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PROOF OF INSURANCE (2005) CLOSED` G TIMATE OPIN URANCE CERTIFICATE NUMBER " LOS- 000433840 -04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS `RODUCER t Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 777 South Figueroa Street POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE CA License #0437153 AFFORDED BY THE POLICIES DESCRIBED HEREIN. Los Angeles, CA 90017 Attn: Lori Bryson (213)- 346 -5464 COMPANIES AFFORDING COVERAGE COMPANY 6510 - AECOM- CAS -2004 CBA JWHIT PASAD CA A ACE American Insurance Company INSURED COMPANY COTTON /BRIDGES /ASSOCIATES B A DIVISION OF P &D CONSULTANTS 800 E. COLORADO BLVD., SUITE 270 COMPANY PASADENA, CA 91101 C Illinois Union Insurance Company COMPANY D N/A te-:suedes:and:rtpiacwss arse peuiousry issued csttN{c:farihs policy:pe>iact nati #tavi+ THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM /DDNY) POLICY EXPIRATION DATE (MM /DD/YY) LIMITS A GENERALLIABILITY HDO G20591365 04/01/04 04/01/05 GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP /OP AGG $ 4,000,000 CLAIMS MADE I OCCUR PERSONAL & ADV INJURY $ 2,000,000 EACH OCCURRENCE $ 2,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one parsO n $ 5,000 A AUTOMOBILE LIABILITY ISA H07850451 04/01/04 04/01/05 COMBINED SINGLE LIMIT $ 1,000,000 X A ANY AUTO CAL H0785058A 04/01/04 04/01/05 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER EL EACH ACCIDENT _ $ THE PROPRIETOR/ INCL PARTNERS /EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - POLICY LIMIT $ EL DISEASE -EACH EMPLOYEE $ C OTHER EON G21654693 001 04/01/04 04/01/05 $1,000,000 ARCHITECTS & ENG. " "'CLAIMS MADE" "' PER CLAIM /AGGREGATE PROFESSIONAL LIAB. DEFENSE INCLUDED DESCRIPTION OF OPERATION S /LOCATIONSNEHICLES /SPECIAL ITEMS RE: Contract 3360 /THE CITY OF EL SEGUNDO, ITS OFFICALS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. SUCH INSURANCE AFFORDED SHALL BE PRIMARY INSURANCE AND ANY INSURANCE CARRIED BY CERTIFICATE HOLDER & ADDITIONAL INSURED SHALL BE EXCESS AND NOT CONTRIBUTORY INSURANCE FOR GL & AL COVERAGES. CERTJFtCATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WALL ENDEAVOR TO MAIL _g0 DAYS WRITTEN NOTICE TO THE CITY OF EL SEGUNDO ATTN: PATTI KIGHT CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR OFFICE OF THE CITY CLERK LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE 350 MAIN STREET EL SEGUNDO, CA 90245 ISSUER OF THIS CERTIFICATE. MARSH USA INC. � � � BY: John F Wesley <K'.4 MM1(3102) VALID AS OF: 09/02/04 , ?gG v POLICY NUMBER: HDO G20591365 COMMERCIAL GENERAL LIABILITY CG 20 10 03 97 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF EL SEGUNDO OFFICE OF THE CITY CLERK 350 MAIN STREET EL SEGUNDO, CA 90245 ITS OFFICIALS AND EMPLOYEES (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations for that insured. CG 20 10 03 97 Copyright, Insurance Services Office, Inc., 1996 sky- POLICY NUMBER: ISA H07850451 COMMERCIAL BUSINESS AUTO LIAB. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL BUSINESS AUTO LIABILITY COVERAGE PART. Name of Person or Organization: Schedule CITY OF EL SEGUNDO ANY AUTO OFFICE OF THE CITY CLERK 350 MAIN STREET EL SEGUNDO, CA 90245 ITS OFFICIALS, AND EMPLOYEES (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. CG 20 26 11 85 Document2 in \.. SEP -14 -2004 1025 P &D CONSULTANTS 714 285 0102 P.021bS •�- . .r fir, _ .•yl 0, ' ,I, .Sa. _ ISSUE DATE (MMIDDIYY) ' •• �i� ,.;h� +moos ...,..�. PRODUCER DM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. Aon Risk Services, Inc. of Southern CaNf Dmia 707 Wilshire Boulevard, Suite 6000 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Los Angeles, California 90017 (213) 630 -3200 COMPANIES AFFORDING COVERAGE COWART LETM A Insurance Co. of the State of PA CODE SUP -CODE COWART B INSURED Lump Cotton/Bridges /Associates OO"'PA"Y C 800 East Colorado Blvd., Suite 270 LETTER Pasadena, CA 91101 COWART LETTER D COMPANY E LETTER A THIS IS TO CERTIFY THAT 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 16 SUBJECT TO ALL THE TERMS. CLUSIONS, AND CoNpMON3 OF 3u CH POjJC THIE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CA TYPE OF INSURANCE POLICY NUMBER POLICTEFFECTIYE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE LAINIOGIVVI 601E NC OENERALLIABILITY CEMBRA&ACCRECATE f COMMERCIAL GENERAL UAlnITY PROORICT"OMPIOPS AGGREGATE f CLPJW Mw. OCCURRENCE PEIUIO t AAOVHIT.SINC INAJM s p1ftNERE4COMTRAC1w-PROIEGIni EACH OCCURRENCE _ FOE OAAUGE 0" ONE FIRE) MEOICAI EXPEMSE (ANY ONE PERS014 AUTOMOBILE LIABILm AW AUTO I:SL SOOILY IWURT ALL ORNEOAUTOS (PER OER$nM1 3CMI I'm AVTOE DOILY INJURY :: HIRED AUTOS NON -OWKD AUTO! ACCIDENT) GARAGE LIABILITY PROPERTY OAAIACE EXCESS LU1ELl IY EACH AGGR EGATE OCCURRENCE UMBRELA FORM O'STATUTORY OTHER TRAM UMBRELLA FORM s A WORKERS' COMPENSATION WCS21 24 60 (ACS) 4/1/2004 4/12005 /"�r �! }� i� ' 1'' ; •�,,IA S 1.000 WACN ACOKNT) A AND W C521 24 61 (CA) 41112004 4/12005 EMPLOYERS' LIABILITY WC671 24 02 (WI) 4/1/2004 411P2005 6 1,000 OCEAN POLICYUMT) 6 1.00D @1EA4EEACHEMPLOYE19 OTHER DESCRIPTION OF OPERATIONSILOCATWNSNEHICLES IRESTRICTIONSISPECIAL ITEMS: CeAW457 Contract k 3360 R SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE ,flu EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City of Ell Segundo 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. OIRce of the City Clerk BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY moo' Paid KAght OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATNES- Street AUTHORUED REPRESENTATIVE E A BOAS S Segundo. • ?r / s' UKi15Gn:A9tidR'IIFT'+��rn� "�•9i,. ` ' • I ai f1L . . .