PROOF OF INSURANCE (2007) CLOSED' Client#: 6295 RRMDESIGN
CORM CERTIFICATE
OF LIABILITY INSURANCE
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
11127/06DIYY)
PRODUCER
Dealey, Renton & Associates
199 S LOS Robles Ave Ste 540
Pasadena, CA 91101
626 844 -3070
TYPE OF INSURANCE
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
INSURED
RRM Design Group
3765 S. Higuera St., Suite 102
San Luis Obispo, CA 93401
LIMITS
INSURER A: Fidelity & Guaranty Ins. Underwriter
-}-
INSURER B: American Automobile Ins. Co.
09/23/06
INSURERc: Liberty Insurance Underwriters, Inc.
EACH OCCURRENCE
INSURER D: Fidelity & Guaranty Ins. Co.
FIRE DAMAGE (Any one fire)
INSURER E:
COVERAGES
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.
NSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLLIICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
BKO1571071
09/23/06
09/23/07
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE (Any one fire)
$1,000,000
X COMM ERCIAL GENERAL LIAB ILITY
CLAIMS MADE OCCUR
MED EXP (Any one person)
$10000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIM ITAPPL IES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY r7 PRI-
jECT F7 LOC
D
AUTOMOBILE
X
LIABILITY
ANY AUTO
BA01571113
09/23/06
09/23/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
X
X
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS LIABILITY
BKO1571071
09/23/06
09/23/07
EACH OCCURRENCE
s3,000,000
OCCUR FI CLAIMS MADE
AGGREGATE
s3,000,000
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
WZP80941282
06/30/06
06/30/07
X WC STATURY oTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
-'
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
C
OTHER Professional
AEE1966780106
09/09/06
09/09/07
$2,000,000 per claim
Liability
$4,000,000 annl aggr.
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
City of El Segundo, its officers, employees, agents & certified volunteers
are named as additional insured as respects general liability for claims
arising from the operations of the named insured.
INSURER LETTER:
City of El Segundo City Clerk
Attn: Fire Chief
314 Main St.
El Segundo, CA 90245
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WIWX5rA=XW TO MAIL 30 DAYSWRITTEN
NOTICE TO TH E CERTIFICATE HOLDER NAMED TO TH E LEFT j0= X
REPRESENTATIVE
Awecu AD-0 (fill [)I Of 1 a x5178807/M171017 NLS ® AGURU UURPUKATIUN 1850
v iL -JZ�
Policy Number. BKO1571071
Owner, lessee Or Contractor — Scheduled Person Or Organization
ADDITIONAL INSURED ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
LIABILITY COVERAGE PART.
Owners, Lessees Or Contractors — Scheduled Persons Or
Organizations Schedule
Name Of Person Or Organization:
City of El Segundo, its officers, employees, agents & certified volunteers
Location Of Covered Operations:
All Operations of the Named Insured
The following is added to SECTION II. WHO IS AN
INSURED, 2.:
Owner, Lessee Or Contractor —
Scheduled Person Or Organization
Each person or organization shown in the
Owners, Lessees Or Contractors - Scheduled
Persons Or Organizations Schedule, but only
with respect to that person's or organization's
liability arising out of "your work" for that
person or organization.
that does not arise out of your
negligence;
(2) "Bodily injury ", "property damage ",
"personal injury" or "advertising injury"
for which such person or organization
has assurned liability in a contract or
agreement, except for liability for
damages that such person or
organization would have in the absence
of that contractor agreement;
However, such person or organization is not (3) "Property damage" to:
an insured with respect to any: (a) Property owned, used or occupied by
or loaned or rented to such person or
(1) "Bodily injury ", "property damage ",
organization;
"personal injury" or "advertising injury"
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•t 0
M Property in the care, custody or
control of such person or
organization over which such person
or organization is, for any purpose
exercising physical control; or
(c) "Your work" performed for such
person or organization:
(4) 'Bodily injury", "property damage ",
"personal injury" or "advertising injury"
arising out of any architect's, engineers
or surveyor's rendering of, or failure to
render, any "professional service" when
such person or organization is an
architect, engineer or surveyor; or
(5) "Bodily injury' or "property damage" that
occurs after "your work" for such person
or organization has been completed.
"Your work" will be deemed completed
at the earliest of the following times:
(a) When all of the work on the project
to be done at the location of
Covered Operations shown in the
Owners, Lessees Or Contractors —
Scheduled Persons Or Organizations
Schedu le has been completed; or
(b) When that part of the work out of
which the "bodily injury" or
"property damage" arises has been
put to its intended use by any person
or organization, other than another
contractor or subcontractor working
on the same project.
"Your work" that may need service,
maintenance, correction, repair or
replacement, but which is otherwise
deemed completed above, will also be
deemed completed.
All other terms of your policy remain the same.
r",UBr 22 40 ii 02 ndudes copyrighted material of Insurance Services Office, inc., with its permission. Page 2 of 2
Copyright, insurance services Office, nc., 2001
Policy Number: ' BKO1571071
Liability Coverage Enhancement -
Architects and Engineers
ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POLCY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
LIABILITY COVERAGE PART.
