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PROOF OF INSURANCE (2012) CLOSEDACORDr. DATE MM DD YYYY FPRDUCER 12/17/2009 Aon Risk Services Central, Inc. Chicago IL THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Office 200 East Randolph ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Chicago IL 60601 USA CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE- 866 283 -7122 FAX- 847 953 -5390 INSURERS AFFORDING COVERAGE NAIL # INSURED TruGreen LandCare, a California G. P. INSURER A: Zurich American Ins CO 16535 860 Ridge Lake Blvd INSURER B: National union Fire Ins Co of Pittsburgh 19445 Memphis TN 38120 USA INSURER C: INSURER D: INSURER E: 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, AGGREGATE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LIMITS SHOWN ARE AS REQUESTED LTR INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION A DATE(MM\DD \YY) DATE(MM\DD \YY) LIMITS ERAL LIABILITY GLO293865604 01/01/09 0110111 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $3,000,000 CLAIMS MADE ® OCCUR DAMAGE TO RENTED PREMISES (Ea occurence) $1,000,000 MEL) LAP (Anyone person PERSONAL & ADV INJURY $3,000,000 <r GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000, DUD © POLICY ❑ E O. ❑ LOC PRODUCTS - COMP /OP AGO Included C C r A AUTOMOBILE LIABILITY BAP2938657 -04 01/01/09 01/01/12 / V ANY AUTO COMBINED SINGLE LIMIT t ALL OWNED AUTOS (Ea accident) $5,000,000 -0 SCHEDULED AUTOS BODILY INJURY � ( P Per person) IC HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT B OTHER THAN EA ACC AUTO ONLY: B EXCESS /UMBRELLA LIABHdTY BE2227065 01/01/09 AGG ElOCCUR ❑ CLAIMS MADE EACH OCCURRENCE AGGREGATE $5,000,000 eDEDUCTIBLE RETENTION A 01/01/09 X WC STATU• OTH- IER WC WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A05 A WC293865504 ANY PROPRIETOR /PARTNER /EXECUTIVE 01/01/09 01101112. E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? WI l Ifyes, describe under SPECIAL PROVISIONS E.L. DISEASE -EA EMPLOYEE $1,000,000 below E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER /SPECIAL PROVISIONS DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT Re: yyTruGreen LandCare, a California G. P. Branch #6245. RE: Sycamore Park Irrigation System Replacement. Job #301. agents Liability to job @Sycamore Park Irrigation y per the attached CG2010 0704 and CG2037 City of E1 Segundo Its officials and Employees C/o City Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 6NDN.0 'Q :po MAIL 350 Main Street, Room 5 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, E1 Segundo CA 90245 -3895 USA AUTHORIZED REPRESENTATIVE ,,,. ..,. , Attachment to ACO" Certificate for TrBGreen Landcare, a California G. P. The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURER INSURED TruGreen Landcare, a California G. P. INSURER 860 Ridge Lake Blvd Memphis TN 38120 USA INSURER INSURER INSURER If a policy below does not include limit information, refer to the corr esponding policy on the ACORD ADDITIONAL POLICIES certificate form for policy limits. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS 0704 and Automobile Liability policies if required by written contract. waiver of Subrogation applies to the General Liability, Automobile Liability and workers Compensation policies if required by written contract with City of E1 Segundo. Certificate No : 570037098208 TYPE OF INSURANCE POLICY NUMBER POLICY DESCRIPTION POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS INSR LTR ADD'L INSRD DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS 0704 and Automobile Liability policies if required by written contract. waiver of Subrogation applies to the General Liability, Automobile Liability and workers Compensation policies if required by written contract with City of E1 Segundo. Certificate No : 570037098208 POLICY NUMBER: GL02938656 -04 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered City of EI Segundo, its officers, employees, agents & volunteers. TruGreen LandCare, a California G. P. - Branch No. 6245 1/1/2009- 1/1/2012 Information required to com late this Schedule. if not shnwn nhnva Will Ko ►,,,..,..:., .� A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: I. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: ns This insurance does not apply to "bodily injury" or "property damage" occurring after: I. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, mainte- nance or repairs) to be performed by or on behalf of the additional insured(s) at the loca- tion of the covered operations has been com- pleted; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM POLICY NUMBER: GL02938656.04 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations City of El Segundo, its officers, employees, agents & volunteers. TruGreen LandCar , a allfornia G. P. - Branch No. 6245 1/1/2009- 1/1/2012 Information re uired to ccknplete this Schedule if not shown above will be shown in the Declarations. Section If — Who Is An Insured is amended to in- at the location designated and described in the clude as an additional insured the person(s) or or- schedule of this endorsement performed for that ad- ganization(s) shown in the Schedule, but only with ditional insured and included in the "products -com- respect to liability for "bodily injury" or "property pleted operations hazard ". damage" caused, in whole or in part, by 'your work" CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM 6Z 30WO