PROOF OF INSURANCE (2008) CLOSEDVuento: ozwo
mmmur-aluiv
ACORQTM CERTIFICATE OF LIABILITY INSURANCE
09/07/07 Dm)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dealey, Renton & Associates
199 S Los Robles Ave Ste 540
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pasadena, CA 91101
A
626 844 -3070
INSURERS AFFORDING COVERAGE
INSURED
INSURER A: Travelers Property Casualty Co Of Am
RRM Design Group
3765 S. Higuera St., Suite 102
San Luis Obispo, CA 93401
INSURER B: American Automobile Ins. Co.
INSURER c: Liberty Insurance Underwriters, Inc.
INSURER D: Travelers Indemnity Co. of Connectic
INSURER E:
$5,000
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
Im
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLLIICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX] OCCUR
68048551_378
09123/07
09/23/08
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE (Any one fire)
$1,000,000
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMITAPPLIESPER:
POLICY Fx PRO-
-1 LOC
PRODUCTS - COMP /OPAGG
s2,000,000
D
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BA50461_942
09/23/07
09/23/08
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS LIABILITY
X OCCUR FI CLAIMS MADE
DEDUCTIBLE
X RETENTION $0
CUP7218Y03A
09/23/07
09/23/08
EACH OCCURRENCE
s3,000,000
AGGREGATE
s3,000,000
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WZP80952103
06/30/07
06/30/08
X WC STATU- OTH-
E.L. EACH ACCIDENT
$1,00_0,0_00
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT 1
$1.000,000
C
OTHER Professional
Liability
AEE1966780107
09/09/07
09/09/08
$2,000,000 per claim
$4,000,000 annl aggr.
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
RE: El Segundo Beach Lifeguard Station
The City of El Seguno, its officials and employees are named additional
Insured as respects general liability for claims arising from the
operations of the named insured.
City of El Segundo
City Clerk
Attn: Public Works Director
350 Main Street, Room 5
El Segundo, CA 90245
11IL012l
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WI M TO MAIL 30DAYSWRI TEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHELEFT, " k
REPRESENTATIVE
#%L,vrcv co-o triai)7 OT 7 IFMZU33b7 NL5 W AGUKU cvnrurwnuN IV06
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER: 6804855L378 ISSUE DATE: 09/07/07
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
(ARCHITECTS, ENGINEERS AND SURVEYORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
NAME OF PERSON(S) OR ORGANIZATION(S):
City of El Segundo
City Clerk
Attn: Public Works Director
350 Main Street, Room 5
E1 Segundo, CA 90245
PROJECT /LOCATION OF COVERED OPERATIONS:
All Operations of the Named Insured
1. WHO IS AN INSURED (Section II) is amended to
include the person or organization shown in the
Schedule above as an additional insured on this
Coverage Part, but:
This endorsement does not increase the lim-
its of insurance stated in the LIMITS OF IN-
SURANCE (Section III) for the Coverage
Part.
a. Only with respect to liability for "bodily injury", 3. The following is added to Paragraph a. of 4.
"property damage" or "personal injury"; and Other Insurance in COMMERCIAL GENERAL
LIABILITY CONDITIONS (Section IV):
If the injury or damage arises out of the per-
formance by you or your subcontractor, of
"your work" on or for the project, or at the lo-
cation, shown in the Schedule above. Such
person or organization does not qualify as an
additional insured with respect to their inde-
pendent acts or for "bodily injury", "property
damage" or "personal injury" for which that
person or organization has assumed liability
in a contract or agreement
2. The insurance provided to the additional insured
by this endorsement is limited as follows:
a. This insurance does not apply to the render-
ing of or failure to render any "professional
services ".
b. The limits of insurance afforded to the addi-
tional insured shall be the limits which you
agreed to provide in a "contract or agreement
requiring insurance" for that additional in-
sured, or the limits shown in the Declarations
for this Coverage Part, whichever are less
However, if you specifically agree in a "contract or
agreement requiring insurance" that, for addi-
tional insured shown in the Schedule, the insur-
ance provided to that additional insured under this
Coverage Part must apply on a primary basis, or
a primary and non - contributory basis, this insur-
ance is primary to other insurance that is avail-
able to such additional insured which covers such
additional insured as a named insured, and we
will not share with the other insurance, provided
that:
(1) The "bodily injury" or "property damage" for
which coverage is sought occurs; and
(2) The "personal injury" for which coverage is
sought arises out of an offense committed;
after you have entered into that "contract or
agreement requiring insurance" for such addi-
tional insured. But this insurance still is excess
over valid and collectible other insurance,
whether primary, excess, contingent or on any
CG D3 82 09 06 2006, The St. Paul Travelers Insurance Companies, Inc. Page 1 of 2
COMMERCIAL GENERAL LIABILITY
other basis, that is available to the additional in-
sured when the additional insured is also an addi-
tional insured under any other insurance.
4. The following is added to Paragraph 8. Transfer
Of Rights Of Recovery Against Others To Us
in COMMERCIAL GENERAL LIABILITY CON-
DITIONS (Section IV):
We waive any rights of recovery we may have
against the additional insured shown in the
Schedule above because of payments we make
for "bodily injury", "property damage" or "personal
injury" arising out of "your work" on or for the pro-
ject, or at the location, shown in the Schedule
above, performed by you, or on your behalf, un-
der a "contract or agreement requiring insurance"
with that additional insured. We waive these
rights only where you have agreed to do so as
part of the "contract or agreement requiring insur-
ance" with that additional insured entered into by
you before, and in effect when, the "bodily injury"
or "property damage" occurs, or the "personal in-
jury" offense is committed.
5. As respects the insurance provided to the addi-
tional insured by this endorsement, the following
definition is added to DEFINITIONS (Section V):
"contract or agreement requiring insurance"
means that part of any contract or agreement un-
der which you are required to include the person
or organization shown in the Schedule as an ad-
ditional insured on this Coverage Part, provided
that the "bodily injury" and "property damage" oc-
curs, and the "personal injury" is caused by an of-
fense committed:
a. After you have entered into that contract or
agreement;
b. While that part of the contract or agreement is
in effect; and
c. Before the end of the policy period.
All other terms of your policy remain the same.
RE: El Segundo Beach Lifeguard Station The City of El Seguno, its
officials and employees are named additional insured as respects
general liability for claims arising from the operations of the named
insured.
Page 2 of 2 2006, The St. Paul Travelers Insurance Companies, Inc. CG D3 82 09 06