PROOF OF INSURANCE (2006) CLOSEDMA S
PRODUCER
Marsh USA Inc.
1000 Main Street, Suite 3000
Houston, TX 77002
)1695-PROP-03-05-06
INSURED
Shell Pipeline Company, LP
ATTN: Jena Henry
P.O. Box 2648
Houston, TX 77252 -2648
CERTIFICATE NUMBER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING [:nvFRero
COMPANY
A ZURICH AMERICAN INS.CO
COMPANY
B N/A
COMPANY
C
COMPANY
D
1►ERAGES This ' rtiflcste supersedes and replaces an y
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREINpHAVE BEENp SSVUEDSTOi THE NS�UREDCNAMEDr the
ERE Nil FOR THEdPOLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM O CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
tOF INSURANCE
POLICY NUMBER
ILITY GL09307950 -02
CIAL GENERAL LIABILITY
MS MADE � OCCUR
& CONTRACTOR'S PROT
A I AUTOMOBILE LIABILITY
TAP93O794S -02 (TX)'
A X ANY AUTO
BAP9307949 -02 (O /S)
OWNED AUTOS
SCHEDULED AUTOS
HALL
HIR ED AUTOS
1 Xx_'
NON -OWNED AUTOS
GARAGE LIABILITY
ANY AUTO --
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
A WORKERS COMPENSATION AND WC9307956 -02
EMPLOYERS' LABILITY
A WC9307951 -02
THE PROPRIETOR/
PARTNERS/EXECUTIVE X INCL
OFFICERS ARE: EXCL
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDNY) DATE (MM /DD/YY)
01/01/05 10 1/01/06
01/01/05 101/01/06
01/01/05 01/01/06
01/01/05 01/01/06
— a - wmrryr A
PERSONAL & ADV IN It
EACH OCCURRENCE
FIRE DAMAGE (Any one fir
MED EXP (Any one person'
COMBINED SINGLE LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
ONLY - EA ACCIDEN
2 THAN AUTO ONLY:
EACH OCCURRENCE
AGGREGATE
EL EACH ACCIDENT
EL DISEASE- POLICY LIMIT
EL DISEASE -EACH EMPLO'
LIMITS
$ 1,000,000
$
' $ 1,000,000
$ 1,000,000
$
$
$ 1,000,000
$
$
1$ 1
$ 1,000,000
$ 1,000,000
DESCRIPTION OF OPERATION S /LOCATIONSNEHICLES /SPECIAL ITEMS
THE CERTIFICATE HOLDER SHALL BE INCLUDED AS ADDITIONAL INSURED (EXCEPT AS RESPECTS ALL COVERAGE AFFORDED BY THE
WORKERS' COMPENSATION POLICY) AND IS GRANTED A WAIVER OF SUBROGATION WHERE REQUIRED BY WRITTEN CONTRACT BUT ONLY
FOR LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED.
na,n.ucR CANCELLATION
JMARSH ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
URER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE
City of El Segundo
Dept. of Public Works v' ATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
350 Main Street OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
El Segundo, CA 90245 -3813 ^`..
F THIS CERTIFICATE.
SA INC.
s J vid R. Hirshorn//02 ) _ VALID AS OF: 08125/05