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PROOF OF INSURANCE (2007) CLOSEDFeb 02 07 05:12p PIPS Technology , Inc. 865 693 4896 p.3 JM11. I/. /ILJIr -11 Slim ISIS in.u.n nn,.. 111-11. A MD, CERTIFICATE OF LIABILITY INSURANCE DATT(MMIDDMWY) PP Q PRODUe PI 01/12J07 THIS CERTIFICATE IS ISSUED AEA MAMR OF I FORMATION E0P 1N/URANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Insurance Group, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 32545 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Knoxville TN 37930 -2545 O[NEIU11149LITY X DGLIMERCIALOENERALlIA1iITY C"IMI MAOfi X❑ OCCUR Phone:865 -670 -0911 Fax:665- 670 -0677 INSURERSAFFORDINOCOVERAGPI NA1C# INSURED INSURER A; The Travelers Indemnity Co A- INSURER B; $1001000. MED EXF n on reen) j' BpBTea�2yjggy, ISO. INSURER C: le TN 37933-2117 oxvi INSURERS INSURER E PAR60NAL6 ADVINWRY wMiew�we. THE POLICIES OF INBURANOE LISTEO BELOW NAVE SEEN ISSUED TO THE PIiuRED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR OONDRION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WKICN THIS CERTIFICATE MAY EE ISSUED OR "Y PERTAIN, THE INSURANCE AFFORDIO Iry THE POLIC(11& 0IECR11110 HEREIN IS CUBA:TTOALL THETERNS INCLUBIONSAND CONDITION• OF SUCH POIICIE8, AOOREOATE LIMIT6 SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. iNg TR Nii E0P 1N/URANCE POLIOYNLIMCI DAM City OP 111 Segundo UNrri A X O[NEIU11149LITY X DGLIMERCIALOENERALlIA1iITY C"IMI MAOfi X❑ OCCUR 660 - 794X57011- TC7° -0 10/01/06 10/01/07 EACH DCCURiRENCE 11,000,000. PIRItmiaes a $1001000. MED EXF n on reen) 43,000. ;T-:—: PAR60NAL6 ADVINWRY 11 000 000. GENERALAGGRfiGA7E 92,000,000, OEN'LAOOREOATE LIMIT APPUE4PER: X POLICY PELT LOC PROOUCTB•COMPfOTIA00 {2 000 000, AUTbY08R.E LIABILITY ANY AUTO COMOINEDSINOLELIMIT (Ei eoeldenl) 1 ALL OWNED AUTOD &CHEOULEO AUTO& BODILY INJURY IPer BBlgn) [ HIRlD AUTO{ BODILY INJURY (Pw valdinq 1 PROPERTY DAIULOE (Per aoutlsnq [ ,NCIN"OWNIEDAU106 OAR ANY _ ALIT O ONLY• LA AD CI DE NY AIABY.ITY ANY AM OTHER THAN EA ACC AUTO DNLY: AOG I I — A !XG[SBIUMSRELLAmAEILITY OCCUR �� OLAIM{MAOe CUP2715W202- IND -06 10101/06 10/01/07 EACH000URRBNCE S S,000,000. AGGREGATE 000 000, -15 1 OEDUCTIOLE f X RETENtION $5000, 1 '+ WORKMIN 10116I►1NSATION AMC VAPLOYNRI. LIAOL.RY ANYPROPRXAOR/PARTNNEERIEIECUTIVE OPIICERWDeLgwor OLUD[OT &PECIIAL /ROVIIIONB anew OTHERu �,ePROVISdv IHUB- 7847C94 -506 10/01/06 10/01/07 X 0 Y Met R El. EACMACCIDENT 11 000 000, E.L.DIBEAB2- ILA *MpLOYEE { 1 000 000. B.L,OIIFAIE•POIIOYLefR f 1000 000, 36,501111TION OPOPERATIDNIILOO I 1 L diIOXOLUAONOADDEDBYENDORSp +TENTISpECIALPROUIiIOHB The City of Ill Segundo, its offioiels, and employoea are added as Additional Insureds with respect to the General Liability coverage, Reenmrawc une nee �e.e,e,Yeirl W ACOR[T CORPORATION 1900 0 V. WtgIVreo CauCCLIA 100(3 C-LINUJI5 MOD IFIG4i10y� 3V9t.- tIoMLO ANY OFTHI ADOVS 0211(RMrO POLICIES BB CANGILLEO BEFORE THE 2XPIRATION LATE, TH"W, TNB 13111180 INSURER WILL CM01AVIORTOMAIL 30 DAYS WRITTEN NOTICP TO THE COMFICATS POLDER RAM2D TO TWIF Lf", OUT FAILURE TO 00 SO TNALL City OP 111 Segundo IMPO&E NOONLIOArom OR LIABILITY OF ANT Rau UPON THE INSURtR,176 AGENTS OR 350 Main street I SPRAUNTATNES, Ll Segundo CA 90245 NGRU1DRiFlu NTH AAADw RE I4I11I111,e1 �e.e,e,Yeirl W ACOR[T CORPORATION 1900 0 V. WtgIVreo CauCCLIA 100(3 C-LINUJI5 MOD IFIG4i10y� 3V9t.- Feb 02 07 05:12p JhIP, Il. IVVI Il; line[ PIPS Technology , Inc. inI. III JVnnn%,L VAVVI POLICY NUMBER: i- 660- 794X370A- TCS -06 865 693 4896 p.5 ,IV. JUVJ i. J COMMERCIAL GENERAL LIABILITY ISSUE DATE: 01 -11.07 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR OROANIZATION(S): CITY OF IL $912 0 330 11 BTREBT RL 21111amo, CA 90745 PROJECTILO CATION OF COVERED OPERATIONS: WORK PERBORM1110 BY OUR INSUR.an 1. WHO IS AN INSURED — (Section II) is amended to Include the person or organization shown In the Schedule above, but; a) Only with respect to liability for "bodily injury , "property damage" or 'personal Injury"; and b) If, and only to the extent that, the injury or damage Is caused by acts or omissions or you or your subcontractor In the performance of "your