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PROOF OF INSURANCE (2009) CLOSEDACORDM CERTIFICATE OF LIABILITY INSURANCE D11/07/2008 PRODUCER (702) 365 -9800 FAX (702) 221 -4920 McFadden Insurance 6180 West Viking Road P.O. Box 30460 Las Vegas, NV 89173 -0460 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Green Vision Partners, LLC 31103 Rancho Viejo Road #D2222 San Juan Capistrano, CA 92675 INSURERA: General Star Indemnity Co. I INSURERS: Century - National Insurance Co 26905 INSURERC: Explorer Insurance Company 40029 IINSURERD Greenwich Insurance Co 22322 rINSURER E. EACH OCCURRENCE COVERAGES 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. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I DDNYI POLICY EXPIRATION I 11 LIMITS AUTHORIZED REPRESENTATIVE GENERAL LIABILITY I IYG406614 03/01/2008 03/01/2009 EACH OCCURRENCE $ 2,000,000 Xl COMMERCIAL GENERAL LIABILITY i I DAMAGE TO RENTED $ 100,000 I X CLAIMS MADE OCCUR MED EXP (Any one person) $ Exclude A I I PERSONAL & AOV INJURY $ 21000,000 I GENERAL AGGREGATE $ 2,000,000 — GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ 2,000,000 I PRO- POLICY 7 ECT LOC B AUTOMOBILE X X X LIABILITY I ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS - HIREDAUTOS NON -OWNED AUTOS I SAP166202 04/21/2008 I I � I i I 04/21/2009 I i I COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY I (Per person) BODILY INJURY (Per accident) $ $ EI I I PROPERTYOAMAGE (Per accdent) I E I GARAGE LIABILITY I AUTO ONLY - EA ACCIOE�NTTJ S I OTHER THAN EA ACC $ I ANY AUTO i I AUTO ONLY AGG S EXCESS /UMBRELLA LIABILITY JOCCUR L____I CLAIMS MADE i I I I EACH OCCURRENCE $ AGGREGATE S I I I DEDUCTIBLE I I I _ $ _ S I RETENTION $ I WORKERS COMPENSATION AND WLV500016400 03/01/2008 03/01/2009 WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE I I E L. EACH ACCIDENT $ 11000,000 OFFICER/MEMBER EXCLUDED? If es, describe under SPECIAL PROVISIONS below I I I E.L. DISEASE - EA EMPLOYE S 1 , OOO , OO E.L. DISEASE- POLICY LIMIT $ 1,000,000 OTHER ELU10331608 03/01/2008 birectors & Officers Limit: $1,000,000 0 II I I 103/01/20091 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificate holder, its Officers, Officials, Employees, Agents, & Certified Volunteers are named as additional insureds on a primary non- contributory basis per form PC2007 11/03 and PC2003 03/03. This insurance is on a "Claims Made" basis. This insurance includes "Completed Operations" coverage. ''10 Notice of Cancellation applies to non - payment of premium. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001/08) © ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of El Segundo - General Services 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Yvette Si moneau BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 150 Illinois Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. El Segundo, CA 90245 -3813 AUTHORIZED REPRESENTATIVE Shari Rishe /MASAKIa'�` ' `', 2'- ACORD 25 (2001/08) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the 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 listed thereon. ACORD 25 (2001108) GENERAL STAR INDEMNITY COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement # , effective Mar 1. 2008 forms a part of Policy # IYG406614 issued to Green Vision Partners, LLC ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU - ONGOING OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Who Is An Insured (Section 11) is amended to (1) All work, including materials, parts or include as an insured any person or organization equipment furnished in connection with (called "additional insured ") for whom you are per- such work, on the project (other than ser- forming operations when you and such person or vice, maintenance or repairs) to be per - organization have agreed in writing in a contract or formed by or on behalf of the additional agreement that such person or organization be insured at the site of the covered opera - added as an additional insured on your policy. The tions has been completed; or person or organization qualifying as an additional (2) That portion of "your work" out of which insured under this endorsement is an additional in- the injury or damage arises has been put sured at the later of the following times: to its intended use by any person or or- 1. The agreed upon time in the written contract or ganization other than another contractor agreement that such person or organization was or subcontractor engaged in performing to be an additional insured on your policy, pro- operations for a principal as a part of the vided the written contract or agreement was same project. executed prior to that agreed upon date; or b. "Bodily injury" or "property damage" arising 2. The effective date of this endorsement. out of any act or omission of the additional Such person or organization is an additional insured insured or any of their "employees ", other only with respect to liability arising out of: than the general supervision by the additional 1. Your ongoing operations performed for that ad- insured of your ongoing operations per- formed formed for the additional insured. insured; or 2. Acts or omissions of the additional insured in connection with their general supervision of such c. "Bodily injury", "property damage" or "per - operations. sonal and advertising injury" arising out of the Such person's or organization's status as an addi- rendering of, or the failure to render, any pro - fessional architectural, engineering or sur- tional insured ends when your operations for that veying services, including: additional insured are completed. B. With respect to the insurance afforded the additional (1) The preparing, approving, or failing to prepare or approve, maps, shop draw - insured, the following additional exclusions apply: ings, opinions, reports, surveys, field or- 1. Additional Exclusions ders, change orders or drawings and This insurance does not apply to: specifications; and a. "Bodily injury' or "property damage" occur- (2) Supervisory, inspection, architectural or ring after: engineering activities. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. PC 20 03 (03103) Copyright, General Star Management Company, Stamford CT 2003 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement # , effective Mar 1, 2008 forms a part of Policy # IYG406614 issued to Green Vision Partners, LLC ADDITIONAL INSURED - PRIMARY AND NON - CONTRIBUTORY CLAUSE - AUTOMATIC STATUS WHEN REQUIRED IN A CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. For any additional insured(s) under this policy, any other insurance available to such additional insured(s) shall be excess of this insurance and this insurance shall be primary. 2. This endorsement applies to an additional insured only if you have agreed, in a written contract or agree- ment, to provide primary insurance to such additional insured on a non - contributory basis. 3. When this endorsement applies, it is effective on or after the later of the following dates: a. The date the written contract or agreement is executed; or b. The effective date of this endorsement. 4. If, however, the additional insured has other insurance available as an additional insured on any other in- surance policy, this endorsement shall not apply and this insurance shall apply on an excess basis. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. PC 20 07(11!03) Copyright, General Star Management Company, Stamford, CT 2003. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission.