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PROOF OF INSURANCE (2004) CLOSEDMARSH"T'I�A 1 EFA NYC - 001443604 -08 1; PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH LISA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 601 MERRITT 7 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE NORWALK, CT 06856 AFFORDED BY THE POLICIES DESCRIBED HEREIN. Attn: MEI WONG PHONE: 203 - 229 -6744; FAX 203 - 229 -6965 COMPANIES AFFORDING COVERAGE COMPANY 97956- ALL - CAS -03 -04 A ST PAUL FIRE & MARINE INSURANCE COMPANY INSURED COMPANY GARTNER INC. B ZURICH AMERICAN INSURANCE COMPANY ATTN: KAREN GRASSO 56 TOP GALLANT ROAD STAMFORD, CT 06904 COMPANY C N/A COMPANY D COVERAGES `° This certlflcate supersedes And replaces any previously issued certfficate• fgr th ,policy period- nated,kxeltlylf . , : ia•' „ 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 (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS A GENERAL LIABILITY TE09001737 06/30/03 06/30/04 GENERAL AGGREGATE $ 1 ,000,000 PRODUCTS - COMP /OP AGG $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY $ 1,000,000 CLAIMS MADE F OCCUR EACH OCCURRENCE $ 1,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one person) $ 10,000 A AUTOMOBILE LIABILITY TE09001737 06/30/03 06/30/04 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY $ ALLOWNEDAUTOS (Per person) 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 B WORKERS AND EMPLOYERS' LIABILITY WC 2983905 -04 06/30/03 06/30/04 WC STATU- X TORY L MITS T ER EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ X INCL PARTNERS /EXECUTIVE OFFICERS ARE EXCL EL DISEASE - POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1,000,000 ZTM DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS THIS INSURANCE IS FOR THE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES AND VOLUNTEERS. .CERTIFICATE HOLDER -_ CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL EMl&9*)bY#ai MAIL _31111 . DAYS WRITTEN NOTICE TO THE CITY OF EL SEGUNDO CERTIFICATE HOLDER NAMED HEREIN, 9000 lIXM OFFICE OF THE CITY CLERK ATTN: PATTI KNIGHT &XM90AMKXX0MX0XKytM AE 350 MAIN STREET )b c ( tv mxxxxxxxxxXxXxxx xxxXXxXXxXXXxXxxXXxxxxxxxxxxxxxxxx EL SEGUNDO, CA 90245 MARSH USA INC. r, "' ,pp. BY: Mac D. Nadel �, "C. MM1(3 /02) VALID AS OF: 03/19/04 . r CHAPTER FOUR EXHIBIT I A Reproduction of Insurance $erview Bice, Inc, Form INBURT,R: ISO FORM CO 101011 Est (MODLFIED) POLICY NUM Z1: COIERCIAL GWRAL LIABILITY INDOM NVMBM -. li EMIT 1•A TEM END0180UNT CKANGY.9 ME POLICY, PLEASE READ TC CARZYULLY. ADDITIONAL INSMM -- OWNERS LESSEES OR CONTRACTORS (FORM i) This endonerneat seoMes ineorsetes provided uadw the followiagt COMMBRCIAL OMMAL LIA UTY COVE LAOR PRAT. 6CHEDULE Nuns ot0tsysnWtion ' (Itno entry appears above, the Manton required to complete d$a endoraowcut will be shm in the Deciatedm as applicable to this eederse meat.) WHO IS AN INSURED (Baction 11) it sm aded to include as as insured the person or oepaaimlon down In the Schedule:, but only with iespeet to lisli ty mining out of 'your work' lbrdw Insured by or for you. ModIRMiGrA to 190 form CG 301011 IS! I. The Lneumid scheduled above Includes the Insured'e offices, officials, employees and ! voluatiteets, Z. ibis inswanoe :ball be ptW ary as respects the Insured c6ewn to the sebedole above, or if excess, shall s utd in an unbroken chain of cove Ms excess of the Namad Intutedes scheduled undarlyring pion vy coverage, in ehber avert, any o6w Imurmos mauatuned by the ]neared scheduled above shall be brr auens of this iostnwe and shill not be oUlod upon to contribute with it. 3. The inea mac atbrded by tbb policy dWI not In csnseted oxeopt attes chitty days prior written trucks by aesdfied mall retarn receipt requested Asa been given to the Entity. 4. Coverage shall not wend to say is malty Beverage hr t1is sedve negli`e ave of the sddMonst i0tlired in my cane wbece an asreement to lndetcuM the additicoal ina+aed would be invalid oC 33 ,fSrD4d �_ ' cw �aVlc N.Y..l� 34 t Addreies CG 301011 Is Insuram Soviets Office, Inc. Form (Modified) sire rrbw~ir he CeMroote Sdplen. )Way 7o0t7 23 TECHNOLOGY COMMERCIAL GENERAL LIABILITY PROTECTION COVERAGE SUMMARY This Coverage Summary shows the limits of coverage that apply to your Technology Commercial General Liability Protection. It also lists those endorsements, if any, that must have certain information shown for them to apply. Limits Of Coverage General total limit. $1,000,000 Products and completed work total limit. $1,000,000 Personal injury each person limit. $1,000,000 Advertising injury each person limit. $1,000,000 Each event limit. $1,000,000 Premises damage limit. $1,000,000 Medical expenses limit. $10,000 TMaStibul Named Endorsement Table Important Note: Only endorsements that must have certain information shown for them to apply are named in this table. The required information follows the name of each such endorsement. Other endorsements may apply too. If so, they're listed on the