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PROOF OF INSURANCE (2007) CLOSED_RPM CERTIFICATE OF LIABILITY INSURANCE 11 /20 /2006) PRODUCER (415) 788 -9810 FAX (415)248 -3534 ISU Insurance Services of San Francisco License # 0778092 201 California St., Suite 200 San Francisco, CA 94111 -5098 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 T Peter Sklar 5850 Shellmond Way Emeryville, CA 94608 INSURER A: HARTFORD INSURANCE GROUP 0082 INSURER B: GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Pq OCCUR INSURER C: 11/20/2006 INSURER D' EACH OCCURRENCE INSURER E: DAMAGE TO RENTED COVFRAAFS 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 A 350 Main Street GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Pq OCCUR 57UUNTL9438 11/20/2006 11/20/2007 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC JECT PRODUCTS - COMP /OP AGG $ 1,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Comp Ded $1,000 57UUNTL9438 11/20/2006 1120/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X N PROPERTY DAMAGE (Per accident) $ X Col 1 Ded $1, 000 GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ A EXCESS /UMBRELLA LIABILITY X OCCUR F] CLAIMS MADE DEDUCTIBLE X RETENTION $ 10,00 57RHUTL9505 11/20/2006 11/20/2007 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVF OFFICER /MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTIQN OF OPERA IONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED Y ENDORSEM NT /PP CIAL PROVISIONS Certificate Holder is named as an Additional Insured wit respects to General Liability as their intent my appear. CFRTIFICATF NOI nFR PAKtrCi r ATlnAt City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City Clerks Office EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn: Patti Kight 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 350 Main Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPO OBLIGATION OR LIABILITY Room 5 OF ANY KIND UPON THE I RER, ITS A ENTS REPRESENTATIVES. El Segundo, CA 90245 -3895 AUTHORIZEDREPRESENTA V Mark Uthe 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)