work" on or for the project, or at the location, shown In the Schedule. The person or organization does not qualify as an addi- tional Insured with respect to the independent scfs or omissions of such person or organiza- tion. 2. The Insurance provided to the additional Insured by this endorsement Is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown In the Declarations exceed the limits of liability required by a "written contract requiring insurance" for that additional Insured, the insurance provided to the additional Insured shall be limited to the limits of liability required by that "written con- tract requiring insurance ". This endorsement shall not Increase the limits of Insurance de- scribed In Section 111 — Limits Of Insurance, b) The Insurance provided to the addhlonal In. sured does not apply to "bodily injury", "prop- erty damage' or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering orsur- veying services, Including; I. The preparing, approving, or falling to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and ti, Supervisory, Inspeetlon, architectural or engineering sctivitles. C) The Insurance provided to the additional In- sured does not apply to "bodily Injury" or "property damage" caused by "your work" and included In the "producta- completed op- erations hazard" unless a "written contract requiring Insurance" speclAcally requires you to provide such coverage for that eddiNonal insured, and then the insurance provided to the additional Insured applies only to such "bodily injury" or 'property damage' that oc- curs before the end of the period of time for which the "written contract requiring Insur- ance" requires you to provide such coverage CO D2 47 06 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 � �I� Feb 02 07 05:12p PIPS Technology , Inc. 865 693 4896 p.4 JMIV. IL. LVV! IL• IJIJri III L anvvi\nnvL VINVVI COMMERCIAL. GENERAL LIABILITY or the end of the policy period, whichever is earlier. 3. The Insurance provided to the additional Insured by this endorsement is excess over any valid and collectlble "other Insurance ", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, If a "written contract requiring Insurance" for that ad- ditional insured specifically requires that this in- aurence apply on a primary basis or a primary and non - contributory basis, this Insurance is pri- mary to "other insurance" avallable to the addi- tional Insured which covers that person or organk zatlon as a named insured for such lose, and we will not share with that "other insurance ". But the Insurance provided to the additional Insured by this endorsement still is excess over any valid and collectible "other insurance ", whether prl" mary, excess, contingent or on any othor basis, that Is evallable to the additional insured whom that person or organization Is an additional In- sured under such "other insurance ". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional Insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result In a claim. To the extent possible, such notice should include: I. How, when and where the "occurrence" or offense took place; II. The names and addresses of any injured persons and witnesses; and III. The nature and location of any injury or damage ariaing out of the "occurrence" or offense. b) If a claim Is made or "suit" Is brought against the additional Insured, the additional Insured must: ".. /VV/ 1, .T I. Immediately record the specirice of the claim or "suit" and the dote received; and 11. Notify us as soon as practicable. The additional Insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. e) The additional insured must immediately send us coples of all legal papers received in connection with the claim or "suit ", cooperate with us in the Investigation or settlement of the claim or defense against the "suit ", and otherwise comply with all policy condiliona. d) The additional insured must tender the de• tense and Indemnity of any claim or "suit" to any provider of "other insurance" which would cover tha additional Insured for a loss we cover under this endorsement. However, this condition