PROOF OF INSURANCE (2009) CLOSEDACORD. CERTIFICATE OF LIABILITY INSURANCE DATE06 /21/2006Y>
PRODUCER
Aon Risk Services, Inc. of Illinois
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
200 East Randolph
Chicago IL 60601 USA
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
PHONE. (866) 283 -7122 FAX-(847) 953 -5390
INSURED
INSURER A: Zurich American Ins Co
16535
INSURER B:
P 0 BOX 17167
INSURER C:
Memphis TN 38187 USA
INSURER D:
INSURER E:
ICOVERAGES
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.
INSR
LTR
ADD'
INSRU
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM \DD \YY)
POLICY EXPIRATION
DATE(MM \DD \YY)
LIMITS
A
ERAL LIABILITY
GLo293852803
01/01/06
01/01/09
EACH OCCURRENCE
$3,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
$1,000,000
CLAIMS MADE ® OCCUR
PREMISES (Ea occurence)
Any one Person
,000
PERSONAL & ADV INJURY
$3,000,000
GENERAL AGGREGATE
$5,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGO
Included
POLICY E] PRO- F-1 LOC
E JECT
A
AUTOMOBILE
LIABILITY
BAP2938531 -03
01/01/06
01/01/09
COMBINED SINGLE, LIMIT
ANY AUTO
(Ea accident)
$5,000,000
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
( Per person)
X
HIRED AUTOS
BODILY INJURY
NON OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
e
AUTO ONLY:
AGG
EXCESS /UMBRELLA LIABILITY
EACH OCCURRENCE
❑ OCCUR ❑ CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION
A
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR /PARTNER /EXECUTIVE
OFFICER/MEMBER EXCLUDED?
WC
ADS
WC293852703
WI
1
01/01/06
01/01/09
X
WC STATU-
TOY LIMITS
OTH-
E.L. EACH ACCIDENT
S1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
i
If yes, describe under SPECIAL PROVISIONS
E.L. DISEASE - POLICY LIMIT
S1,000, 000 i
below
OTHER
i
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
RE: TruGreen LandCare BR# 6245. The City, its officials, employees and volunteers are included as Additional
Insured per attached CG2010 and CG2037 endorsements under General Liability where required by written contract.
General Liability coverage is primary where required by written contract.
CE R F CATE HOLDER CANCELLATION
City Of El Segundo SHOULD
Department of Public Works DATE
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR T9^ MAIL i
Attn : Yvette Si moneau 30
DAYS WRITTF,N NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
150 Illinois street
ITY
HEWSU
El Segundo CA 90245 USA
i
AUTHORIZED REPRESENTATIVE .4 oil laEYA .SerWCVm, itc- of Vi't'als
1
1 ACORD 25 (2001/08) ACORD CORPORATION 198
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id
POLICY NUMBER: GL0293852803
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 Organ ization s :
Locations Of Covered Operations
The City of El Segundo, Its Officers, Officials,
Employees, Agents & Volunteers
TruGreen LandCare, LLC
11/11/2006-1/11/2009
Information required to complete this Schedule if not shown above will be shown in the Declarations.
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:
1. 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:
CG 20 10 07 04
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. 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.
Copyright, ISO Properties, Inc., 2004
Page 1 of 1
UNIFORM
0 l r� - Q:!
POLICY NUMBER: GL0293852803
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 Organ ization s :
Location And Description Of Completed Operations
The City of El Segundo, Its Officers, Officials,
Employees, Agents & Volunteers
TruGreen LandCare, LLC
1 /1 /2006- 1 /1 /2009
Information required to complete this Schedule if not shown above will be shown in the Declarations.
Section 11 — 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 plated 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
0 l(_ -Q$3
LION
January 1, 2006
To Whom It May Concern
Re: ServiceMaster Company and its subsidiaries and affiliates
Additional Insured coverage under the General Liability policies
The Insurance Services Office ( "ISO ") General Liability forms have been updated, and
the updated forms are now incorporated into ServiceMaster's policies.
The CG 20 10 11 85 endorsement has been requested in the past by owners and general
contractors because it includes them as additional insureds for both "ongoing operations"
and "completed operations."
This endorsement has been updated and replaced, in this case, by the combination of 2
newer "ISO" forms:
• CG 20 10 07 04 to provide additional insured status for "ongoing operations," and
• CG 20 37 07 04 to provide additional insured status for "completed operations."
These 2 endorsements together provide the additional insured status that had been
provided in CG 20 10 11 85. This is the industry standard for providing additional
insured status going forward.
When ServiceMaster's policies were issued effective 1 /l /06, the carrier issued them using
these current forms and endorsements. Both CG 20 10 07 04 and CG 20 37 07 04 are
included in ServiceMaster's policies, and contain the "Additional Insured" wording that
you have requested. If you have any questions or concerns, please give me a call at (312)
381 -4612.
Best regards,
Tim Feldbruegge
Aon Risk Services
200 East Randolph * Chicago, Illinois 60601
tel: 312.391.1000 www.aon.com