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PROOF OF INSURANCE (2006) CLOSEDACORU CERTIFICATE OF LIABILITY INSURANCE DATia /NVT)DIYYYY) _ 12/01 /08 PRODUCER �^ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI of Southern California ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOE8 NOT AMEND, EXTEND OR Llcp0361162 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3826 Del Amo Blvd, Suite 300 Torrance, CA 90503 INSURED Economic Development Systems 436 Calls Mayor Redondo Beach, CA 90277 COVERAGES INSURERS AFFORDING COVERAGE ,•,,LIEN, a. Travelers Indemnity of I IIVSI!P[R n Iw3',;P.ER ms::�sR IN$LOEP E NAIC x THE POLICIES OF PiSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME[, ABOVE FOR THE POLICY PERIOD INDICATED. NOTWi THS IANUINci ANY REOLIREVENT, TERM. OR CONDITION OF ANY CONTRACT OR OTHER COCJ'AEFJT wlTr RESPECT TO WHICH THi9 CERTIFICATE MAY BE 19SUEO OR F /AY PERTAIN, THE Ir�SURANUE AP FORDED BY THE POLiCIE9 DES :'R18ED HEREIN 15 SLGJE;r `0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIeo AGGPEGF,TE LIMITS SHCA',I MAY HAVE BEEN RED'JCEG 9'! Pb _0 CI_i' US I - POLICY Sib 1 LIMITS TR TYPE OF INSURANCE POLICY NUMBER _ A GCNEAAL LIAUIUrY 16807491 H644 12!09/05 12/09/06 EACH OCCURRENCt 0,000,000 _ IA TO RENTCb x300 000 'o l'.. aEL'EPrl L'AR LIT7 t ° rtI�CE !—J oC oa MED EY,D IAr one enom $5 ,000 i G"cN'_ AG: �E3A`E LIMIT AP'LIE5 F_R AUTOMODILE �IAB'LITY •.IFcG 5 14:1% -09Jr:E:) 5 3ARAGE LIABILITY XCCG9/UMDRELLA LIADILITYX—C'EJ9/UMBRELLA LIADILITY aE':r,TIVN WORKERS COMPENSATION AND EPXPLOYER3 LIABILITY n!�Y �N.�'aIET�Ri.'r aTrJERiE?'cCUT! -J.a CiF�ICGR;'YEraER EkCL':': @D% 5 ECII_uR vl SIDN'Ld Ca! OTHER Qa DESCRIPTION OF OPERATIONS ! LOCATION3 / VEHICLES / EXCLU610N9 ADDED OY ENDORSEMENT / SPECIAL PROVISIONS 30 Day Cancellation Notice, Except for 10 Day Notice for Nonpayment, The City Of El Segundo, Its officers, officials, employees, agents and Certified volunteers are named addltlnal Insureds per attached andorsoment CGD0370405 or CGD1861103. PERSONAL 6 ADV INJURY $1,000.000 DENERALAOOREGATE &2,000,000 .PRB0UCT3-CONIP!'OPAGV $2.000.000 "OMBINEC EI NGLE LIMIT Ea xuoerq � BOOILY INJURY t i °e' Dera'm . BODILY INJURY ,.Re, nCG�onl; PROFEFTYCAMAGt (Fe' ncaoer,ll AUTO ONC' CA ACCIDENT fi CTHER -HAN CA ACC E AUTO ONLY KJC; S EACH OCCURRENCE S AGGREOATE C L EACH ACC F L DISEASC E L DISEAOC Y LIMIT I IrJUA I t MULUtH C;ANCELL.A _I ION rL.t" SHOULD ANY OF THE ABOVi DIBCAIaCO POLICIES BE CANCELLED BCFORE THE EXPIRATION City Clerk Attn : City Manager SAT! THERCOF, THE ISSUING IN6URER WILL EN06AVOR TO MAIL 1_ DAYS WRrRBN 350 Main Street, Room 5 (NOTICE TO THE CCRTIFICAI2 HOLDER NAMED TO THE LEFT. OUT PAILURi TO DO So SHALL El Segundo, CA 80246 -3813 IIMP09E NO OBLIGATION ON LIABILITY OF ANY KIND UPON THM_ INSURER, IT1S AGCNTGOR wrnnn n >/09o/ 909lIYIJOI 904 AUTHORIZED FIEPAF9ENTATIVE 611.A Low L4 1-j LEJ: Z T q00'— ST—'D3L1 T 0 ' d IMPORTANT f the certificate holder is an ADDITIONAL INSURED the poilcy(les) must be endorsod. A statement on this certificatu does not confer rights to the cortifiiceto holdor In liou of such endoreement(s). f SUBPOGATION IS WAIVED, subject to the terms and condltlons of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to tho certificate holder in IIeU of such endorsement(s), DISCLAIMER 'he Certificate of Insurance on the reverse side of this form does not const tuts a contract between thu 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 limed thoroon. ACORD 28 -9 (2001/08) 2 of 2 #S397666/M397662 10'a WH 60 :Z :T ?00U- �T -03a Aft MERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS b, The "personal injury" or "advertising injury" for COMMERCIAL GENERAL LIA81LITY CONDITIONS which coverage is sought arises out of an of- Tense committed (Section IV), Paragraph 4. (Other Insurance), is subsequent l0 the signing and execution of that amended as follows: 1. The following is added to Paragraph a. Primary contract