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PROOF OF INSURANCE (2005) CLOSEDCOVERAGES 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. - - - -- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION POLICY NUMBER DE MM /DD/YY DATE MM /DD/YY LTR NSR TYPE OF INSURANCE AT GENERAL LIABILITY A X X COMMERCIAL GENERAL LIABILITY 57UUNUN5845 05/25/04 05/25/05 CLAIMS MADE � OCCUR LIMITS EACH OCCURRENCE $ lOOOOOO PREMISES(Eaoccurence) $ 300000 MED EXP (Any one person) $ 10000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GENT AGGREGATE LIMIT APPLIES PER: X7 POLICY JECT LOC PRODUCTS - COMP /OPAGG Emp Ben. $ 2000000 1,000,000 A REPRESENTATIVES. AUTOMOBILE LIABILITY ANY AUTO 57UUMM5845 05/25/04 05/25/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ X X NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? 57WEGY5897 12/01/03 12/01/04 _ TORY LIMITS ER E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $1000000 E.L. DISEASE - POLICY LIMIT $1000000 If yes, describe under SPECIAL PROVISIONS below OTHER B Errors & Omissions 6 -14 -01 Retro Date RENL OF H70312635 06/14/04 I 06/14/05 1 $1000000 $5000 Limit Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is additional insured with respect to liability arising out of insured's operations per page 10 & 11 of form HG00011001. *10 Day Notice of Cancellation for Non Payment of Premium GtK I WIGA I t MULL)CM - - - -- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ELSE 350 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of El Segundo IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn : Patti Kight REPRESENTATIVES. 350 Main St, Room 5 pUTHO ATIVE E1 Segundo CA 90245 -3895 rn wrnon �`nDDnDATIAW 1QRR ACORD 25 (2001/08) - V� I w , However, no person or organization is an insured with respect to: a, "Bodily injury" to a co= employeig" of the person operating the watercraft; or b. "property damage" to property owned by rented to, in the charge of or occupied by you or the employer of any ,person who is' an insured under this provision. 6. The following are also an Insured when you have agreed, in writing, in a contract or agreement that another person or organization 'be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement. However, no such person or organiz.ation'is an insured' under this provision if such person or organization is included as an insured by an endorsement issued by us and made a part of this Coverage part. a. Any person or organization (referred to below as vendor), but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: (1) The insurance afforded the vendor does not apply to: (a) "Bodily injury" or "property 1tamage" for which the vendor is obligated to pay damages by reason of the assumption of liability In a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (b) Any express warranty unauthorized by you; (c) Any physical or chemical change in the product made Intentionally by the vendor; (d) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, In connection with the distribution' or sale of the products; (f) Demonstration,' installation, servicing or repair operations, except such,operations performed at the vendor's premises in connection with the sale of the product; page 10 of 16 (g) Products which, after distribution or sale by r' you, have been labeled or relabeled or used as a container;, part or ingredient of any other thing or substance by or for the vendor. (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products; or any ingredient, part or container, entering Into, accompanying or containing' such products, t b. Any person or organization', from whom you lease equipment; but only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such person or organization. A person's or organization's status as an insured under this paragraph ends when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded these additional insureds, the following additional exclusions apply: This Insurance does not apply: 1. To any "occurrence" which takes place after the equipment lease expires; 2. To "bodily injury" or "property damage" arising out of the sole negligence of such person or organization. c. Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. With respect to the insurance afforded additional these additional insureds the following exclusions apply: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to lea" that land; 2. Structural alterations, new construction_ or demolition operations performed by or on behalf of such person or organization. d, Any architect, engineer, or surveyor, but only with respect to liability arising out of your premises or ongoing operations performed by you or on your behalf. With respect to the insurance afforded these additional insureds, the following additional exclusions apply: This Insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders' or drawings and specifications; and 2. Supervisory, Inspection, architectural or engineering activities. HG 00 0110 01 w, an e. Any other person or rgani atio gh d ' Is not but insured under paragraphs a only with respect to your operations, "your work" or facilities owned or used by you. No person or organlzabon is an Insured with respect to the conduct of any Current or past partnership, joint venture or limited liability Company that is not shown as a Named insured in the Declarations. SECTION III — LIMITS of INSURANCE 1. The Limits of insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds b. Claims made or "suits" brought, or c. Persons or organizations making claims or bringing "suits ". 2. The General Aggregate Limit is the most we will pay for the sum of: k11 d. 5. a. a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard "; and c. Damages under Coverage B. The Products - Completed Operations Aggregate Limit Is the most we will pay under Coverarge A for damages because of "bodily injury' and "property damage" included In the " products - completed operations hazard ". Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. Subject to 2. or 3. above, whichever applies, the Each occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage G because of all "bodily injury" and "property damage" arising out of any one "occurrence ". Subject to 5. above, the Damage To Premises Rented To You Umit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the 'case of damage by fire, lightning or explosion, while rented to you or temporarily occupied by you with permission of the owner. In the case of damage by fire, lightning or explosion, the Damage to Premises Rented To You Limit applies to all damage proximately caused I)y the same event, whether such damage results from fire, lightning or explosion or any combination of these. HG 00 01 10 01 7. Subject to 5. above, the Medical Expense Limit is the most we will pay' under Coverage C for all medical expenses because of "bodily injury, sustained' by any one person. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION tV COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the Insured or of the insured's estate will not relieve us of our obligations under this Coverage Part. 2. Duties In The Event of occurrence, Offense, Claim Or Suit a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. (1) To the extent possible, notice should include: (a) How, when and where the "occurrence" or offense took place; (ty) The names and addresses of any injured persons and witnesses: and (c) The nature and location of any injury or damage arising out of the "occurrence' or offense. (2) This Condloon applies only when such "occurrence" or offense is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A manager, if you are a limited liability company, (4) An "executive officer" or insurance manager, if you are a corporation; or (5) Any trustee, if you are a trust. b. If a claim is made or "suit" is brought against any insured, you must: - (1) immediately record the specifics of the claim or "suit" and the date received; and (2) ``Notify us as soon as practicable. You must see to it that we receive written notice of the claim or "suit" as soon as practicable. Butt his c ondition 'will not be considered breached unless the breach occurs after such claim or "suit" Is known to anyone listed in 2.a.(2) above. Page' 11 of 16