1. The following replaces the final paragraph of
(a) Your negligence; or
SECTION 11. WHO IS AN INSURED, 1.:
(b) The negligence of another person or
However, no person or organization is an insured
organization for whom you are
with respect to the conduct of any current or past
liable;
partnership, joint venture, limited liability
company or trust that is not shown as a Named
(2)
"Bodily injury ", "property damage ",
Insured in the Liability Coverage Part
"personal injury" or "advertising injury"
Declarations. This provision does not apply to you,
for which such person or organization
for your participation in any past or present
has assumed liability in a contract or
"unnamed joint venture ", or if that person or
agreement, except for liability for
organization is otherwise an insured under
damages that such person or
Paragraph 2. below.
organization would have in the absence
of the contract or agreement;
2. The following is added to SECTION 11. WHO IS AN
INSURED, 2.:
(3)
"Property damage" to:
Person Or Organization Required By
(a) Property owned, used or occupied
Written Contract
by, or loaned or rented to, such
person or organization;
Any person or organization that you agree to
add as an insured under this Liability
(b) Property over which such person or
Coverage Part in a written contract or
organization is for any purpose
agreement that is made before, and in effect
exercising physical control; or
when, the "bodily injury" or "property
Ie) "Your work" performed for the
damage" occurs or the offense that causes
"advertising
insured; or
the "personal injury" or injury" is
first committed, but only with respect to that
(4)
"Bodily injury ", "property damage ",
person's or organization's liability arising out
"personal injury" or "advertising injury"
of "your work" for that person or
arising out of any architect's, engineer's
organization.
or surveyor's rendering of, or failure to
However, such person or organization is not
render, any "professional service ", when
an insured with respect to any:
such person or organization is an
architect, engineer or surveyor.
(1) "Bodily injury ", "property damage ",
" "advertising
3 The following is added to SECTION II. WHO IS AN
personal injury" or injury"
INSURED:
that does not arise out of:
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its permission, Page 1 of 3
Copyright, Insurance
Services Office, Inc. 2001
0 `` _�
"Unnamed Joint Venture"
You are an insured for your participation in any
past or present "unnamed joint venture ".
However, you are not an insured if the "unnamed
joint venture" has:
a. Direct employees; or
b. Owns, rents, or leases any real or personal
property.
No other member or partner, or their spouses, of
any past or present "unnamed joint venture" is an
insured.
4. The following replaces SECTION 111. LIMITS OF
LIABILITY, 2. b.:
b. Will apply separately to the sum of all:
(1) Damages because of "bodily injury" and
"property damage ", under SECTION I.
COVERAGE, A. Liability above; and
(2) Medical payments for "bodily injury",
under SECTION I. COVERAGE, B.
Medical Payments above;
arising out of each location listed in the
Schedule of Premises or each of "your
projects "; and
5. The following replaces SECTION IV. CONDITIONS,
5. "Other Insurance ", a. Primary Insurance, (2):
(2) However, this insurance will be
considered primary to, and non-
contributory with, "other insurance"
issued directly to a person or
organization added as an additional
insured under SECTION II. WHO IS AN
INSURED, 2.:
(a) Paragraph h. Certain Additional
Insureds By Contract or
Agreement; or
(b) Persons Or Organizations
Required By Written Contract;
insurance ". This insurance will then be
applied as primary insurance for
damages for "bodily injury ", "property
damage', "personal injury" or
"advertising injury" to which this
insurance applies and that are incurred
by such person or organization, and we
will not share those damages with such
" other insurance".
6. The following is added to SECTION IV.
CONDITIONS, 5. "Other Insurance ", b. Excess
Insurance:
This insurance is excess over any "other
insurance" whether primary, excess,
contingent or on any other basis that is
available to you for your participation in any
past or present "unnamed joint venture ".
7. The following is added to SECTION IV.
CONDITIONS, 8. Transfer Of Rights of Recovery
And Proceeds Against Others To Us:
However, we waive any right of recovery and
proceeds we may have against any person or
organization that is added as an additional insured
under the Paragraph Person Or Organization
Required By Written Contract of SECTION 11.
WHO IS AN INSURED, 2.:
a. Because of payments we make for "bodily
injury', "property damage ", "personal injury'
or "advertising injury" arising out of "your
work" in ongoing operations or included in
the " products - completed operations hazard';
and
b. Performed under a written contract or
agreement that is made before, and in effect
when, the "bodily injury" or "property
damage' occurs or the offense that causes
the "personal injury" or "advertising injury" is
committed; and
c. You specifically agree in such written
contract or agreement to waive those rights
of recovery and proceeds for such person or
organization.
if you specifically agree, in that written 8. The following are
contract or agreement, that this DEFINITIONS:
insurance must be primary to, arid non-
contributory with, such "other
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Copyright, insurance Services Office, Inc. 2001
added to SECTION V.
Page 2 of 3
"Unnamed joint venture" means any joint venture
in which you are a member or partner where:
a. Each and every one of your co- ventures in
that joint venture is an architectural,
engineering or surveying finn; and
b. That joint venture is not named in the Liability
Coverage Part Declarations.
"Your premises" means any premises, site, or
location owned or occupied by, or rented to, you.
"Your project ":
a. Means any premises, site or location at, on,
or in which "your work" is not yet competed;
and
b. Does not include "your premises" or any
location listed in the Schedule of Premises.
All other terms of your policy remain the same.
CLIV 26 09 09 03 Innides copyrighted rnateflow of Insurance Services Office wish its permission Vage 3 of 3
Copyright, Insurance Services Offfre, Inc. 2001