or agreement by you. Insurance: 2. The first Subparagraph (2) of Paragraph b. Ex. cess Insurance regarding any other primary In- However, if you specifically agree in a written con- surance available to you Is deleted. In- tract or written agreement that the insurance pro- vided to an additional Insured under this 3. The following is added to Paragraph b. Excess Coverage Pail must apply on a primary basis, or Insurance, as an additional subparagraph under a primary and non - contributory basis, this Insu• Subparagraph (1): ance Is primary to other Insurance that is avail- That Is available to the insured when the insured able to such additional Insured which covers such is added as an additional Insured under any other additional Insured as a named Insured, and we policy, including any umbrella or excess policy. will not Share with that other insurance, provided that. a. The "bodily Injury" or "properly damage" for which coverage Is sought occurs: and ` CO DO 37 04 Ob Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1 S �0 t� d wkj 60: U T goo z— ::T -03Q -�i ME _M AE r On COWMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. The following listing is a general coverage description only. Limitations and exclusons duties and apply to Is coveta es. Read all the PRO- VISIONS of this endorsement carefully to determine rig s A. Broadened Named Insured B. Damage To Premises Rented To You Extension • Perlis of fire, explosion, lightning, smoke, water • Limit increased to $300,000 C. Blanket Waiver of Subrogation D. Blanket Additional Insured -- Managers or Lessors of Premises E. Blanket Additional Insured — Lessor of Leased Equipment F. Incidental Medical Malpractice G. Personal Injury — Assumed by Contract H. Extension of Coverage — Bodily Injury PROVISIONS A. BROADENED NAMED INSURED 1. The Named Insured in Item 1. of the Declare - tions Is as follows. The person or organization named In Item 1. of the Declarations and any organization, other than a partnership or joint venture, over which you maintain ownership or majority in- terest on the effective date of the policy. However, coverage for any such organization will cease as of the date during the policy pe- riod that you no longer maintain ownership of, or majonty interest in, such organization. 2. WHO IS AN INSURED (Section II) Item 4.a. is deleted and replaced by the following: a. Coverage under this provision is afforded only until the 180th day alter you acquire or form the organization or the end of the policy period, whichever Is earlier, unless reported in writing to us within 180 days. 3. This Provision A. does not apply to any per- son or organization for which coverage is ex- cluded by endorsement. I. Injury to Co- Employees and Co-Volunteer Workers J. Aircraft Chartered with Crew K. Non -Owned Watercraft — Increased from 25 feet to 50 feet L, Increased Supplementary Payments • Cost for ball bonds Increased to $2,500 • Loss of eamings Increased to $500 per day M. Knowledge and Notice of Occurrence or Offense N. Unintentional Omission 0. Reasonable Force — Bodily Injury or Property Damage B, DAMAGE TO PREMISES RENTED TO YOU EXTENSION 1. The last paragraph of COVERAGE A. BOD- ILY INJURY AND PROPERTY DAMAGE LI- ABILITY (Section I — Coverages) Is deleted and replaced by the following: Exclusions c. through n. do not apply to dam- age to premises while rented to you, or tem- porarily occupied by you with permission of the owner, caused by: a. Fire: b. Explosion; c, Lightning; d. Smoke resulting from such fire, explosion, or lightning; or e. Water. A separate limit of Insurance applies to this coverage as described In LIMITS OF INSUR- ANCE (Section III). 