does not effect whether the Insur- ance provided to the Additional insured by this endorsement la primary to 'other Insur- ance" available to the additional Insured which covers that person or organization as a named insured as described in paragraph 3. above. ti. The following deflnttion Is added to SECTION V, — DEFINITIONS: "Written contract requiring insurance' means that part of any written contract or agreement under which you are required to Include a person or organization as an additional In- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the °personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement Is In effect; and c. Before the end of the polley'period. Page 2 of 2 ® 20b5 The St. Paul Travelers Companies, Inc. CG 02 47 08 05 ♦ [#n FARMERS This notice is issued by: TRUCK INSURANCE EXCHANGE Date: 12/20/07 Property Location: (If other than shown ow) Notice of Cancellation Policy Or (erti irate Number(s) Agent Number Cancellation Date 60323 -71 -93 66- 25-322 11/01/07 Named Insured And Mailing Address: FOGY INC PO BOX 24117 KNOXVILLE TN 37933 -2117 Notice of Cancellation Of Mortgagee Or Other Interest ® You are hereby notified, that all coverage extended to you under the above listed policy is cancelled effective on the cancellation date shown above at the time specified in the Declarations of this policy, unless you have been notified of a more recent cancellation under other provisions of the policy. ❑ You are hereby notified that all coverage extended to you under the above policy(ies) or certificate(s) on: is cancelled effective on the cancellation date shown above at the time specified in the Declarations of this policy, unless you have been notified of a more recent cancellation under other provisions of the policy. Note to Mortgagee: Your loan with this policyholder may have expired, however, this notice complies with the provision of our policy. Loan Number: Mortgagee or Other Interest: CITY OF EL SEGUNDO 350 MAIN STREET EL SEGUNDO CA 90245 25 -5096 5 -02 MORTGAGEE, BUREAU, COMMISSIONS A5096131 AD MID IArrrDr(T rnDv �& FARMERS This notice is issued by: TRUCK INSURANCE EXCHANGE Date: 12/13/07 Property Location: (if o er than shown ow) Notice of Cancellation Poky Or Certificate Number(s) Agent Number Cancellation Date 60323 -71 -93 166-25-322 01/12/08 Named Insured And Mailing Address: PO BOX 24117 KNOXVILLE TN 37933 Notice of Cancellation Of Mortgagee Or Other Interest ® You are hereby notified, that all coverage extended to you under the above listed policy is cancelled effective on the cancellation date shown above at the time specified in the Declarations of this policy, unless you have been notified of a more recent cancellation under other provisions of the policy. 11 You are hereby notified that all coverage extended to you under the above policy(ies) or certificate(s) on: is cancelled effective on the cancellation date shown above at the time specified in the Declarations of this policy, unless you have been notified of a more recent cancellation under other provisions of the policy. Note to Mortgagee: Your loan with this policyholder may have expired, however, this notice complies with the provision of our policy. Loan Number: Mortgagee or Other Interest: CITY OF EL SEGUNDO 350 MAIN STREET EL SEGUNDO CA 90245 25 -SO96 S -02 MORTGAGEE, BUREAU, COMMISSIONS A5096131 AD MED 11MUCr rnev Feb 02 07 05:11p PIPS Technology , Inc. Commercial Certificate of Insurance AgenCY RYAN MAtiONLY INSURANCE Name 9724 KINGSTON PIKE, STE 207 & KNOXVILLE, TN 37922 Address 865.671 -1200 Sr. 66 Dist 2S Agent 322 (nsumd PTPS TECHNOLOGY INC Name 10511 HARDIN VALf.EY RD, STE C & • KNOXVILLE, TN 37932 Address 865 693 4896 p.2 A& FARMERS Issue Date (1\,IM/DL)Ny) 01108/2007 i'hh certiricrle Is Issued as a matter of InfomlMlon only asid confers no righn upon the errtlBeate holder. This cr".1fi ale dtxs clot amnsd. extend or alter the covrroge afforded by the pollries shown bolow. Companies Providing Coverage. cent ynlry A Truck Iruurnnce C, -11w be A Leer Campwny B Nirmerz Inavrance Exchange lrUec ComaArny C Mid - Century Insurnnce Company Lear p