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PROOF OF INSURANCE (2010) CLOSEDDATE (MMIDDIYYYY) ACORQM CERTIFICATE OF LIABILITY INSURANCE 1. 05/28/2009 PRODUCER (702) 365 -9800 FAX (70Z)221-4920 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McFadden Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6180 West Viking Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 30460 Las Vegas, NV 89173 -0460 INSURERS AFFORDING COVERAGE NAIC # INSURED Green Vision Partners, LLC INSURERA: Illinois Union Ins. Co. 31103 Rancho Viejo Road INSURERS: Century - National Insurance Co 26905 #D2222 INSURERc: Explorer Insurance Company 40029 San Juan Capistrano, CA 92675 INSURERD: XL Specialty Ins Co. INSURER E: E AGES 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' POLICY EFFECTIVE POLICY EXPIRATION LIMITS LT rLIABILITY URANCE POLICY NUMBER G24063392 001 03/01/2009 03/01/2010 EACH OCCURRENCE $ 2,000,0010 AMAGE TO RENTED $ 50 , 00 ENERAL LIABILITYDE � OCCUR MED EXP (Any one person) $ 5 , 00 PERSONAL & ADV INJURY $ 2 , 000 , 00 A rs Pollut GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,00( PRO - POLICY JECT LOC AUTOMOBILE LIABILITY BAP166202 04/21/2009 04/21/2010 COMBINED SINGLE LIMIT $ (Ea accident) 1100010010 ANY AUTO ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) B X HIRED AUTOS BODILY INJURY $ (Per accident) X NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESS /UMBRELLA LIABILITY OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ TORY LIMES WORKERS COMPENSATION AND WLV500016401 03/01/2009 03/01/2010 X WC STATE- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 11000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below ?HER rectors &Officers ELU110025 -09 03/01/2009 03/01/2010 Limit: $1,000,000 i D DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS he City of E1 Segundo, its officers, officials, employees, agents & certified volunteers are additional insureds with respect to general liability subject to policy terms and conditions. This insurance will be deemed "primary" such that any other insurance that may be carried by City of El Segundo will be excess thereto. This General Liability insurance is on an Occurrence basis. The Professional Liability is on a Claims Made basis. The General Liability insurance includes TIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of E1 Segundo - General -v es 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 ly AUTHORIZED REPRESENTATIVE Y1� ACORD 25 (2001/08) Carrie Faulkner /CARRIE *a, Y- ©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 (2001/08) City of E1 Segundo - General Services Certificate issued to City of E1 Segundo - General Services 05/28/2009 McFadden Insurance 07/24/2009 Completed Operations coverage. It is agreed that this insurance will not be cancelled, non - renewed or the limits of coverage in any way reduced without 30 days notice of cancellation, except 10 days notice applies for non - payment of premium. POLICY NUMBER: G24063392 001 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization s : Locations Of Covered Operations The City of E1 Segundo, its officers, officials, employees, agents & certified volunteers are additional insureds with respect to general liability subject to policy terms and conditions. This insurance will be deemed "primary" such that any other insurance that may be carried by City of E1 Segundo will be excess thereto. This General Liability insurance is on an Occurrence basis. The Professional Liability is on a Claims Made basis. It is agreed that this insurance will not be cancelled, non - renewed or the limits of coverage in any way reduced without 30 days note of cancellation, except 10 days notice applies for non - payment of premium. Information required to complete this Schedule, �f ncDshown above will be shown in the Declarations. I A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or or- ganization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property dam- age" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or re- pairs) to be performed by or on behalf of the ad- ditional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: 00036588 -0 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIO N This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or ar- ganization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