2. This insurance does not apply to damage to premises while rented to you, or temporarily CG D1 86 11 03 Copyright, The Travelers Indemnity Company, 2003 00667• 2.0 ' a Page 1 of 5 Wr1 ©T: U T 9©0 U - 2'T -03Q COMMERCIAL GENERAL LIAOT-Y occupied by you with permission of the owner, caused by: a. Rupture, bursting, or operation of pres- scre relief devices; C. b. Rupture or bursting due to expansion or swelling of the contents of any building or structure, caused by or resulting from wa- ter, c. Explosion of steam boilers, steam pipes, steam engines, or steam turbines. 3. Part 8, of LIMITS OF INSURANCE (Section III) is deleted and replaced by the following: Subject to 5, above, the Damage To Prom- ises Rented To You Limit is the most we will pay under COVERAGE A. for damages be- cause of "property damage" to any one prom• ises while rented to you, or temporarily occu- pied by you with permission of the owner, caused by fire, explosion, lightning, smoke resulting from such fire, explosion, or light- ning., or water. The Damage To Premises Rented To You Limit will apply to all damage proximately caused by the some "occur- rence", whether such damage results from fire, explosion, lightning, smoke resulting from such fire, explosion, or lightning, or water, or any combination of any of these. The Damage To Premises Rented To You Limit will be the higher of: a. $300,000; or b. The amount shown on the Declarations for Damage To Premises Rented To You L mlt. 4, Under DEFINITIONS (Section V) Paragraph a, of the definition of "insured contract" is amended so that It does not Include that por- tion of the contract for a lease of premises that indemnlfies any person or organization for damage to premises while rented to you, or temporarily occupied by you with permis- sion of the owner, caused by a. Fire; C b. Explosion; c. Lightning; d. Smoke resulting from such fire, explosion, E or lightning', or e. Water. 5. This Provision B. does not apply if coverage for Damage To Premises Rented To You of Page 2 of 5 COVERAGE A. BODILY INJURY AND PROPERTY•DAMAGE LIABILITY (Section I — Coverages) Is excluded by endorsement. BLANKET WAIVER OF SUBROGATION We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of premises owned or occupied by or rented or loaned to you; ongoing operations performed by you or on your behalf, done under a contract with that person or organization; "your work "; or "your products We waive this right where you have agreed to do so as part of a written contract, executed by you prior to loss. BLANKET ADDITIONAL INSURED — MANAG- ERS OR LESSORS OF PREMISES WHO IS AN INSURED (Section 11) Is amended to include as an insured any person or organization (referred to below as "additional insured ") with whom you have agreed In a written contract, exe- cuted prior to loss, to name as an additional in- sured, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises leased to you, subject to the fol- lowing provisions: 1. Limits of Insurance, The limits of insurance afforded to the additional Insured shall be the limits which you agreed to provide, or the lim- its shown on the Declarations, whichever Is less. 2. The Insurance afforded to the additional In- sured does not apply to; a. Any "occurrence" that takes place after you cease to be a tenant In that promises; b. Any promises for which coverage Is ex- cluded by endorsement; or c. Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. 3. The Insurance afforded to the additional in- sured Is excess over any valid and collectible insurance available to such additional In- sured, unless you have agreed In a written contract for this Insurance to apply on a pri- mary or contributory basis. BLANKET ADDITIONAL INSURED — LESSOR OF LEASED EQUIPMENT WHO IS AN INSURED (Section II) is amended to include as an Insured any person or organization A') (referred to below as "additional insured ") with Copyright, The Travelers Indemnity Company, 2003 Co D1 88 11 03 WH efT :Z.T 900Z— 2. T—)3o: v�•d 0 COMERCIAL GENERAL LIABILITY 006V3 T0-d • 2049 Wti 21:Z.1 90011- `=..'T -'Daa for which no remuneration is demanded whom you have agreed in a written contract, axe- or received. cuted prior to loss, to name as an additional In but only with respect to their liability arising 3, paragraph 2.a.