PROOF OF INSURANCE (2007) CLOSED:.�.. �..
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THIS CERTIFICATE
Serial # 600970
IS ISSUED AS A MATTER OF INFORMATION
AON RISK SERVICES, INC. OF ILLINOIS
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
AON CENTER
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
200 EAST RAN STREET, 13TH FLOOR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
CHI
CHI CAGO, It 60601 0601
ATTN: JEAN BELKE (312) 381 -4175
COMPANY
O/B/A AON RISK INSURANCE SERVICES OF ILLINOIS. CA LICENSE NO. 0095623
A NATIONAL UNION FIRE INSURANCE COMPANY
INSURED
COMPANY AMERICAN HOME ASSURANCE CO.
B
FEDERAL SIGNAL - SIGNAL DIVISION
2645 FEDERAL SIGNAL DRIVE COMPANY
UNIVERSITY PARK, IL 60466 C INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
COMPANY ILLINOIS NATIONAL INSURANCE CO.
D
Vy
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO
THE iNSURED
INDICATED, NOTWITHSTANDING ANY R NAMED ABOVE FOR THE POLICY PERIOD
EQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR
OTHER
CERTIFICATE MAY BE ISSUED OR MAY DOCUMENT WITH RESPECT TO WHICH THIS
PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES
DESCRIBED
EXCLUSIONS AND CONDITIONS OF SUC HEREIN IS SUBJECT TO ALL THE TERMS,
H POLICIES, LIMITS SHOWN MAY
HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
DATE (MM/DD/YY)
DATE (MM /DO/YY)
LIMITS
A
GENERAL LIABILITY
GL 5760778
11/01/2006
11/01/2007
GENERAL AGGREGATE
$ 2,000 000
X COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP /OPAGG
$ SEE BELOW
CLAIMS MADE OCCUR
PERSONAL 8 ADV INJURY
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$ -1,000,000
CONTRACTUAL
FIRE DAMAGE (Any one lire)
$ 1,000,000
�il
MED EXP (Anyone person)
$ 10,000
B
AUTOMOBILE LIABILITY
B
CA 5836610(AOS)
11/01/2006
11/01/2007
X ANY AUTO
CA 5836611 (MA)
COMBINED SINGLE LIMIT
$ 1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
OTHER THAN UMBRELLA FORM
C I
B
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
WC 2920464 (AOS)
11/01/2006
11/01/2007
X TORY LunITS ER
B
WC 2920465 (CA)
EL EACH ACCIDENT
$
D
THE PROPRIETOR/
X INCL
WC 2920466 (W I)
EL DISEASE - POLICY LIMIT
_500,000
$ 500,000
D
PARTNERS/EXECUTIVE
WC 2920467 (FL)
OFFICERS ARE: EXCL
WC 2920468 (MA, NY)
EL DISEASE • EA EMPLOYEE $ 500,000
OTHER
A
PRODUCTS LIABILITY
11/01/2006
11/01/2007
EACH OCCURRENCE $3,000,000
GENERAL AGGREGATE $6,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES /SPECIAL ITEMS
SEE PAGE 2
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF EL SEGUNDO
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
PUBLIC WORKS DEPARTMENT
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
ATTN: MARYAM M. JONES
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
250 MAIN STREET
EL SEGUNDO, CA 90245
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE OF AON RISK SERVICES, INC. OF IL
Aon J3s/1: krvic4 kc ofJilinois
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FOR ATTACHMENT TO CERTIFICATE OF INSURANCE TO:
THE CITY OF EL SEGUNDO
REGARDING: PURCHASE AND INSTALLATION OF SCADA CONTROLS EQUIPMENT/
FEDERAL WARNING SYSTEMS DIVISION OF FEDERAL SIGNAL
CORPORATION
THE CITY OF EL SEGUNDO, ITS OFFICERS, AGENTS AND EMPLOYEES ARE
INCLUDED AS ADDITIONAL INSURED ON THE GENERAL LIABILITY AND
PROPERTY LIABILITY POLICIES SHOWN ON PAGE 1 WITH REGARD TO WORK
PERFORMED BY OR ON BEHALF OF FEDERAL WARNING SYSTEMS DIVISION OF
FEDERAL SIGNAL CORPORATION
POLICIES SHOWN ARE PRIMARY AND NON - CONTRIBUTORY AND ANY OTHER
INSURANCE MAINTAINED BY THE CITY OF EL SEGUNDO IS EXCESS OF THIS
INSURANCE
REVISED CANCELLATION NOTICE:
WITH RESPECT TO THE INTERESTS OF THE CITY OF EL SEGUNDO, THIS
INSURANCE MAY NOT BE CANCELLED, REDUCED IN COVERAGE OR LIMITS OR
NON - RENEWED, EXCEPT AFTER THIRTY DAYS PRIOR WRITTEN NOTICE BY
REGISTERED OR CERTIFIED MAIL HAS BEEN GIVEN TO THE PUBLIC WORKS
DIRECTOR ADDRESSED AS FOLLOWS:
PUBLIC WORKS DEPARTMENT
EL SEGUNDO CITY HALL
350 MAIN STREET
EL SEGUNDO, CA 90245
Serial #: 600970
Page 2