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PROOF OF INSURANCE (2010) CLOSED. ,4 -1 ACORD- CERTIFICATE OF LIABILITY INSURANCE MID TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 10 0 /13 13 20000 9 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 199 S Los Robles Ave Ste 540 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Pasadena, CA 91101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE 626 844 -3070 INSURED RRM Design Group 3765 S. Higuera St., Suite 102 INSURER A: Travelers Property Casualty Co of Ameri INSURER B: Travelers Indemnity Co. of Connecticut INSURER c: Hartford Accident & Indemnity San Luis Obispo, CA 93401 INSURER D: Liberty Insurance Underwriters Inc. INSURER E: HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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. INS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 9/23/2010 LIMITS A GENERAL LIABILITY 6804855L378 9/23/2009 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $1,000, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE li] OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000, 000 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP /OP AGG $2,000,000 B AUTOMOBILE X LIABILITY ANY AUTO BA5046L942 9/23/2009 9/23/2010 COMBINED SINGLE LIMIT (Ea accident) $1, 000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X j{ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ -- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO - $ AUTO ONLY: AGG A EXCESS LIABILITY 7X OCCUR CLAIMS MADE CUP7218Y03A 9/23/2009 9/23/2010 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 DEDUCTIBLE $ X RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 57WEZ09556 6/30/2009 6/30/2010 X I WCSTATU- OTH- E.L. EACH ACCIDENT $1 000,000 E.L.DISEASE - EA EMPLOYE $1 00,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D OTHER Professional Liability AEE1966780109 9/9/2009 9/9/2010 $2,000,000 Per Claim $4,000,000 Annl Aggregate DESCRIPTION OF OPERATIONS /LOCATIONS/VEHIC LES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS E: Proj. #1109531M, E1 Segundo Beach Lifeguard Station -- City of E1 Segundo, its officials and employees are named as additional insured as respects general and auto liability for claims arising from the operations of the named insured as required per written contract. huun iun,r� City of El Segundo Attn: Maryam Jonas, Princi 1 Engineer 350 Main Street, Room 5 F1 Segundo CA 90245 ACORD 25 -S (7/97) ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER TO L 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED THE LEFT. AUTHORIZED O ACORD CORPORATION 1988 POLICY NUMBER: 6804855L378 40 0 2 , COMMERICAL GENERAL LIABILITY ISSUE DATE:10 /13/2009 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( City of E1 Segundo Attn: Maryam Jonas, Principal Engineer 350 Main Street, Room 5 E1 Segundo CA 90245 PROJECT /LOCATION OF COVERED OPERATIO RE: Proj. #1109531M, E1 Segundo Beach Lifeguard Station -- City of El Segundo, its officials and employees PROVISIONS A The following is added to WHO IS AN INSURED (Section II): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for bod- ily injury", 'property damage" or 'personal injury caused, in whole or in part, by your acts or omis - sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing oper- ations; b. In connection with premises owned by or rented to you; or C. In connection with your work and included within the "products- completed operations hazard." Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury' for which that person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services ". e. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that 'contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section' IV): However, if you specifically agree in a contract or agreement requiring insurance that, for the addi- tional insured shown in the Schedule, the insur- ance provided to that additional insured under this CG D3 82 09 07 Page I © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission COMMERICAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available 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 additional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (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 project, or at the location, shown in the Schedule above, performed by you, or on your behalf, under 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 insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury' or "property damage" occurs, or the "personal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include the person or organization shown in the Schedule as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal injury' is caused by an offense 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. CG D3 82 09 07 Page 2 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission POLICY #: BA5046L942 40 02 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions ofthe Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 10/13/2009 Countersigned By: Named Insured:, �.+r RRM Design Group Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): RE: Proj . #11.09531M, E1 Segundo Beach Lifeguard Station -- City of E1 Segundo, its officials and employees (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section 11 of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998