(1)(d) of WHO IS AN IN- sured, out of the maintenance, operation or use by you in- SURED (Section II) does not apply to any licensed practical nurse, of equipment leased to you by such additional registered nurse, medical technician or paramedic sured, subject to the following provisions: emergency employed by you, but only while performing 1. Limits of Insurance. The limits of insurance the services described in paragraph 2. above afforded to the additional Insured shell be the and while acting within the scope of their em• limits which you agreed to provide, or the lim- is to mart D ou. Any "employees" rendering Its shown on the Declarations, whichever Good Samaritan services" will be deemed to less be acting within the Scope of their employ - 2. The insurance afforded to the additional in- ment by you. sured does not apply to: 4. The following exclusion is added to paragraph a. Any "occurrence" that takes place after 2. Exclusions of COVERAGE A. — BODILY the equipment lease expires, or INJURY AND PROPERTY DAMAGE LIABIL- b. "Bodily injury" or "property damage" aris- of such ad- ITY (Section I — Coverages): does not apply to:) Liability ing out of the sole negligence (I-his Insurance ditional Insured. arising out of the willful violation of a penal 3. The Insurance afforded to the additional In- statute or ordinance relating to the sale of sured is excess over any valid and collectible pharmaceuticals by or with the knowledge or insurance available to such additional in- consent of the Insured, sured, unless you have agreed in a written S. For the purposes of determining the appllca- contract for this insurance to apply on a pri- ble limits of Insurance, any act or omission, mary or contributory basis, together with all related acts or omissions in F. INCIDENTAL MEDICAL MALPRACTICE the furnishing of the services described In 1. The definition of "bodily injury" In DEFINI- "in- paragraph 2, above to any one person, will be considered one "occurrence ". TIONS (Section V) is amended to include cidental Medical Malpractice Injury" 6, This Provision F. does not apply if you are in 2. The following definition is added to DEFINI- Inc business or occupation of providing any of the described in paragraph 2. above. -IONS (Section V): services 7. The insurance provided by this Provision F. "Incidental medical malpractice injury" means shall be excess over any other valid and col- injury, mental anguish, sickness or dls- including death lectlble insurance available to the Insured, ease sustained by a parson, ease from any of these at any time, arts- whether primary, excess, contingent or on resulting Ing out of the rendering of, or failure to ran- other basis, except for Insurance pur- an chased specifically by you to be excess of chased der, the following services: this policy. a. Medical, surgical, dental, laboratory, x -ray or nursing service or treatment, advice or G. PERSONAL INJURY — ASSUMED BY CON - instruction, or the related fumishing of 1. The Contractual Liability Exclusion In Part food or beverages; b. The furnishing or dispensing of drugs or 2., Exclusions of COVERAGE B. PER - SONAL AND ADVERTISING INJURY LIABIL- medical, dental, or surgical supplies or ITY (Section I — Coverages) Is deleted and appliances; or replaced by the following: c. First aid. (This insurance does not apply to:) d. ,Good Samaritan services ". As used in Contractual Liability this Provision F., "Good Samaritan ser- those medical services ren- "Advertising Injury" for which the Insured has vices" are dered or provided in an emergency and assumed liability In a contract or agreement. This exclusion does not apply to liability for CG 01 86 11 03 Copyright, Co ri ht, The Travelers Indemnity Company, 2003 Page 3 of 5 006V3 T0-d • 2049 Wti 21:Z.1 90011- `=..'T -'Daa COMMERCIAL GENERAL. LIAI damages that the Insured would have in the absence of the contract of agreement, 2. Subparagraph f. of the deflnitlon of "insured contract" (DEFINITIONS — Section V) is de- leted and replaced by the following: f. That part of any other contract or agree- ment pertaining to your business (includ- ing an indemnification of a municipality In connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily Injury," "property damage" or "per- sonal injury" to a third party or organiza- tion. Tort liability means a liability that would be Imposed by law in the absence of any contract or agreement. 