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PROOF OF INSURANCE (2005) CLOSED�CQBD�, CERTIFICATE OF LIABILITY INSURANCE TE 11/(18/2 0 ) PRODUCER (415) 957 -0600 FAX (415) 957 -0577 Maroev i ch O'Shea & Cogh I an Johnson & Anton 44 Montgomery Street, 17th Floor San Francisco, CA 94104 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 Innovative Interfaces 5850 She I I mound Street Emeryville, CA 94608 INSURERA: Hartford POLICY EFFECTIVE INSURER B: LIMITS INSURER C: City Clerks INSURER D: 57UUNTL9438 INSURER E: 11/20/2005 1- 1)VFRAU4FC 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 POLICY EXPIRATION LIMITS MXXX M AXW P6X X City Clerks GENERAL LIABILITY 57UUNTL9438 11/20/2004 11/20/2005 EACH OCCURRENCE $ 1,000,000 , Mercedes Rodri uez /MRO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED cep $ 300,000 CLAIMS MADE � OCCUR MED EXP (Any one person) $ 10,000 A PERSONAL & ADV INJURY _ $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,000 POLICY PECT RO- LOC J AUTOMOBILE LIABILITY 57UUNTL9438 11/20/2004 11/20/2005 COMBINED SINGLE LIMIT $ X ANY AUTO (Ea accident) 1,000,000 ALL OWNED AUTOS BODILY INJURY $ A SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ -- (Per accident) GARAGE LIABILITY - -� AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ - - -- - $ AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY 57RHUTL9505 11/20/2004 11/20/2005 EACH OCCURRENCE $ 5,000,000 X OCCUR [1 CLAIMS MADE AGGREGATE $ 5,000,000 DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 57WENQ8348 1010112004 10/01/2005 X I WC STATU- OTH- EMPLOYERS' LIABILITY TORY LIMITS ER - B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 , 000, 000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under - - -- - - - - - -- - - - -- - SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificate Holder below is named as an Additional Insured with respects to General Liability and uto Liability as their interest may appear. CFRTIFICATF HnI IIFR P`AW11=11 I ATlnul ACORD 25 (2001/08) FAX: (310)615 -0529 © ACORD CORPORATION 1988 � Z235 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of E I Segundo EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn: Patti K ight ghtO 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT 350 Main Street MXXX M AXW P6X X City Clerks Off i ce -Room 5 W(MXOXIIi&Kr w*XIKGX XiC 14eKdSi4MMXXXXXXXX. AUTHORIZED REPRESENTATIVE 4 - �4 El Segundo, CA 90245 -3895 , Mercedes Rodri uez /MRO ACORD 25 (2001/08) FAX: (310)615 -0529 © ACORD CORPORATION 1988 � Z235 r COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 630159B221TIL03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of person or organization: PER SCHEDULE ON FILE WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your acts or omissions. CG T4 91 11 88 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1