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PROOF OF INSURANCE (2008) CLOSEDClient#: 2372 CBIZINC ACORD- CERTIFICATE OF LIABILITY INSURANCE 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 12/11/07D"Y") PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CBIZ - Fairfax ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9302 Lee Highway Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fairfax, VA 22031 703 654 -6300 INSURERS AFFORDING COVERAGE NAIC # INSURED .� �,y,, INSURER A: Indian Harbor Ins. Co. $ S 6050 Oak Tree Blvd., South, Suite 500 Cleveland, OH 44131 INSURER B: COMMERCIAL GENERAL LIABILITY INSURER C: INSURER D: DAMAGE TO RENTED 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. IN3R LTR ADD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DAT POLICY EXPIRATION ATE LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ MED EXP (Any one person) $ CLAIMS MADE 7 OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY JE� LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ee accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND _ T-TWORC STATU- 0TH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ • OTHER Pro Liab -E &O ELU10183707 12/15107 12/15/08 $20,000,000 Aggregate • IA- Broker Dealer ELU10183707 12/15/07 12/15/08 $7,500,000 Sublimit A Invest. Banking ELU10183707 12/15/07 12/15/08 $1,000,000 Sublimit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is an additional insured under Commercial General Liability coverage as required by written contract. City of El Segundo Office of the City Clerk 350 Main Street El Segundo, CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'An DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE CBIZ Insurance Services, Inc. A{;UKU ZO (ZUU7 /UU) 1 of 2 #M255444 QCW 0 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. AUUKU Z5-5 (ZUU1 /UU) 2 of 2 #M255444 1+0171A1!` t; nenrff: csic -- — — ^— �•'-5 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDIYYYY) 09/24107 PRODUCER CBIZ- Fairfax 9302 Lee Highway Suite 200 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 THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Fairfax, VA 22031 T03 654 -6300 INSURED CBIZ, Inc. etal 6050 Oak Tree Blvd., South, Suite 500 INSURERA: Hartford Insurance $3OO OOO INSURER B: Fireman's Fund $10,000 INSURER c: The Travelers $1,000,000 INSURER D: s2,000,000 Cleveland, OH 44131 INSURER E: PRODUCTS - COMP /OP AGG s2,000,000 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. TR A D'L INISRE TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51 OCCUR POLICY NUMBER 42UENMF4642 POLICY EFFECTIVE 09/30107 POLICY EXPIRATION DATE (MMIDDNYI 09/30/08 LIMITS EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $3OO OOO MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP /OP AGG s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 42UENMF4643 09130107 09/30/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ 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 $ $ B C A A EXCESS /UMBRELLA LIABILITY OCCUR F] CLAIMS MADE DEDUCTIBLE X RETENTION $ O WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below XA000099908063 Q103800500 42WNMF4640 42WBRMF4641 WI 09/30/07 09/30/07 09/30107 09/30/07 09130108 09/30108 09/30108 09/30/08 EACH OCCURRENCE $25,000,000 AGGREGATE s25,000,000 Excess 25M $25 000 000 $ WC STAiU- ER $ E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT 1 $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is an additional Insured under Commercial General Liability coverage as required by written contract. CERTIFIGATE MULUtK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of El Segundo DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _In DAYS WRITTEN Office of the City Clerk NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 350 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR El Segundo, CA 90245 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CBIZ Insurance Services, Inc. n w�sonewTrnu Sena ACORD 25 (2001108) 1 of 2 #M248740 vvvv 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. i+�.vnv Caro tcuu uuol 2 OT Z W246740