3. This provision G. does not apply If COVER- AGE B. PERSONAL AND ADVERTISING IN- JURY LIABILITY is excluded by endorse- ment. H. EXTENSION OF COVERAGE -- BODILY IN- JURY The definition of "bodily injury" (DEFINITIONS — Sectlon V) is deleted and replaced by the follow ing: "Bodily injury" means bodily injury, mental an- guish, mental injury, shock, fright, disability, hu- millation, sickness or disease sustained by a per- son, Including death resulting from any of these at any time. INJURY TO CO- EMPLOYEES AND CO- VOLUNTEER WORKERS 1. Your - employees" are Insureds with respect to "bodily Injury" to a co--employee" in the course of the co-,,employee's" employment by you, or to your "volunteer workers" while per- forming duties related to the conduct of your business, provided that this coverage for your "employees" does not apply to acts outside the scope of their employment by you or while perforating duties unrelated to the conduct of your business. 2. Your "volunteer workers" are Insureds with respect to "bodily injury" to a co- "volunteer worker' while performing duties related to the conduct of your business, or to your "employ- ees" In the course of the "employee's" em- ployment by you, provided that this coverage for your "volunteer workers" does not apply while performing duties unrelated to the con- duct of your business. Page 4 of 5 ;t�sr Subparagraphs 2.01)(411), (b) and (c) and 3.a. of WHO IS AN INSURED (Section II) do not apply to "bodily Injury" for which Insurance is provided by paragraph 1. or 2. above. J. AIRCRAFT CHARTERED WITH CREW I. The following is added to the exceptions con- tained In the Aircraft, Auto Or Watercraft Exclusion In Part 2., Exclusions of COVER- AGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section I — Coverages): (This exclusion does not apply to:) Aircraft chartered with crew to any Insured. 2, This Provision J. does not apply If the char- tered aircraft is owned by any insured. 3. The Insurance provided by this Provision J. shall be excess over any other valid and col- lectible Insurance available to the insured, whether primary, excess, contingent or on any other basis, except for Insurance pur- chased specifically by you to be excess of this policy. K. NON -OWNED WATERCRAFT 1. The exception contained In Subparagraph (2) of the Aircraft, Auto Or Watercraft Exclu- sion In Part 2., Exclusions of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section I -- Coverages) Is deleted and replaced by the following: (2) A watercraft you do not own that Is: (a) Fifty feet long or less; and (b) Not being used to carry persons or property for a charge; 2. This Provision K. applies to any person who, with your exprossed or Implied consent, either uses or is responsible for the use of a water. craft. 3. The insurance provided by this Provision K. shall be excess over any other valid and col - lectlble insurance available to the insured, whether primary, excess, contingent or on any other basis, except for insurance pur- chased specifically by you to be excess of this policy. L. INCREASED SUPPLEMENTARY PAYMENTS Parts b, and d. of SUPPLEMENTARY PAY- MENTS — COVERAGES A AND B (Section I — Coverages) are amended as follows: 1. In Part b. the amount we will pay for the cost of ball bonds Is Increased to $2500. Copyright, The Travelers Indemnity Company, 2003 co D1 86 1103 001�AE -. —J3Q 0 -d