PROOF OF INSURANCE (2006) CLOSED-Mtrsh, Inc. 9/29/2005 4:56 PM PAGE 2/002 Fax Server
CERTIFICATE NUMBER
PRODUCER
Marsh USA Inc.
1000 Main Street, Suite 3000
Houston, TX 77002
HOU 000652aes.03
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AID CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED N THE
POLICY. THUG CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVE
AFFORDED BY THE POLICES DESCRIBED HEREIN. RAGE
COMPANIES AFFORDING COVERAGE
COMPANY
A ZURICH AMERICAN INS.CO
695 - PROP - 03454M
INSURED
Shell
l Pipeline Company, LP
P.O. Box 2648
COMPANY
B N/A
Houston, TX 77252 -2648
CCMPMY
C
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NANEO HEREIN FOR THE POLICY PERIOD INDICATED,
NOT`WTHSIANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY OONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR MAY
PERTAN, THE INSURANCE AFFORDED By THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLuSONS OF SUCH POLICES AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAMS.
CID
TR
L1R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDD/YY)
POLICY EXPIRATION
DATE(MM/DD/YY)
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
GLO9307950 -02
01/01/05
01 /01/06
GENERAL AGGREGATE
$ 1,000,000
PRODUCTS- COMP/OP AGG
$
X
CLAMS MADE OCCUR
Oh NER'S&CONTRACrOR'SPROT
PERSONAL&ADVINJURV
$ 1,000,000
EACH OCCURRENCE
$ 1,()00,000
FIRE DAMAGE (Anyone ore)
$
M® EXP M me aem
$
A
AJTOMCBLE
LIABILTY
TAP9307948 -02 (TXP
A
X
ANY AUTO
BAP9307949-02 (O/S)
01/01/05
01101/06
COMBINED 9NGLE LIMIT
$ 1,000,000
ALL OWNED AUTOS
EIDDILVIN.LRY
(Per Persm)
$
SCHEDULED AUTOS
X
HIRED AUTOS
BODILY IN.LRY
(Per 1wqdent)
$
X
IMN
NON- OED AUTOS
PROPERTYDAMAGE
$
GARAGE LIABILITY
$
My AUTO
AUTO ONLY - EAACCTDENT
OTHER THAN AUTO ONLY
I, �. `•u. ". °9'..: .
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
$
UMBRELLAFORM
EACH OCCURRENCE
AGGREGATE
$
A
A
OTHER THAN UMBRELLA FORM
WORKERS CONPENSATION AND
EMPLOYERS'LNBL ITY
THE PROPRIETOR/ X INCL
PARTNER9EXECUIIVE
O°FlCERSARE, IXQ.
WC9307956-02
WC9307951 -02
O1 /Oi /OS
01/01/05
O1JO1 /06
01 101 /06
M SI ATU- QTIi
X TORY IMITS ER
$
$ 1 000,000
EL EACH ACCIDENT
EL DISEASE.PCLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
DESCRIPTION OF OPERA710NWLOCATIONSNEHICLES ISPECUY .ITEMS
THE CERTIFICATE HOLDER SHALL BE INCLUDED AS ADDITIONAL INSURED (EXCEPT AS RESPECTS ALL COVERAGE AFFORDED BY THE
VVORKERS' 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.
4
SWXJLD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THERECP,
City EJ Segundo
Dept. . of Public Works
THE INSIRER AFFORDING COVERAGE wLL EIMH(SM MVL _gp DAYS WRITTEN Nano TO THE
CERTIFICATE HOLDER NAKED HEREIN
350 Main Street
El Segundo, CA 902453813
MARSH USA INC.
BY: David R. Hirshom