal title to and beneficial ownership of any of the property covered under this policy become vested in the Lender or Its agents, Insurance under this policy shall continue for the term thereof for the benefit of the Lender but, In such event, any privileges granted by this Lender's Loss Payable Endorsement which are not also granted the Insured under the terms and conditions of this policy and /or under other riders or endorsements attached thereto shall not apply to the insurance hereunder as respects such property. 9. All notices herein provided to be given by the Company to the Lender in connection with this policy and this Lender's Loss Pa ablle Endorsement shall be mailed to or delivered to the Lender at Its office or branch at be specified, at Its head office at Issued to See Insured Name and Mailing Address Approved: Board of Fire Underwriters of the Pacific, California Bankers' Association Committee on Insurance Form 438BFU (Rev, May 1, 1842) Printed In U.S.A. 3082 (2193) JUL -29 -243 1215 12:32 4157437725 9e% P.03 J UL . e'J . eWt� 11 : 4bHM MARSH Fax MHHbH INC, To: Richard Hogate From: Date: July 29, 2005 Fax: Organization: City of El Segundo Phone: Fax: 310 322 2756 Pages: Phone: 310 524 2339 Subject: Certificate of insurance NO. 344 P.1 Marsh Risk & Insurance Services One California Street, 7th Floor San Francisco, CA 94111 California License t# 0437153 Ron.S.Green @marsh.com www.rnarsh.corn Ron Green 415 743 8067 415 743 7745 3 The documents accompanying transmission contain titt a s This nform tlon Is Intend d oyfor the use o theIndividual or entity named above. The authorized of this Information Is prohibited from disclosing this Information to any other party unless required to do so by low or regulation and Is required to destroy the Information after Its stated need has been fulfilled, if you are not the Intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken In reliance on the contents of these documents Is strictly prohibited, If you have received this Information In error, please notify the sender immediately and arrange for the return or destruction of these documents, [4 Marsh & McLennan Companies JUL -29 -2005 12:32 417437726 99 P.01 INDEPENDENT CITIES RISK MANAGEMENT AUTHORITY IC R MA a Joint Powers Authority 3760 KILROY AIRPORT WAY, SUITE 360 LONG BEACH, CA 90806 (562) 508 -4400 r Fax (562) 508 -4399 LIABILITY CERTIFICATE OF COVERAGE and ADDITIONAL COVERED ENTITY ENDORSEMENT CERTIFICATE NUMBER: 2005 451 CERTIFICATE HOLDER: California Infrastructure and Economic Development Bank ( CIEDB) ATTN: Credit Support Manager /Merrill Stevenson 1001 1 Street, 19th Floor Sacramento, CA 95814 MEMBER and /or COVERED INDIVIDUALS: City of El Segundo DESCRIPTION OF COVERED ACTIVITY: as respect Lease Agreement No. CIEDB B04 -062 dated August 1, 2005, between CIEDB as lessor, and the City of El Segundo, as lessee, for the Douglas Street Gap Closure Project, Certificate Holder Is included as an Additional Covered Entity with regard to any negligent acts or omissions of the Member and /or Covered Individuals, its officials, directors, officers, employees, volunteers, and Trustee. MEMO POLICY NUMBER: ICAPL1026 EFFECTIVE DATE: 7/1/2005 EXPIRATION DATE: 6/30/2006 Self- Insured Retention: $ 400,000 Limits: $ 3,000,000 (per occurrence) THE FOLLOWING COVERAGE IS IN EFFECT: General and automobile liability as defined in the master memorandum of liability coverage on file with the member and /or covered individuals named above. This is to certify that the coverage listed above has been issued to the Member and /or Covered Individuals 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 coverage afforded as described herein is subject to all the terms, exclusions, and conditions of the master memorandum of liability coverage of the Independent Cities Risk Management Authority which is available for your review upon request. Pursuant to the definition of "Member and /or Covered Individuals" in the master memorandum of liability coverage, the certificate holder named above is an additional covered entity for covered claims arising out of the covered activity stated above and is subject to the limits stated above. Coverage is in effect as stated above and will not be canceled, limited, or allowed to expire except upon 30 -days written notice to the certificate holder. Date: 8/2/2005 General Manager: q �/4 Renewal: No ISSUE DATE (MM /DD/YY) CERTIFICATE NO. CPEIA -WC -458 CERTIFICATE OF COVERAGE 08/03/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER CSAC Excess THE COVERAGE AFFORDED BELOW. Insurance Authority C/O DRIVER ALLIANT INSURANCE SERVICES, INC. P.O. BOX 6450 COVERAGE NEWPORT BEACH, CA 92658 -6450 AFFORDED BY: A - CSAC Excess Insurance Authority LICENSE #OC36861 COVERAGE PHONE (949) 756 -0271 / FAX (949) 756 -2713 AFFORDED BY: B CPEIA MEMBER: COVERAGE INDEPENDENT CITIES RISK MANAGEMENT AFFORDED BY: C ' AUTHORITY (ICRMA) AND MEMBER AGENCIES COVERAGE 3760 KILROY AIRPORT WAY #360 AFFORDED BY: D LONG BEACH, CA 90806 COVERAGE AFFORDED BY: E Coverages THIS fS TO CERTIFY THAT THE MEMORANDUMS OF COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE 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 COVERAGE AFFORDED BY THE MEMORANDUMS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUMS. CO TYPE OF COVERAGE MEMORANDUM COVERAGE EFFECTIVE COVERAGE EXPIRATION LIABILITY LIMITS LTR NUMBER DATE (MM /DD/YY) DATE (MM /DD/YY) OTHER A EXCESS W.C. & CPEIA- 05- EWC -28 07/01/2005 07/01/2006 W.C.. SUBJECT TO EMPLOYERS' LIABILITY $1,000,000 SIR E.L.: $5,000,000' SUBJECT TO $1,000,000 SIR TERRORISM SUBLIMIT (INCLUDING NBCR): $25 MILLION PER OCC. 1$50M ANNUAL AGG FOR ALL PROGRAM MEMBERS COMBINED. *LIMITS APPLY PER OCCURANCE FOR ALL PROGRAM MEMBERS COMBINED. AS RESPECTS EVIDENCE OF COVERAGE REGARDING LEASE AGREEMENT NO. CIEDB B04 -062 DATED AUGUST 1, 2005, BETWEEN CIEDB AS LESSOR AND THE CITY OF EL SEGUNDO AS LESSEE, FOR THE DOUGLAS STREET GAP CLOSURE. CITY OF EL SEGUNDO IS A MEMBER OF ICRMA. Uanceiiation Certificate Holder SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUMS BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN CALIFORNIA INFRASTRUCTURE AND NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE ECONOMIC DEVELOPMENT BANK ( CIEDB) SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR ATTN: CREDIT SUPPORT MANAGER REPRESENTATIVES. 1001 "1" STREET, 19TH FLR. AUTHORIZED REPRESENTATIVE SACRAMENTO, CA 95814 — _1��i� CSAC - EXCESS INSURANCE AUTHORITY