PROOF OF INSURANCE (2005) CLOSED,JAN -14 -2005 03:05 FROM:NATIONAL ECON CORPOR 714 -730 -9236
Jan,i4. 2005 2:43PM BOYD & ASSOCIATES
TO:13106150529
No.D700 P. 3/5
P:3/5
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Phone: 714 /243 -U50 Fax: 714 / 243 -1340
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Limit: $1,000,000.
dMCATP71pM of DPERATipIN r LCia►nONi 1 YOISIAIYa r R1ErE ADO®sY r sPYCLII
*BxvOpt Ton (10) Day Notice of Canoellatiou for non - Payment of examiam
RZ: K1.1 OperationN
The City of 91 8aQwA*, it, of'f'iaiai.e and aRplogues are name4 as Additional
Znsuveda per the attaofted andoreemefLt. ZANaranea is primary per the attached
PrLm"T 4 lion - Contributory 2neuranoe WLdor�Aemant.
sy@�aiaei 2NMDAMYOP"GANOWO20o11E MPOUCENee ni10MTNBIJrPIRATION
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City of X1 809wwo N07AtlE To THE CMVNWAU M UWW MM YO WW L E" 00T rA UNTO AO W OWL,
Attn. fi&t"ne ',� j IM /O�rt 1pN 011 LNNILAAYOP 1IM1/ ALMID u/oM 7AIR Wu1mR fft AO V 01L
350 Main Street
21.Reaando CA 90245 � Mama-
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,JAN -14- 2005 03:06 FROM:NATIONAL ECON CORPOR 714- 730 -9236 TO:13106150529 P
1 • Jan,14- 2005 2'. 40M BOYO & ASSOCIATES No•0700 P. 5/5
INSURANCE SBAYIC1r8
January 14, 2005
Seimone JudlR
CITY OF EL SEGUNDO
360 Main Street
El Segundo, CA 80245
RE: National Econ Corporation
Jobf All Operation*
P.Q Oft 465 . Tustin, CA 92781.04.85
600 N. Turn Avenno, Sulu. 140 a Santa Ana, CA 92705
Tak 714 2,45. 1350 • Vax 714 245.1340
Liftnae No. OA96327
Dear. Seimone,
Certifkate Holders for cartmIn jobs performed by the above Insured/client requires the
Cancellation wording for their certMcate of Insurance to be amended to exclude the
'endesvor to... but failure to..." wording contalned In the cancellation clause.
It Is agreed and understood that in the event of cancellation or not- n®nowal, Boyd &
Associaies Insurance Services will advise the City of El Segundo (Certirwate Holden of
said change and it will not be the responsibility of the Hudson Specially InRuranoe
Company.
if you have any questions, please advise,
Sin ly,
KeTldW
t . Boyd
KLI3/del
JAN -14 -2005 03:06 FROM:NATIONAL ECON CORPOR 714- 730 -9236 TO:13106150529
Jan.14. 2005 2:44PM BOYD & ASSOCIATES No -0700 P. 4/5
Endorsement
gO�A�w+ Number B
AUTOMATIC'ADGITIONAL INSURED T
OWNEaS, LESSEES OR CONTRACTORS
Tula ondorsemen#, effective 07/01/04 attaches to and forma a pan of Policy Number FEW 023413 .
Thi6 Andorsement changes the Policy. Please read It carefully.
This endor0mant modifies insurance provided under . the following'
COMMERCIAL GENERAL LIABILITY COVF,94GE& PART
CONTRACTORS POLLUTION LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
Any person(:3) or organizntlon(s) whom the Named Insured agrees, in a written contract,
to name as an addltlorml insured, However, this status exists only for the project
specified In that contract.
City of.LNl Segundo. Its officials and employees
The ppreon or organization shown In this Schedule is included as an Insured, but only with
respect to thnt person's or organlzntion's vicarious liability arising out of your ongoing operations
performed for that Insured.
FE0104 -318 -E
P: 4/5
,JAN -14 -2005 03:05 FROM:NATIONAL ECON CORPOR 714 -730 -9236 TO:13106150529
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'Jan•14. 2006 2!43PM BOYD & ASSOCIATES No-0700 P. 2/5
CERTNOLDER COPY
*A'T'E P.O. BOX 420807, SAN FRANCISCO, CA 94142.0801
CNsul~^MCI
FU NO CGR7IFICATE OF WORKERS' COMPENSATION INSURANCE
ZXfVZ VATZI 01 -14 -1005
CITY Ot n 630UPQ
imar. 931110W z 41WZ8
390 WUX STRUXT
ZL 6ZOQfIDO CA 082411
OWUP:
POLICY NUMBER: 1014394,9-2004.
CERTIFICATE ID. ap
CERTIFICATE EXPIRES: a.2 -01. -2005
1A -01- 2001/12 -0I-2006
Jost ors, OPWAT100110
This Is to oar* thol we have Issued a valid Wm*sev Campnnsstion insurance P014 in a brm approved by the Cakfomla
Insurance Commlasloner to vo amployar named below for Me pokey period Indleeted.
Thle pa#q Is not subject to concaltation.by the Fund amcapt upon 30 days advanon wow notice.to the employer.
We will also phre you 30 days advance notice should this policy be cancelled prior b tla namnal expiration.
Thle cerI ttta of Insurance 1a not an Insurance policy and does not amend, extend or Aker the coverage afforde4 by the
policy ik*A homin. Notwittisandirng any requirement term or condMon of any controct or 01her document with
maped b MMldt this o taste of Insurisnos may be IRttuad or to which it may pertain, the Insurance afforded by the policy
desodbad herein b subject to all the terms, exclusions, and conditions. of such poky.
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HOWR8A7i[UT #209R MMTITLED CRRTZAICATB HOLDERS' NOTXCX 277RCTZVE 12 -01 -2002 =6
ATTACKIIM TO 11M POitlf6 A PART OW TK =9 POLICY.
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