Cnmpai. Letmt Coverages This is to certify that 11te policies of inuirtinct; listed below have been loved to the lrtsured named above for the policy perked Indicated, Notwitintarndin6 any mqulrcment, term or condition of any contract or other dwiment with respect to which this cerlifiate may be. taued or may pertain, the insurance afforded by the policies described herein is subject to all the ternu, cxduslon, and conditions of such polities. Llinlls shown may have baen reduced by Paid Witns. PollCy —FjTmlivf��7 Policy Expiration pahry Limits Co. of Insurirrt u iaoliry Number Bates (MMID[)/m Date (sUMMD/1'v1 _ Ur- (rneral A egele S General Liability Commercial General Liability . Occurrence Version Cuntru:tual - IncidcntAl Only owners & contractors Prot. A X J Automobile Liability All Owned Commercial Autns Srhrduled Auto% }e Wed Autos K NUIrOwned Autos Garage t.lahillty 60323 71 y3 1 11/0112006 umbrella Liability 1Norkem' Compt:MaWri and Employers' Liability Description of Operat ions /Vehicles/Restrictions /Special items; CERTIFICATE HOLDER LISTED AS ADDITIONAL INSORED. Certificate Holder CITY OF EL SEGUNDO Nance 330 MAIN STREET & EL SEGUNDO, CA 90245 Address 310- 640 -7693 SS -2482 1.91 2,2'd 968b C69 S%:01 Bodily In, 11ury bw Products -Co tIMOPS (Per perton) $ Aggregate S vroperry Damage Pcrsnnal & Quage Aggregate S Advonlsing Injury I Statutory Each Occurrence i S Fire DanLlgc S Disease - Pulley Limit (Any nne Arcl s Mahal Expeme (Any one person) S Curnbiiwd Single 11/0112007 Unlit Y I ,ti0D,000 Bodily In, 11ury (Per perton) $ Bodily Injury (Prr student) S vroperry Damage S Quage Aggregate S Limit S Statutory Lich Accident S Discisr' - F,-h F,monrec S Disease - Pulley Limit S Cancellation Should any of the above described polir,ies be cancelled before the expiration date thereof, the Issuing company will endeavnr to trail 30 days written notice to the certtficite bolder named to the left. but fellurr, to moil such notkx shall impose no obllgatlon o Ilty of any kin upon illre company, its agents or ropreunntives. on: Service Center Copy and Agent's Copy 0 Al u Ei� CAAJC6lArjoO Ct.dtlfwFu H B17 L rLP0�B0 -Nur Feb 02 07 05:11p PIPS Technology , Inc rt, _ :R_. $3s TECHNOLOGY Datc: February 2, 2007 865 693 4896 p.l PIPS Techno ,Inc. 10511 Hamlin Valley Road Building C Knoxville, TN 37932 Phone: (865) 693 -4432 Fax: (465) 693 -4896 E- mail: maureen.ru Shill L i ni psi echnoIoLV.com FAX COVER From: Maureen Rushing Phouc: (865) 693 -4-132 Ext. 221 To: Richard Hoaate City of El Segundo Fax No.: 310 -322 -2756 Phone: 310 -524 -2756 Subject: Insurance Certificates Pagc I of' 5 Richard, Attached arc the insurance certif sates. Per our insurance agent, the insurance company lvill not allow us to alter or change the certificate. PIPS does not have professional liability coverage. The automobile ceilificate does now list the City of El Segundo as additional insured. I jpologizc that we cannot comply with all of your requirements. I'm hoping you can work with %vhat we have or that we can work something out. I'll touch base with you next week. Take care, \- laureen Page 1 of 1 Hogate, Richard From: Hogate, Richard Sent: Tuesday, February 06, 2007 10:56 AM To: 'maureenr @pipstechnology.com' Cc: Tavera, Mitch (Captain); Cleary, Craig (Patrol Lt.); Hogate, Richard Subject: pips Technology Cancellation Clause - Request to have Agent/Broker take responsibility of notifying City Importance: High Attachments: 2006 -07 -19 30 -day Insurance Responsibility Notification Language.doc Maureen, Please open the attached document. Since the insurance carrier is unwilling to modify the cancellat on this letter can be placed onto your Agent's /Broker's company letterhead, signed by a company official a id returned to me taking responsibility for the 30 day notice requirement to the City. What were you able to find out about whether or not your company carries Professional Liability or Errors and Omissions or Technology Liability coverage to meet the contract requirements? If you have any questions, please give me a call. Thank you, ;Fbi" d Risk Manager /Purchasing Agent 310- 524 -2339 2/6/2007