Policy Forms List. Described Person or Organization Person or Organization City of Burbank Attn: Karen M. Little 275 East Olive Avenue P.O. Box 6459 Burbank, CA 91510 -6459 Person or Organization King County, Washington OIRM 700 Fifth Avenue, Suite 2300 Seattle, WA 98104 Endorsement - Addl Prot Persons Person or Organization E1 Segundo and its officials and employees. Waiver of Rights of Recovery Endorsement Person or Organization any person or organization from whom you are required by contract to provide a waiver of our right to recover from others endorsement. Name of Insured Policy Number TE09001737 Effective Date 03/22/04 GARTNER, INC. Processing Date 03/19/04 15:52 009 47151 Rev. 1-96 Printed in U.S.A. Coverage Summary ®St.Paul Fire and Marine Insurance Co.1995 All Rights Reserved Page 1 R POLICY CHANGE ENDORSEMENT This endorsement summarizes the changes to your policy. All other terms of your policy not affected by these changes remain the same. How Your Policy Is Changed CAUTION: Endorsements with earlier processing dates DO NOT reflect these changes. GENERAL LIABILITY ----------- - - - - -- Form Information: The Endorsement(s) Named Below Is Changed. Certain Information May Be Shown On The Coverage Summary lmstraul Described Person Or Organization Endorsement - Additional Protected Persons Premium Change Which Is Due Now Additional premium $0.00 Returned Premium $0.00 ------------------------------------------------------------------------------------ If issued after the date your policy Policy issued to begins, these spaces must be completed GARTNER, INC. and our representative must sign below. COMPUTER & COMMUNICATIONS INFORMATION GROUP, INC. COMPUTER FINANCIAL CONSULTANTS, INC. Authorized representative Endorsement takes effect Policy Number 03/22/04 TE09001737 Processing Date: 03/19/04 15 :52 009 40704 Ed.5 -84 Printed in U.S.A. Endorsement ®St.Paul Fire and Marine Insurance Co. 1984 All Rights Reserved Page 1 MAR 5 H� "'ItC►T CERTIFICATE NUMBER NYC- 001848596 -03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS PRODUCER MARSH USA INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE ONE STATE STREET POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE HARTFORD, CT 06103 AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY 97956- 9- 04 -E80- A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA INSURED COMPANY GARTNER, INC. B 56 TOP GALLANT ROAD COMPANY STAMFORD, CT 06904 C COMPANY D GpEB rsees aa a Ttil3 rific suped e.fo the polcy pecodnot ��`pslgw" , ....i.,.d 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 (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP /OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire ) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO 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 $ A OTHER PROFESSIONAL LIAB. 859 -11 -01 07/16/99 07/16/04 $1,000,000 AGGREGATE DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE THE CITY OF EL SEGUNDO 348 MAIN STREET CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR EL SEGUNDO, CA 90245 LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE, MARSH USA INC. BY: John P. Booth MM!(3 102) VALID AS OF: 03/11/04 r CHAPTER POUR EXHIBIT 14 Repsoduation of Insurance Serview ice, lnr,. Form M$MtRR: ISO BORM CO 201011 Est (MODIF'E M) POJ<AllCY nUORIE: COW MCIAL GINEAAL LIIABILITY INDOMMP.N';' NUMBZR: RXHMIT i•A ilaus TrPtDClltt.4L►1r91! T CHANGES THE POLICY, PLEASE READ iz CARZFULLY. ADDITIONAL NTRACT — (FORM �LESSEES OR This endamenwat roodt6ee inowmwo provided under rho Ibllowiag: COMM =AL OMMOAL LIASMITY COVEAAOR PART. SCHTDULE Nam oforazandon (If to entry appears above, the Irtba uttonroquired to complete dale uWarmamcat will be abeam is the Declwdm as applicable in We, etldaraement.) WHO is AN INSURED (6eadon U) it amended to include sa as insured the person er organisation shown In the Schedule, but only with reepect to liability wining out of "your work' tbrdw larsed by or for you. I A- r920% e-.— wn 'On 1e I 1 ems. _. I. The laau;od scheduled above Includes the Insured'e of iicem, officials, employees and voluatoers L This inewww shall be ptknaq as respects the Insured chows In the achodule above, or if excess, shill nand in an unbmkan chain of eovomis eoccees of the Named Insures sakduled underlying primary coverage, Ir eltber event, any arse: Insurance maintained by On Insured i scheduled above shall be bn awma of this insurance and shall not be caned upon to contribute with it. ]. The insurmac sWerded by ibis policy "I not be oamseted axoapt aft thirty days prier writtcm hotlea by certified mall return recalpt requested his been ,given to the Entity. 4. Coverage shall not tueterrd to may (ademalty coverage for ilia sedve negli;eaoe of ?he adilklonal i' IWW in any Cate wbere as agreement to Indomn* the additianal attained would be invalid CG 201011/5 Incur as" 8emlees Otllee, loo. For* (Medlfied) ' I AnIffencelufmowmMir In enmhsro�! � 8ddlen: Mpy M1 a 23